For occupational therapists professional resilience is sustained and enhanced by a strong professional identity and valuing an occupational perspective of health. Strategies that encourage reflection on the theoretical knowledge underpinning practice can sustain resilience. These include supervision, in-service meetings and informal socialisation. Further research is required into the role discipline-specific theories play in sustaining professional values and identity. The development of strategies to enhance occupational therapists' professional resilience may assist in the retention of occupational therapists in the mental health workforce.
Overall, the results of this study suggest that 'Generation Y' students are having both a negative and a positive impact on practice education in occupational therapy. For educators, management of the overconfident student and professional reasoning development should be addressed in university practice education workshops. For students, the need for clarification of placement expectations on professional behaviour and communication was indicated. Students may also require 'listening to feedback' skill development prior to practice education. Universities and practice educators should consider the development of technological resources for practice education, including simulation, to meet the needs of the, now recognised 'Generation Y' student.
The findings of this review suggest a comprehensive role for occupational therapy in addressing obesity. However, the paucity of outcome studies mean that significantly more research is required to further define and provide a strong evidence base for occupational therapy practice in this emerging field.
Introduction: This paper explores the way dominant discourses, and their associated practice knowledge dimensions shape personal paradigms, and occupation-based practice in mental health workplaces. Methods: Narrative inquiry methods and narrative thematic analysis was used to explore the career stories of nine occupational therapists who had worked in mental health practice for more than five years. Findings: The main narrative themes to emerge were i) living with the biomedical practice knowledge discourse, ii) living with the psychological practice knowledge discourse, and ii) reflection as a strategy for maintaining occupation-based practice. These discourses created the need to reflect on practice and adopt strategies to avoid the marginalization of occupational perspectives, and occupation-based practice. The strategies used to cope with these discourses varied from acceptance and embracing of other discourses to resistance and rejection. Conclusions: This paper demonstrates that in some mental health workplaces there is a danger that occupational perspectives and occupation-based practice can become marginalized. Making visible the different discourses in mental health practice allows occupational therapists to analyse, better understand and live with the tensions in their professional lives. This requires professional support strategies to be in place, to maintain occupation-based practices and retain practitioners in the workforce.
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