Gilbert Hunt Susan
School of Health Science, University of South Australia, Adelaide, South Australia, Australia.
Aust Occup Ther J. 2017 Dec;64(6):477-485. doi: 10.1111/1440-1630.12439.
BACKGROUND/AIM: Historically occupational therapy has evidenced a tenacity to adjust and adapt to societal changes. Currently in Australia we are in the midst of significant change in health, disability and aged care service delivery alongside increasing numbers of new graduates seeking employment. Both of these changes create challenges and opportunities for the profession. How the profession adjusts to new service delivery models and supports new graduates in this changing work environment will influence our future.
Using examples from practice the paper explores ways in which partnership, inclusion and innovation can be effective in a changing environment.
Doing effective partnership takes time, energy and a shared commitment of all involved and often requires negotiations and compromise. Inclusion can be tricky and requires vigilance and ongoing reflection on actions to determine if the outcomes are what was intended. Innovation can play two roles; it can be used to conserve current practice in new ways or it can offer agency to disrupt and redefine practice.
The way in which the profession chooses to enact partnerships and inclusion will play a vital role in shaping the future. Similarly the space and support made for conservative or disruptive innovation will determine how we choose to define ourselves going forward. Moreover, these choices and actions will govern how effective we are in navigating the changing environment and supporting new graduates transitioning into the profession.
背景/目的：从历史上看，职业治疗已证明有适应社会变革的韧性。目前在澳大利亚，我们正处于健康、残疾和老年护理服务提供发生重大变化的时期，同时寻求就业的新毕业生数量也在增加。这两个变化都给该行业带来了挑战和机遇。该行业如何适应新的服务提供模式并在这种不断变化的工作环境中支持新毕业生将影响我们的未来。
本文通过实践中的例子，探讨了伙伴关系、包容性和创新在不断变化的环境中如何发挥有效作用。
建立有效的伙伴关系需要时间、精力以及所有相关方的共同承诺，而且通常需要进行谈判和妥协。包容性可能很棘手，需要保持警惕并不断反思行动，以确定结果是否符合预期。创新可以发挥两个作用；它可以用于以新的方式保留当前的做法，或者它可以提供动力来扰乱和重新定义做法。
该行业选择建立伙伴关系和实现包容性的方式将在塑造未来方面发挥至关重要的作用。同样，为保守或颠覆性创新留出的空间和提供的支持将决定我们未来如何选择定义自己。此外，这些选择和行动将决定我们在应对不断变化的环境以及支持新毕业生过渡到该行业方面的成效。
