Hintergrund: Aufgrund der vielen geflüchteten Menschen in Deutschland, bei denen sich hohe Prävalenzen für psychische Erkrankungen zeigen, steht die psychotherapeutische Versorgung von Flüchtlingen zunehmend im Fokus. Für die Psychotherapie mit geflüchteten Menschen müssen Psychotherapeuten in der Regel Dolmetscher einsetzen. Material und Methoden: Mithilfe leitfadengestützter Interviews wurden Chancen, Herausforderungen und Empfehlungen für die dolmetschergestützte Therapie aus Sicht von Psychotherapeuten (n = 5) und Dolmetschern (n = 3) untersucht und mittels qualitativer Inhaltsanalyse nach Mayring ausgewertet. Ergebnisse: Als äußere Rahmenbedingungen für eine erfolgreiche Psychotherapie zu dritt nannten die Interviewpartner die Notwendigkeit einer gesetzlich geregelten Finanzierung der Dolmetscherkosten, den Aufbau fester Dolmetscherpools sowie den Ausbau spezialisierter Therapiezentren. Die Interviewpartner betonten die Wichtigkeit einer klaren Rollenverteilung, des regelmäßigen Führens von Vor- und Nachgesprächen, der Passung von Patient und Dolmetscher im Hinblick auf den kulturellen Hintergrund sowie der vollständigen und genauen Übersetzung in der Ich-Form. Innerhalb der Triade wurde insbesondere die Bedeutung einer stimmigen Therapeuten-Dolmetscher-Beziehung zusätzlich zur Therapeuten-Patienten-Beziehung deutlich. Schlussfolgerungen: Bei der dolmetschergestützten Psychotherapie müssen der strukturelle Rahmen und die Fähigkeiten und Belastungen von Psychotherapeuten und Dolmetschern berücksichtigt werden, damit die Behandlung gelingen kann. Weitere empirische Untersuchungen unter Einbezug der Patientenperspektive sind notwendig.
<b><i>Background:</i></b> The therapeutic alliance is considered to be one of the most important factors of psychotherapy and is a necessary requirement for a successful treatment in interpreter-mediated psychotherapy. <b><i>Patients and Methods:</i></b> Using interpreter-mediated guided interviews, 10 refugee patients who experienced interpreter-mediated psychotherapy were asked about factors influencing the development of a trusting therapeutic alliance in the triad. The analysis of the interviews followed the rules of content-structuring qualitative content analysis. <b><i>Results:</i></b> A total of 11 factors were identified which could be assigned to the interpreter, therapist, or patient. In the analysis, the central role of the interpreter in establishing a therapeutic alliance in the triad became particularly clear. <b><i>Conclusions:</i></b> Consideration of the factors that, from the patients’ perspective, influence the establishment and maintenance of a trusting alliance within the triad, as well as the recommendations for action derived from this for psychotherapists and interpreters can lead to an improvement in the therapeutic treatment of refugees.
IntroductionThere is a paucity of literature on the comprehensive roles of security guards in healthcare, regardless of day-to-day observations of security guards playing an extensive role in this field. Thus, this review will systematically explore the roles of security guards in healthcare contexts to create a centred body of evidence.Methods and analysisThe study will systematically review existing quantitative and qualitative peer-reviewed literature on security guards in institutional healthcare so as to understand their roles. We will conduct the systematic review on 10 electronic databases: BioMed Central, SocIndex, ScienceDirect, Google Scholar, JSTOR, PsycARTICLES, PsycINFO, Scopus, Web of Science and PubMed. Data extraction will be in the form of a word document. Mendeley software will be used to keep track of references, while the systematic review software, Rayyan, will be used for the screening, inclusion and exclusion of articles. If necessary, reviewer number 3 will conduct a third review should any disputes arise between the two initial reviewers. Quality assessment of the articles will be measured with the Critical Appraisal Skills Programme tool for articles in terms of the research aims, methodology used, sample, data analysis, presentation of findings, values of the research, as well as trustworthiness if it is a qualitative study or reflexiveness if it is a quantitative study. Studies dating back 32 years will be incorporated for a comprehensive review.Ethics and disseminationThis systematic review will use publicly available peer-reviewed data from electronic databases and will, therefore, not require an ethical review, but rather, an ethics waiver. The systematic review protocol will be submitted for ethics waiver clearance from the Stellenbosch University Health Research Ethics Committee. The findings from this review will be disseminated through peer-reviewed publications and conferences.PROSPERO registration numberCRD42022353653.
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