Nelson Curtley, Forbes Roma, Mandrusiak Allison
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Qld 4072, Australia; and Present address: The University of Queensland, 84a Services Road, St Lucia, Qld 4072, Australia.
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Qld 4072, Australia.
Aust J Prim Health. 2025 Jan;31. doi: 10.1071/PY24137.
Background Understanding the experiences of Aboriginal and Torres Strait Islander peoples as healthcare recipients is essential for delivering culturally safe physiotherapy care; however, the literature inadequately explores these experiences. This study aimed to explore the experiences of Aboriginal and Torres Strait Islander peoples who have engaged with physiotherapists and understand their perspectives on how physiotherapists can provide culturally safe care in the community. Methods Semi-structured interviews were conducted with adult (aged >18years) self-identified Aboriginal and Torres Strait Islander peoples (n =12) who had received physiotherapy care within a community setting within the previous 3months. A First Nations methodology approach alongside reflexive thematic analysis was used to interpret the data. Results Four themes were generated: (1) building trust through yarning; (2) acknowledging and respecting culture; (3) creating a culturally safe environment; and (4) the importance of professional training. Conclusions Aboriginal and Torres Strait Islander peoples have expressed that physiotherapists can establish trust with their patients by dedicating time to develop a therapeutic relationship and by demonstrating respect for their culture. It is essential for physiotherapists to carefully consider the physical environment in which they deliver care to ensure it is welcoming and culturally safe for Aboriginal and Torres Strait Islander peoples. Physiotherapists should undertake professional development to immerse themselves in First Nations culture and history through connecting with community. This study offers insights into the lived experiences of Aboriginal and Torres Strait Islander peoples receiving care in the community and provides recommendations that may assist physiotherapists, alongside other community-based health professionals, to provide culturally safe care.
背景 了解原住民和托雷斯海峡岛民作为医疗服务接受者的经历对于提供具有文化安全性的物理治疗护理至关重要；然而，现有文献对这些经历的探讨并不充分。本研究旨在探究与物理治疗师接触过的原住民和托雷斯海峡岛民的经历，并了解他们对于物理治疗师如何在社区中提供具有文化安全性护理的看法。方法 对在过去3个月内在社区环境中接受过物理治疗护理的成年（年龄>18岁）、自我认同为原住民和托雷斯海峡岛民的人群（n = 12）进行了半结构化访谈。采用原住民方法论方法并结合反思性主题分析来解释数据。结果 生成了四个主题：（1）通过交谈建立信任；（2）承认并尊重文化；（3）营造具有文化安全性的环境；（4）专业培训的重要性。结论 原住民和托雷斯海峡岛民表示，物理治疗师可以通过投入时间建立治疗关系并尊重他们的文化来与患者建立信任。物理治疗师必须仔细考虑提供护理的物理环境，以确保对原住民和托雷斯海峡岛民来说是友好且具有文化安全性的。物理治疗师应通过与社区建立联系来进行专业发展，以深入了解原住民文化和历史。本研究深入了解了原住民和托雷斯海峡岛民在社区接受护理的生活经历，并提供了可能有助于物理治疗师以及其他社区卫生专业人员提供具有文化安全性护理的建议。
