Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice

Detalhes bibliográficos
Autor(a) principal: Albuquerque, Sophie
Data de Publicação: 2022
Outros Autores: Farias, Lisette
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos Brasileiros de Terapia Ocupacional
Texto Completo: https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3070
Resumo: Introduction: Social determinants of health underlie and contribute to health inequalities. Stigma, poverty, and unequal access to health care are examples of social determinants that affect people’s well-being and participation in society. Although occupational therapists use occupation to promote health and wellbeing, they rarely consider how to address the reduction of health inequalities in their practice. Objective: The study aimed to explore how occupational therapists perceive the need to enact health promotion in community development through occupational justice. Method: Following critical participatory action research principles, group discussions were conducted by six professionals from across France. Occupational justice frameworks and public health reports were used to prompt a group dialogue over four months. A content analysis of the discussion was conducted, guided by the theory of practice architectures to understand how the therapists’ practices were shaped by discursive, economic, and socio-political circumstances. Results: Four themes reflected the professional needs to undertake community development: ‘the professional skills needed to enact the community’s own know-how and self-expertise’, ‘the importance of seeing the ‘whole’ picture and reaching out to other sectors’, ‘the need for occupational justice to understand the complexity of community development’, and ‘the need to move beyond body functions in education’. Conclusion: Community development offers unique opportunities to work in the complex context of everyday living. Reasoning informed by occupational justice concepts enables occupational therapists to consider health outcomes caused by social determinants. Occupational therapy education must train students for complex reasoning on how occupational injustices are rooted in everyday social contexts.
id UFSCAR-1_49224bc2517af8b31d6be0aca52f1867
oai_identifier_str oai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3070
network_acronym_str UFSCAR-1
network_name_str Cadernos Brasileiros de Terapia Ocupacional
repository_id_str
spelling Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justicePercepções dos terapeutas ocupacionais sobre a necessidade de implementar a promoção da saúde no desenvolvimento comunitário por meio da justiça ocupacionalIntroduction: Social determinants of health underlie and contribute to health inequalities. Stigma, poverty, and unequal access to health care are examples of social determinants that affect people’s well-being and participation in society. Although occupational therapists use occupation to promote health and wellbeing, they rarely consider how to address the reduction of health inequalities in their practice. Objective: The study aimed to explore how occupational therapists perceive the need to enact health promotion in community development through occupational justice. Method: Following critical participatory action research principles, group discussions were conducted by six professionals from across France. Occupational justice frameworks and public health reports were used to prompt a group dialogue over four months. A content analysis of the discussion was conducted, guided by the theory of practice architectures to understand how the therapists’ practices were shaped by discursive, economic, and socio-political circumstances. Results: Four themes reflected the professional needs to undertake community development: ‘the professional skills needed to enact the community’s own know-how and self-expertise’, ‘the importance of seeing the ‘whole’ picture and reaching out to other sectors’, ‘the need for occupational justice to understand the complexity of community development’, and ‘the need to move beyond body functions in education’. Conclusion: Community development offers unique opportunities to work in the complex context of everyday living. Reasoning informed by occupational justice concepts enables occupational therapists to consider health outcomes caused by social determinants. Occupational therapy education must train students for complex reasoning on how occupational injustices are rooted in everyday social contexts.Introdução: Os determinantes sociais da saúde fundamentam e contribuem para as desigualdades em saúde no mundo. Estigma, racismo, pobreza e acesso desigual aos cuidados de saúde são exemplos de determinantes sociais que afetam o bem-estar e a participação das pessoas na sociedade. Embora os terapeutas ocupacionais usem a ocupação para promover a saúde e o bem-estar, raramente consideram seu potencial para lidar com a redução das desigualdades em saúde. Objetivos: E xplorar como   os   terapeutas   ocupacionais   percebem   a   necessidade   de   implementar   promoção   de   saúde   no   desenvolvimento   comunitário   por   meio   da   justiça   ocupacional. Método:    Seguindo    os    princípios    críticos    da    pesquisa-ação participativa,  as  reuniões  do  grupo  foram  conduzidas  por  seis  profissionais  de  diferentes  regiões  da  França.  Enquadramentos  de  justiça  ocupacional  e  relatórios  nacionais de saúde pública foram usados para estimular um diálogo durante quatro meses. Uma análise de conteúdo foi conduzida, guiada pela teoria das arquiteturas da  prática,  para  entender  como  as  práticas  dos  terapeutas  ocupacionais  foram  moldadas por circunstâncias discursivas, econômicas e sociopolíticas. Resultados:Quatro    temas    refletiram    as    necessidades    profissionais    para    praticar    o    desenvolvimento comunitário: as habilidades profissionais necessárias para decretar o próprio know-how da comunidade; e auto perícia, a importância de ver o quadro “por inteiro” e de alcançar outros setores; a necessidade da justiça ocupacional para compreender a complexidade do desenvolvimento comunitário; e a necessidade de ir  além  das  funções  do  corpo  na  formação.  Conclusão:  O  desenvolvimento  comunitário oferece oportunidades únicas para trabalhar no complexo contexto da vida  cotidiana.  O  raciocínio  informado  pela  justiça  ocupacional  permite  aos  terapeutas ocupacionais considerarem melhor os efeitos dos determinantes sociais sobre  a  saúde.  A  formação  em  terapia  ocupacional  deve  abordar  a  realização  de  raciocínios complexos sobre como as injustiças ocupacionais estão enraizadas nos contextos sociais cotidianos.Brazilian Journal of Occupational TherapyCuadernos Brasilenos de Terapia OcupacionalCadernos Brasileiros de Terapia Ocupacional2022-06-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3070Brazilian Journal of Occupational Therapy; Vol. 30 No. spe; e3070Cuadernos Brasilenos de Terapia Ocupacional; Vol. 30 Núm. spe; e3070Cadernos Brasileiros de Terapia Ocupacional; v. 30 n. spe; e30702526-8910reponame:Cadernos Brasileiros de Terapia Ocupacionalinstname:Universidade Federal de São Carlos (UFSCAR-DTO)instacron:UFSCARenghttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3070/3622Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacionalhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAlbuquerque, SophieFarias, Lisette2022-06-21T21:06:12Zoai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3070Revistahttp://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/indexPUBhttps://old.scielo.br/oai/scielo-oai.phpcadto@ufscar.br||cadto@ufscar.br2526-89102526-8910opendoar:2022-06-21T21:06:12Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)false
dc.title.none.fl_str_mv Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
Percepções dos terapeutas ocupacionais sobre a necessidade de implementar a promoção da saúde no desenvolvimento comunitário por meio da justiça ocupacional
title Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
spellingShingle Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
Albuquerque, Sophie
title_short Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
title_full Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
title_fullStr Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
title_full_unstemmed Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
title_sort Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
author Albuquerque, Sophie
author_facet Albuquerque, Sophie
Farias, Lisette
author_role author
author2 Farias, Lisette
author2_role author
dc.contributor.author.fl_str_mv Albuquerque, Sophie
Farias, Lisette
description Introduction: Social determinants of health underlie and contribute to health inequalities. Stigma, poverty, and unequal access to health care are examples of social determinants that affect people’s well-being and participation in society. Although occupational therapists use occupation to promote health and wellbeing, they rarely consider how to address the reduction of health inequalities in their practice. Objective: The study aimed to explore how occupational therapists perceive the need to enact health promotion in community development through occupational justice. Method: Following critical participatory action research principles, group discussions were conducted by six professionals from across France. Occupational justice frameworks and public health reports were used to prompt a group dialogue over four months. A content analysis of the discussion was conducted, guided by the theory of practice architectures to understand how the therapists’ practices were shaped by discursive, economic, and socio-political circumstances. Results: Four themes reflected the professional needs to undertake community development: ‘the professional skills needed to enact the community’s own know-how and self-expertise’, ‘the importance of seeing the ‘whole’ picture and reaching out to other sectors’, ‘the need for occupational justice to understand the complexity of community development’, and ‘the need to move beyond body functions in education’. Conclusion: Community development offers unique opportunities to work in the complex context of everyday living. Reasoning informed by occupational justice concepts enables occupational therapists to consider health outcomes caused by social determinants. Occupational therapy education must train students for complex reasoning on how occupational injustices are rooted in everyday social contexts.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3070
url https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3070
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3070/3622
dc.rights.driver.fl_str_mv Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacional
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacional
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Brazilian Journal of Occupational Therapy
Cuadernos Brasilenos de Terapia Ocupacional
Cadernos Brasileiros de Terapia Ocupacional
publisher.none.fl_str_mv Brazilian Journal of Occupational Therapy
Cuadernos Brasilenos de Terapia Ocupacional
Cadernos Brasileiros de Terapia Ocupacional
dc.source.none.fl_str_mv Brazilian Journal of Occupational Therapy; Vol. 30 No. spe; e3070
Cuadernos Brasilenos de Terapia Ocupacional; Vol. 30 Núm. spe; e3070
Cadernos Brasileiros de Terapia Ocupacional; v. 30 n. spe; e3070
2526-8910
reponame:Cadernos Brasileiros de Terapia Ocupacional
instname:Universidade Federal de São Carlos (UFSCAR-DTO)
instacron:UFSCAR
instname_str Universidade Federal de São Carlos (UFSCAR-DTO)
instacron_str UFSCAR
institution UFSCAR
reponame_str Cadernos Brasileiros de Terapia Ocupacional
collection Cadernos Brasileiros de Terapia Ocupacional
repository.name.fl_str_mv Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)
repository.mail.fl_str_mv cadto@ufscar.br||cadto@ufscar.br
_version_ 1797688318599626752