学术物理治疗中的文化响应:行政案例报告。

IF 3.5 4区 医学 Q1 ORTHOPEDICS
V Kai Kennedy, Sara Temple, Sang Pak, Alison Scheid, Arianne Teherani, Marieke van der Schaaf, Amber Fitzsimmons
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引用次数: 0

摘要

目的本文介绍了一个物理治疗部门的行政领导层如何策划、实施和评估一项具有文化敏感性的行政支持策略,以营造积极的工作环境。作者利用气候调查数据总结了参与者对文化响应实践的看法:本案例发生在美国一家学术医疗中心的物理治疗和康复科学部。该部门管理着 5 个教育项目、3 个教师实践项目、一个社区诊所和一个强大的研究企业,拥有 100 多名员工。在一次历史性的社会文化事件后,管理者采取了一系列行动,以了解该部门员工的需求,并以文化响应的方式做出回应。干预措施包括支持性活动、教育机会和社区建设活动。该部门每年都会进行一次氛围调查,以评估员工对工作氛围的看法、文化应对干预措施的影响以及改善部门氛围的建议。调查分析包括频率统计(STATA Version 17;StataCorp LLC;College Station,Texas,USA)和主题内容分析,其中的敏感性概念来自之前应用于中小学环境的文化敏感性实践框架:共有 131 名员工参与了 2020 年至 2022 年的年度氛围调查。员工在识别和解决工作环境中的微言微语方面的信心呈现出全面提高的趋势,自我报告的种族歧视经历总体上有所减少。参与者报告称,在解决同事之间的歧视问题上出现了积极的趋势,但在解决患者的冒犯行为方面却遇到了困难:研究结果表明,文化敏感性干预措施与员工氛围的积极趋势相关。针对受众量身定制的干预措施旨在加深对文化的了解、提高自我意识和肯定他人,从而促进对文化平等的共同承诺:影响:行政领导者可以通过合理的文化应对策略、双向文化敏感沟通、个人发展和集体行动,利用具有文化意义的教学时机,在营造包容性氛围方面发挥作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cultural Responsiveness in Academic Physical Therapy: An Administrative Case Report.

Objective: This paper describes how the administrative leadership of 1 physical therapy department curated, implemented, and evaluated a culturally responsive administrative support strategy to foster a positive working environment. Participants' perceptions of culturally responsive practices were explored using climate survey data.

Methods: This case occurred in the physical therapy and rehabilitation science department at an academic medical center in the United States. The department administers 5 educational programs, 3 faculty practices, a community clinic, and a robust research enterprise and employs over 100 employees. After a historic sociocultural event, administrators implemented a series of actions to understand the needs of department employees and to respond in a culturally responsive manner. Interventions included supportive activities, educational opportunities, and community-building events. The department administered an annual climate survey to assess the employees' perceptions of the working climate, perceived impacts of the culturally responsive interventions, and suggestions for improving department climate. Survey analysis included frequency statistics and thematic content analysis with sensitizing concepts from a culturally responsive practice framework previously applied in primary and secondary school settings.

Results: A total of 131 employees participated in the annual climate survey from 2020 to 2022. Employees' confidence to identify and address microaggressions in working environments showed trends of overall improvement, and overall self-reported experiences with racial discrimination decreased. Participants reported positive trends in addressing discrimination among colleagues but also reported addressing offensive behaviors perpetrated by patients.

Conclusion: Findings suggest that culturally responsive interventions are associated with positive trends in employee climate. Interventions tailored to the audience and curated to deepen cultural knowledge, enhance self-awareness, and validate others fostered a shared commitment to cultural equity.

Impact: Administrative leaders have a role in fostering an inclusive climate by capitalizing on culturally significant teachable moments with sound culturally responsive strategy, bidirectional culturally sensitive communication, individual development, and collective action.

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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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