Harnessing Opportunities and Taking Responsibility for Our Future

Occupational justice as a quality indicator for occupational therapy services

ABSTRACT Although a key concept in occupational therapy theoretical documents, the issue of occupational justice continues to be elusive to the everyday practitioner. The purpose of this article is to outline a quality improvement project focused on the incorporation of occupational justice concepts into daily treatment. For the purposes of this quality improvement project, occupational justice was explored through practitioners' perceptions of clients' preparation to face societal, physical, and political barriers based on the occupational therapy services they received. Project participants were able to identify current utilization of these concepts, barriers to utilizing concepts, and potential avenues for incorporation of occupational justice into daily practice. This project demonstrates that quality improvement activities, driven by practitioners providing direct care, can enrich occupational therapy programs and lead to the inclusion of social justice practices in occupational therapy services.

Enhancing our collective research acumen by using an epidemiological perspective

Nearly 50 million Americans report some level of disability in activities of daily living or instrumental activities of daily living. Public health officials advocate for a fresh perspective on disability by considering disability through an epidemiological approach. Should occupational therapists perform this research, and what are the benefits for our profession if we do? This article advocates for enhancing our research knowledge base by including an epidemiological perspective in our research design. The benefits to occupational therapy of this research include (1) increased understanding of the extent and nature of occupational performance disability, (2) advancement of the scope and depth of research for prevention and intervention programs, and (3) improved visibility of the profession as informants for public health policy. Suggestions for preparing researchers to perform these studies and students and practitioners to interpret the studies are provided.

Knowledge Translation in Cancer Services: Implementing the Research and Evidence in Practice Model

Occupational therapy lacks intervention effectiveness studies, which are crucial to the profession's survival. Literature also describes problems in the translation of research findings into occupational therapy clinical practice. Despite this, there is limited information regarding specific organisational models of practice to facilitate both the generation and the translation of research evidence. In 2006, occupational therapists at the Princess Alexandra Hospital, Queensland, Australia, developed and implemented the Research and Evidence in Practice model. Over the past 5 years, the model has evolved to enable a more seamless and strategic approach to the generation and translation of evidence into practice. This practice analysis describes the current model, and provides a practical example from the cancer services clinical team to demonstrate its effectiveness.