Mistrust among injured immigrant workers: A conceptual framework
Type de document
Revues de littérature, synthèses de connaissances
Année de publication
2025
Langue
Anglais
Titre de la revue
Work
Première page
1472
Dernière page
1485
Résumé
Background
In Quebec, injured workers have access to medical assistance, wage replacement indemnities, and rehabilitation measures, with most injuries resolved easily. However, a small percentage of cases require a lengthy rehabilitation process, which is particularly complex when involving immigrants. The therapeutic alliance is at the heart of the process, involving mutual trust and confidence and a degree of consensus about the therapeutic interventions to be used and, ultimately, the return to work.
Objective
This article delves into the concept of mistrust as more than the absence of trust, and sheds light on its role in the rehabilitation process of immigrant workers.
Method
Drawing from a literature review on mistrust of immigrants in the healthcare setting and comprehensive studies on the rehabilitation process, a conceptual framework for understanding mistrust in this context is proposed.
Results
Vulnerable situations, such as precarious employment and/or temporary immigration status, create fertile ground for mistrust. Negative experiences with healthcare professionals or systems further exacerbate mistrust, as do social stigmas within the rehabilitation system. Cross-cultural miscommunications such as differences in communication styles or beliefs about illnesses further complicate matters, emphasizing the need for culturally sensitive approaches.
Conclusion
Addressing mistrust requires understanding its origins and consequences, as well as providing guidelines for practitioners to enable them to recognize and manage it effectively. Further research is crucial to deepen our understanding of mistrust among immigrant workers and develop strategies for promoting trust and cooperation throughout the rehabilitation process.
Mots-clés
Réadaptation professionnelle, Vocational rehabilitation, Variable culturelle, Cultural variable, Travailleur immigrant, Immigrant worker, Maintien en emploi, Job maintenance, Anthropologie, Antrhopology, Aspect psychosocial, Psychosocial aspect
Numéro de projet IRSST
2014-0013
Citation recommandée
Arsenault, M., Côté, D. et Dubé, J. (2025). Mistrust among injured immigrant workers: A conceptual framework. Work, 80(3), 1472-1485. https://doi.org/10.1177/10519815241290328