Background. Developing strong therapeutic relationships with families is a crucial aspect of pediatric occupational therapy. However, building such relationships is complex as they involve multiple directions of interaction. Purpose. To provide a thorough interpretation of children's, caregivers’, and occupational therapists’ experience of the therapeutic relationship. Method. A meta-ethnography was realized to synthesize qualitative studies. A systematic search was carried out using five databases from 2005 to 2022. The CAPS checklist was used to appraise included studies’ quality. The analysis was completed using a constant comparison of findings. Findings. Three themes emerged from the 14 studies synthesized. The first theme illustrates that the therapeutic relationship can have different meanings depending on the perspective of children, caregivers, or occupational therapists. The second theme explores the components impacting the experience of the relationship. These include the power dynamics, the communication, and respect for diversity. Finally, the third theme illustrates how the relationship can empower positive change. Implications. Children, caregivers, and occupational therapists each have a perspective that ought to be heard. Occupational therapists should actively ask for children's and caregivers’ perspectives to encourage power sharing and effective communication. By doing so, occupational therapists can strengthen the therapeutic relationship, which, in turn, promotes positive change.
Dans le cadre d’une formation professionnalisante, faire vivre une expérience sur le terrain est perçu comme un dispositif allant de soi pour l’initiation à la pratique. En contexte de crise sanitaire, la non-disponibilité des milieux cliniques et l’implantation de mesures de santé et de sécurité contraignantes ont obligé à une réflexion sur un espace d’apprentissage de type stage. L’objectif de cet article est d’identifier des enjeux associés à la réingénierie d’un tiers-lieu d’apprentissage dans le cadre d’une activité universitaire. Dans le but de dégager ces enjeux, une analyse de matériel pédagogique a été réalisée. Les résultats montrent des enjeux relatifs à la gestion pédagogique même de l’activité ainsi qu’à l’uniformisation des ressources d’apprentissage proposées aux étudiants.
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