5. EL ESTADO DEL ARTE
5.3. La regulación técnica en la actualidad
5.3.4. Otras Normas UNE para la caracterización de los pavimentos de piedra
The researcher experienced a tremendous amount of learning during this study. One thing she now knows is that action researchers are brave souls who err on the side of risk. They face giants and stand in the gaps in the wall to make the world a better place and they need all the help they can get. This section is a summary of the lessons she learnt with the hope that it will be of some benefit to other action researchers.
Three generic principles of learning emerged that encapsulated all the previously discussed reflections. The researcher learnt that to be an effective action researcher she had to acquire, implement and maintain; the skill to form positive relationships and function effectively in a group, the discipline to scientifically order and record data, a laissez faire approach.
Relationships were principal elements in the successes and the failures of this research. The principles of action research and Ubuntu formed the foundation of the Interpersonal relational skills that drove action learning and action research cycles. Action researchers need to know this and acquire the skills if this does not come naturally. In addition, as in any relationship, it needed to be continuously worked at. Positive relational aspects such as trust, authenticity, loyalty, respect had to be reinforced and negative ones such as polarization, exclusion, falsity, secretiveness, competitiveness had to be corrected.
Routine reflection and journaling was the most effective instrument that consolidated and contextualized the researcher’s learning. Over and above the scientific purposes it has it helped the researcher to make sense of what was often a deluge of information. It consolidated and framed experiences and offered the consolation of some form of order within the chaotic realm of action research. The researcher was principally responsible for the rigour and quality of the research and had to do this without losing the essence of the other two principles of learning.
Patience and composure were attributes the researcher had to constantly reinstate in her approach to the research. It was imperative to allow the progress of transformation to dictate its own pace.
Forcing an issue destroyed the collaborative and democratic nature of the group. Towards the end of the research tenure, as the VRTT became more confident in the ALAR paradigm they on occasion reminded the researcher to just let it go, it will sort itself out when she was attempting to press a matter for closure before she left the research team. The VRTT had become a truly collaborative research team that upheld the principles of ALAR.
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7.11 Conclusion
There is still a lot of work to be done to achieve successfully and sustainable vocational rehabilitation services in Gauteng’s public healthcare. This enquiry showed that mentoring combined with ALAR successfully transformed vocational rehabilitation services in Gauteng. The sustainability of the transformed service is a concern. Having a clear idea of what vocational rehabilitation services should be offered where with a framework within which all resources can be equally distributed with the least amount of patient referral is an important strategy that still needs to be implemented.
Acknowledging that the need for transformational actions will never stop and so too the need for action learning and action research cycles is another way of addressing this concern. This research suggests that ALAR should be seen as a professional lifestyle imbedded in the clinical practice of occupational therapy’s vocational rehabilitation and the researcher ventures to extend this suggestion to the greater occupational therapy fraternity including undergraduate training.
This research recognises that it offers a small contribution to a large and multi-faceted problem.
Within public healthcare the transformation of occupational therapy’s vocational rehabilitation services will continue through the VRTT and there is ample subject matter and opportunity for further research. Occupational therapy’s vocational rehabilitation problems exceed the boundaries of a single healthcare sector and cannot be addressed through isolated efforts such as this enquiry. A collaborative approach across sectors is necessary and imperative in the light of future changes to national healthcare.
All and any efforts of transformation should be grounded in the principles of our constitution. They should be aimed at bringing about reform that will promote the service proficiency, equity and efficiently to all who live in or visit South Africa, transcending cultural and economic barriers. There is a long road ahead for occupational therapy vocational rehabilitation services, but if our hearts are aligned we can at least be sure we are all traveling on the same road and in the same direction.
The researcher grew up on a mission station in Zambia and shares the following vignette as an allegory to the vocational rehabilitation services of occupational therapy in South Africa.
As children we could roam freely through the bush surrounding the mission station, playing from one homestead to the other. The adults used to warn us: ‘Mu yenda payekha. Mu dzafa.’ (If you walk alone you die.) They referred to rogue hyenas or leopards that could pick off a lone wandering child.
But as a noisy boisterous group we were safe.
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The same warning applies to occupational therapists in South Africa today. If therapists continue to isolate themselves in public, private or academic conclaves the profession will lose its role and reputation within the field of vocational rehabilitation. This enquiry brought to light the need to break down the segregation currently seen amongst occupational therapists practicing vocational rehabilitation. We have to start working together to improve the services we offer and consolidate the role of occupational therapy within the field. There is a collective responsibility for the transformation of our profession’s vocational rehabilitation services so we can meet the-need-to-work of those who need it most in this southern part of Africa.
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