Lindsay Sally, Kolne Kendall, Barker Donna J, Colantonio Angela, Stinson Jennifer, Moll Sandra, Thomson Nicole
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON, Canada.
JMIR Form Res. 2021 Mar 15;5(3):e23568. doi: 10.2196/23568.
Although research shows that there is a need for gender-specific vocational support to help youth with disabilities find employment, health care providers often report needing more training in this area. Currently, there are no existing educational simulations of gender-sensitive care within vocational rehabilitation for clinicians who provide care to youth with disabilities. Therefore, developing further educational tools that address gender-sensitive care could help them enhance the care they provide while optimizing patient outcomes.
This study aims to codevelop an educational simulation and identify issues relevant to providing gender-sensitive care within the context of vocational rehabilitation for youth with disabilities.
We used a qualitative co-design approach with a purposive sampling strategy that involved focus group discussions and journal reflections to understand and address issues relevant to gender-sensitive care within vocational rehabilitation for those working with youth with disabilities. A total of 10 rehabilitation providers participated in two sessions (5 participants per session) to design the web-based simulation tool. The sessions (2.5 hours each) were audio recorded, transcribed, and analyzed thematically.
Two main themes arose from our analysis of codeveloping a simulation focusing on gender-sensitive care. The first theme involved the relevance of gender within clinical practice; responses varied from hesitance to acknowledging but not talking about it to those who incorporated gender into their practice. The second theme focused on creating a comfortable and safe space to enable gender-sensitive care (ie, included patient-centered care, effective communication and rapport building, appropriate language and pronoun use, respecting gender identity, awareness of stereotypes, and responding to therapeutic ruptures).
Our web-based gender-sensitive care simulation that addressed vocational rehabilitation among youth with disabilities was cocreated with clinicians. The simulation highlights many issues relevant to clinical practice and has potential as an educational tool for those working with young people with disabilities.
尽管研究表明，需要针对不同性别的职业支持来帮助残疾青年找到工作，但医疗保健提供者经常报告称，他们在这方面需要更多培训。目前，对于为残疾青年提供护理的临床医生而言，职业康复领域尚无对性别敏感护理的教育模拟。因此，开发更多解决性别敏感护理问题的教育工具，有助于他们在优化患者治疗效果的同时，提高所提供的护理质量。
本研究旨在共同开发一种教育模拟，并确定在残疾青年职业康复背景下提供性别敏感护理相关的问题。
我们采用定性协同设计方法和目的抽样策略，通过焦点小组讨论和日志反思，来理解和解决残疾青年职业康复中与性别敏感护理相关的问题。共有10名康复提供者参加了两次会议（每次会议5名参与者），以设计基于网络的模拟工具。会议（每次2.5小时）进行了录音、转录，并进行了主题分析。
我们对共同开发一个侧重于性别敏感护理的模拟进行分析后，出现了两个主要主题。第一个主题涉及性别在临床实践中的相关性；回答从犹豫到承认但不谈论，再到将性别纳入实践的人各不相同。第二个主题侧重于创造一个舒适和安全的空间，以实现性别敏感护理（即包括以患者为中心的护理、有效的沟通和融洽关系的建立、适当的语言和代词使用、尊重性别认同、对刻板印象的认识以及应对治疗中断）。
我们基于网络的、针对残疾青年职业康复的性别敏感护理模拟是与临床医生共同创建的。该模拟突出了许多与临床实践相关的问题，并且有可能成为残疾青年工作者的教育工具。
