PDF(Pubmed)
Abstract：
BACKGROUND: Clinical competence encompasses attitudes, skills, and knowledge regarding diverse client groups. Appropriate clinical competence requires an understanding of the cultural context in which healthcare is delivered. In conservative countries such as Israel, there is a noticeable scarcity of information regarding the clinical competency of physiotherapy students (PTSs) in effectively treating lesbian, gay, bisexual and transgender (LGBT) individuals. The objective of this study was to assess the level of LGBT clinical competence among PTSs in Israel.
METHODS: Conducted through an anonymous online self-report survey, this study gathered personal and academic background information and self-reported data on previous LGBT education during undergraduate studies of PTSs. It utilized the Hebrew version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS) questionnaire. Descriptive statistics were computed for all outcome measures. The internal reliability of the LGBT-DOCSS was assessed. Total scores of the LGBT-DOCSS, along with scores in each of the three subscales (clinical preparedness, knowledge, and attitudes), were compared across different levels of religiosity and gender.
RESULTS: The sample comprised of 251 PTSs, with an average age of 25.57 ± 3.07 years (34.7% men, 65.3% women). All students reported a lack of LGBT community-related courses during their undergraduate studies. The translated Hebrew version demonstrated good internal consistency, with Cronbach\'s alpha ranging from 0.65 to 0.83. The LGBT-DOCSS total score was 4.55 ± 0.61 out of 7, indicating a low level of clinical competency. The highest mean score was in the attitudes subscale (6.55 ± 0.87), which was significantly higher than the scores for the knowledge subscale (3.14 ± 1.46) and clinical preparedness subscale (3.36 ± 0.86). Religiousness was significantly associated with clinical preparedness and attitudes. Men exhibited higher self-reported levels of knowledge and clinical preparedness, albeit with more negative attitudes compare to women. Sexual orientation was significantly associated with clinical competency, with PTSs who identified as heterosexual demonstrating a lower level of clinical competency compared to participants who identified as non-heterosexual.
CONCLUSIONS: In Israel, PTSs demonstrated a low level of clinical competency in terms of self-reported knowledge and self-reported clinical preparedness but contrasting positive attitudes toward the LGBT community. Religiousness, gender and sexual orientation had a significant influence on competency levels.These preliminary findings highlight the urgent necessity to enhance the knowledge of PTSs regarding the LGBT community to improve their clinical competence.
UNASSIGNED: Not applicable.
METHODS: Conducted through an anonymous online self-report survey, this study gathered personal and academic background information and self-reported data on previous LGBT education during undergraduate studies of PTSs. It utilized the Hebrew version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS) questionnaire. Descriptive statistics were computed for all outcome measures. The internal reliability of the LGBT-DOCSS was assessed. Total scores of the LGBT-DOCSS, along with scores in each of the three subscales (clinical preparedness, knowledge, and attitudes), were compared across different levels of religiosity and gender.
RESULTS: The sample comprised of 251 PTSs, with an average age of 25.57 ± 3.07 years (34.7% men, 65.3% women). All students reported a lack of LGBT community-related courses during their undergraduate studies. The translated Hebrew version demonstrated good internal consistency, with Cronbach\'s alpha ranging from 0.65 to 0.83. The LGBT-DOCSS total score was 4.55 ± 0.61 out of 7, indicating a low level of clinical competency. The highest mean score was in the attitudes subscale (6.55 ± 0.87), which was significantly higher than the scores for the knowledge subscale (3.14 ± 1.46) and clinical preparedness subscale (3.36 ± 0.86). Religiousness was significantly associated with clinical preparedness and attitudes. Men exhibited higher self-reported levels of knowledge and clinical preparedness, albeit with more negative attitudes compare to women. Sexual orientation was significantly associated with clinical competency, with PTSs who identified as heterosexual demonstrating a lower level of clinical competency compared to participants who identified as non-heterosexual.
CONCLUSIONS: In Israel, PTSs demonstrated a low level of clinical competency in terms of self-reported knowledge and self-reported clinical preparedness but contrasting positive attitudes toward the LGBT community. Religiousness, gender and sexual orientation had a significant influence on competency levels.These preliminary findings highlight the urgent necessity to enhance the knowledge of PTSs regarding the LGBT community to improve their clinical competence.
UNASSIGNED: Not applicable.
摘要：
背景：临床能力包括态度，技能,以及关于不同客户群体的知识。适当的临床能力需要了解提供医疗保健的文化背景。在以色列等保守国家，关于物理治疗学生（PTS）在有效治疗女同性恋方面的临床能力，同性恋,双性恋和变性者（LGBT）个人。这项研究的目的是评估以色列PTS中LGBT临床能力的水平。
方法：通过匿名在线自我报告调查进行，这项研究收集了PTS本科学习期间的个人和学术背景信息以及以前LGBT教育的自我报告数据。它使用了希伯来语版本的女同性恋，同性恋,双性恋,和跨性别临床技能发展量表(LGBT-DOCSS)问卷。对所有结果指标计算描述性统计。对LGBT-DOCSS的内部可靠性进行了评估。LGBT-DOCSS的总分，以及三个分量表(临床准备，知识,和态度)，在不同的宗教信仰和性别水平上进行了比较。
结果：样本由251个PTS组成，平均年龄为25.57±3.07岁（男性占34.7％，65.3％的妇女）。所有学生都报告在本科学习期间缺乏LGBT社区相关课程。翻译的希伯来语版本显示出良好的内部一致性，克朗巴赫的阿尔法范围从0.65到0.83。LGBT-DOCSS总分为4.55±0.61，共7分，表明临床能力水平较低。平均得分最高的是态度子量表（6.55±0.87），显著高于知识量表(3.14±1.46)和临床准备量表(3.36±0.86)的得分。宗教信仰与临床准备和态度显着相关。男性表现出更高的自我报告水平的知识和临床准备，尽管与女性相比有更多的消极态度。性取向与临床能力显著相关，与被鉴定为非异性恋的参与者相比，被鉴定为异性恋的PTS的临床能力水平较低。
结论：在以色列，PTS在自我报告的知识和自我报告的临床准备方面表现出低水平的临床能力，但与对LGBT社区的积极态度形成鲜明对比。宗教,性别和性取向对胜任力水平有显著影响.这些初步发现凸显了迫切需要增强有关LGBT社区的PTS知识，以提高其临床能力。
■不适用。
方法：通过匿名在线自我报告调查进行，这项研究收集了PTS本科学习期间的个人和学术背景信息以及以前LGBT教育的自我报告数据。它使用了希伯来语版本的女同性恋，同性恋,双性恋,和跨性别临床技能发展量表(LGBT-DOCSS)问卷。对所有结果指标计算描述性统计。对LGBT-DOCSS的内部可靠性进行了评估。LGBT-DOCSS的总分，以及三个分量表(临床准备，知识,和态度)，在不同的宗教信仰和性别水平上进行了比较。
结果：样本由251个PTS组成，平均年龄为25.57±3.07岁（男性占34.7％，65.3％的妇女）。所有学生都报告在本科学习期间缺乏LGBT社区相关课程。翻译的希伯来语版本显示出良好的内部一致性，克朗巴赫的阿尔法范围从0.65到0.83。LGBT-DOCSS总分为4.55±0.61，共7分，表明临床能力水平较低。平均得分最高的是态度子量表（6.55±0.87），显著高于知识量表(3.14±1.46)和临床准备量表(3.36±0.86)的得分。宗教信仰与临床准备和态度显着相关。男性表现出更高的自我报告水平的知识和临床准备，尽管与女性相比有更多的消极态度。性取向与临床能力显著相关，与被鉴定为非异性恋的参与者相比，被鉴定为异性恋的PTS的临床能力水平较低。
结论：在以色列，PTS在自我报告的知识和自我报告的临床准备方面表现出低水平的临床能力，但与对LGBT社区的积极态度形成鲜明对比。宗教,性别和性取向对胜任力水平有显著影响.这些初步发现凸显了迫切需要增强有关LGBT社区的PTS知识，以提高其临床能力。
■不适用。
