Western Australia Country Health Service-Midwest, Geraldton, Western Australia 6530, Australia.
Western Australia Centre for Rural Health, Geraldton, Western Australia 6530, Australia.
Occup Ther Int. 2023 Jan 12;2023:2768898. doi: 10.1155/2023/2768898. eCollection 2023.
The Kawa Model is a conceptual occupational therapy model of practice that uses the metaphor of a river as a medium to support the exploration of self, life events, and environment. In this study, the Kawa Model was used by occupational therapy students during a practice placement in a remote community setting as a tool to support learning, build self-awareness, and promote reflection on personal and professional development.
The study used an exploratory qualitative research design. Six student participants were purposively recruited and orientated to the use of the Kawa Model at the beginning and throughout their remote community practice placement. Semistructured interviews were used to collect data which were analysed thematically using interpretative phenomenological analysis (IPA). . Analysis of the student transcripts revealed three overarching themes: self-awareness, the development of personal and professional skills, and working with metaphor. All students identified the model as a reflective tool that enhanced their understanding of their student selves in a remote setting. The students described the growth of various professional skills including communication, goal planning, and confidence. Whilst initially students found the metaphor challenging to fathom, throughout their placement, they found it impactful for comprehending their development of self.
This study revealed that the students' self-awareness and personal and professional development were influenced by their engagement with and application of the Kawa Model. Repeated engagement with the Kawa Model enhanced the students' journey of personal and professional skill development.
Kawa 模式是一种概念性的职业治疗实践模式,它使用河流的隐喻作为媒介,来支持自我、生活事件和环境的探索。在这项研究中,职业治疗学生在偏远社区环境的实践安置中使用 Kawa 模式作为工具,以支持学习、建立自我意识,并促进对个人和专业发展的反思。
本研究采用探索性定性研究设计。六名学生参与者被有目的地招募,并在实践安置的开始和整个过程中接受 Kawa 模式的指导。使用半结构化访谈收集数据,并使用解释现象学分析(IPA)进行主题分析。对学生记录的分析揭示了三个总体主题:自我意识、个人和专业技能的发展以及隐喻的运用。所有学生都认为该模式是一个增强他们在偏远环境中对学生自我理解的反思工具。学生们描述了各种专业技能的发展,包括沟通、目标规划和信心。虽然学生们最初发现隐喻难以理解,但在整个实习过程中,他们发现隐喻对理解自我发展很有帮助。
本研究表明,学生的自我意识以及个人和专业发展受到他们与 Kawa 模式的互动和应用的影响。对 Kawa 模式的反复参与增强了学生个人和专业技能发展的旅程。