2007 Eleanor Clarke Slagle Lecture

Becoming Innovators in

an Era of Hyperchange

Jim Hinojosa, PhD, OT, FAOTA

Presented by Cassie Duwe Wednesday, April 30, 2014

Historical Context of 2007

Virginia Tech Massacre on April 16, 2007

6 miners trapped in Crandall Canyon Mine

US housing bubble burst – increased foreclosure rates

Innovations:

Singapore Airlines – new Airbus Passenger Jet A380

Tesla Roadster shown at car shows

“Liberty of the Seas” – world’s largest cruise ship

Technology:

iPhone Introduced

iTouch with built in WiFi and touch screen

Nintendo Wii introduced in late 2006

Jim Hinojosa, PhD, OT, FAOTA

Bachelors from Colorado State University, Master’s in

special education from Columbia University, and Ph.D.

from NYU.

Teaches at NYU

Advised to:

Pursue a doctorate

Publish 2-3 times

Work on a portfolio

Editorial Boards:

AJOT, Journal of Occupational Therapy, Schools, and Early Intervention, Encyclopedia of Medicine, Nursing and Allied Health

Numerous Awards

Research:

Therapist-parent relationship

Homework and family life

Children’s handwriting

Overview

“We are living in a time of rapid and unpredictable

change. Advances in knowledge and technology have

made our lives more interconnected and complex. New

expectations are changing the dynamics of our personal

and professional lives. We’re speeding up and struggling

to hold onto control of all our responsibilities, both

personally and professionally. We are living in a time of

hyperchange” (Hinojosa, 2011).

What is hyperchange?

Rapid, dramatic, complex, and unpredictable change

Present unprecedented challenges in today’s society

Includes advances in technology, knowledge, and

science

We must shift our paradigms and become innovators of

this change in order for occupational therapy to move

into the future

Discussion Question

Do you believe that we are still

experiencing “hyperchange”?

Why or why not?

Occupational therapy and hyperchange

Knowledge

Qualification

Evidence

Interventions

Changing policies and advancing technologies

4 conditions that characterize hyperchange

1. Increasing uncertainty

2. Rapid pace of change

3. Growing ambiguity

4. Increased complexity in the workplace

Outside payers impact on practice

Interventions must be affordable and high-quality

Need to see immediate results

Increase productivity with fewer resources

Institutions and organizations are in a constant state of

change and reorganization

Challenging hyperchange

OT must meet the challenges of hyperchange

We can do this by:

Altering our way of thinking paradigm shifts

Deal effectively with change become innovators

We cannot wait and see how hyperchange will impact

OT

Discussion Question

What opportunities do we have as a

profession today that may help us

impact our profession in the future?

Paradigm shifts & innovators

Need to determine where to focus our efforts

Learn when reasoning can be used to advance our

interventions

Use personal and professional relationships to advance

our profession, ourselves, and, thus, our clients

Use multiple paradigms and frames of reference with

OT so that we can be flexible with our interventions

Discussion Question

Do you believe that occupational

therapy is limited by using too

narrow a focus or a single

paradigm/frame of reference?

Why or why not?

Innovators

3 basic principles to becoming innovators:1. Anticipate hyperchange

2. Observe and reflect on actual change

3. Stop ignoring ideas that do not fit within our current thought process

Action needed to become innovators: OTs must go beyond narrative style approach

Consult with other therapists

Challenge our perspective

Innovation will lead our profession in this ever-changing world

3 areas within OT that have a need for innovation:1. Professional Organizations

2. Education

3. Practice

Professional Organizations

Three organizational structures:

1. AOTA

2. State associations

3. Local groups

These organizations must change now that we live in

a time of hyperchange

Need to focus on more external issues that affect the

profession

Education

Development of curricula

Research in education

Faculty obligation

OT programs integrated into university whole

Relevancy of curricula

Teaching styles

OT graduates

Practice

Increase productivity with fewer resources Treatment has become less individualized and more routine

Focus on: Theory-based interventions

Professional and personal relationships

Need for evidence that supports our interventions

Consumers desire for a description of our intervention outcomes

Develop new frames of reference, theories, and guidelines for interventions

Therapeutic use of self and relationships

Personal and professional relationships

Discussion Question

Do you ever feel overwhelmed by

hyperchange, the constant development

of new technologies, and busy

schedules? If so, how do you

deal with this?

Conclusion

Innovation leads to positive change, which will improve the

lives of our clients

Reflecting on our relationship with others will impact our

profession, because our profession is about caring for other

people

During this time of hyperchange, focus on improving

interventions in order to meet our client’s needs

Evidence will support our interventions, prove their

effectiveness, and explain to society what occupational

therapy is

OT scholars and researchers must focus on interventions,

not just our philosophical foundations

Questions?

References

2007. (n.d.). What Happened in inc. Pop Culture, Prices and Events.

Retrieved April 28, 2014, from http://

www.thepeoplehistory.com/2007.html

2007. (2014, April 28). Wikipedia. Retrieved April 28, 2014,

from http://en.wikipedia.org/wiki/2007

Hinojosa, J. (2011). 2007 eleanor clarke slagle lecture: Becoming

innovators in an era of hyperchange. In R. Padilla & Y. Griffiths

(Eds.), A professional legacy the eleanor clarke slagle lectures in

occupational therapy, 1955-2010 (3rd ed., pp. 579-589 & 694-

699). Bethesda, MD: The American Occupational Therapy Associate,

Inc.