Ethical decision-making: Culturally home visit

Teacher Guidelines
Student Learning Objectives
Role Simulated Participant

📄 You can download the full simulation scenario in your preferred language below:

English German Finnish Croatian Dutch Turkish

🧩 Simulation Overview

The therapist makes a home visit. The client has been in an accident that has left her with both physical and mental challenges, and she has difficulty to cope with household chores. The client, her spouse and OT have conflicting views about what kind of services the client need. After home visit the therapist wants to discuss an ethical problem and solution with the employer. Resolving the ethical question: what should be done in this situation? What kind understanding of culture you should have? What to do when there is a difference in values and attitudes between you, the client and her spouse? How can you support the client in dealing with everyday challenges? What information do you need as an occupational therapist?

Modality: Digital Student roles:

Student roles	Number of students	Extra information
Occupational therapist
Participant
Other simulated participant Please specify in extra information
Observer	1<	The video can be watched by the whole group together, in small groups, or independently.

Learning outcomes:

Learning outcomes (simOT Framework)

Domain A: Knowledge and attitudes supporting OT competence	Individual and cultural differences in beliefs about causes of health, occupation, and occupational practices (A.4)
Domain B: Managing and conducting OT process	Recognize, clarify, and resolve ethical issues and dilemmas that arise within professional relationships or within the OT process using reflection based on ethical frameworks (Code of ethics, Standards of practice, laws, and regulations) (B.3) Recognize, understand, and respect cultural differences and diversity (B.4) Identify and manage the influence of one’s own values and culture on practice and act to minimize personal bias and inequitable practice based on social position and power (B.4)
Domain C: Developing and maintaining professional relationships and partnerships
Domain D: Professional autonomy and continuous professional development
Domain E: Promoting and advocating for the enhancement of the profession and social change
Domain F: General professional skills and competencies	Respect laws, codes of ethics, rules and regulations that govern occupational therapy (F.2)

🛠️ Preparation for the Simulation

Prerequisites:

Competencies	Specific description of prior knowledge, attitudes and skills
A.1	Occupational therapists possess knowledge about occupation and humans as occupational beings
A.5	Occupational therapists possess general professional knowledge about health and social care
B.1	Occupational therapists demonstrate competencies in professional reasoning during the occupational therapy process.
F.2	Occupational therapists demonstrate competencies for understanding and working within the local and national context and legislation.
	The teacher should assess and compare the curricula to see at which stage of their studies the script is suitable for them (intermediate or advanced). It is assumed that the student has completed a foundation course in occupational therapy (usually this means the first year). Before participating in the scenario, the student has been taught and has acquired the knowledge (described here) needed to understand and complete the scenario tasks.

📦 Actions and Materials

Action	Materials
Instructions and preliminary information about the video available: electronically on the learning platform	Course content and materials (books) regarding contextual components. Simulated client profile; based on client information (health condition, occupational performance)
See the video script in the appendix

Learning objectives (observable behaviour)

Domain A	The student understands health factors, recognizes and respect cultural differences and diversity. The student understands occupational performance related to the client’s culture and can take into account the impact of the client’s culture on the aforementioned issues.
Domain B	The student will be able to apply clinical reasoning, problem solving, flexibility, creativity and critical thinking and make informed decisions throughout the occupational therapy process. The student use relevant theoretical knowledge to support practice. The student will recognize and manage the impact of their own values and culture on practice, and act to minimize personal prejudices and unfair practices based on social status and power. The student will understand how to act and practice in an inclusive, culturally responsive and culturally safe manner using culturally sensitive communication tools and strategies.
Domain C
Domain D
Domain E
Domain F	The student will identify an ethical/legal problem. The student knows the legislation applicable to the occupational therapists work and is able to act in accordance with it. The student complies with the laws, ethical guidelines, rules, and regulations concerning occupational therapy. The student will understand the principles of professional ethics and understand how to demonstrate honesty and responsibility towards clients. The student should understand how to provide fair, ethical and respectful treatment to the client and be sensitive to bias, stereotypes and prejudice

Name	Nadia and spouse Ali
Age	27 years old
Sex	Female
Personal factors	The client does not share a common language with the occupational therapist, so there is very little background information available.
Ethnicity and cultural context	Middle Eastern, not entirely accurate information, no Finnish language skills. Spouse acts as interpreter.
Reason the participant is seeking OT service and concerns related to engagement in occupations	Challenges of daily activities and everyday life, finding out the situation at home. Unclear physical and mental health challenges, language problems and find out the client’s own perspective on the situation.