The development of a relevant and responsive occupational therapy undergraduate neurological curriculum within a South African context: a collaborative approach

Background: Neurological conditions are one of the top burdens of disease in South Africa and form a sizeable proportion of an occupational therapist’s workload. The South African health system is characterized by limited... [ view full abstract ]

Background:
Neurological conditions are one of the top burdens of disease in South Africa and form a sizeable proportion of an occupational therapist’s workload. The South African health system is characterized by limited resources, high bed turnover rates and a high therapist to patient ratio. This raises questions regarding the relevance and applicability of what undergraduates are taught, given the nature and demands of the South African public health system.
This paper focuses on the collaborative process followed with the restructuring of the neurology module.
Method:
The study design is an explorative, descriptive qualitative study which made use of purposive sampling. The study comprises of focus group interviews held with clinicians; third and fourth year students and experts. In addition the study included a review of relevant documentation and evidence based practice.
Data was captured on audiotape and transcribed verbatim. Thematic content analysis was used to delineate themes emerging from the texts.
Results:
Five themes emerged from the data sets namely: foundational knowledge, skills and attitude; assessment; treatment; limited resources and factors influencing optimal learning experiences.
Conclusion:
Numerous changes in the clinical platform have a direct impact on the training of students. It was highlighted that in order to practice in the field of neurology new graduates require competencies to address the evolving needs of society.
Application to Practice:
This study will assist in aligning undergraduate training and practice, addressing the current knowledge gaps, and utilize limited teaching time effectively.