背景:性交易非常普遍,有害的,认识不足。当个人在一个国家的边界内被贩运为性剥削目的时,这被称为家庭性交易。性贩运者可能会出现严重的身心健康后果,需要医疗护理和治疗。然而,医疗保健提供者通常无法识别性贩运患者,失去提供所需护理和支持的机会。
方法:在这项定性研究中,我们采访了31名医疗保健提供者(医生,护士,和社会工作者)在安大略省工作,加拿大要了解他们确定的特定教育和培训需要认识和照顾被贩运的人。采访是通过Zoom进行的,记录,并转录。转录本的编码遵循定性研究的标准框架。与提供者的教育和培训需求有关的代码被确定为适合进一步分析的核心问题。
结果:出现了与提供者的教育和培训需求相关的三个主题。这些承认基本(基础知识),以及更具体的学习需求(导航相遇)。最后的主题,(“它似乎比我大得多”)表明,即使有一些家庭性交易的知识,由于更广泛的系统中的差距影响了适当护理的提供,参与者仍然经历了相当大的痛苦和多重挑战.
结论:参与者表示需要进行专门的性交易教育以及针对角色的培训,以克服他们的不足感并为患者提供更好的护理。参与者的教育需求范围包括要求家庭性交易的定义及其发生的频率,与招募性贩运风险增加相关的各种情况。在所需的培训和特定技能方面,参与者想学习如何识别被贩运的人,和病人一起讨论这个话题,知道下一步该做什么,包括访问本地资源和推荐,以及与其他关键服务的连接,比如法律和住房。结果可用于为医疗保健提供者提供有关性贩运的教育和培训的设计和内容。
BACKGROUND: Sex trafficking is highly prevalent, pernicious, and under-recognized. When an individual is trafficked for the purpose of sexual exploitation within the borders of a single country, it is termed domestic sex trafficking. Sex trafficked persons can experience severe physical and mental health outcomes requiring medical attention and treatment. However, health care providers often fail to identify sex trafficked patients, missing opportunities to provide needed care and support.
METHODS: In this qualitative study, we interviewed 31 health care providers (physicians, nurses, and social workers) working in Ontario, Canada to learn what they identified as their specific education and training needs to recognize and care for sex trafficked persons. Interviews were conducted over Zoom, recorded, and transcribed. Coding of the transcripts followed a standard framework for qualitative studies. Codes related to the education and training needs of providers were identified as a core issue suited to further analysis.
RESULTS: Three themes related to providers\' education and training needs emerged. These acknowledge basic (Foundational knowledge), as well as more specific learning needs (Navigating the encounter). The final theme, (\"It just seems so much bigger than me\") suggests that even with some knowledge of domestic sex trafficking, participants still experienced considerable distress and multiple challenges due to gaps in the broader system impacting the provision of appropriate care.
CONCLUSIONS: Participants voiced their need for specialized sex trafficking education as well as role specific training to combat their sense of inadequacy and provide better care for their patients. Participants\' education needs ranged from requiring the definition of domestic sex trafficking and the frequency of its occurrence, to the various circumstances associated with increased risk of recruitment into sex trafficking. In terms of desired training and specific skills, participants wanted to learn how to identify a person being sex trafficked, broach the subject with a patient, know what to do next including access to local resources and referrals, as well as connections to other critical services, such as legal and housing. The results can be used to inform the design and content of education and training on sex trafficking for health care providers.