TITLE:
Developing Skills in Intra-Workplace Rehabilitation Education: I
AUTHORS:
Fukumi Hiragami
KEYWORDS:
Rehabilitation Skills, Work-Based Education, DIKW, Narrative-Based Medicine (NBM), Shared Decision-Making (SDM)
JOURNAL NAME:
Open Journal of Therapy and Rehabilitation,
Vol.11 No.3,
August
3,
2023
ABSTRACT: Japan has
an advanced healthcare system, on par with any developed country; at the same
time, it is challenged by a rapidly aging population. In line with other
countries, medical and paramedical training differs from college or university
to when the graduates start working in the hospital wards; it seems like a new
career to freshmen. Rehabilitation draws together the most varied professional
teams treating patients from a range of specialists, and physical therapists
generally receive very little intra-workplace skills training. The aim of this
paper is to develop the first of a two-part educational model that is useful
for the professional development of therapists working in rehabilitation
medicine, by incorporating, at least, Shared Decision-Making and
Narrative-Based Medicine. The most productive systems of analysis are Bloom’s
psychomotor taxonomy and the Japanese DIKW system. The Japanese DIKW model of “chishin”,
which is based on Data, Information, Knowledge, and Wisdom, is similar to the
professional attitude and rehabilitative mindset in the healthcare system, the
convalescent rehabilitation wards. The individual, departmental, and hospital
levels could all benefit from aspects of these systems. Rehabilitative medicine in Japanese terms is
presented as a holistic medical care that heals the body and mind and restores
dignity, such as personality and self-confidence, and it is also a place where
unique Japanese cultural concepts such as “Ikigai” (reason to live) and “Omotenashi”
(hospitality) can be nurtured as professional awareness.