Editorial

Rudman, Debbie Laliberte

doi:10.1080/14427591.2019.1583057

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Globally, occupational therapy scholars and practitioners are acknowledging the need to recognize, navigate, and transform the power relations through which they work. This acknowledgment is due, in part, to the increasing body of scholarship that advances political framings of occupation (Laliberte Rudman, 2012) and occupational therapy (Guajardo, Kronenberg, & Ramugondo, 2015; Pollard, Kronenberg, & Sakellariou, 2008); evolving discourses on occupational justice (Durocher, Gibson, & Rappolt, 2014; Hocking, 2017) and occupational rights (Hammell, 2017; Hammell & Beagan, 2016); the uptake of critical theoretical perspectives (Farias, Laliberte Rudman, & Magalhaes, 2016; Gerlach, Teachman, Laliberte Rudman, Aldrich, & Huot, 2018); and calls for social transformation (Frank, 2012; Laliberte Rudman et al, 2018; Sakellariou & Pollard, 2013; Townsend, 1997). This body of scholarship has sought to enhance occupational therapists’ critical awareness of the political nature of practice, in the sense that politics has to do with “our everyday decision making, as opposed to politics as something that happens…at a macro level which is far removed from practice and about which we can do little” (Rebeiro Gruhl, 2009, p. 20).…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapists as Street-Level Bureaucrats: Leveraging the Political Nature of Everyday Practice

Aldrich¹,

Rudman²

2019

Can J Occup Ther

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Background. As front-line service providers who often work in systems regulated by governmental bodies, occupational therapists can be conceptualized as “street-level bureaucrats” ( Lipsky, 1980/2010 ) who effect and are affected by policy. Purpose. Drawing on understandings from a study of long-term unemployment, this article proposes that occupational therapists, as street-level bureaucrats, respond to inter-related policies and systems in ways that can perpetuate, resist, or transform opportunities for doing and being. Key Issues. By highlighting practitioners’ everyday negotiation of governmental, organizational, and professional power relations, the notion of street-level bureaucracy illuminates the political nature of practice as well as the possibilities and boundaries that policy can place on ideal forms and outcomes of practice. Implications. Framing occupational therapists as street-level bureaucrats reinforces practitioners’ situatedness as political actors. Mobilizing this framing can enhance awareness of occupational therapists’ exercise of discretion, which can be investigated as a basis for occupation-focused and emancipatory forms of practice.

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Section: Introductionmentioning

confidence: 99%

Occupational Therapists as Street-Level Bureaucrats: Leveraging the Political Nature of Everyday Practice

Aldrich¹,

Rudman²

2019

Can J Occup Ther

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“I can't be the nurse I want to be”: Counter-stories of moral distress in nurses' narratives of pediatric oncology caregiving

Molinaro

Polzer

Rudman

2023

Social Science & Medicine

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Pediatric oncology caregiving as narrative repair: Restor(y)ing disrupted family biographies and damaged moral identities

Molinaro,

Polzer,

Laliberte Rudman

et al. 2024

Health (London)

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Drawing on Arthur Frank’s conceptualization of narrative repair, we consider how pediatric oncology nurses restore and re-story the narratives of patients and families whose biographies have been thrown off course by the diagnosis and death of a child from cancer, as well as their own narratives as caregivers. Frank argued that when one’s life story is shipwrecked by chronic or life-threatening illness, storytelling is way to reorient one’s biography to a new ending, repairing the narrative wreckage created by the illness experience. In this critical narrative study with nine pediatric oncology nurses in Ontario, Canada, we highlight how, through physical, narrative, and moral proximity, nurses become entwined in their patients’ and families’ illness narratives, and how developing this narrative knowledge provides nurses with opportunities to steer families onto new terrain. As well, we examine how nurses re-story and repair their own identities as “good” caregivers in situations when they are prevented from acting on behalf of their pediatric cancer patients. These findings contribute to literature on illness narratives by considering narrative repair as a relational process enacted as part of pediatric oncology caregiving.

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Editorial

Cited by 3 publications

References 14 publications

Occupational Therapists as Street-Level Bureaucrats: Leveraging the Political Nature of Everyday Practice

Occupational Therapists as Street-Level Bureaucrats: Leveraging the Political Nature of Everyday Practice

“I can't be the nurse I want to be”: Counter-stories of moral distress in nurses' narratives of pediatric oncology caregiving

Pediatric oncology caregiving as narrative repair: Restor(y)ing disrupted family biographies and damaged moral identities

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