Crossing cultural bridges: education for physiotherapists working with survivors of torture and trauma

Master of EducationThis thesis provides insight from qualitative research to support the need for education regarding management of survivors of torture to be included in physiotherapy undergraduate curriculum. An elective subject was designed to maximise the opportunity of students to: (1) develop an empathic relationship with patients (and their families); (2) learn to manage and treat survivors of torture within a physiotherapy context; (3) understand the many contexts in which the physiotherapist may work with survivors of torture; (4) understand the potential impact of this work on the treating clinician and learn about and experience strategies to manage these impacts. These principles have guided the content and manner in which the elective subject has been taught within the constraints of available resources. Cross cultural issues were addressed in the context of working with survivors of torture. Students recognise that working with survivors of torture highlights the relationship, sensitivity and cross-cultural skills appropriate to all clients. The elective subject emphasises the need to integrate assessment and treatment skills taught in other aspects of the undergraduate program. Feedback from the elective subject indicated that students improved their confidence, knowledge and skills in working with these clients, and indicated that the experience was beneficial. Correct sequencing and pacing of the elective subject material was important to avoid adding to the impact of confronting torture. Commencing the teaching process with physiotherapy-specific knowledge, skills and case studies allowed integration with students' existing knowledge and minimised this impact. A number of vignettes have been derived from this research which illustrate concepts relevant to physiotherapists working with survivors of torture. Future directions in teaching could: incorporate some of this material into the undergraduate lecture program; use vignettes to assist in tutorial and small group development; and integrate material into problem based learning sessions