Browsing by Author "Truter, Christel"

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    Demystifying cultural competence in the physiotherapy profession : a scoping review and concept analysis
    (Stellenbosch : Stellenbosch University, 2023-03) Truter, Christel; Joseph, Conran; Louw, Quinette; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health and Rehabilitation Sciences.
    ENGLISH SUMMARY: Background: The ability to engage with patients from different cultural backgrounds and worldviews is accepted as a fundamental skill in healthcare professions, including physiotherapy. The term cultural competence is a critical principle in numerous international policies on healthcare and training outcomes of students as a mechanism to strengthen healthcare provision towards patient-centred care. Aim: This study explores defining attributes of cultural competence in physiotherapy practice to better understand the meaning structure and dimensions. Methods: A scoping review methodology with a concept analytical framework was used to describe the use of the term and its derivatives and the meaning structure in terms of antecedents, defining attributes, consequences, and empirical referents. The methodology included five steps, namely (1) motivation for selecting the concept, (2) identifying the research question and objectives, (3) identifying the relevant papers, (4) study selection, (5) charting the data, collating, summarising, and reporting the results. Five electronic databases were searched for information published from 2007-2021 to achieve this. The last search was done in August 2021. Results: Ten journal articles were included in the review, mainly from the UK and Australia. The term most frequently used in the literature is cultural competence. Antecedents, defining attributes and consequences of the concept of cultural competence were identified in the concept analysis. Defining attributes were categorised as cognitive or socio-behavioural competency, which can impact intrapersonal, interpersonal, organisational, societal levels or a combination of two or more levels. Eight competencies were respectively identified in both the cognitive and socio-behavioural domains. The competencies of reflection on one’s cultural background, values and acknowledgement of different worldviews and the mastery of cultural knowledge, values, beliefs, and behaviour of the ‘other’ are underlined in the included papers in the cognitive domain. Furthermore, the competencies in the socio-behavioural domain of incorporating individualised culturally competent care based on respect, trust, acceptance, empathy, and accountability in practice are most frequently discussed. Conclusion and implications: The central findings of this study demystified the concept of cultural competence in physiotherapy practice by highlighting eight cognitive and eight socio-behavioural attributes. Furthermore, these 16 attributes were spread across different levels of manifestations, namely on the intrapersonal, interpersonal, organisational, and societal levels. The findings provide a theoretical grounding for cultural competence by identifying its defining attributes in the physiotherapy literature to date. Physiotherapists need to learn how to develop the cognitive and socio-behavioural competencies of cultural competence. Healthcare environments need to provide them with adequate support to develop the skills and behaviours to provide culturally competent care to clients. Healthcare institutions must incorporate culturally competent care into their philosophy and goals and provide resources, instruments, and training to improve physiotherapists’ ability to provide culturally competent care.