Zoekresultaten

Ergotherapeut

Neighbours at the Gate: Exploration of Alternative Approaches to Refugee (Re)settlement and Integration in the Netherlands

In the Netherlands and Europe, there exist approaches to refugee (re)settlement where asylum seekers face long waiting periods, in large-scale centres often isolated from Dutch society, with little-to-no opportunity to structure their day or participate in activities which bring meaning to their lives. These activities, which bring meaning people’s lives are termed occupations in the occupational therapy and occupation science literature. When the context hinders the opportunity to engage in these meaningful occupations, one experiences a situation of occupational injustice. These approaches taken in the Netherland and internationally creates the state of occupation injustice, this lack of ability to engage in meaningful activities, and this is turn has been documented to have negative effects on refugees health, well-being, identity and eventual inclusion in society.Parallel to these standard approaches in the Netherlands, are alternative approaches to refugee resettlement and integration. These alternatives are oftenbeing facilitated by charities, community-based organizations and citizen initiatives. Alternative programs currently aim to counter the government programs and focus on safe passages, for vulnerable populations, with an emphasis on early inclusion in society, community placement, sponsorship, and integration from the time of arrival. These alternative programs claim to address the issues of lack of meaningful engagement and isolation as currently seen in standard procedures, thereby claiming to improve integration, inclusion and wellbeing.This research aims to explore the lives and experiences of both the individuals living in, as well as the individuals facilitating these alternative programs. The research will explore how these programs are situated in and/or actively negotiating the broader context of refugee programs and policies in the Netherlands. This exploration will include the perspectives of the multiple actors involved, including service users and service providers, using a participatory methodology.Through exploring the perspectives on alternative programs through a participatory evaluation format, we are able to explore these programs as they are described, evaluated and experienced by theservices users themselves. This allows for a grounded understanding of the programs and their further potential.

Migration and human displacement: Global dialogue on the contribution of occupational science

Global issues, including the current pandemic and ongoing climate change, shape voluntary and forced international migration flows in inequitable ways. Anti-immigrant discourses in the Global North seek to capitalize on public concerns about border control. Meanwhile, the greatest immigration challenges are borne by countries in the Global South. The majority of refugees who are forcibly displaced by war, political violence, poverty, and environmental disasters seek refuge in neighbouring regions where many states lack the capacity to adequately support them. Given these challenges, it is imperative for occupational scientists to work collaboratively to support equitable occupational possibilities for immigrants, refugees, and internally displaced persons. During this dialogic session we will 1) outline useful theoretical approaches for understanding how migration shapes engagement in occupations; 2) discuss specific ethical considerations and methods for studying migration and its occupational implications; and 3) share promising practices for working with people from migration backgrounds. Each topic will be introduced through a brief presentation from one of the co-authors sharing vignettes from their own research and professional experiences to ignite discussions. Following each of the three presentations, participants will be grouped strategically to build networks among those with similar interests. This may include grouping participants who share a language.>What are the gaps in occupation-based research on global migration, and how can these be collaboratively addressed?>How can occupational science contribute to discussions within migration studies?>What occupational concepts are most useful for studying different migrant populations?

Doelgericht meten in de ergotherapie

Meten is weten. Daar zijn we het allemaal over eens. Maar hoe zorg je er voor dat je op het goede moment en met het juiste meetinstrument een zinvolle meting doet? Meten is immers geen doel op zich. Onlangs kwam een nieuwe uitgave van het boek Meten in de praktijk: Stappenplan voor het gebruik van meetinstrumenten in de praktijk uit. Hoog tijd om stil te staan bij meten in de dagelijkse ergotherapiepraktijk en daar een stappenplan voor te presenteren.

Food for thought

The focus of the thesis is an exploration into students’ vocational knowledge in the context of Dutch vocational education and training (VET). The reason students’ vocational knowledge requires exploration is because there is no consensus among scholars in the field of VET about how to theorise the nature of students’ vocational knowledge; most (not all) scholars rely on dichotomous conceptualisations, such as theory versus practice, general versus specific or explicit versus implicit. However, such commonly used dichotomies are not very helpful to understand the complex nature of vocational knowledge. Vocational knowledge is more than putting bits of theoretical and practical knowledge together, it is characterised by sometimes-intimate relationships between knowledge and actions. As a result of the above-mentioned gap in the VET literature, there is little empirical research on how VET students develop vocational knowledge and the extent to which this is occupation-specific knowledge. To understand students’ vocational knowledge, four different aims are formulated and carried out in four studies. The aim of the first study is to identify powerful vocational learning environments to enable the selection of a case that represents high quality vocational learning and teaching. With an eye on analysing students’ vocational knowledge, the second study aims to conceptualise the nature of vocational knowledge that avoids dichotomies. Therefore, two conceptual frameworks are integrated; the idea of contextualising is introduced which is based on cultural-historical theory to highlight the crucial role activity plays in knowledge development and to understand the relationships between the mind (i.e., what people think (and feel)), and action (i.e., what people do). Secondly, the theory is supplemented with ideas from inferentialism, a philosophical semantic theory of meaning to provide a useful way to focus on students’ processes of knowing and to reveal students’ vocational knowledge in terms of ongoing reasoning processes. The third study uses the conceptualisation of vocational knowledge to explore how students develop vocational knowledge in occupational practice, and to illustrate the process of contextualising. The forth study aims to describe what characterises students’ vocational knowledge using an analytic framework that distinguishes between occupation-specific knowledge components and qualities. This thesis contributes to research scholarship in the field of VET and an understanding of students’ vocational knowledge in practice. The theoretical framework of contextualising supplemented with inferentialism provides an alternative way to focus on students’ processes of knowing and helps to reveal students’ vocational knowledge in terms of reasoning processes. The empirical explorations and illustrations of students’ vocational knowledge contribute to the scholarly literature and practice on understanding the nature of vocational knowledge, how students develop vocational knowledge and what characterises their vocational knowledge. The intention to introduce the idea of contextualising is not about reinventing the wheel but rather an attempt to understand how it turns and how it functions. The intention of this thesis is to encourage dialogue and move the debate about the nature of vocational knowledge further, and hence, to provide some “food for thought”.

Task shifting, interprofessional collaboration and education in oral health care.

Het doel van dit proefschrift betrof het verkennen van attituden en afwegingen rond taakherschikking tussen tandartsen en mondhygiënisten. Daarnaast werd nagegaan welke sociale kenmerken studenten toeschrijven aan elkaar, zichzelf en beide beroepsgroepen. Vervolgens werd het effect van een psychologische interventie in een onderwijssetting onderzocht op interprofessionele communicatie en percepties ten aanzien van interprofessionele taakverdeling. Tandartsen en mondhygiënisten hebben verschillende attituden ten opzichte van taakherschikking, vooral wat betreft de vrijgevestigde praktijk van mondhygiënisten. Dit laatste wordt het minst gewenst door tandartsen. Tandartsen en mondhygiënisten hebben verschillende afwegingen wanneer men een voor- of tegenstander is van dit beleid. De interprofessionele relatie tussen tandartsen en mondhygiënisten komt tot uiting in de attributie van specifieke sociale kenmerken. Tandheelkunde en mondzorgkunde studenten zijn beide de mening toegedaan dat tandartsen meer dominant zijn dan mondhygiënisten. Het faciliteren van interprofessionele groepsvorming kan zowel interprofessionele hiërarchie als tandarts-gecentreerde taakverdeling reduceren. Tijdens het eerste onderzoek (Hoofdstuk 2) werden verschillen tussen tandartsen en mondhygiënisten ontdekt ten aanzien van de taakuitbreiding van de mondhygiënist. De helft van alle tandartsen en de meeste mondhygiënisten hebben hierover een positieve attitude. Een interprofessionele kloof werd gevonden ten aanzien van de zelfstandige praktijkvoering van mondhygiënisten. Een minderheid van alle tandartsen heeft hierover een positieve attitude vergeleken met een meerderheid van alle mondhygiënisten. Dit suggereert dat de acceptatie van een zelfstandige mondhygiënist een groot obstakel is wanneer men taakherschikking wil implementeren. Tandartsen willen controle over de mondhygiënist behouden, daarom is het waarschijnlijk dat taakdelegatie boven taaksubstitutie wordt verkozen. Dit laatste betreft taakherschikking met professionele autonomie.