Is it prime time for sex and gender considerations in traumatic brain injury? Perspectives of rehabilitation care professionals
| Autor: | Halina (Lin) Haag, Tatyana Mollayeva, Sara Hanafy, Sally Lindsay, John Lewko, Heather Colquhoun, Angela Colantonio, Richard J. Riopelle, Enrico Quilico, Vanessa Amodio, Patrick Archambault |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Rehabilitation hospital 030506 rehabilitation Attitude of Health Personnel Traumatic brain injury medicine.medical_treatment Vulnerability 03 medical and health sciences Sex Factors 0302 clinical medicine Cultural diversity Brain Injuries Traumatic medicine Humans Social determinants of health Ontario Rehabilitation medicine.disease Female Thematic analysis 0305 other medical science Psychology Psychosocial 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Disability and Rehabilitation. 44:684-692 |
| ISSN: | 1464-5165 0963-8288 |
| Popis: | Purpose: The purpose of this study was to explore rehabilitation clinicians' understanding of how sex and gender facilitate or hinder care provided to patients with traumatic brain injury (TBI).Materials and methods: Sixteen clinicians from various specialities, attending to patients with TBI from a large rehabilitation hospital in Ontario, Canada, were recruited using purposive sampling. Data was collected through semi-structured interviews and thematic analysis was used to identify reoccurring themes.Results: Three themes that facilitate or hinder care of TBI patients were identified: (1) knowledge and evidence; (2) gender and other aspects of recovery; and (3) family caregiving. Lack of education about the topic and inconsistent scientific evidence limited clinicians' attention to sex and gender topics. Social, financial, and cultural characteristics of patients were considered to be more relevant than their sex and gender. The gendered nature of caregiving and its burden on caregivers' health were acknowledged.Conclusions: Currently, attention to topics of sex and gender as they may influence patients' recovery is limited. However, clinicians are willing to be educated on these topics to enhance rehabilitation care. Further research on the gendered nature of interactions between patient, clinician, and family caregiver during recovery is warranted.IMPLICATIONS FOR REHABILITATIONSex and gender matter for patients undergoing recovery for their traumatic brain injury; however, clinical attention to this topic is limited.Based on the clinicians' perceptions, resources that address patients' psychosocial vulnerabilities should be prioritized (e.g., unequal access to care, financial status, cultural diversity etc.).Clinicians highlighted that psychosocial vulnerability and patients' life roles, before and after injury, are sex and gender specific.Guidelines about sex and gender influences in traumatic brain injury rehabilitation have the potential to enhance clinical practice. |
| Databáze: | OpenAIRE |
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