Occupational Transitions Flashcards

1
Q

Occupational transition defined as?

A

“major change in the occupational repertoire of a person in which one or several occupations change, disappear and/or are replaced with others.”
- Can be associated with life course transitions

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2
Q

Predictable transitions?

A
  • School transitions (e.g., elementary to secondary, to post-secondary)
  • Weekday to weekend
  • Moving (from place to place, from city to city, etc.)
  • Retirement
  • Parenthood (maybe)
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3
Q

Unpredictable transitions?

A
  • Injury
  • Illness
  • Divorce
  • Losing a family member
  • Job loss
  • Bankruptcy/Homelessness
  • Winning prize/lottery
  • Forced migration
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4
Q

Predictability - A false dichotomy? It is not black and white, some occupations are sometimes planned and sometimes not (parenthood), others you might see it coming or not (bankruptcy, job promotion)

Give more examples?

A
  • Parenthood, there are both planned and unplanned pregnancy
  • Bankruptcy/Homelessness, sensing that you are in financial trouble
  • Future plans not going according to plan (e.g., not getting into desired grad school program)
  • Death of someone known (sometimes prognosis is known)
  • Job loss
  • Forced migration
  • Wedding proposal
  • Job promotion
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5
Q

Plans for transition?

A
  • Planning finically
  • Getting the needed supplies
  • Planning for the temporal readjustment
  • First aid kit for accidents that might happen, like natural disaster
  • Having a plan A, B, and potentially even C
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6
Q

Occupational implications
- Retirement?

A
  • Stopping work
    • Social circle
    • Less Less structure and daily occupation (more time for leisure, time may slow down)
    • Shifting experience of time
    • Pain (shift in use of body)
    • Change to identity
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7
Q

Occupational implications
- Global migration?

A
  • Change in mental health, for better or worse (distance from support system, a lot of changing)
    • Changing status, legal and symbolic (and negating that)
    • Deskilling, unable to practice the same profession that they did at home (lack of recognition of education and experience)
    • Chaining in identity (any major change in occupation can lead to a change in identity)
    • Lifestyle (learning new things, different social norms)
      • Some family, members may stay behind
    • Rebuild your social circle
    • Learning how to navigate new systems (bureaucracy)
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8
Q

Community/Social transitions?

A
  • Presence (who is is a space, a population can gradually cause a shift)
  • Sweden accepted more immigrants and this caused a change to to the dominant culture (with the increase in popularity of Arabic influences on music and food)
  • Gentrification
  • People leaving communities
  • Change of government/policy
  • Shifts in social issues (e.g., LGTBQ+ rights, legalizing cannabis)
  • Covid (and other public health restrictions)
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9
Q

Communities in transition
A live community growing together: Communal occupation of a senior centre welcoming Spanish-speaking elders?

A
  • Pays attention to transformation among community relations and processes of community change; focuses on “moments of community change as the communal occupation of a community ring together’ (p.2)
  • Examines how a community responds to the arrival of new members to explore social processes involved in community occupation
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10
Q

Communal occupations in a senior centre
- Thematic findings?

A
  • Moments of growth
  • Setting the stage
    • Race, Aging policies, Presence
  • Connection Spanish speakers with occupational opportunities
  • Changing relations though doing together
    • Reciprocal felt presence
    • Policy changes
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11
Q

Communal occupations in a senior centre

Quote?

A

“Immigrants, like any community members, have power to transform their situations. Through doing together and offering presence and participation in communication, immigrants can shift how a community lives and works.” (p.11)

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12
Q

People in transition
Re-creating self-identity and meaning through occupations during expected and unexpected transitions in life?

A
  • Examined occupational engagement during times of transition
  • Understanding identity as not only individual, but also socially and culturally constructed
    For example some might experience their identity as more collective, ansewring how they are doing based on how their community to inner circle is doing.
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13
Q

Occupation during life transition

Give examples of the 4 case studies used?

A

Case 1.
Transitioning between schools for children with disabilities

Case 2.
Transitioning to a new everyday life after traumatic brain injury

Case 3.
Transitioning to a new everyday life after stroke

Case 4.
Transitioning to a new life with serious somatic illness

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14
Q

Occupation during life transition, thematic findings? (3)

A
  • Disruption of a former self, by for example brain injury, somatic illness, disaties
  • Pursuing normality (Finding independence),
  • Re-constructing daily occupations and routines, take public transport instead of driving -> in turn will pursue normality and achieve independence
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15
Q

Research Example
- Experiences of Internationally Educated Occupational Therapists Transitioning into Canadian Practice

A
  • Life transition unrelated to illness (occupational perspective): “the process that results when an individual chooses a path of change that affects their occupational repertoire”
  • The demand for Occupational Therapists (OTs) in British Columbia is not being met
  • The registration of Internationally Educated Occupational Therapists (IEOTs) is one way to address this this shortage
  • All IEOTs must complete the SEAS before registering as an OT in BC
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16
Q

What is the SEAS?

A

In 2015, the Substantial Equivalency Assessment System (SEAS) was set forth by the Association of Canadian Occupational Therapy Regulatory Organisations (ACOTRO). All IEOTs must complete the SEAS before registering as an OT in BC.

17
Q

The SEAS has 5 steps?

A
  1. Academic Credential Assessment Review
  2. SEAS Language Assessment
  3. Curriculum and fieldwork review
  4. Jurisprudence Knowledge Assessment Test
  5. Competency Assessment Interview (around 6h)
18
Q

To address the current knowledge gap in understanding the transition experiences of IEOTs as they become registered occupational therapist in BC from an occupational perspective.

Research Questions:
1. What are the process, barriers and facilitators for internationally educated occupational therapist (IEOTS) become registered OTs in BC?
2. What is the experience of transition like for IEOTs who are registered OTs in BC

Methods
- Recruitment -> Through the Collage of Occupational Therapists of British Columbia (COTBC)
- Online survey -> process, barriers and facilitators for IEOTs obtaining full registration with COTBC
- Semi-structured interviews -> To explore the transition experience of IEOTs

  1. Answer - COMMONLY IDENTIFIED BARRIERS AND FACILITATORS FROM SURVEY?
A

Barriers:
- Expenses associated with registration
- Lack of guidance/overview of the proess
- Length of time to complete the credentialing process
Lack of information to prepare for the NOTCE

Facilitations
- Personal motivation
- Planning and preparation
- Assistance from the college or governing body

19
Q

To address the current knowledge gap in understanding the transition experiences of IEOTs as they become registered occupational therapist in BC from an occupational perspective.

Research Questions:
1. What are the process, barriers and facilitators for internationally educated occupational therapist (IEOTS) become registered OTs in BC?
2. What is the experience of transition like for IEOTs who are registered OTs in BC

Methods
- Recruitment -> Through the Collage of Occupational Therapists of British Columbia (COTBC)
- Online survey -> process, barriers and facilitators for IEOTs obtaining full registration with COTBC
- Semi-structured interviews -> To explore the transition experience of IEOTs

  1. Answer - THE EXPERIENCE OF TRANSITION FOR IEOTS FROM AN OCCUPATIONAL PERSPECTIVE? (3 identified themes)
A

3 identified themes
1. Effect of environment on occupations
- Difficulty entering the public health system
- The weather/people in Vancouver health oriented
2. A shift in Professional Identities
- Professional identity at risk if not successful
- Deskillined jobs during the transition
3. Navigating Transitions
- Physical move, new culture, etc.