Explorando teorias, modelos e estruturas profissionais para construções orientadas para a justiça: uma revisão de escopo

Taff, Steven D.; Clifton, Maribeth; Smith, Cristina Reyes; Lipsey, Kim; Hoyt, Catherine R.

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Sumário

Review Article • Cad. Bras. Ter. Ocup. 32 • 2024 • https://doi.org/10.1590/2526-8910.ctoAR27953638 copiar

Explorando teorias, modelos e estruturas profissionais para construções orientadas para a justiça: uma revisão de escopo

Autoria SCIMAGO INSTITUTIONS RANKINGS

Resumo

Introdução

O papel da marginalização sistémica no impacto negativo na saúde e no bem-estar dos indivíduos e das populações está bem estabelecido. Embora a profissão tenha começado a abordar o impacto do colonialismo em contextos clínicos e educacionais, estes tópicos estão menos representados nas teorias, modelos e enquadramentos subjacentes que orientam a investigação, a prática e a educação.

Objetivo

Identificar e analisar artigos de periódicos revisados por pares sobre teorias, modelos e estruturas profissionais que descrevem construtos orientados para a justiça.

Método

Pesquisamos artigos de periódicos publicados entre 1971 e 2021 indexados em PubMed/Medline, EMBASE, Scopus, PsycInfo, CINAHL e Web of Science. Usamos o Levac et al. metodologia e seguiumos a extensão Preferred Reporting Items for Systematic Reviews and Meta-Analyses para extensão Scoping Reviews (PRISMA-ScR) e a JBI Scoping Review Network. Os artigos incluídos apresentavam teorias, modelos e estruturas que descreviam construções orientadas para a justiça.

Resultados

Quarenta e cinco artigos publicados de 1987 a 2021 preencheram os critérios de inclusão. Estes incluíram 19 modelos, 19 estruturas, cinco teorias e dois paradigmas. A maioria dos artigos teve origem no Canadá, nos Estados Unidos e na Austrália nos últimos 20 anos. Os construtos mais comumente descritos foram inclusão, cultura e justiça ocupacional.

Conclusão

Esta revisão de escopo fornece uma visão geral das publicações que descrevem teorias, modelos e estruturas na literatura de terapia ocupacional que incluem construtos orientados para a justiça. Embora os construtos orientados para a justiça tenham sido o tema central em 35 artigos, o contexto não estava explicitamente ligado à atividade profissional. Apenas sete artigos discutiram a pesquisa, o que revela uma grande preocupação considerando o seu papel fundacional na profissão.

Palavras-chave:
Justiça Social; Ética Profissional; Colonialismo

Author (Year)	Geographic Location	Central or Peripheral Focus	Specific Constructs Represented	Professional Context (Clinical, Research, or Education)	Type (Theory, Model, or Framework)	Name	Decade Published
Agner (2020)Agner, J. (2020). Moving from cultural competence to cultural humility in occupational therapy: a paradigm shift. The American Journal of Occupational Therapy, 74(4), 7404347010p1-7404347010p7.	USA	Central	Cultural Humility, Cultural Competence	Clinical, Education	Paradigm	Cultural Humility	2020s
Bartolac & Jokić (2019)Bartolac, A., & Jokić, C. S. (2019). Understanding the everyday experience of persons with physical disabilities: building a model of social and occupational participation. Journal of Occupational Science, 26(3), 408-425.	Croatia	Central	Occupational and Social Participation, Occupational Deprivation, Social Marginalization, Occupational Marginalization, Inclusion, Accessibility	Education	Model	No Name	2010s
Benjamin-Thomas & Rudman (2018)Benjamin-Thomas, T. E., & Rudman, D. L. (2018). A critical interpretive synthesis: use of the occupational justice framework in research. Australian Occupational Therapy Journal, 65(1), 3-14.	Canada	Central	Human Right, Justice, Health, Wellbeing, Social Inclusion, Occupational Justice, Occupational Deprivation, Occupational Marginalization, Occupational Alienation, Occupational Imbalance, Occupational Apartheid	Research	Framework	Occupational Justice	2010s
Causey-Upton, 2015Causey-Upton, R. (2015). A model for quality of life: occupational justice and leisure continuity for nursing home residents. Physical & Occupational Therapy in Geriatrics, 33(3), 175-188.	USA	Central	Occupational Justice	Clinical	Model	Leisure Engagement for Quality of Life in Nursing Home Residents (LEQoL-NH)	2010s
Chichaya et al. (2018)Chichaya, T. F., Joubert, R. W. E., & McColl, M. A. (2018). Analysing disability policy in Namibia: an occupational justice perspective. African Journal of Disability, 7, 1-11.	Namibia	Central	Occupational Justice, Critical Disability Theory	Policy, Clinical	Framework	Occupational Justice Framework	2010s
Clifton & Taff (2021)Clifton, M., & Taff, S. D. (2021). The FOCUUS model: facilitating occupational performance on campus: uplifting underrepresented students. Journal of Occupational Therapy Education, 5(3), 1.	USA	Central	Social Determinants of Health, Race/Ethnicity, Racism, Minority Status Stress, Diversity, Equity, Inclusion, Culture	Education, Research and Clinical Implications	Model	The FOCUUS Model— Facilitating Occupational Performance on Campus: Uplifting Underrepresented Students	2020s
Darawsheh et al. (2015)Darawsheh, W., Chard, G., & Eklund, M. (2015). The challenge of cultural competency in the multicultural 21st century: a conceptual model to guide occupational therapy practice. The Open Journal of Occupational Therapy, 3(2), 1-22.	Jordan	Central	Cultural Competency, Cultural Awareness, Cultural Preparedness, Cultural Responsiveness, Cultural Readiness	Clinical	Model	Cultural Competency in the Multicultural 21st Century: A Conceptual Model	2010s
DuToit (2008)	South Africa	Peripheral	Occupational Deprivation, Community Service, Visual Impairments	Clinical	Model	Using the Model of Human Occupation to Conceptualize an Occupational Therapy Program for Blind Persons in South Africa	2000s
Emery-Whittington (2021)Emery-Whittington, I. G. (2021). Occupational justice-Colonial business as usual? Indigenous observations from Aotearoa New Zealand. Canadian Journal of Occupational Therapy, 88(2), 153-162.	New Zealand	Central	Colonization, Decolonization, Social Determinants of Health, Racism	Education	Model	Occupational Justice	2020s
Frew et al. (2008)Frew, K. M., Joyce, E. V., Tanner, B., & Gray, M. A. (2008). Clinical reasoning and the international classification of functioning: a linking framework. Hong Kong Journal of Occupational Therapy, 18(2), 68-72.	Australia	Central	Health Condition, Body Functions and Structure, Acti vities, Participation, Environmental Factors, Person Factors, Scientific Reasoning, Narrative Reasoning, Ethical and Pragmatic Reasoning	Clinical, Education	Framework	Linking Framework for Clinical Reasoning and The International Classification of Functioning, Disability, and Health	2000s
Goh et al. (2019)Goh, N. C. K., Hancock, N., Honey, A., & Scanlan, J. N. (2019). Thriving in an expanding service landscape: experiences of occupational therapists working in generic mental health roles within non-government organizations in Australia. Australian Occupational Therapy Journal, 66(6), 753-762.	Australia	Peripheral	Personal Agency, Workplace Facilitators (Opportunities to Use, Align, Expand Occupational Therapy), Inclusion (in Occupational Therapy Community)	Clinical/Management	Framework	Thriving Within the Non-Government Mental Health Sector: A Preliminary Framework	2010s
Grady (1995)Grady, A. P. (1995). Building inclusive community: a challenge for occupational therapy. The American Journal of Occupational Therapy, 49(4), 300-310.	USA	Central	Inclusive Community, Adaptation, Disability, Culture, Community, Diversity, Spatiotemporal Adaptation Theory and Environment, Communication Model for Collaboration	Education	Framework	No Name	1990s
Grenier (2020)Grenier, M. L. (2020). Cultural competency and the reproduction of White supremacy in occupational therapy education. Health Education Journal, 79(6), 633-644.	Canada	Central	White Supremacy, Racism, Health Disparities, Oppression, Cultural Competency, Critical Race Theory	Education	Theory	Critical Race Theory	2020s
Gupta (2006)Gupta, J. (2006). A model for interdisciplinary service-learning experience for social change. Journal, Physical Therapy Education, 20(3), 55-60.	USA	Central	Health, Interdisciplinary Work, Service Learning, Transformational Learning, Social Change	Clinical, Education	Model	A Model for Interdisciplinary Service-Learning Experience for Social Change	2000s
Hammell (2011)Hammell, K. W. (2011). Resisting theoretical imperialism in the disciplines of occupational science and occupational therapy. British Journal of Occupational Therapy, 74(1), 27-33.	Canada	Central	Feminism, cultural diversity, superiority, inclusion	Clinical, Education	Theory	Resisting Theoretical Imperialism	2010s
Hammell (2013)Hammell, K. R. (2013). Occupation, well-being, and culture: theory and cultural humility. Canadian Journal of Occupational Therapy, 80(4), 224-234.	Canada	Central	Occupation, Culture, Cultural Humility, Well-Being, Cultural Differences, Diversity, Intersections and Privilege, Cultural Competence, Cultural Safety	Clinical, Education	Theory	Occupation, Well-Being, and Culture	2010s
Hammell (2016)Hammell, K. R. W. (2016). Empowerment and occupation: a new perspective. Canadian Journal of Occupational Therapy, 83(5), 281-287.	Canada	Central	Empowerment, Human Rights, Occupational Therapy, Theory, Values	Education	Framework	Empowerment and Occupation	2010s
Hitch & Pepin (2021)Hitch, D., & Pepin, G. (2021). Doing, being, becoming and belonging at the heart of occupational therapy: an analysis of theoretical ways of knowing. Scandinavian Journal of Occupational Therapy, 28(1), 13-25.	Australia	Peripheral	Inclusivity, Justice, Deprivation, Alienation, Injustice, Well-Being, Health, Happiness, Inclusion, Justice, Belonging	Clinical	Paradigm	Pan Occupational Paradigm (POP)	2020s
Iwama et al. (2009)Iwama, M. K., Thomson, N. A., Macdonald, R. M., Iwama, M. K., Thomson, N. A., & Macdonald, R. M. (2009). The Kawa model: the power of culturally responsive occupational therapy. Disability and Rehabilitation, 31(14), 1125-1135.	Canada	Central	Culture, Environmental Factors, Life Circumstances and Problems, Personal Assets and Liabilities, Life Flow and Health	Clinical	Model	Kawa River Model	2000s
Jaegers et al. (2020)Jaegers, L. A., Dieleman, C., Dillon, M. B., Rogers, S., Muñoz, J. P., & Barney, K. F. (2020). Justice-Based occupational therapy initiative: advancing occupational justice in criminal justice systems. Annals of International Occupational Therapy, 3(4), 200-208.	USA	Central	Occupational Injustice, Social Inclusion, Deprivation, Marginalization, Advocacy	Clinical, Education, Research	Framework	The Participatory Occupational Justice Framework(POJF)	2020s
Janse van Rensburg (2018)Janse van Rensburg, E. (2018). A framework for occupational enablement to facilitate social change in community practice. Canadian Journal of Occupational Therapy, 85(4), 318-329.	South Africa	Central	Occupational Justice, Community Centered Practice/Community Engagement, Social Determinants of Health, Human Rights, Person and Community Centeredness, Equity, Accountability, Interconnectedness, Occupational Participation, Confidence and Dignity, Social Responsibility, Interdependence/ Relationships, Shared Vision/Active Stakeholder Participation, Shared Power/Responsibility, Enablement	Clinical	Framework	Social Change Through Occupational Enablement for Occupational Justice, Health, and Well-Being	2010s
King et al. (2006)King, G. A., Tucker, M. A., Baldwin, P. J., & LaPorta, J. A. (2006). Bringing the Life Needs Model to life: implementing a service delivery model for pediatric rehabilitation. Physical & Occupational Therapy in Pediatrics, 26(1), 43-70.	Canada	Peripheral	Personal Sphere of Life, Interpersonal Sphere, External Sphere, Community Participation	Clinical	Model	Life Needs Model of Pediatric Service Delivery	2000s
Law (1993)Law, M. (1993). Evaluating activities of daily living: directions for the future. The American Journal of Occupational Therapy, 47(3), 233-237.	Canada	Peripheral	Equality, Equity, Human Rights, Health Disparities (Distribution of Power), Community-Based Integration, Social Determinants of Health (Urban Planning and Health), Inclusion (Accessibility), Culture (Role of Health care Provider as Facilitator), Biomedical Model, Socio-Political Model/Framework, Disability Rights, Social Policy	Education	Model	Socio-Political Planning Model	1990s
Malfitano & Lopes (2018)Malfitano, A. P. S., & Lopes, R. E. (2018). Social occupational therapy: committing to social change. New Zealand Journal of Occupational Therapy, 65(1), 20-26.	Brazil	Peripheral	Social Injustice, Social Inequality, Social Inequity, Human and Social Rights	Clinical, Education, Research	Framework	Social Occupational Therapy for Change	2010s
Martins & Reid (2007)Martins, V., & Reid, D. (2007). New-immigrant women in urban Canada: insights into occupation and sociocultural context. Occupational Therapy International, 14(4), 203-220.	Canada	Central	Immigrant, Occupational Adjustment, Person-Environment-Occupation Model (PEO), Adjustment, Occupation, Sociocultural Context	Clinical, Education	Framework	P-E-O Adjustment	2000s
McInerney et al. (2007)McInerney, C. A., McInerney, M., Rodrigues, P., & Rocha Miranda, C. (2007). Programa Integrando: applications of the occupational therapy practice framework in Brazil. World Federation of Occupational Therapists Bulletin, 55(1), 34-41.	Brazil	Central	Social Inclusion, Disabilities, Self-Determination, Personal Occupations	Clinical	Framework	Occupational Therapy Practice Framework in Brazil	2000s
McCormack & Collins (2012)McCormack, C., & Collins, B. (2012). The affirmative model of disability: a means to include disability orientation in occupational therapy? British Journal of Occupational Therapy, 75(3), 156-158.	Ireland	Peripheral	Disability Orientation, Inclusion	Clinical	Model	Affirmative Model of Disability	2010s
Millar et al. (2013)Millar, F., Doherty, M., Forster, G., McFarlane, A., & Ogilvie, P. (2013). Managing waiting times and providing equitable, family-centred care: a description of four key initiatives from NHS Fife Child Health Occupational Therapy Service (2006-11). British Journal of Occupational Therapy, 76(8), 379-383.	Scotland	Peripheral	Equity	Clinical, Children & Families	Model	Care Aims Model	2010s
Mthembu (2021)Mthembu, T. G. (2021). A commentary of occupational justice and occupation-based community development frameworks for social transformation: the Marikana Event. South African Journal of Occupational Therapy, 51(1), 72-75.	South Africa	Central	Occupational Justice, Occupational Apartheid, Occupational Deprivation, Occupational Imbalance, Occupational Marginalization, Social Determinants of Health, Social Transformation, Social Reproduction	Clinical, Education, Research	Framework	Occupational Justice Framework AND Occupation-Based Community Development Framework (ObCD)	2020s
Muñoz (2007)Muñoz, J. P. (2007). Culturally responsive caring in occupational therapy. Occupational Therapy International, 14(4), 256-280.	USA	Central	Culture, Ethnicity, Cultural Competence, Culturally Responsive Care, Values, Diversity, Pluralism	Clinical	Framework	Culturally Responsive Caring in Occupational Therapy	2000s
Nelson (2007)Nelson, A. (2007). Seeing white: A critical exploration of occupational therapy with Indigenous Australian people. Occupational Therapy International, 14(4), 237-255.	Australia	Central	Critical Race Theory, Kawa Model, Cultural Safety	Clinical, Education	Theory	Critical Race Theory in Occupational Therapy	2000s
Nilsson & Townsend (2010)Nilsson, I., & Townsend, E. (2010). Occupational justice-bridging theory and practice. Scandinavian Journal of Occupational Therapy, 17(1), 57-63.	Sweden	Central	Occupational Justice, Social Justice, Inclusion, Occupational Rights, Occupational Alienation, Occupational Marginalization, Occupational Deprivation, Occupational Imbalance, Human Rights, Values, Beliefs, Justice	Clinical, Education	Theory	Occupational Justice	2010s
Pereira et al. (2020)Pereira, R. B., Whiteford, G., Hyett, N., Weekes, G., Di Tommaso, A., & Naismith, J. (2020). Capabilities, Opportunities, Resources and Environments (CORE): using the CORE approach for inclusive, occupation‐centered practice. Australian Occupational Therapy Journal, 67(2), 162-171.	Australia	Central	Capabilities, Opportunities, Resources, Environments, Occupational Justice, Inclusion	Clinical, Research	Model	Capabilities, Opportunities, Resources, and Environments (CORE) Approach	2020s
Pereira (2017)Pereira, R. B. (2017). Towards inclusive occupational therapy: introducing the CORE approach for inclusive and occupation-focused practice. Australian Occupational Therapy Journal, 64(6), 429-435.	Australia	Central	Social Inclusion, Occupational Justice, Occupational Deprivation, Equity, Capabilities, Opportunities, Resources, Environments	Clinical	Model	Capabilities, Opportunities, Resources and Environments (CORE)	2010s
Restall et al. (2018)Restall, G. J., MacLeod Schroeder, N. J., & Dubé, C. D. (2018). The Equity Lens for occupational therapy: a program development and evaluation tool. Canadian Journal of Occupational Therapy, 85(3), 185-195.	Canada	Central	Equity, Social Determinants of Health, Societal Contact (Social, Physical, Cultural, Institutional), Practice Context (Social, Physical, Cultural, Institutional)	Clinical, Education, Research, Policy	Framework	Equity Lens for Occupational Therapy (ELOT)	2010s
Schaber (2002a)Schaber, P. L. (2002a). FIRO Model: a framework for family-centered care. Physical & Occupational Therapy in Geriatrics, 20(3-4), 1-18.	USA	Central	Inclusion (Do I Belong?), Control (Do I Have Power?), Intimacy (Am I Lovable?)	Clinical	Model	The Family Fundamental Interpersonal Relations Orientation (Family FIRO) Model	2000s
Taff et al. (2014)Taff, S. D., Bakhshi, P., & Babulal, G. M. (2014). The accountability-well-being-ethics framework: a new philosophical foundation for occupational therapy. Canadian Journal of Occupational Therapy, 81(5), 320-329.	USA	Central	Occupational Justice, Social Justice, Social Determinants of Health, Health Disparities, Human Rights, Culture, Inclusion, Equity, Humanism, Contextualism	Clinical, Education, Research	Framework	The Accountability-Well-Being-Ethics (AWE) Framework	2010s
Taff & Blash (2017)Taff, S. D., & Blash, D. (2017). Diversity and inclusion in occupational therapy: where we are, where we must go. Occupational Therapy in Health Care, 31(1), 72-83.	USA	Central	Diversity, Inclusion, Opportunity, Cultural Awareness and Competence, Value-Added Model, Mutual Accommodation, Awareness and Competence	Education	Model	Diversity and Inclusion Action Matrix	2010s
Talero et al. (2015)Talero, P., Kern, S. B., & Tupé, D. A. (2015). Culturally responsive care in occupational therapy: an entry-level educational model embedded in service-learning. Scandinavian Journal of Occupational Therapy, 22(2), 95-102.	USA	Central	Occupation, Enablement, Justice, Context, Social, Participation, Inclusion, Culture, Diversity	Education	Model	Culturally Responsive Care in Occupational Therapy Embedded in Service-Learning (CRCOT-SL)	2010s
Townsend et al. (2003)Townsend, E., Galipeault, J. P., Gliddon, K., Little, S., Moore, C., & Klein, B. S. (2003). Reflections on power and justice in enabling occupation. Canadian Journal of Occupational Therapy, 70(2), 74-87.	Canada	Central	Power and Justice, Social Inclusion, Enabling Occupation, Client-Centered Care	Research, Education, Practice, and Guidelines Development	Framework	Analytic Frameworks for Power and Justice	2000s
Townsend et al. (2011)Townsend, E., Polatajko, H. J., Craik, J. M., & von Zweck, C. M. (2011). Introducing the Leadership in Enabling Occupation (LEO) model. Canadian Journal of Occupational Therapy, 78(4), 255-259.	Canada	Central	Scholarship, Accountability, Funding, Workforce Planning, Occupational Therapy, Health, Well-Being, Justice	Clinical, Education, Research	Model	Leadership in Enabling Occupation (Restall et al.) Model	2010s
Vrkljan (2005)Vrkljan, B. H. (2005). Dispelling the disability stereotype: embracing a universalistic perspective of disablement. Canadian Journal of Occupational Therapy, 72(1), 57-60.	Canada	Central	Universalism, Minority Group Analysis, Inclusiveness, Oppression, Devaluation, Marginalization, Disablement	Education/Policy with clinical implications	Framework	No Name	2000s
Whiteford et al. (2018)Whiteford, G., Jones, K., Rahal, C., & Suleman, A. (2018). The participatory occupational justice framework as a tool for change: three contrasting case narratives. Journal of Occupational Science, 25(4), 497-508.	Australia	Central	Occupational Injustice, Social Inclusion, Human Rights, Equalized Power Relations, Social and Cultural Relevance, Equitable Opportunities and Resources, Agency within Adverse Environments	Clinical	Framework	The Participatory Occupational Justice Framework (POJF)	2010s
Wieringa & McColl (1987)Wieringa, N., & McColl, M. (1987). Implications of the model of human occupation for intervention with native Canadians. Occupational Therapy in Health Care, 4(1), 73-91.	Canada	Peripheral	MOHO, Native Culture, Psychosocial Dysfunction, Western Influences, Socialization, Open System Principles, Environmental Management	Clinical	Framework	MOHO	1980s
Wood et al. (2017)Wood, W., Lampe, J. L., Logan, C. A., Metcalfe, A. R., & Hoesly, B. E. (2017). The Lived Environment Life Quality Model for institutionalized people with dementia. Canadian Journal of Occupational Therapy, 84(1), 22-33.	USA	Peripheral	Lived Environment, Caregiving Microsystem, Environmental Press, Person with Dementia, Quality of Life, Time Use, Ability to Function, Relative Being	Clinical	Model	The Lived Environment Life Quality (LELQ) Model	2010s

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[1] Steven D. Taff e-mail: taffs@wustl.edu