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Abstract
Background. Whether concepts and principles of Occupational Therapy (OT) can successfully be applied to non-Western and cross-cultural settings is being intensively discussed. Aims/Objectives. We explored the changing perspectives of local occupational therapists (OTs) eight years after the implementation of an OT service in a Himalayan cross-cultural setting in terms of (1) treatment applied, (2) professional identity, and (3) cross-cultural interactions. Material and Methods. A qualitative study design was chosen, and semistructured interviews were conducted in all employed practitioners (a) during implementation and (b) eight years later (n = 7). Questions were carefully formulated in order to narrow down the intended issues but respecting crosscultural differences. The framework method was implemented for data analysis. Findings. Long-term empowering local OTs resulted in the successful development of a sustainable OT department in a unique Himalayan cross-cultural setting. Practitioners became aware of their therapeutic potentials, a clear sense of professional identity was developed, and it was recognised that sensitive cross-cultural practice is only achieved by an ongoing and intentional cultural learning process. Conclusions and Significance. Our findings suggest that OT can be applied to non-Western cross-cultural settings.
Highlights
It is a matter of debate, whether concepts and principles of Occupational Therapy (OT) can be applied to non-Western and cross-cultural settings
We aimed to answer the following research question: how did local OT’s experience and make meaning of their cross-cultural therapeutic encounters, and how did this change over time with regard to their professional identity and position within the department?
They became aware of their skills and abilities and were able to explain the broader impact of OT services to clients, medical staff, friends, and family
Summary
It is a matter of debate, whether concepts and principles of Occupational Therapy (OT) can be applied to non-Western and cross-cultural settings. It is essential to observe how people live their lives in their environment, how they value things, and how they take into account the client’s worldview and culture [9] Following these considerations, OTs are in an excellent position to gain specific first-hand knowledge and understanding of the needs and interests of those in need within their specific culture. Whether concepts and principles of Occupational Therapy (OT) can successfully be applied to non-Western and cross-cultural settings is being intensively discussed. We explored the changing perspectives of local occupational therapists (OTs) eight years after the implementation of an OT service in a Himalayan cross-cultural setting in terms of (1) treatment applied, (2) professional identity, and (3) cross-cultural interactions. Our findings suggest that OT can be applied to non-Western cross-cultural settings
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