Powe r a nd Confide nc e F lo re nc e Cla rk, PhD, OT R/ L , F AOT A AOT A Pre side nt-E le c t Asso c ia te De a n a nd Pro fe sso r USC Divisio n o f Oc c upa tio na l Sc ie nc e a nd Oc c upa tio na l T USC Di i i f O ti l S i d O ti l T h he ra py a t the Ostro w Sc ho o l o f De ntistry
Compone nts of My T Compone nts of My T a lk a lk � Pa rt One : De fining Powe r � Pa rt T wo: On the Individua l L e ve l � Pa rt T hre e : Confide nc e
Ce nte nnia l Vision Sta te me nt Ce nte nnia l Vision Sta te me nt By the ye a r 2017… y y AOT A e nvisions tha t oc c upa tiona l the ra py is a powe rful, wide ly re c og nize d, sc ie nc e - drive n, a nd e vide nc e - ba se d profe ssion with a profe ssion with a g loba lly c onne c te d a nd dive rse workforc e me e ting soc ie ty’s g y oc c upa tiona l ne e ds.
Hig h De finition Hig h De finition
Hig h De finition Hig h De finition OLD TV WASN’T BAD………
Hig h De finition Hig h De finition � Ca n So lve : � F � F uzzine ss uzzine ss � Na rro w Sc re e n � Re so lutio n � Re so lutio n � Cla rity
Hig h De finition Hig h De finition E ng ine e rs fix struc ture s We re build We re build live s
Hig h De finition Hig h De finition Occupational therapy in HD py takes objects in the background the background and moves them t th f to the foreground d
Powe rful � � � � L L e a de rship role in he a lthc a re e a de rship role in he a lthc a re Use of te c hnolog y to provide Use of te c hnolog y to provide de live ry syste m se rvic e s � � E duc a tion a s ba sis for powe r Influe nc e c ha ng e to be ne fit soc ie ty � � Ac tive in polic y- ma king Prolife ra tion of priva te - pa y pra c tic e s
De fining Powe r
O CCUPAT ONAL T RAPY ’ S R E I HE L AT I ONSHI P WI T H P OWE P OWE R R � Histo ric a lly, o c c upa tio na l the ra pists ha ve no t b e e n y p p c omforta ble with b e ing po we rful � Why the une a se ? � Oppo site o f c a ring � Ma sc � Ma sc uline a ttrib ute line a ttrib te � Asso c ia te d with do mina tio n
P OWE P OWE RF RF UL UL 1) ) Ha ving o r e xe rting g re a t i ti t po we r o r fo rc e 2) 2) Po te nt, e ffic a c io us Po te nt e ffic a c io us 3) Ha ving g re a t e ffe c tive ne ss 4) Ha ving g re a t po we r, a utho rity o r e ffe c tive ne ss T he Ra ndo m Ho use Una b ridg e d Dic tio na ry o f E ng lish L a ng ua g e , 1967
P OWE P OWE RL RL E E SS SS 1) Una b le to pro duc e a n e ffe c t 2) L a c king po we r to a c t; he lple ss T he Ra ndo m Ho use Una b ridg e d Dic tio na ry o f E ng lish L a ng ua g e , 1967
G E NG C OMF HE I T T I ORT ABL E WI T H T DE A OF B E NG P OWE I RF UL 1) Po we r is ne ithe r g o o d no r b a d 2) “Ho w a n individua l use s o r misuse s po we r ultima te ly c o lo rs the pe rc e ptio n o f po we r in the vie w o f o the rs” c o lo rs the pe rc e ptio n o f po we r in the vie w o f o the rs” ( Ulric h, 1987)
SSIONS E R IN P ROF P OWE
A P OWE A P OWE UL P ROF UL P ROF RF RF E E SSI SSI ON ON E E mpo we re d pra c titio ne rs e xpe rie nc e mo re jo b sa tisfa c tio n mpo we re d pra c titio ne rs e xpe rie nc e mo re jo b sa tisfa c tio n, a re le ss like ly to b urn o ut, a nd pro duc e b e tte r pa tie nt o utc o me s
A P OWE SS P ROF RL E E SSI ON Pra c tic e de c isio ns c o ntro lle d b y o the rs una b le to e xe rc ise full Pra c tic e de c isio ns c o ntro lle d b y o the rs, una b le to e xe rc ise full po te ntia l, po o rly pa id.
W HY HAS M E W HY HAS M E DI DI CI CI NE T NE T YPI YPI CAL CAL L L Y BE Y BE E E N N MORE “ POWE UL ” T HAN N URSI NG ? RF
H OSPI H OSPI AL H I AL H I T T E E RARCHI RARCHI E E S S Me dic ine Nursing � Cho se whe the r o r no t to a dmit pa tie nts � Auto no mo us o f ho spita l a dministra tive struc ture a dministra tive struc ture � Uppe r c la ss/ we ll-c o nne c te d, e tc .
T T HE M E HE M E CAL P ROF CAL P ROF ON AND P OWE ON AND P OWE DI DI E E SSI SSI R R � Atta ine d do minio n in 19 th c e ntury � Atta ine d do minio n in 19 c e ntury � Unive rsity tra ining fo r MDs (a c c e ss to po we r e lite a nd we a lth thro ug h ne two rking ) � Po litic a l vo ic e thro ug h c re a tio n o f pro fe ssio na l a sso c ia tio n � Po litic a l vo ic e thro ug h c re a tio n o f pro fe ssio na l a sso c ia tio n � Re g ula tio n/ lic e nsure Na nc a rro w a nd Ba rthwic k (2005)
T T HE M E HE M E CAL P ROF CAL P ROF ON AND P OWE ON AND P OWE DI DI E E SSI SSI R R ( CONT D ) I NUE � E � E mb ra c e d ne mb ra c e d ne w te c hno lo g ie s (e .g . a ne sthe sia ) te c hno lo g ie s (e g a ne sthe sia ) � Mo no po ly e na b le d c o ntro l o f o the r he a lth pro fe ssio ns (limiting the ir sc o pe s) ( g ) � Gro wth o f ho spita l me dic ine � Se t up c le a rly de fine d hie ra rc hie s Na nc a rro w a nd Ba rthwic k (2005)
ACT ACT I I VI VI T T I I E E S OF S OF E E MPOWE MPOWE RE RE D VE D VE RSUS RSUS UNE MPOWE RE D PROF E SSI ONS
NT RME MPOWE H E T E WI RUGGL S S T N URSE
T T HE C ASE F HE C ASE F OR N URSE OR N URSE S H AVI S H AVI NG B E NG B E N AN O PPRE N AN O PPRE E E SSE SSE D D G ROUP � Nursing re la tio nships a re hie ra rc hic a l/ � N i l ti hi hi hi l/ c o mpe titive � Ma nipula tio n � Ma nipula tio n � Ho rizo nta l vio le nc e � T a lking a b o ut e a c h o the r a nd fa ilure to suppo rt e a c h o the r during c o nflic t � Di � Disre spe c t to wa rd stude nts t t d t d t Sie lo ff, 2004; Bra dy, 2004 *No te : F o r a b a la nc e d a na lysis o f the nursing pro fe ssio n in re la tio n to po we r se e Ho lme s & Ga sta ldo , 2002; Po nte (2007); Bra db ury-Jo ne s e t a l. (2008).
C ONT C ONT NTOF P RACT NTOF P RACT CE P OWE CE P OWE E E I I R R � Cha ra c te ristic s o f a Pro fe ssio n � Cha ra c te ristic s o f a Pro fe ssio n � Pro fe ssio na l Auto no my � Auto no my = the y fre e do m to a c t o n wha t o ne kno ws, inde pe nde nt de c isio n ma king de c isio n ma king � Ob struc te d b y: � Org a niza tio na l � Org a niza tio na l a dministra to rs � Me dic a l sta ff (Manojlovich, 2007)
COME R? POWE ONS BE OSE SSI OR L E HOW DO PROF UL RF POWE
T T ONAL C OMPONE ONAL C OMPONE S OF P ROF S OF P ROF ON - RADI RADI T T I I NT NT E E SSI SSI ON B UI L DI NG E duc a ting Re c ruiting the m a t the m a t we ll we ll pre stig io us po sitio ne d unive rsitie s pe o ple Sc ie nc e - drive n A stro ng pra c tic e ti pro fe ssio na l f i l a ppro a c he s a sso c ia tio n
T HE P ROF ONAL P RACT CE A RE E SSI I NA I S A B AT T L E GROUND � Mo st pro fe ssio ns e ng a g e in turf-wa rs � Ac c o unta nts vs. la wye rs � Nurse s vs me dic a l lo b b y � Nurse s vs. me dic a l lo b b y � Physic ia ns vs. insura nc e c o mpa nie s
A BBOT A BBOT T S V ACANCY M ODE ’ S V ACANCY M ODE T L L � Pro fe ssio na l va c a nc ie s � Pro fe ssio na l va c a nc ie s o c c ur whe n: � A so c ie ta l ne e d e me rg e s � Autism e pide mic , re turning wo unde d so ldie rs � A pro fe ssio n c a n no lo ng e r susta in c o ntro l o ve r o ne o f its pra c tic e a re a s � OT in US me nta l he a lth
A BBOT A BBOT T S V ACANCY M ODE ’ S V ACANCY M ODE T L L � A pro fe ssio n s we a ke ne d � A pro fe ssio n’ s we a ke ne d po sitio n c a n re sult fro m: � Ma npo we r sho rta g e s � Po litic a l fo rc e s � Po litic a l fo rc e s � Sc ie ntific e vide nc e tha t a no the r pro fe ssio n c a n b e mo re e ffe c tive mo re e ffe c tive
S E S E C S HI C S HI N US OT N US OT P RACT P RACT CE D OMAI CE D OMAI I I SMI SMI F F T T S I S I I I NS NS Source: American Occupational Therapy Association, Inc., 2000 member survey
C L C L NG A N E NG A N E W OT W OT P ROF P ROF ONAL J URI ONAL J URI AI AI MI MI E E SSI SSI SDI SDI CT CT I I ON ON � A. Je a n Ayre s a nd pe dia tric OT pra c tic e : � De ve lo pe d a no ve l sc ie ntific g ro unde d a ppro a c h � De ve lo pe d a no ve l sc ie ntific g ro unde d a ppro a c h � SI T pro vide d justific a tio n to e xpa nd o ur pra c tic e in sc ho o l b a se d OT
S E S E C S HI C S HI N US OT N US OT P RACT P RACT CE D OMAI CE D OMAI I I SMI SMI F F T T S I S I I I NS NS
S NE I PL SCI C DI MI N ACADE R I POWE
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