The training needs for gender-sensitive care in a pediatric rehabilitation hospital: a qualitative study
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(2020) 20:468
RESEARCH ARTICLE
Open Access
The training needs for gender-sensitive care in a pediatric rehabilitation hospital: a qualitative study Sally Lindsay*
and Kendall Kolne
Abstract Background: Gender is an important social determinant of health; however, clinicians often lack training in how to provide gender-sensitive care. Offering appropriate and relevant training could help to address some gender-based health inequalities. Our objective was to identify and describe the training needs for gender-sensitive care among pediatric rehabilitation healthcare providers. Methods: This study used an interpretive descriptive qualitative design to conduct interviews with 23 pediatric rehabilitation healthcare providers (19 women, 3 men, 1 transgender man), from a pediatric rehabilitation hospital in a large urban center, in Ontario, Canada from a range of disciplines. Interviews were transcribed verbatim and analyzed using an open-coding inductive thematic analysis. Results: Our analysis revealed the following themes: [1] lack of knowledge about gender-sensitive care and the need for more training; [2] content of the desired training (i.e., gender differences, effective communication and how to practice gender-sensitive care) and [3] delivery method of the training. Conclusions: Enhanced gender-sensitive training for healthcare providers is required for optimizing patient outcomes and addressing gender-based health inequalities. Educators in pediatric rehabilitation should consider developing gender-sensitive care training that is embedded within post-graduate education and also continuing education within hospitals and community care centers. Keywords: Diversity, Gender, Healthcare, Pediatric, Thematic analysis, Training, Women
Background Gender is an important social determinant of health [1]. Gender-sensitive care is a critical component of patientcentred care [2, 3] and refers to healthcare providers perceiving sex (i.e., biological aspects such as genetic makeup, hormones) and gender (i.e., roles and expectations attributed to men and women within society) differences, issues and inequalities and applying these in their clinical practice [3–6]. Gender is a social construct * Correspondence: [email protected] Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital & Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada
that varies with roles, norms and values within society and can influence health in several ways including access to resources (e.g., health, food, education), and risktaking behaviours [4]. Research indicates that men and women often have different occupational roles that can expose them to different risks and illnesses [4]. At a population level, women often have less access to resources than do men [4] and also experience more negative health consequences [4]. Considering the role of gender within clinical practice is important because gender can influence how individuals cope with their condition in addit
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