occupational therapy students are too young to empower ... · challenges for ot education: •...
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Occupational therapy students are too young to
empower clients in participatory citizenship
Rianne Jansens & Jet Lancée
Zuyd University of Applied Sciences Heerlen
Occupational Therapy Department
ENOTHE 2013:
Citizenship: exploring the contribution of Occupational Therapy
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Empowering participatory citizenship, still relevant?
• Paradigm change from a medical reductionistic model to social and learning model
• Importance of client’s wishes and values, the social and physical environment was incorporated in MOHO
• ICIDH II ---- ICF
• Attention to client-centred practice
• Enabling social change through focus on social injustice and political reasoning
• Guiding Principles on Diversity and Culture
1980
2009
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Yes, still relevant
Some current societal issues in Europe and elsewhere
- Globalisation, multicultural society
- Demographical changes
- Financial and economoical crises
- In different countries nationalistic movements, political right wing parties are in favourite
- Pressure on health care and welfare (financially, change of roles and responsabilities)
- Movement of a state who cares for citizens to a start where participation becomes the core business
- The importance of safety policies. With consequence of increasing control measures
- The need for more social cohesion
…etc.
Changes in society are affecting peoples’ health and well being,
the accessibility to health care and welfare, education and employment,
the quality of life
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Importance of OT enabling participation
OT has a role to play
Evolution of of the
profession
Particpation and relation with well-
being/heath
Code of ethics,
statements of WFOT
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OT students should be able to
• To build partnerships with different social actors
• Having knowledge of social institutions and their
procedures
• Understanding the way of being, the meaning of
occupations and what social participation means
for the client(group) (Fransen et al., 2013 p. 2)
Communication* skills, competences on diversity
and cultural, enabling skills,…
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OT students at Zuyd
Big transformation from OT student to OT professional who can enable social participation/participatory citizenship.
Academic year 2013-2014, Dutch program
-149 students, 26% male and 74% female
- 84% Dutch nationality, 12% German, 4% others
- youngest student 16;5y – oldest student 43;7y
- large group: 5 year of highschool, general
theoretical background
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What’s the problem?
Cultural competences hard to achieve (Forwell et al., 2001, Yeun et al., 1999,
Fitzgerald, 2004, Murden et al, 2008, Whiteford & Wright St. Clair, 2002)
Critical thinking, the highest level is neccessary to become a cultural competent professional. (Whiteman & Velde 2002)
Compentences on Diversity and Culture are complex and can be achieved by students to a certain level (Stomph, 2010)
Interest en knowledge in societal issues are limited.
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What to do?
Step by step, starting with awareness for societal issues and
stimulating an open mind
Challenges for OT education:
• Creating curiosity for others
• Raising awareness for the diversity of context of clients
• Stimulating interest in events, politics, societal issues
• Improving questioning, relfecting, critical thinking
• Using educational attractive approach
• Stimulating students to think and look
with OT glasses
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Project about assessment for fall prevention for frail eldery living at home
Reading an article from a news paper about the aging population and
the consequences for society
what can it mean for the participation of client(group)?
what can it mean for OT services?
how do you judge quality of a news paper article?
Stories on video of elderly people about theire life and socetal issues
(by students with fieldwork practice)
Analysis of the occupational performances with MOHO will be extended with
the meso and macro levels issues for this group. Talking about experiences
of grandparents
Discussion of the core values of occupational therapy related to
the project
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Theoretical course about quality of care
- Face to face talk: personal opinion about concept of quality
- Lecturer about politics and the influence on people’s
daily life
- Stimulating students to raise questions
about relationships (cooperative, conflict)
- Debate on quality of care in the current
Dutch context
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OT services for homeless people in Germany
• Inspired about the concept of occupational injustice
• Research project on meaningfull activities for homeless people in Aachen
• Being fascinated, wanted to share their experiences and knowledge, drawing attention for this group e.g. discussions, flashmob,…etc.
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Look what’s going on!
Goal: stimulating students to look “outside”
Plan: a group of students with two teachers develop
some interesting actions about sociological processes
and sociogeographiical topics.
What does it mean for client (groups) and for Ot
services?
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What have learned from these initiatives so far ?
• Implementing new initiatives together with students
• Innovating the content and didactical approach
• Relating new information, events, discussions to possible personal experiences
• Disseminating the best practices step by step and use a systematic approach e.g., PDCA clycle
• Integrating the attitude/skills/knowledge in other modules
• All lecturers of the module should be involved
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Conclusion
• Too young or just young?
• Participatory citizenship is primarily a learnt activity (Fransen et al., 2013 p.2)
for the client(group)
and for students
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Thank you for your attention
Zuyd University of Applied Sciences, Heerlen the Netherlands
Occupational Therapy Department
Rianne Jansens [email protected]
Jet Lancée [email protected]
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References • Fitzgerald, M. (2004). A dialogue on occupational therapy, culture and families. AJOT 58 (2): 489-
498
• Forwell, S.J., Whiteford, G, Dyck, I. (2001) Cultural competence in New Zealand and Canada: Occupational Therapy students’ reflections on class and fieldwork curriculum. CJOT 68(2): 90-103
• Franssen, H., Kkantartzis, S., Pollard, N. Moldes, I.V. (2013) Citizenship: exploring the contribution of occupational therapy. Preparation paper for ENOTH 2013. Retrieved from www. enothe. eu at Mai 1, 2013
• Kinébanian, A., & Stomph, M. (2009). Guiding Principles on diversity and culture.: World Federation of Occupational Therapists.
• Murden, R. Nroman, A. Ross, J. Sturdivant, E. Kedia, M. Shah, S. (2008) Occupational therapy students’percpetions of their cultural awareness and competency. Otint 15(3): 191-203
• Piskur, B. (2012) Social participation: Redesign of education, research, and practice in occupational therapy. SJOT: Oct 2012: 1-7
• Townsend, E. (Ed.). (2002). Enabling Occupation: an occupation therapy perspective. Ottawa: CAOT publications.
• Townsend, E. A., & Polatajko, H. P. (Eds.). (2007). Enabling Occupation II: Advancing an occupational therapy vision for health, well-being & justice through occupation: CAOT Publication ACE.
• Whiteford, G., & Wright-St Clair, V. (Eds.). (2005). Occupation and practice in context. Marrickville, Australia: Churchill Livingstone.
• Whiteford, G. & Wright St. Claire, V. (2002) Being prepared for diversity in practice: Occupational therapy students’ perceptions of valuable intercultural learning experiences. BJOT 65(3): 129-137
• Wittman, P.& Velde B.P. (2002) Attaining cultural competence, critical thinking and intellectual development: A challenge for occupational therapists. AJOT 56(4): 454-456
• Yeun, H.K. & Yau, M.K. (1999) Cross-cultural awareness and occupational therapy education. OTint 6(1): 24-34