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首页> 外文期刊>Chiropractic and Manual Therapies >Chiropractors` experience and readiness to work in Indigenous Australian Communities: a preliminary cross-sectional survey to explore preparedness, perceived barriers and facilitators for chiropractors practising cross-culturally
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Chiropractors` experience and readiness to work in Indigenous Australian Communities: a preliminary cross-sectional survey to explore preparedness, perceived barriers and facilitators for chiropractors practising cross-culturally

机译：脊医的经验和在澳大利亚土著社区工作的意愿：一项初步的横断面调查，以探讨脊医在跨文化实践中的准备情况，认识的障碍和促进者

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Background Indigenous people make up approximately 3% of the total Australian population and score poorer on all health indices, including back pain. Chiropractors are well placed to alleviate back pain, yet there is no research that considers chiropractors’ readiness to treat Indigenous patients. This study explores chiropractors` experience working with Indigenous Australians, describes perceived barriers and facilitators to chiropractors’ participation in Indigenous Healthcare and their willingness to engage in cultural competency training. Methods This study used a non-representative cross-sectional design and a convenience sample. Participants were recruited via email invitation to complete an online survey and encouraged to send the invitation on to colleagues. A 17-item online-survey measured demographic data, perceived barriers and facilitators related to caring for Indigenous Australians, participants` level of comfort when working in Indigenous health, and their willingness to participate in cultural competency programs to enhance their skills, knowledge and cultural capacity when engaging with Indigenous Australians. Analysis of the data included descriptive statistics as well as thematic analysis of qualitative free text. Results One hundred and twenty-five chiropractors participated in the survey. The majority of participants (86%, n =?108) were employed in private practice. 62% of respondents were members of the Chiropractors' Association of Australia, 41% were Chiropractic and Osteopathic College of Australasia members. 60% of chiropractors considered that they had, or do treat Indigenous patients yet only 4% of respondents asked their patients if they identified as Indigenous. A majority of participants expressed a high level of ‘comfort’ or confidence in working with Indigenous people while only 17% of respondents had undertaken some form of cultural proficiency training. A majority of respondents (62.7%, n =?74) expressed an interest in working with Indigenous Australians and a majority (91%, n =?104) were willing to participate in training to develop Indigenous cultural competency. Conclusions The study points to a need for chiropractors to have access to cultural proficiency training in order to develop the capability and confidence to engage respectfully with their Indigenous patients. This preliminary study has provided the researchers with valuable insights aiding the development and implementation of an Indigenous cultural proficiency program for chiropractors.
机译：背景知识土著人民约占澳大利亚总人口的3％，并且在包括背痛在内的所有健康指数上得分都较差。脊椎治疗师可以很好地缓解背部疼痛，但尚无研究认为脊椎治疗师已准备好治疗土著患者。这项研究探索了脊医与澳大利亚土著人合作的经验，描述了脊医参加土著医疗保健的障碍和促进者，以及他们参与文化能力培训的意愿。方法本研究使用了非代表性的横截面设计和便利样本。通过电子邮件邀请来招募参与者，以完成在线调查，并鼓励将邀请发送给同事。一项17个项目的在线调查测量了人口数据，与关怀澳大利亚原住民有关的障碍和促进因素，参与者在土著健康方面的工作舒适度以及他们参加文化能力计划以增强其技能，知识和文化的意愿与土著澳大利亚人交往时的能力。数据分析包括描述性统计以及定性自由文本的主题分析。结果共有125名脊医参加了调查。大部分参与者（86％，n =？108）受雇于私人执业。 62％的受访者是澳大利亚脊医协会的会员，41％的是澳大利亚脊骨疗法和整骨学院的会员。 60％的脊医认为他们曾经或确实在治疗土著患者，但只有4％的受访者询问他们的患者是否被确定为土著。大多数参与者对与土著人民合作表示高度“舒适”或信心，而只有17％的受访者接受了某种形式的文化水平培训。大多数受访者（62.7％，n =？74）表示有兴趣与澳大利亚土著人合作，大多数受访者（91％，n =？104）愿意参加培训以发展土著文化能力。结论该研究指出，脊医需要接受文化能力培训，以发展其能力和自信心以尊重他们的土著患者。这项初步研究为研究人员提供了宝贵的见解，可帮助他们开发和实施脊医的土著文化水平计划。

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