Approaches to learning among occupational therapy undergraduate students: A cross-cultural study

Background: Students may adopt various approaches to academic learning. Occupational therapy students’ approaches to study and the impact of cultural context have not been formally investigated to date.

Aim: To examine the approaches to study adopted by undergraduate occupational therapy students from four different cultural settings.

Method: 712 undergraduate occupational therapy students (n?=?376 from Australia, n?=?109 from Hong Kong, n?=?160 from Norway and n?=?67 from Singapore) completed the Approaches and Study Skills Inventory for Students (ASSIST). A one-way analysis of variance (ANOVA) was conducted to compare the ASSIST subscales for the students from the four countries.

Results: Post-hoc comparisons using the Tukey HSD test indicated that the mean scores for the strategic approach were significantly different between Australia and the other three countries. The mean scores for the surface approach were significantly different between Australia and Hong Kong, and Hong Kong and Norway. There were no significant differences between the deep approach to studying between Australia, Norway, Singapore and Hong Kong.

Conclusion &; implications: Culture and educational context do appear to impact the approaches to study adopted by undergraduate occupational therapy students. Academic and practice educators need to be cognizant of what approaches to studying the students they work with adopt.     

Occupational therapy students' perceptions of their cultural awareness and competency

Occupational therapy students' perceptions of cultural awareness and their self-rated level of cultural competence were investigated. Seventy-two participants at four stages of education (on entry, on completion of university-based studies, on completion of fieldwork and one year following graduation) completed the Cultural Awareness and Sensitivity Questionnaire. The findings indicate that occupational therapy students graduated with an understanding of cultural diversity and the realization that cultural awareness and sensitivity are essential to culturally competent practice. The findings suggest that there is not enough exposure to cultural issues in both university-based education and in fieldwork. This study was limited to one state university and to most students aged < or =24 years and predominantly female. It did not explore the factors that influence the development of cultural competence and the methods to develop it. Future studies should monitor actual culture-related exposures to determine how learning experiences are organized and the ways culture influences the learning process and clinical competence.     

Levels of empathy in undergraduate occupational therapy students

Empathy is an important attribute for occupational therapists in establishing rapport and in better understanding their clients. However, empathy can be compromised by high workloads, personal stressors and pressures to demonstrate efficacy. Occupational therapists also work with patients from a variety of diagnostic groups. The objective of this study was to determine the extent of empathy and attitudes towards clients amongst undergraduate occupational therapy students at one Australian University. A cross‐sectional study was undertaken using a written survey of the Jefferson Scale of Physician Empathy (JSPE) and the Medical Condition Regard Scale. Overall, a strong level of empathy was reported amongst students. Four medical conditions that occupational therapists work with (stroke, cerebral palsy, traumatic brain injury and depression) were held in high regard. Substance abuse, however, was held in comparatively low regard. Overall, the year of study appeared to have no significant impact on the students' empathy. Despite having a lower reported empathy level than found in health professions from other studies using the JSPE, occupational therapy students were found to have a good level of empathy. Of concern, however, was the bias reported against the medical condition of substance abuse, highlighting that the there may be a need to reinforce that patients from this diagnostic group are equally deserving of quality care irrespective of their clinical condition. Recommendations for future research include completing a longitudinal study of occupational therapy students' empathy levels and investigating the empathy levels of occupational therapists working with different client groups. Limitations of the study include the convenience sampling of occupational therapy students enrolled at one university which limits the generalizability of the results to groups of participants with similar characteristics. Copyright © 2010 John Wiley & Sons, Ltd.     

Predictors of academic integrity in undergraduate and graduate-entry masters occupational therapy students

Background: Academic integrity is viewed as honest and responsible scholarship and the moral code of academia. Reported incidences of academic dishonesty among health professional students are widespread and may be an indicator of future unprofessional behaviour in the workplace. Aim: This study investigated the potential predictors of academic integrity in undergraduate and graduate-entry masters occupational therapy students. Method: Occupational therapy students from five universities (n = 701 participants; 609 undergraduates; 92 graduate-entry masters) were recruited. Data were collected via a two-part self-report questionnaire that included six standardised scales: Academic Dishonesty Scale; Academic Dishonesty in the Classroom Setting Scale; Academic Dishonesty in the Clinical/Practice Education Setting Scale; Moral Development Scale for Professionals; Academic Dishonesty Tendency Scale; and Perceived Academic Sources of Stress. Data analysis involved multi-linear regression analyses with bootstrapping. Result: Significant predictors of academic integrity in occupational therapy students included age, gender, grade point average, public meaning, moral practice, general tendency towards cheating, tendency towards dishonesty in the conduct and reporting of research findings, tendency towards not providing appropriate references and acknowledgements and pressures to perform well academically. Conclusion: These findings will assist educators in identifying vulnerable students potentially prone to academic integrity infringements and implementing proactive strategies with them. Further studies are recommended to explore further predictors of students’ academic integrity.     

Success of non-traditional students in an undergraduate occupational therapy programme

An exit survey designed to examine the experiences of occupational therapy undergraduates was administered to 365 students in a four-year honours programme. The survey had a response rate of 51% (186). The survey was informed and supplemented by focus groups with international students and computer-mediated conferencing with community leaders from relevant ethnic minorities. Results showed that older students and those with non-traditional entry qualifications in this sample were as successful as school-leaver entrants (those with UK A Level qualifications). There were no significant differences between the support needs of the groups and previous experience did not have a beneficial or significant effect on support needs. Having to maintain part-time employment significantly increased the likelihood that students would consider withdrawing from the programme. For those who considered withdrawing but who went on to successful completion, the desire to practise occupational therapy following their successful experiences in the programme was a powerful motivator.     

Perceived stress in occupational therapy students

The purpose of this study was to examine perceived stress of entry-level master's occupational therapy (OT) students enrolled at a Texas university. A total of 29 students including nine men and 20 women participated in the study. Questionnaires and interviews were used for data collection. The participants were interviewed during the end of the first and second year of the entry-level master's programme in OT. Questionnaires, given at the same time, contained demographic data, open-end questions and force choice questions rated on a Likert scale. The results indicated that the majority of students (66.4%) rated their current level of stress as above average or the highest in their lives. The students expressed feelings of being overwhelmed, confused regarding course expectations and wanted more hands-on experience. When responding to how they managed stress, more than half of the students in the study took an active approach by utilizing exercise. Limitations of the study include using a non-standardized questionnaire, a small number of participants, and that the participants did not represent diversity and were for the most part Hispanic. It is recommended that future research address the cultural and generational issues that may affect perceptions of stress and how students cope with stress.     

Learning style preferences of Australian occupational therapy students

Background/aim:  The learning styles and teaching implications for nursing and health science students have been well researched in other countries. Less research has considered the learning styles and implications for occupational therapy students. The current study examines the learning styles of occupational therapy students at one Australian university.
Methods:  The learning style preferences of first year undergraduate occupational therapy students ( n  = 120) were investigated. The students completed the Kolb Learning Style Inventory (LSI) and Fleming's VARK (Visual, Aural, Read/Write, and Kinaesthetic) Questionnaire in the first weeks of their course.
Results:  The response rate was 97% ( n  = 116). Learning style preferences as determined by the Kolb LSI were spread over all four Kolb LSI learning styles with 'diverging' (30.2%) and 'converging' (28.4%) being the most preferred. Instructional preference as measured by the VARK Questionnaire was kinaesthetic learning (33%), followed by the multimodal preference VARK (18.1%). Visual and aural categories were these students' least preferred methods of learning.
Conclusions:  The results of the current study support previous research indicating a range of teaching methods should be utilised to accommodate for the variability of students' learning styles within educational programs. To accommodate the range of learning experiences encountered in fieldwork and later in professional practice, students need to strengthen their capacities to use a variety of learning styles. This paper proposes that student learning for evidenced-based practice be facilitated by a range of learning opportunities including practical experiences.     

Diversity and inclusion within an occupational therapy curriculum

Occupational therapy professionals and users of occupational therapy services are becoming increasingly aware of the issues of diversity encompassing their lived experiences, values and meaning systems. This paper situates a discussion of diversity and curriculum development in terms of inclusiveness of people's diverse lived experiences, which include complex combinations of ethnicity, religion, sexual orientation, gender, socioeconomic status and other factors. A pedagogical context is provided based on understandings of culture, inclusiveness and diversity in the healthcare literature. The experience of one occupational therapy department's efforts to create a learning environment that is inclusive of all its participants is used to illustrate effective educational and structural strategies. Despite noble aspirations, much remains to be accomplished regarding how the profession defines competencies in terms of transcultural evaluation standards, outcomes and indicators.     

Diversity and inclusion within an occupational therapy curriculum

Occupational therapy professionals and users of occupational therapy services are becoming increasingly aware of the issues of diversity encompassing their lived experiences, values and meaning systems. This paper situates a discussion of diversity and curriculum development in terms of inclusiveness of people's diverse lived experiences, which include complex combinations of ethnicity, religion, sexual orientation, gender, socioeconomic status and other factors. A pedagogical context is provided based on understandings of culture, inclusiveness and diversity in the healthcare literature. The experience of one occupational therapy department's efforts to create a learning environment that is inclusive of all its participants is used to illustrate effective educational and structural strategies. Despite noble aspirations, much remains to be accomplished regarding how the profession defines competencies in terms of transcultural evaluation standards, outcomes and indicators.     

Attitudes of entry level occupational therapy doctoral students towards inclusion for students with disabilities

Background/Aims:  The increasing popularity of inclusive education for students with disabilities and the attitudes towards it inevitably affect school-based occupational therapy practice. This survey study investigated the attitudes of entry-level occupational therapy doctoral (EOTD) students towards inclusive education and the effect of professional education on their perception.
Methods:  A total of 62 EOTD students responded to a self-developed questionnaire, Attitudes and Inclusive Education Survey , yielding a response rate of 91.2%.
Results:  Results of the study revealed that entry level occupational therapy doctoral students have positive attitudes towards inclusive education and believe that the inclusion movement has an inevitable impact on school-based occupational therapy practice. Professional education in occupational therapy might positively affect students' attitudes.
Conclusion:  Given the close association between one's attitude and behaviour, the findings of the study are particularly encouraging. Future research needs to further examine school-based occupational therapy practice in inclusive environments.     

Cross-cultural awareness and occupational therapy education

Occupational therapy educators across the USA are designing curricula to enhance future therapists' cultural competence, in order to meet the increasing demands of serving clients from a variety of cultural backgrounds. Curricula based on an experiential learning approach to increase multicultural awareness and sensitivity have been advocated in the literature. This study describes the use of a cultural interview experience with first-year occupational therapy students and the impact of the experience on increasing students' cultural awareness, sensitivity and attitude towards another ethnic group. As part of their course assignment, students were required to interview someone who either originated from another country, or had spent at least 10 years in a foreign country. Most students interviewed international students on campus; the ethnic background of the interviewees was very diverse, and included European, South American, African, Middle Eastern and Asian backgrounds. Forty-two students provided written feedback after their interview. Content analysis showed that more than 70% of the students said the interview had a positive effect on their awareness of another cultural group; and about 45% said the interview had a positive effect on their sensitivity and attitude towards another culture. Some ethnocentric views still existed among some students. It is concluded that experiential learning in the form of interviewing an individual of another ethnic background can have a positive impact on awareness of and, to a certain extent, on sensitivity and attitude toward another cultural group. Copyright © 1999 Whurr Publishers Ltd.     

Facilitating professional identify in occupational therapy students

The purpose of this study was to explore how a graduate course in occupational therapy theory can help prepare students to develop a professional identity. Thirty students participated in the study. The course included content on the history of occupational therapy, models of practice and the social, philosophical, political and economic factors that impact on occupational therapy. The students were divided into groups of four or five where they discussed issues assigned by the instructor. An electronic blackboard was used to share the discussion with the class. Surveys of the students' opinions were used to collect data on what the students viewed as the strengths and weaknesses of the course. The students felt that the class discussions were the strongest part of the course. They felt that the course improved their critical thinking and problem solving significantly. It was concluded from the results that the course facilitated their professional identity through the connection made between theory and practice. There is a recognized need to explore the issue of developing a professional identity in occupational therapy students through courses integrating philosophical topics and clinical practice. Specifically, it is recommended that further research be carried out in educational settings with larger samples, using comparison groups and other methodologies to evaluate the issue of facilitating professional identity in occupational therapy students.     

Philosophy,science and ideology: a proposed relationship for occupational science and occupational therapy

This paper explores the interaction between the philosophy of occupational therapy, the science of occupation and the regional ideology of a specific geographical area, and proposes two models to depict the relationship. One model focuses on the interaction between daily occupational therapy practice in a specific geographical region and the international influences on that practice. The international influences include the effect of occupational science. The second model focuses on the relationship between the philosophy of occupational therapy, occupational science and regional ideology. It concludes by showing the importance of developing a global identity through the importation of knowledge from evolving sciences in industrialized countries at the same time as basic and applied knowledge is developed in the scientific community of a geographic region. Copyright © 2000 Whurr Publishers Ltd.     

Attitudes of occupational therapy students toward older people in Hong Kong

The main objectives of this survey were to examine the attitudes of Hong Kong occupational therapy students toward older people and their perception of working with older clients. A questionnaire, with 23 statements related to these two areas, was designed and distributed to all three-year occupational therapy students during the first week of the academic year. Results found that the third year students were more positive in perceiving older people and showed greater interest in working with older clients (F=7.681, p<0.001; and F=8.05, p<0.005 respectively). Similar results were also obtained in those students who had clinical experiences with older clients in the above two areas (t=2.40, p<0.01; and t=2.47, p<0.01). Hence, a positive relationship between the education programme (including subjects taught and fieldwork experience) and students' perception of older people was confirmed. However, the feedback mechanism of these two components in the teaching curriculum requires further research.     

A self-directed fieldwork program to provide alternative occupational health placements for undergraduate occupational therapy students

Second-year students of undergraduate occupational therapy at the University of Newcastle, NSW, undertake a fieldwork placement in occupational health. However, sufficient placements are not always available. A new fieldwork program attempts to meet this need. Three groups of students conducted risk assessments throughout the academic year, with generally positive results. Students enjoyed the self-directed nature of the placement and the opportunity to learn generic and occupational health related skills. Although there were some limitations to the program, we believe that fieldwork placements met the learning needs of second-year students and offered them an excellent opportunity to gain practical experience related to occupational health practice in prevention.     

Professional competence for private practitioners in occupational therapy

The aim of the present study was to investigate the meaning of professional competence for occupational therapy private practitioners and their experience of the barriers to professional competence. Semi-structured interviews with 16 key informants from private practice in Victoria elicited diverse opinions and experiences. However, the difficulty of assessing competence, and the lack of standards that identify competent practice for occupational therapy were major themes in the findings. The role of theory in competent practice was evident in discussion but it was not clearly articulated by many participants. Experiences of professional socialisation varied yet participants perceived input from peers as contributing to assuring competence. Major barriers to professional competence were identified as professional isolation, time and finances. The present study highlights the complexity of current attempts to assess professional competence for practising occupational therapists including the implementation of an accreditation program by The Australian Association of Occupational Therapists Inc. (OT AUSTRALIA), the peak body representing occupational therapists.