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康复专业人员对人权、残疾与科学的看法:一项定性研究

Rehabilitation Professionals' Perspectives on Human Rights, Disability, and Science: A Qualitative Study.

作者信息

Bryden Anne M, Anderson Kim D, Gran Brian

机构信息

The MetroHealth System, Department of Physical Medicine and Rehabilitation, MetroHealth Center for Rehabilitation Research and the Institute for Functional Restoration at Case Western Reserve University, Cleveland, Ohio.

Case Western Reserve University, Department of Sociology, School of Law, Jack, Joseph and Morton Mandel School of Applied Social Sciences, Cleveland, Ohio.

出版信息

Arch Rehabil Res Clin Transl. 2024 Mar 30;6(2):100336. doi: 10.1016/j.arrct.2024.100336. eCollection 2024 Jun.

Abstract

OBJECTIVE

To investigate the attitudes and knowledge of rehabilitation professionals concerning human rights within the context of disability, science, and technology access.

DESIGN

A qualitative study using in-depth semi-structured interviews.

SETTING

A large, urban, academically-affiliated rehabilitation research center.

PARTICIPANTS

We conducted semi-structured interviews with rehabilitation professionals who specialize in spinal cord injury (SCI) care, including 6 physicians, 3 physical therapists, 2 occupational therapists, 2 nurses, 1 rehabilitation engineer, and 1 rehabilitation psychologist (N=15). Participants were purposively recruited through e-mail letters to members of the American Spinal Injury Association. Efforts were made to recruit a diverse cohort of rehabilitation professionals based on profession, sex, age, and race. Interviews were conducted in person during the 2018 annual meeting or by phone after the meeting.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Interviews were recorded, transcribed verbatim, and coded to identify emerging themes within and across participants' content.

RESULTS

Primary findings show that most respondents were unaware of disability-relevant human rights doctrine. None was aware of the right to science as articulated in Article 15 of the International Covenant on Economic, Social, and Cultural Rights. Only 2 respondents had previously considered injustices experienced by their clients as human rights violations, yet nearly all were intrigued by framing access difficulties within the right to science paradigm. Overall, participants reported they would find value in implementing human rights in their work.

CONCLUSIONS

Rehabilitation professionals are receptive to a human rights framework. Further research is needed to identify actionable steps for implementing principles of human rights to increase access to technology by individuals with SCI.

摘要

目的

调查康复专业人员在残疾、科学和技术获取背景下对人权的态度和知识。

设计

采用深入半结构化访谈的定性研究。

地点

一个大型的、与学术机构相关的城市康复研究中心。

参与者

我们对专门从事脊髓损伤(SCI)护理的康复专业人员进行了半结构化访谈,包括6名医生、3名物理治疗师、2名职业治疗师、2名护士、1名康复工程师和1名康复心理学家(N = 15)。通过给美国脊髓损伤协会成员发送电子邮件有目的地招募参与者。努力招募一个基于职业、性别、年龄和种族的多样化康复专业人员群体。访谈在2018年年会期间亲自进行,或在会后通过电话进行。

干预措施

不适用。

主要观察指标

访谈进行录音、逐字转录并编码,以识别参与者内容中以及不同参与者之间出现的主题。

结果

主要研究结果表明,大多数受访者不了解与残疾相关的人权原则。没有人知道《经济、社会及文化权利国际公约》第十五条所阐明的科学权。只有2名受访者曾将其客户所经历的不公正视为侵犯人权行为,但几乎所有人都对在科学权范式内构建获取困难的问题感兴趣。总体而言,参与者表示他们会发现在工作中落实人权具有价值。

结论

康复专业人员接受人权框架。需要进一步研究以确定落实人权原则的可行动步骤,以增加脊髓损伤患者获取技术的机会。

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