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探索对残障者的歧视与职业治疗:职业治疗专业学生的观点

Exploring ableism and occupational therapy: Occupational therapy students' perspectives.

作者信息

Darton Hannah, Wadey Alison, Laver-Fawcett Alison

机构信息

Tees, Esk and Wear Valleys NHS Trust, York, UK.

York St John University, York, UK.

出版信息

Br J Occup Ther. 2025 May;88(5):281-291. doi: 10.1177/03080226241309469. Epub 2025 Jan 16.

Abstract

AIM

To explore occupational therapy students' perspectives on ableism and its implications for occupational therapy practice. This formed part of a wider study that also explored occupational therapy educators' perspectives.

METHOD

An online survey was used to collect students' perspectives, using a mixture of Likert scales and open-ended questions.

FINDINGS

The sample comprised 56 occupational therapy students from the United Kingdom ( = 36), United States of America ( = 16) and Canada ( = 4) enrolled in a mixture of undergraduate ( = 13) and postgraduate ( = 43) pre-registration degree programmes. Thirty-four percent of respondents perceived occupational therapy as inherently ableist. This rose to 50% after respondents were presented with a comprehensive definition of ableism. Students reported witnessing and/or experiencing ableism within education (63%) and practice placements (55%). Eighty-six percent of students recognised they may hold unconscious ableist views, and 96% agreed they would like more support to engage in disability studies.

CONCLUSION/IMPACT: Findings indicated a potential link between understanding of ableism and students' views that occupational therapy is ableist. Most students were aware of the potential they hold unconscious biases and welcomed support to engage further with disability studies. Further qualitative research is needed. Following this, systemic changes to address the harm of ableism can begin to be addressed.

摘要

目的

探讨职业治疗专业学生对残障歧视的看法及其对职业治疗实践的影响。这是一项更广泛研究的一部分,该研究还探讨了职业治疗教育工作者的观点。

方法

采用在线调查收集学生的观点,使用李克特量表和开放式问题相结合的方式。

结果

样本包括56名来自英国(n = 36)、美国(n = 16)和加拿大(n = 4)的职业治疗专业学生,他们参加了本科(n = 13)和研究生(n = 43)预注册学位课程的混合项目。34%的受访者认为职业治疗本质上存在残障歧视。在向受访者提供残障歧视的全面定义后,这一比例上升至50%。学生报告称在教育(63%)和实习(55%)中目睹和/或经历过残障歧视。86%的学生认识到他们可能持有无意识的残障歧视观点,96%的学生同意他们希望获得更多支持以参与残疾研究。

结论/影响:研究结果表明,对残障歧视的理解与学生认为职业治疗存在残障歧视的观点之间可能存在联系。大多数学生意识到他们可能存在无意识偏见,并欢迎获得支持以进一步参与残疾研究。需要进一步开展定性研究。在此之后,可以开始着手进行系统性变革,以解决残障歧视的危害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eba5/12046152/f415bbb1f8c6/10.1177_03080226241309469-fig1.jpg

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