Perspectives of Racialized Physiotherapists in Canada on Their Experiences with Racism in the Physiotherapy Profession

Perspectives of Racialized Physiotherapists in Canada on Their Experiences with Racism in the Physiotherapy Profession
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DOI:
10.3138/ptc-2018-39
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发表时间:
2019-11-01
影响因子:
1
通讯作者:
Nixon, Stephanie
Nixon, Stephanie
中科院分区:
医学4区
文献类型:
--
作者:
Vazir, Shrey;Newman, Kaela;Nixon, Stephanie

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目的:我们探讨了加拿大种族化物理治疗师对他们作为物理治疗师角色中遭受种族主义经历的看法。方法:这项定性描述性横断面研究采用半结构化、一对一访谈。使用 NVivo 定性分析软件组织数据,并按照六步 DEPICT 方法使用归纳和演绎编码进行分析。结果:十二名加拿大持证物理治疗师(四名男性和八名女性,三名农村和九名城市,来自多个种族群体)描述了他们在制度化、个人介导和内在化水平上作为物理治疗师所面临的种族主义经历。这些经历是由他们的个人特征决定的,包括口音、地理位置和物理治疗 (PT) 教育国家。参与者描述了他们对这些事件的反应,并深入了解了该行业如何减轻种族主义并促进多样性和包容性。结论:参与者描述的人际种族主义通常是由地点和口音以及导致自我怀疑的内在种族主义经历介导的,但他们最常见的是制度化种族主义。 PT 的体验是被注入了白色,参与者通常会淡化或忽略它。这项研究的结果可用于激发加拿大 PT 社区中的对话,特别是那些处于领导地位的人之间的对话,不仅要承认种族主义是一个问题,而且要通过进一步的研究、宣传和培训采取行动反对它。
Purpose: We explored the perspectives of racialized physiotherapists in Canada on their experiences of racism in their roles as physiotherapists. Method: This qualitative descriptive cross-sectional study used semi-structured, one-on-one interviews. Data were organized using NVivo qualitative analysis software and analyzed using inductive and deductive coding following the six-step DEPICT method. Results: Twelve Canadian licenced physiotherapists (four men and eight women, three rural and nine urban, from multiple racialized groups) described the experiences of racism they faced in their roles as physiotherapists at the institutionalized, personally mediated, and internalized levels. These experiences were shaped by their personal characteristics, including accent, geographical location, and country of physiotherapy (PT) education. Participants described their responses to these incidents and provided insight into how the profession can mitigate racism and promote diversity and inclusion. Conclusions: Participants described interpersonal racism often mediated by location and accent and experiences of internalized racism causing self-doubt, but they most commonly detailed institutionalized racism. PT was experienced as being infused with Whiteness, which participants typically responded to by downplaying or ignoring. The findings from this study can be used to stimulate conversations in the Canadian PT community, especially among those in leadership positions, about not only acknowledging racism as an issue but also taking action against it with further research, advocacy, and training.