Sharing Stories: Using Narratives to Illustrate the Role of Critical Reflection in Practice with First Australians

Jodie Booth · Alison Nelson

21 citations0/0 files storedOccupational Therapy International

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Indigenous Health, Education, and Rights Occupational Therapy Practice and Research Cultural Competency in Health Care

Abstract

This paper aims to fill a gap in existing literature by using examples of reflective practice and how these informed service delivery and development with First Australians within a population health paradigm. Population-based approaches have been proposed as useful for providing services that reach beyond the individual. They may be particularly helpful in providing a framework for occupational therapists working with First Australians, when modified appropriately. "Healthy Ears" is a statewide ear health programme for First Australians. It is an example of a health promotion programme working to partner with First Australian communities using a community-driven and strengths-based approach. The occupational therapy role within this service has been recently established. Collaborative autoethnography was used to produce narrative reflection and discussion between the first and second authors in order to illustrate the role of critical reflection in developing this new occupational therapy service. The narratives presented are based on three main themes, which emerged as important guiding principles; these are core occupational therapy knowledge and skills, partnerships with communities and organizations and cultural safety. Each theme comprises narrative excerpts followed by interpretations based on the literature. The findings from these narratives, whilst limited to a particular context, suggest there is a need for greater professional preparation and support for occupational therapists working cross-culturally through undergraduate training and professional development opportunities. This paper highlights the usefulness of reflective practice as a tool for developing culturally safe occupational therapy services and emphasizes the importance of relationships with key First Australians as a platform for culturally safe practice.

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References

2005The SAGE handbook of qualitative research 2008Analysing narratives as practices 2020Understanding Foucault 2010Health Care and Indigenous Australians : Cultural safety in practice 2005Making the Case for Narrative Methods in Cross-Cultural Organizational Research 2004Aboriginal primary health care: an evidence-based approach 2007Seeing white: a critical exploration of occupational therapy with Indigenous Australian people 2007Relationships: the key to effective occupational therapy practice with urban Australian Indigenous children

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