Jull Janet E G, Giles Audrey R
University of Ottawa, Institute of Population Health, 1 Stewart Street, Room 302B, University of Ottawa, Ottawa, ON, Canada, K1N 6N5.
Can J Occup Ther. 2012 Apr;79(2):70-6. doi: 10.2182/cjot.2012.79.2.2.
In Canada, Aboriginal peoples are affected by colonial relations of power that result in poor health outcomes. Despite occupational therapists' efforts to work in a safe and competent manner with people experiencing challenges to participating in daily life, Western healthcare models reflect values that often undermine Aboriginal peoples' health and well-being.
Meaningful, effective, and culturally appropriate healthcare practices cannot be fully implemented by occupational therapists without an ongoing and critical examination of occupational therapy's foundational belief systems. Only a critical examination of these foundational belief systems will enable occupational therapists to take action towards addressing these inequities, which is an important step in moving towards culturally safe care.
Canadian health professions, including occupational therapy, have the potential to create positive change at a systems level through the critical exploration of underlying professional assumptions.
To advance dialogue about Aboriginal peoples' health, occupational therapists must engage in exploration of their profession's underlying theoretical concepts or risk participating in the perpetuation of health inequities for already at-risk populations.
在加拿大，原住民受到殖民权力关系的影响，导致健康状况不佳。尽管职业治疗师努力以安全且胜任的方式与在参与日常生活方面面临挑战的人们合作，但西方医疗模式所反映的价值观往往会损害原住民的健康和福祉。
如果职业治疗师不对职业治疗的基础信念体系进行持续且批判性的审视，就无法充分实施有意义、有效且符合文化背景的医疗实践。只有对这些基础信念体系进行批判性审视，职业治疗师才能采取行动解决这些不平等问题，这是迈向文化安全护理的重要一步。
包括职业治疗在内的加拿大健康专业，有潜力通过对潜在专业假设的批判性探索，在系统层面创造积极变革。
为了推进关于原住民健康的对话，职业治疗师必须探索其专业的基础理论概念，否则就有可能延续已经处于风险中的人群的健康不平等状况。
