Abstract
ABSTRACT Introduction Occupational justice concept is defined as the equal access and participation in all occupations, including the resources required for participation and opportunities for social inclusion. Occupational justice not only remains conceptually ambiguous for occupational therapy practice but also lacks critical examination of its applicability to non-Western cultures. Objective This article describes the reflexive process exercised by the researchers during and after using the Occupational Justice Health Questionnaire (OJHQ) as an occupational therapy tool in a substance addiction rehabilitation setting in the Philippines. Method This qualitative study gathered transcriptions from field notes and focus group discussions of the authors. These transcriptions were characterized by the authors’ reflections on their experiences using the OJHQ on four distinct periods: 1) OJHQ translation, 2) pilot testing, 3) OJHQ-Filipino version administration, and 4) project conclusion. Data were analyzed through thematic analysis. Results Qualitative data revealed four themes: tool usefulness; administration guidelines; contextualized use of the tool; and nuances of occupational injustices in substance addiction and rehabilitation setting. Conclusion Findings expanded OJHQ’s purpose to enhance clinical reasoning, promote justice-oriented health care, activate reflective practice, and recognize the interweaving and evolving nature of injustices. This article offers an understanding of how reflections can facilitate cultural adaptation of practice tools used in occupational therapy and justice practice.
Highlights
Occupational justice concept is defined as the equal access and participation in all occupations, including the resources required for participation and opportunities for social inclusion
In consideration of the rich and diverse culture of the world and unique justice norms in each culture, this current study aims to: 1) describe the reflexive process exercised by the researchers during and after the conclusion of the first author’s doctoral project regarding occupational justice as applied in the substance addiction rehabilitation setting in the Philippines; and, 2) promote critical reflexivity in adopting the Occupational Justice Health Questionnaire (OJHQ) through the detailed account of the researchers’ experiences
All reflective researchers found that enabling narrative clinical reasoning—the act of making sense of a person’s life story as it impacts daily living (Boyt Schell, 2014)—when using the OJHQ required the facilitation of story-telling, an emancipatory approach, and a clear understanding of the conceptual underpinnings of occupational justice
Summary
Occupational justice concept is defined as the equal access and participation in all occupations, including the resources required for participation and opportunities for social inclusion. Objective: This article describes the reflexive process exercised by the researchers during and after using the Occupational Justice Health Questionnaire (OJHQ) as an occupational therapy tool in a substance addiction rehabilitation setting in the Philippines. Method: This qualitative study gathered transcriptions from field notes and focus group discussions of the authors These transcriptions were characterized by the authors’ reflections on their experiences using the OJHQ on four distinct periods: 1) OJHQ translation, 2) pilot testing, 3) OJHQ-Filipino version administration, and 4) project conclusion. The occupational justice concept is defined as the “[...] access to and participation in the full range of meaningful and enriching occupations afforded to others, including opportunities for social inclusion and the resources to participate in occupations to satisfy personal, health, and societal needs”
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