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Providing Person-Centred Care, Creating Therapeutic Space and Recognizing the Needs of Service Users

  • Emer McGowan(author)
  • Sarah Quinn (author)
  • Rolf Vardal (author)
Chapter of: Interprofessional Approach to Refugee Health: A Practical Guide for Interdisciplinary Health and Social Care Teams(pp. 77–98)
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Title Providing Person-Centred Care, Creating Therapeutic Space and Recognizing the Needs of Service Users
ContributorEmer McGowan(author)
Sarah Quinn (author)
Rolf Vardal (author)
DOIhttps://doi.org/10.11647/obp.0479.03
Landing pagehttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.03
Licensehttps://creativecommons.org/licenses/by/4.0/
CopyrightEmer McGowan; Sarah Quinn; Rolf Vardal;
PublisherOpen Book Publishers
Published on2025-09-09
Long abstract

The health needs of refugees and the barriers and challenges that can prevent them from accessing health and social care differ from those of the host population over the life-course. Health and social care professionals can play a significant role in supporting the resettlement of refugees. Taking a person- or people-centred approach is central to this aim. Adaptable, well-trained and culturally competent health and social care workers are needed to provide services that are responsive to the unique health requirements of refugees. Provision of person-centred care can help to build trust between health professionals and refugees, both at the time of arrival and more importantly during longer-term refugee settlement. This chapter explores how health professionals can take a person-centred approach when providing care and services for people with refugee experience. It discusses the concept of therapeutic space and how this can help to facilitate communication and build effective working relationships with service users. This chapter is aimed at health professionals who are new to the field of refugee health or those with an interest in the area who have not yet gained practical experience.

Page rangepp. 77–98
Print length22 pages
LanguageEnglish (Original)
Locations
Landing PageFull text URLPlatform
PDFhttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.03Landing pagehttps://books.openbookpublishers.com/10.11647/obp.0479.03.pdfFull text URL
HTMLhttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.03Landing pagehttps://books.openbookpublishers.com/10.11647/obp.0479/ch3.xhtmlFull text URLPublisher Website
Contributors

Emer McGowan

(author)
Assistant Professor in Interprofessional Education in the Faculty of Health Sciences at Trinity College Dublin
https://orcid.org/0000-0003-2442-3043

Emer McGowan is an Assistant Professor in Interprofessional Education in the Faculty of Health Sciences, Trinity College Dublin. Dr McGowan is a physiotherapist by background. Her main research interests are health professions education, refugee health, leadership in healthcare, and leadership development. She was awarded her PhD in 2017 and completed her postdoctoral fellowship researching leadership and leadership development in healthcare at Trinity College Dublin. Dr McGowan leads the interprofessional education programme for students across disciplines in the Faculty of Health Sciences. Dr McGowan was a collaborator on Erasmus+ projects PREP (Physiotherapy and Refugee Education Project) and PREP-IP (Persons with Refugee Experiences Education Project Interprofessional). Dr McGowan is a collaborator on the Erasmus+ funded project, Learning and Working Together for Improved Healthcare Outcomes – Strengthening Interprofessional Education (WhoLeIPE). This project aims to contribute to the advancement of IPE and interprofessional collaborative practice as the foundation of comprehensive, coordinated, resilient and responsive health care.

Sarah Quinn

(author)
Assistant Professor in the Discipline of Occupational Therapy at Trinity College Dublin

Sarah Quinn, MPhil., BSc., is an Assistant Professor in the Discipline of Occupational Therapy, Trinity College Dublin. Her scholarship and research interests are primarily justice orientated with a particular focus on feminism, occupational justice, community participation, and social inclusion. Through her teaching she advances practices in social occupational therapy that includes the promotion of refugee health at micro to macro levels. Sarah leads an award-winning, multi-service collaboration that developed an innovative model to facilitate supported volunteering and promote inclusion of those experiencing social disadvantage. She was an active member of the Erasmus+ funded, inter-disciplinary project, PREP-IP (Persons with Refugee Experiences Education Project Interprofessional), which developed resources for health and social care professionals to work in the area of refugee and migrant health.

Rolf Vardal

(author)

Rolf Vårdal is a physiotherapist who has worked in the refugee field since 1998, having worked as a clinical therapist at the Center for Migration Health (CMH) in Bergen, Norway, but also as a councellor at the local center for resettled refugees, as well as at the regional trauma center, RVTS-West. Rolf has been involved in research projects in the refugee field. These are CHART (Changing Health and health care needs Along the Syrian Refugees’ Trajectories to Norway), PREP and PREP-IP, in collaboration with the local university and the university of applied sciences of Western Norway. He was also a part of a collaboration with ICAR Foundation in Romania through RVTS-West. He has over the years participated and presented at conferences both locally, nationally and internationally. He has also been a board member of The International Society for Health and Human Rights (ISHHR) since 2017.

References
  1. Balint, Enid. 1969. ‘The possibilities of patient-centred medicine’, The Journal of the Royal College of General Practitioners, 17: 269–276.
  2. Bivins, Roberta, et al. 2017. ‘Compassionate care: not easy, not free, not only nurses’, BMJ Quality & Safety, 26:1023–1026.
  3. Donabedian, Avedis. 1988. ‘The quality of care: how can it be assessed?’, JAMA, 260.12: 1743–1748.
  4. Ekman, Inger, et al. 2011. ‘Person-Centered Care — Ready for Prime Time’, European Journal of Cardiovascular Nursing, 10.4: 248–51, https://doi.org/10.1016/j.ejcnurse.2011.06.008
  5. Ferreira, Paulo H., et al. 2013. ‘The Therapeutic Alliance between Clinicians and Patients Predicts Outcome in Chronic Low Back Pain,’ Physical Therapy, 93.4: 470–78, https://doi.org/10.2522/ptj.20120137
  6. Filler, Tali, Bismah Jameel, and Anna R. Gagliardi. 2020. ‘Barriers and Facilitators of Patient Centered Care for Immigrant and Refugee Women: A Scoping Review,’ BMC Public Health, 20.1, https://doi.org/10.1186/s12889-020-09159-6
  7. Finaret, Andrea Eini, and Ron Shor. 2006. ‘Perceptions of Professionals about the Nature of Rehabilitation Relationships with Persons with Mental Illness and the Dilemmas and Conflicts That Characterize These Relationships,’ Qualitative Social Work, 5.2: 151–66, https://doi.org/10.1177/1473325006064252
  8. Fuentes, Jorge, et al. 2014. ‘Enhanced Therapeutic Alliance Modulates Pain Intensity and Muscle Pain Sensitivity in Patients with Chronic Low Back Pain: An Experimental Controlled Study,’ Physical Therapy, 94.4: 477–89, https://doi.org/10.2522/ptj.20130118
  9. Gard, Gunvor, et al. 2000. ‘Physical therapists’ emotional expressions in interviews about factors important for interaction with patients’, Physiotherapy 86.5: 229–240, https://doi.org/10.1016/S0031-9406(05)60908-X
  10. Goldberg, Michael J. 2020. ‘Compassionate Care: Making It a Priority and the Science Behind It’, Journal of Pediatric Orthopaedics, 40: S4–S7, https://doi.org/10.1097/BPO.0000000000001502
  11. Hall, Amanda M., et al. 2010. ‘The Influence of the Therapist-Patient Relationship on Treatment Outcome in Physical Rehabilitation: A Systematic Review,’ Physical Therapy, 90.8: 1099–1110, https://doi.org/10.2522/ptj.20090245
  12. Haslam, David. 2015. ‘“More than Kindness”’, Journal of Compassionate Health Care, 2.1, https://doi.org/10.1186/s40639-015-0015-2
  13. Horton, Ayana, Gail Hebson, and David Holman. 2021. ‘A Longitudinal Study of the Turning Points and Trajectories of Therapeutic Relationship Development in Occupational and Physical Therapy,’ BMC Health Services Research, 21.1, https://doi.org/10.1186/s12913-021-06095-y
  14. Kfrerer, Marisa L., Debbie Laliberte Rudman, Julie Aitken Schermer, Marnie Wedlake, Michelle Murphy, et al. 2022. ‘Humor in Rehabilitation Professions: A Scoping Review,’ Disability and Rehabilitation, 45.5: 911–26, https://doi.org/10.1080/09638288.2022.2048909
  15. Kirmayer, Laurence J. 2004. ‘The Cultural Diversity of Healing: Meaning, Metaphor and Mechanism,’ British Medical Bulletin, 69.1: 33–48, https://doi.org/10.1093/bmb/ldh006
  16. Leber, Donna A., and Elizabeth G. Vanoli. 2001. ‘Therapeutic Use of Humor: Occupational Therapy Clinicians’ Perceptions and Practices’, American Journal of Occupational Therapy, 55.2: 221–26, https://doi.org/10.5014/ajot.55.2.221
  17. Maté, Gabor, and Daniel Maté. 2022. ‘In Four A’s and Five Compassions: Some Healing Principles’, in The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture, ed. by Maté, Gabor, and Daniel Maté (New York: Avery), pp. 374–389.
  18. Mechili, Enkeleint-Aggelos, et al. 2018. ‘Compassionate Care Provision: An Immense Need during the Refugee Crisis: Lessons Learned from a European Capacity-Building Project,’ Journal of Compassionate Health Care, 5.1, https://doi.org/10.1186/s40639-018-0045-7
  19. Miciak, Maxi, et al. 2018. ‘The Necessary Conditions of Engagement for the Therapeutic Relationship in Physiotherapy: An Interpretive Description Study,’ Archives of Physiotherapy, 8.1, https://doi.org/10.1186/s40945-018-0044-1
  20. Patel, Pinika, et al. 2021 ‘Communication experiences in primary healthcare with refugees and asylum seekers: a literature review and narrative synthesis’, International Journal of Environmental Research and Public Health, 18.4: 1469.
  21. Peplau, Hildegard E. 1997. ‘Peplau’s Theory of Interpersonal Relations,’ Nursing Science Quarterly, 10.4: 162–67, https://doi.org/10.1177/089431849701000407
  22. Procter, Nicholas G. 2016. ‘Person‐centred Care for People of Refugee Background,’ Journal of Pharmacy Practice and Research, 46.2: 103–4, https://doi.org/10.1002/jppr.1222
  23. Santana, Maria J., et al. 2017. ‘How to Practice Person‐centred Care: A Conceptual Framework,’ Health Expectations, 21.2: 429–40, https://doi.org/10.1111/hex.12640
  24. Tehranineshat, Banafsheh, et al. 2019 ‘Compassionate care in healthcare systems: a systematic review’, Journal of the National Medical Association, 111.5: 546–554.
  25. World Health Organisation. 2021. ‘WHO releases two publications to promote people-centred health services for refugees and migrants’, https://www.who.int/news/item/21-10-2021-who-releases-two-publications-to-promote-people-centred-health-services-for-refugees-and-migrants
  26. van Loenen, Tessa, et al. 2018. ‘Primary Care for Refugees and Newly Arrived Migrants in Europe: A Qualitative Study on Health Needs, Barriers and Wishes,’ European Journal of Public Health, 28.1: 82–87, https://doi.org/10.1093/eurpub/ckx210
  27. Walsh, Irene P, and Margaret M Leahy. 2009. ‘“Cajoling” as a Means of Engagement in the Dysphagia Clinic,’ Seminars in Speech and Language, 30.01: 037–047, https://doi.org/10.1055/s-0028-1104533

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