Occupational therapists’ perceptions of the need to enact health promotion in community development through occupational justice
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
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. |
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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 |
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Universidade Federal de São Carlos (UFSCAR-DTO) |
instacron_str |
UFSCAR |
institution |
UFSCAR |
reponame_str |
Cadernos Brasileiros de Terapia Ocupacional |
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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 |
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1797688318599626752 |