An occupational therapy community of practice within pediatric acute care: fostering professional, social and cultural capital in resource challenged settings

Galheigo, Sandra Maria; Braga, Cláudia Pellegrini; Magalhães, Lílian; Kinsella, Elizabeth Anne

doi:10.4322/2526-8910.ctoao1825

Cited by 7 publications

(11 citation statements)

References 21 publications

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“…Our CoP can be seen as a partnership project between researchers and practitioners. This kind of partnership has a long history in the field of occupational therapy (Galheigo et al, 2019; Hammel et al, 2015; Suarez‐Balcazar & Hammel, 2015; Whiteford et al, 2019; Wilding et al, 2012; Eriksson et al, 2017; Gélinas, 2016; Wimpenny et al, 2010). As a complex and non‐linear process, this partnership shows the value of both researchers' and professionals' knowledge, providing the opportunity for critical self‐reflection and access and exchange of each other's knowledge (Eriksson et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…CoP has been used by occupational therapists to investigate their professional practices and to produce knowledge through collaborative reflection (Galheigo et al, 2019;Hoffmann et al, 2011;Marcolino et al, 2017;Roberts, 2015;Wilding et al, 2012;Wimpenny et al, 2010). In a CoP, the practice embodies the history of the community and the knowledge it has developed over time, but, at the same time, it is oriented to the future: it provides resources that enable members to handle new situations and create new knowledge (Wenger, 1998).…”

Section: Introductionmentioning

confidence: 99%

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A Community of Practice of primary health care occupational therapists: Advancing practice‐based knowledge

Marcolino

Kinsella

Araujo

et al. 2020

Aus Occup Therapy J

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Introduction New contexts of practice demand that professionals engage in critical reflection to handle new situations and to create new knowledge that is responsive to professional practices situated in unique historical and social contexts. Community of Practice offers a framework for professions to reflect together on practice dilemmas and to generate practical solutions. Methods This paper presents a participatory action research project that traces the trajectory of a Community of Practice made up of seven occupational therapists working in primary health care and a researcher team, in Brazil. This study mapped the Community of Practice's trajectory between 2013 and 2017 through a group timeline analysis, which occurred gradually, in a collaborative mode. Results Three distinct phases in the trajectory of the development of the Community of Practice were identified: narrative perspectives were utilised as a means to identify dilemmas and difficulties in practice; the investigation of clients' needs and identification of issues was an ongoing process; and the generation of practice‐based knowledge through the development of instruments to sustain clinical reasoning was a creative solution to practical dilemmas. Conclusion Three main aspects were highlighted: the partnership between researchers and practitioners as a potential avenue for the production of knowledge relevant to professional practice; the negotiation of the dilemma of "putting practice into words" in the context of constantly changing local and global perspectives; and the investigation of situated practice as an important element that can strengthen, strain, resist or even modify hegemonic perspectives of knowledge production in our field.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Community of Practice of primary health care occupational therapists: Advancing practice‐based knowledge

Marcolino

Kinsella

Araujo

et al. 2020

Aus Occup Therapy J

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“…We found that occupational justice is a vision shared by other disciplines and service users in our study, and thus requires purposeful and sustained interdisciplinary collaboration. Communication and collaboration created by the PAR process created a shared capital of knowledge about enablers and barriers to occupational justice (Galheigo et al, 2019). This has important implications for practice, because collective and collaborative efforts have better opportunities for creating transformation towards an interdisciplinary occupational justice practice (Whiteford et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…PAR is one methodology previously used to promote occupational justice in LMIC (Benjamin-Thomas et al, 2021; Galheigo et al, 2019) and transform health services (Whiteford et al, 2020). PAR can be used to help to raise awareness and hear the voice of marginalized and deprived people, whose voices are seldom represented in scholarship (Whiteford & Townsend, 2011).…”

Section: Occupational Justice For People With Scimentioning

confidence: 99%

Participatory Methods to Develop Health Education for PW-SCI: Perspectives on Occupational Justice

Mostafa¹,

Plastow²,

Savin‐Baden³

2022

Can J Occup Ther

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Background. Many people with spinal cord injury (PW-SCI) in the Gaza Strip in Palestine are discharged from inpatient rehabilitation with limitations in their ability to meet basic needs, and reach their full potential. There is limited evidence of how clinicians can promote occupational justice for PW-SCI. Purpose. To describe participants’ perspectives revealed during a participatory action research (PAR) process used to develop an education manual for PW-SCI in Gaza, using Participatory Occupational Justice as a lens. Methods. Following ethical approval, a four-step PAR design was utilized by eight researchers to co-construct the Spinal Cord Injury Activities of Daily Living—education Manual with 54 participants from SCI rehabilitation settings in Gaza. Qualitative data from eight focus groups were analyzed using inductive thematic analysis. Findings. Two main themes were evident in the participants’ viewpoints: Enabling occupational justice and Removing barriers to occupational justice. Implications. Occupational justice is a central value that needs to be considered when developing occupational therapy educational interventions for this client group. PW-SCI health education may facilitate occupational justice in practical and culturally relevant ways when participatory methods are used to develop educational resources.

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“…Participants in the present study called for connection with other occupational therapists working in cancer‐specific adolescent and young adult palliative care, asking for mentoring and professional networking to nurture knowledge and influence practice. One potential solution, suggested by Galheigoa et al (2019), is the formation of a community of practice for occupational therapists in each specific area of care within the profession, which can generate positive outcomes, including engagement in clinical dialogue; opportunity for reflection; a sense of community and belonging; affirming professional identity; and cultivating professional and clinical relationships. It is worth noting, however, that with relatively few occupational therapists working in cancer specific palliative care for the young person, it may be difficult to provide and cultivate such support groups and consolidate skills and confidence in this area of care.…”

Section: Discussionmentioning

confidence: 99%

Occupational therapy in oncology palliative care for adolescents and young adults: Perspectives of Australian occupational therapists

Wallis

Stanley

2021

Aus Occup Therapy J

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Introduction: Palliative Care Australia suggests current needs (emotional wellbeing, understanding of cancers impact on relationships, everyday activities, and life milestones) for adolescent and young adults in palliative care are unmet due to a lack of age-specific palliative care facilities in Australia. This includes the provision of occupational therapy that can impact these unmet needs. Although the occupational therapy role in palliative care has been documented, little is known about existing occupational therapy services or occupational needs for young people with palliative care needs. The aims of this study were to obtain occupational therapists insights of working with this population in Australia regarding (1) gaps in palliative care services for this population; (2) facilitators and challenges to providing occupational therapy for this group; and (3) perceived occupational needs of young people living with a life-limiting cancer diagnosis. Methods: Using snowball sampling, an online survey was distributed to occupational therapists with experience working in palliative cancer care with adolescents and young adults. Available for 6 weeks, the survey included demographic, work history, and service delivery questions. Forced-choice questions were summarised descriptively, and content analysis was used to analyse free-text data.Results: Eleven completed surveys were returned. Overall, therapists perceived current palliative care services for this population within Australia to be lacking. Two gaps emerged: age-appropriate facilities and gaps in provision of psycho-social and occupational therapy services. Funding, lack of knowledge of the occupational therapy role, and professional confidence were highlighted as challenges to practice. Main occupational needs related to maintenance of as "normal" a life as possible: maintaining occupational role engagement, continuing connection with others, and being heard regarding their occupational needs. Conclusion:Findings suggest a need for service changes, including customdesigned facilities, improved funding, training and mentoring, to support age-

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An occupational therapy community of practice within pediatric acute care: fostering professional, social and cultural capital in resource challenged settings

Cited by 7 publications

References 21 publications

A Community of Practice of primary health care occupational therapists: Advancing practice‐based knowledge

A Community of Practice of primary health care occupational therapists: Advancing practice‐based knowledge

Participatory Methods to Develop Health Education for PW-SCI: Perspectives on Occupational Justice

Occupational therapy in oncology palliative care for adolescents and young adults: Perspectives of Australian occupational therapists

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