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儿科康复医院中性别敏感护理的培训需求:一项定性研究。

The training needs for gender-sensitive care in a pediatric rehabilitation hospital: a qualitative study.

机构信息

Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital & Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.

出版信息

BMC Med Educ. 2020 Nov 25;20(1):468. doi: 10.1186/s12909-020-02384-y.

Abstract

BACKGROUND

Gender is an important social determinant of health; however, clinicians often lack training in how to provide gender-sensitive care. Offering appropriate and relevant training could help to address some gender-based health inequalities. Our objective was to identify and describe the training needs for gender-sensitive care among pediatric rehabilitation healthcare providers.

METHODS

This study used an interpretive descriptive qualitative design to conduct interviews with 23 pediatric rehabilitation healthcare providers (19 women, 3 men, 1 transgender man), from a pediatric rehabilitation hospital in a large urban center, in Ontario, Canada from a range of disciplines. Interviews were transcribed verbatim and analyzed using an open-coding inductive thematic analysis.

RESULTS

Our analysis revealed the following themes: [1] lack of knowledge about gender-sensitive care and the need for more training; [2] content of the desired training (i.e., gender differences, effective communication and how to practice gender-sensitive care) and [3] delivery method of the training.

CONCLUSIONS

Enhanced gender-sensitive training for healthcare providers is required for optimizing patient outcomes and addressing gender-based health inequalities. Educators in pediatric rehabilitation should consider developing gender-sensitive care training that is embedded within post-graduate education and also continuing education within hospitals and community care centers.

摘要

背景

性别是健康的一个重要社会决定因素;然而,临床医生在提供性别敏感护理方面往往缺乏培训。提供适当和相关的培训可以帮助解决一些基于性别的健康不平等问题。我们的目的是确定和描述儿科康复医疗保健提供者对性别敏感护理的培训需求。

方法

本研究采用解释性描述性定性设计,对来自加拿大安大略省一个大城市的儿科康复医院的 23 名儿科康复医疗保健提供者(19 名女性、3 名男性、1 名跨性别男性)进行了访谈。访谈逐字记录,并使用开放式编码归纳主题分析进行分析。

结果

我们的分析揭示了以下主题:[1]缺乏性别敏感护理知识和培训需求;[2]所需培训的内容(即性别差异、有效沟通和如何实践性别敏感护理)和[3]培训的交付方式。

结论

需要为医疗保健提供者提供增强的性别敏感培训,以优化患者的治疗效果,并解决基于性别的健康不平等问题。儿科康复教育者应考虑在研究生教育中以及在医院和社区护理中心的继续教育中嵌入性别敏感护理培训。

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