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新加坡早期职业治疗师对实践中职业公正的认知

Early career occupational therapists' perceptions of occupational justice in practice in Singapore.

作者信息

Tay Valenie, Chua Philiana, Gnoh Nathaniel, Goh Kaylynn, Dancza Karina M

机构信息

Rehabilitation, Ren Ci Hospital, Singapore.

Singapore Institute of Technology, Singapore.

出版信息

Br J Occup Ther. 2025 Apr;88(4):217-227. doi: 10.1177/03080226241302933. Epub 2024 Dec 17.

DOI:10.1177/03080226241302933
PMID:40342875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12033729/
Abstract

INTRODUCTION

Occupational justice addresses social, political and economic factors influencing occupational participation as a human right. Implementing occupational justice is challenging due to institutional, personal, environmental and cultural barriers, and may be further complicated in non-Western contexts. Early career occupational therapists often struggle to apply these principles while transitioning from education to practice, despite their desire to advocate for justice-focused practices.

METHODS

This qualitative descriptive study, grounded in social constructivism, explored the experiences of early career occupational therapists applying occupational justice in Singapore. Using snowball sampling of 2020 and 2021 graduates, participants engaged in one-time semi-structured interviews, which were transcribed verbatim and thematically analysed.

FINDINGS

Of 140 potential participants, 10 responded and completed the study. Four themes were developed: (1) Feeling uncertain about occupational justice, (2) Perceived relevance in the Singaporean context, (3) Early career challenges and (4) Aspiration to be agents of change.

CONCLUSION

Early career occupational therapists expressed uncertainty in applying occupational justice concepts, often confusing them with occupation-centred practice. Despite recognising individual influences, they felt ill-prepared to tackle systemic barriers and advocate for broader social change. However, participants were aware and willing to support occupational justice ideals, suggesting a need for more guidance to integrate individual therapeutic goals with societal advocacy.

摘要

引言

职业正义关注影响职业参与这一人权的社会、政治和经济因素。由于制度、个人、环境和文化障碍,实施职业正义具有挑战性,在非西方背景下可能会更加复杂。尽管初入职场的职业治疗师渴望倡导以正义为重点的实践,但在从教育过渡到实践的过程中,他们往往难以应用这些原则。

方法

这项基于社会建构主义的定性描述性研究,探讨了新加坡初入职场的职业治疗师应用职业正义的经历。通过对2020年和2021年毕业生进行滚雪球抽样,参与者进行了一次性半结构化访谈,访谈内容逐字转录并进行了主题分析。

结果

在140名潜在参与者中,10人做出回应并完成了研究。形成了四个主题:(1)对职业正义感到不确定,(2)在新加坡背景下的感知相关性,(3)初入职场的挑战,以及(4)成为变革推动者的愿望。

结论

初入职场的职业治疗师在应用职业正义概念时表示不确定,常常将其与以职业为中心的实践相混淆。尽管认识到个人影响,但他们觉得自己没有做好应对系统性障碍和倡导更广泛社会变革的准备。然而,参与者意识到并愿意支持职业正义理想,这表明需要更多指导,以将个人治疗目标与社会倡导结合起来。

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Navigating Ethical Tensions When Working to Address Social Inequities.解决社会不平等问题时应对伦理冲突的策略。
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Experiences of and support for the transition to practice of newly graduated occupational therapists undertaking a hospital graduate Program.新毕业的职业治疗师在医院实习期间的体验和支持。
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