Sustainability in Osteopathic Education: A Call for Professional Actions
What would you say are some of the topics people often bring up in a conversation on sustainability efforts? Avoiding flights, meat or certain foods, right? Well, the narratives and actions on sustainability extend of course beyond personal choices, but individual actions still remain crucial. In 2015, the United Nations acknowledged this shift in focus with the Brunt report, recognizing that for sustainability to truly resonate, it must align with people's values, motivations, and capacities to act wherever they are in the world and in life. An innovative approach to engaging students, educators, and practitioners in the field of Osteopathy is explored. In this Teachers’ series blog post, we explore an innovative approach to engaging students, educators, and practitioners in the field of Osteopathy with the United Nations Sustainable Development Goals (SDGs) #3, Wellbeing and Health, by using the Finnish Social Innovation Fund tool. This tool enables students to explore the meaning of sustainability, understand its significance, and identify opportunities for social innovation in their studies and future practices. Similar to the United Nations SDGs as a framework, the tool affords a language for discussion and opportunities for collective actions towards a sustainable future that resonates with people values, scientific evidence and communities of practice. Sustainable Innovation Tools and Solutions for Global Health and Wellbeing Osteopaths have the potential to play a pivotal role in driving social innovation for health and wellbeing within and beyond healthcare systems. The profession empowers critical change agents who enhance service quality and patient outcomes through innovative practices. By integrating social innovation tools into osteopathy education, there are opportunities to tackle global sustainability challenges within complex social-ecological systems. Social innovation tools can foster discussions, idea sharing, and immersive experiences that cultivate a creative force for evolutionary change. A notable highlight at the Spring Conference and General Meeting of Osteopathy Europe in Milan, Italy, was the introduction of the Finnish social innovation tool of Sitra by Laura Lee Calonius. This introduction spurred attendees to explore the perception of the Sustainable Development Goals (SDGs) through a series of thought-provoking questions. Participants engaged in discussions on how these goals impact professional operations, identified the most resonant goals, assessed potential opportunities or threats to osteopathy, and envisioned responses to the challenges posed by the SDGs. A major focus was the alignment of the osteopathy profession with the SDG of Health and Wellbeing. Reflecting on this goal, participants underscored osteopathy's unique capabilities and contributions, especially in the realm of musculoskeletal (MSK) health. This was further contextualized by insights from the Global Burden of Disease study (Institute for Health Metrics and Evaluation, 2021), which highlighted the critical role of osteopathy in addressing MSK health issues. Addressing the Global Burden of Musculoskeletal Disorders for sustainable innovation The escalating global burden of musculoskeletal (MSK) disorders and the urgent need for sustainable health solutions were emphasized at the conference in Milan. By 2020, 203 million people worldwide suffered from neck pain, a number projected to rise to 269 million by 2050. Additionally, 494 million people were affected by MSK disorders in 2020, a figure expected to increase by 115%, reaching 1.06 billion by 2050 (Institute for health metrics and evaluation 2021). Despite these staggering numbers, MSK health is not automatically seen as a priority in healthcare discussions. There is a notable initiative among physiotherapists, chiropractors, occupational therapists, and other health professionals to improve MSK health for all, but osteopaths have been largely absent from this conversation. This absence creates a vacuum that other professionals fill. It leaves the profile and potential of the osteopathic profession unknown to many, and yet, can provide opportunities for the profession to innovate through sustainability by addressing these global challenges. Empowering Osteopathy for Sustainable Global Health and Wellbeing: A Path Forward To address the gap from sustainability to actions, several solutions for osteopathic education and advocacy can be considered. This integrated approach not only empowers students and practitioners to take responsibility for the profession but also fosters a culture of innovation and adaptability within osteopathic education. Enhanced Visibility and Advocacy: Osteopaths need to reinforce lobbying efforts to ensure their role in MSK health is recognized. Global organizations must take responsibility for increasing the profession's visibility on a worldwide scale. Local and Global Actions: While local actions are essential, there is a critical need for expansion. Osteopaths must engage in larger-scale initiatives and collaborations with other health professions to solidify their place in the healthcare landscape. Education and Awareness: Osteopathic education should emphasize the importance of MSK health and integrate the SDGs into their curriculum. This would prepare future osteopaths to contribute effectively to global health goals. Interprofessional Collaboration: By collaborating with physiotherapists, chiropractors, occupational therapists, and others, osteopaths can help develop comprehensive strategies for improving MSK health. This collaboration would also help in raising the profile of osteopathy. Nurturing Resilient Professionals: Equipping future osteopaths with the skills and mindset needed to address global health issues and adapt to changing environments. Through these steps, the osteopathic profession can better position itself to address the growing burden of MSK disorders and contribute significantly to sustainable global health and wellbeing. The discussions in Milan highlighted the critical need for osteopaths to engage more actively in broader health conversation, ensuring that their unique skills and contributions are recognized and utilized to their full potential. It's crucial for osteopathic professionals to step up in addressing global health challenges. As we conclude, it's crucial for osteopathic professionals to step up in addressing global health challenges. By boosting visibility, fostering collaboration, and integrating sustainability into education and advocacy, we can make osteopathy a key player in tackling musculoskeletal disorders. Let's work together towards a future where osteopathy ensures health, wellbeing, and sustainability for all. Writers Laura Lee Calonius a Finnish-American osteopath graduated from Metropolia UAS in 2015. She works as a senior lecturer in osteopathy and head of the Master’s Degree Programme in Osteopathy at Metropolia. In addition to taking care of patients and teaching, she is politically active and a proud board member of two international organizations; Osteopathy Europe and Osteopathic International Alliance. Since her graduation Laura has worked as a part of a co-operative, currently consisting of 13 Metropolia-alumni osteopaths. Tricia Cleland Silva serves as the coordinator for the Metropolia Sustainability in Education team. She is a senior lecturer in the master degrees of Health Business Management and Leadership and Development in Nursing. She holds a PhD in Management and Organization. Her co-created method of Collaborative Story Craft and Story Mediation inspires her roles in sustainable development and inclusion within higher education and various communities of practice. She is also a parent, owns and runs a family business with her partner and an immigrant professional from Canada.
Ensuring Sustainable Wellbeing and Work for Teachers in a Changing World
As we emerge from the post-COVID era into ongoing economic uncertainty and geopolitical instability, the world is changing quickly. Many educators feel overwhelmed with concerns about financial instability, excessive workloads, work-life balance, and future uncertainty, leading to exhaustion, stress, and, in some cases, burnout. Over one-quarter of workers reported experiencing burnout symptoms at work. In 2024, the Finnish Institute of Occupational Health (FIOH) released a report on the wellbeing of workers in Finland. Initiated in 2019, the study aimed to establish a "traffic light" model for detecting workplace burnout, focusing on symptoms like chronic fatigue, detachment, and impaired cognitive and emotional control. The multi-year study found that workers' ability to function effectively has weakened, with symptoms of burnout increasing. By the end of last year, over one-quarter of workers reported experiencing burnout symptoms at work. In addition, there is an increasing level of employees at work when sick, with 41% of employees who FIOH surveyed reporting that they have worked at least twice while sick in the past six months, a trend due to poor wellbeing at work. How can universities support teachers’ wellbeing in preventing burnout and empower them in sustainable ways? Understanding Burnout: More than Just Stress Burnout is a prolonged state of mental weariness arising from chronic exposure to stress, distinct from ordinary stress, and often linked to absenteeism and turnover. It includes exhaustion, cynicism, and inefficacy like feelings of lack of support, poor relationships, and limited participation. Alongside burnout, work-related stress and work-life imbalance are significant issues affecting employees' well-being (Stankevičiūtė & Savanevičienė 2021). For us teachers, these challenges can be particularly pronounced, as the demands of educating and supporting students often extend beyond the classroom. This intensifies stress and impacts overall well-being. Sustainable work and wellbeing for teachers: A "Win-Win" approach Sustainable work and wellbeing for teachers involves more than just addressing immediate stressors; it requires a comprehensive approach to human resource management and organizational culture. Sustainable work and people management involve maintaining, renewing, and restoring human resources while reducing harm to employees and enhancing organizational profitability (Stankevičiūtė & Savanevičienė 2021). Sustainable work and wellbeing for teachers requires a comprehensive approach to human resource management and organizational culture. The sustainable principles include: Employee Competencies: Developing employees' potential and focusing on long-term orientation through strategic HR planning and future-focused recruitment. Voice of Employees: Creating conditions for employees to contribute ideas, engage in decision-making, and receive information. Employee-Employer Relations: Treating employees as equal partners, ensuring procedural fairness, and promoting equal opportunities. Care of Employees: Maintaining a healthy workforce through well-being initiatives, stress reduction, work-life balance, and fair compensation. Care of the Environment: Integrating sustainability by promoting eco-friendly working conditions, alternative commuting options, environmental training, and aligning environmental considerations with HR. By embracing these principles, educational institutions can create environments where teachers feel valued, supported, and empowered to succeed in their multifaceted roles as educators. They will be better equipped to mentor and guide their students and also provide emotional support and motivation. Inner Development Goals: A Framework for Teacher Wellbeing Sustainable well-being requires attention to our inner world, including caring for our minds, bodies, and hearts, and being aware of the environmental, social, and economic systems we inhabit. In May 2021, a collective of international scientists, experts, HR and sustainability professionals established the Inner Development Goals (IDG) framework, which outlines transformative skills for sustainable development. The IDG framework comprises five dimensions and 23 skills necessary to address the 17 interrelated UN Sustainable Development Goals (UNSDGs). The five dimensions are: Being – Relationship to Self Thinking – Cognitive Skills Relating – Caring for Others and the World Collaborating – Social Skills Acting – Enabling Change Although educational settings have a good track record of addressing the dimensions of thinking, relating, collaborating, and acting, there needs to be skill development and prioritized space for contemplation and reflection of the teachers’ relationship to themselves. What does wellness feel like? And, also as important, what does unwellness feel like? Embracing Wellness Dimensions in Educational Settings In our book "Making Sense of Work Through Collaborative Storytelling" (Silva & Silva 2022), we write about how we introduce eight wellness dimensions at the workplace that can help individuals, including teachers, prioritize aspects of their lives, fostering a holistic approach to well-being: Emotional: Awareness and expression of feelings. Environmental: Responsibility for maintaining a healthy personal and wider environment. Financial: Satisfaction with financial situations and control over resources. Intellectual: Desire to learn new concepts and seek mental challenges. Occupational: Alignment of work roles with values, talents, and purpose. Physical: Maintaining good nutrition, activity, and sleep. Social: Developing a sense of connection and support systems. Spiritual: Connection with meaning and purpose in life. These dimensions can serve as an inner inventory as to what makes teachers feel well and unwell to support teachers in recovering from negative work outcomes as well and be proactive in tending to their needs. Some steps to communicate and prevent unwellness at work include Name It: Recognize and acknowledge harm. Be Present: Recenter and focus on physical sensations. Take Space: Appropriately take time for oneself. Shift State: Use recovery strategies to shift one's state. Respond: Address the situation constructively. Making wellbeing a priority for sustainable working life In an ever-changing world, sustainable well-being and work in higher education require a holistic approach to prevent exhaustion and chronic stress. By integrating sustainable practices and focusing on both internal and external wellness dimensions, we can create healthier, more resilient educational environments. Prioritizing the well-being of teachers is not just beneficial for them but also for the students they educate and the broader educational community. Embracing frameworks like the IDG can help us navigate the complexities of mental health and sustainability in the workplace, fostering a balanced and supportive ecosystem for all. Prioritizing the well-being of teachers is not just beneficial for them but also for the students they educate and the broader educational community. As Gabor Maté, author of “When the body says no”, states: “knowing oneself comes from attending with compassionate curiosity to what is happening within." This blog post is part of a series for teachers focusing on sustainability in education. Previously published posts in the series include: Exploring the Intersection: AI and Sustainability in Higher Education and the introduction to the series Stories in Education for Sustainability: A Teachers' Series. Writer Tricia Cleland Silva serves as the coordinator for the Metropolia Sustainability in Education team. She is a senior lecturer in the master degrees of Health Business Management and Leadership and Development in Nursing. She holds a PhD in Management and Organization. Her co-created method of Collaborative Story Craft and Story Mediation inspires her roles in sustainable development and inclusion within higher education and various communities of practice. She is also a parent, owns and runs a family business with her partner and an immigrant professional from Canada. References Cleland Silva, T., & de Tarso Fonseca Silva, P. 2022. Making Sense of Work Through Collaborative Storytelling: Building Narratives in Organisational Change. Switzerland: Palgrave Macmillan. Maté, G. 2003. When the Body Says No: Exploring the Stress-Disease Connection. Hoboken, NJ: Wiley. Stankevičiūtė, Ž., & Savanevičienė, A. 2021. Can sustainable HRM reduce work-related stress, work-family conflict, and burnout? In International Perspectives on Employee Engagement. New York: Routledge. pp. 88-107. Suutala, S. Kaltianen, J. & Hakanen, J. 2024. How is Finland Doing? Report on wellbeing at work from summer 2021 to 2023. Helsinki: Finnish Institute of Occupational Health (FIOH). Transformational skills for inner development. Inner Development Goals -website.
Englanninkielinen valmentava koulutus vastauksena sote-alan työvoimapulaan
Suomessa on merkittävä pula sosiaali- ja terveysalan ammattilaisista (Ammattibarometri 2022). Työvoimapulan ennustetaan kasvavan tulevaisuudessa, koska alalta on eläköitymässä runsaasti työntekijöitä. Väestön vanhenemisen seurauksena erityisesti ikääntyneiden palveluissa henkilöstön tarve kasvaa. Sinne tarvitaan jopa 10 000 uutta hoitajaa jo seuraavan neljän vuoden aikana. Alalle koulutettavien määrä ei riitä vastaamaan tarpeeseen. (Valtiovarainministeriön kolumni 2023.) Miten jo Suomessa asuvat maahanmuuttajat saatisiin hakeutumaan sosiaali- ja terveysalan opintoihin? Sosiaali- ja terveysalan työvoimapula tuskin ratkeaa yhdellä toimenpiteellä. Kannattaakin pohtia, miten Suomessa jo asuvat maahanmuuttajat saataisiin innostumaan sosiaali- ja terveysalasta ja hakeutumaan alan koulutukseen. Entä miten EU- ja ETA-maiden ulkopuolella sosiaali- ja terveysalan tutkinnon suorittaneet Suomessa asuvat löytäisivät tiensä korkeakouluihin saadakseen Suomessa vaaditun laillistuksen tutkinnolleen? Yhtenä keinona helpottaa maahanmuuttajien tietä sosiaali- ja terveysalalle esitämme englanninkielistä alalle valmentavaa koulutusta, josta on saatu hyviä kokemuksia esimerkiksi PrepProg-hankkeessa (Sevonius-Male & Vainio 2024). Työperäisen maahanmuuton haasteena kielitaito Työperäistä maahanmuuttoa on esitetty osaksi ratkaisua sosiaali- ja terveysalaa vaivaamaan työvoimapulaan. Suomessa alalla työskentely edellyttää riittävää suomen kielen tai ruotsinkielisillä alueilla ruotsin kielen osaamista (Laki terveydenhuollon ammattihenkilöistä 1994/559), mikä hankaloittaa työllistymistä. Työperäisessä maahanmuutossa haasteena on myös se, että Suomi kilpailee muiden ikääntyvien länsimaiden kanssa sosiaali- ja terveysalan ammattilaisista. (Valtiovarainministeriön kolumni 2023.) Kielihaaste ei helpota tilannetta. Alalla työskentely edellyttää suomen tai ruotsin kielen taitoa. Kun puhutaan työperäisestä maahanmuutosta, tulee huomioida, että EU- ja ETA-maiden ulkopuolella suoritetulla tutkinnolla ei saa lupaa toimia Suomessa laillistettuna Sosiaali- ja terveydenhuollon ammattihenkilönä (Laki terveydenhuollon ammattihenkilöistä 1994/559). Käytännössä tämä tarkoittaa sitä, että henkilö, joka on suorittanut sairaanhoitajakoulutuksen vaikkapa Aasian tai Afrikan maissa, ei voi toimia Suomessa sairaanhoitajana ilman suomalaista sairaanhoitajan tutkintoa. Henkilön on suoritettava vähintään niin sanottu tutkinnon pätevöittäminen, mikä usein tarkoittaa opintojaksojen suorittamista ammattikorkeakoulussa. Suomessa on myös viitteitä siitä, että maahanmuuttajataustaiset sosiaali- ja terveysalan ammattilaiset eivät pääse täällä kotimaassaan suoritettua tutkintoa vastaaviin töihin, vaan työllistyvät alalla matalampaa koulutusta vaativiin tehtäviin (Vartiainen 2021). Myös nämä haasteet lisättynä kielitaitovaatimukseen voivat herkästi saada maahanmuuttajataustaisen henkilön hakeutumaan toiselle alalle. Englanninkielinen korkeakouluopintoihin valmentava koulutus kynnyksen madaltajana Suomenkieliseen sosiaali- ja terveysalan tutkintoon hakevalta vaaditaan B2-tason kielitaitoa. Se on suurelle osalle maahan muuttaneista liian kova vaatimus – ainakin aluksi. Sosiaali- ja terveysala kiinnostaa, jos tarjolla on väylä ilman suomen kielen esitaitovaatimusta. Esimerkiksi Toiminnallisesti kaksikielinen sairaanhoitajakoulutus (TOKASA) on ollut erittäin vetovoimainen hakukohde. Keväällä 2024 kyseiseen koulutukseen oli 6084 hakijaa (Vipunen.fi). TOKASA on suunnattu ulkomaalaisille tai maahanmuuttajataustaisille, joiden suomen kielen taito ei riitä suomenkielisiin sairaanhoitajaopintoihin. Englanninkielisiin sosiaali- ja terveysalan tutkinto-ohjelmiin, myös edellä mainittuun TOKASA-koulutukseen, vaaditaan B2-tason englannin kielen osaamista. Kaikilla maahanmuuttajilla ei ole tätäkään kielitaitoa. Englanninkieliseen valmentavaan koulutukseen voi hakeutua ilman suomen kielen taitoa. Englanninkielistä korkeakouluopintoihin valmentavaa koulutusta maahanmuuttajille kehitettiin ja piloitoitiin PrepProg-hankkeessa vuosien 2023–2024 aikana. Ennen tätä ammattikorkeakoulut olivat järjestäneet jo muutaman vuoden ajan suomenkielistä korkeakouluopintoihin valmentavaa koulutusta maahanmuuttajille, mutta nyt sen rinnalle kehitettiin englanninkielinen vaihtoehto. Englanninkieliseen valmentavaan koulutukseen voi hakeutua ilman suomen kielen taitoa. Se mahdollistaa entistä useammalle maahanmuuttajalle väylän korkeakouluopintoihin, myös sosiaali- ja terveysalan koulutuksen tutkinto-opiskelijaksi. (Sevonius-Male & Vainio 2024.) Lisää PrepProg-hankkeesta ja erityisesti pilottiin valikoidusta kohderyhmästä voit lukea täältä: Ukrainasta paenneille tie korkeakoulutukseen valmentavan koulutuksen avulla (Sevonius-Male & Vainio 2024). Englanninkielisen valmentavan koulutuksen muut hyödyt Kielitaidon parantamisen lisäksi valmentavan koulutuksen avulla voi kehittää korkeakouluissa vaadittavia opiskelutaitoja, kuten digitaitoja ja matemaattista osaamista, jota tarvitaan monella alalla. Samalla voi tutustua suomalaiseen opiskelukulttuuriin, joka korostaa itsenäistä opiskelua ja vaatii siten hyvää itsetuntemusta ja itsensä johtamista. (Sevonius-Male & Vainio 2024.) Valmentava koulutus auttaa opiskelijaa ymmärtämään alan koulutusvaihtoehdot ja erilaiset vaihtoehdot alalle pääsemiseksi. Maahanmuuttajalle sosiaali- ja terveysalan korkeakouluopintoihin valmentava koulutus voi toimia myös arvokkaana perehdytyksenä suomalaiseen sosiaali- ja terveyspalvelujärjestelmään. Sen ymmärtäminen ei aina ole helppoa Suomessa koko ikänsä asuneillekaan, sillä palvelujärjestelmämme on laaja, monen eri palveluntarjoajan kenttä. Sosiaali- ja terveysalaa voi opiskella useissa eri koulutusohjelmissa ja useilla eri tutkintoasteilla. Valmentava koulutus auttaa opiskelijaa ymmärtämään alan koulutusvaihtoehdot ja erilaiset vaihtoehdot alalle pääsemiseksi. Lisäksi valmentavan koulutuksen aikana voi tutustua sosiaali- ja terveysalan eri ammattiryhmien työnkuviin ja sitä kautta lisätä ymmärrystä siitä, mitä alalla työskentely on. Sosiaali- ja terveysalaan ja sen opintoihin tutustumisen tärkeydestä saatiin hyviä kokemuksia PrepProg-hankkeen pilotissa. Sosiaali- ja terveysalan korkeakouluopintoihin valmentavalla opintojaksolla osa opiskelijoista löysi alalta itseään kiinnostavan ammatin ja päätti hakea tutkinto-opiskelijaksi korkeakoulujen yhteishaussa. Tulevaisuudessa yhä useampi maahanmuuttaja voi löytää tiensä sosiaali- ja terveysalalle nimenomaan englanninkielisen valmentavan koulutuksen kautta. Kielitaitovaatimus – onko alalla hyötyä englanninkielisestä opiskelusta? Sosiaali- ja terveysalan lakisääteistä suomen tai ruotsin kielen taidon vaatimusta ei pidä väheksyä. Väyliä alalle kannattaa kuitenkin avata erilaiset kielitaidot huomioon ottaen, jotta voidaan paremmin vastata alan työvoimapulaan ja alasta kiinnostuneiden henkilöiden erilaisiin tarpeisiin. Opiskelu vie usamman vuoden. Sinä aikana ehtii hankkia alalle tarvittavan kielitaidon. Sosiaali- ja terveysalan opiskelu vie yleensä useamman vuoden. Sinä aikana opiskelija ehtii kehittämään suomen tai ruotsin kielen osaamisensa vaaditulle tasolle, kunhan kielitaidon kehittymistä opintojen aikana tuetaan. Lisää kielitaidon kehittymisestä ja sen tukemisesta osana ammattikorkeakouluopintoja voit lukea Kielibuustia-kirjoitussarjasta (Korpela, Iso-Heiniemi & Aho 2022—2023). Kirjoittajat Tiina Järvinen työskentelee lehtorina Metropoliassa, Terveysosaamisalueella, Team for Global Health and Nursing:ssä. Vuosina 2023—2024 minulla on ollut ilo olla osallisena PrepProg-hankkeessa kehittämässä englanninkielistä korkeakouluopintoihin valmentavaa koulutusta sosiaali- ja terveysalalle. Katri Huuskola työskentelee lehtorina Savonia ammattikorkeakoulussa, Kansainvälisyysyksikössä, International Unit of Health Care:ssä. Lukuvuonna 2023—2024 olin suunnittelemassa ja toteuttamassa PrepProg-hankkeessa sosiaali- ja terveysalan englanninkielistä korkeakouluopintoihin valmentavaa koulutusta. Lähteet Tyni, T. & Myllyneva, K. 2023. Sosiaali- ja terveysalan henkilöstöpula kärjistyy nopeasti – helppoja ratkaisuja ei ole, mutta lisätoimia tarvitaan. Valtiovarainministeriön kolumni. Ammattibarometri 2022. Työ- ja elinkeinoministeriö. Laki terveydenhuollon ammattihenkilöistä 1994/559. Finlex. Korkeakouluopintoihin valmentava koulutus maahanmuuttajille. Metropolia Ammattikorkeakoulu. Korpela, E., Iso-Heiniemi, E., Aho, H. 2022—2023. Kielibuustia-kirjoitussarja. Hiiltä ja timanttia -blogi. Metropolia Ammattikorkeakoulu. Sevonius-Male, M. & Vainio, E. 2024. Ukrainasta paenneille tie korkeakoulutukseen valmentavan koulutuksen avulla. Hiiltä ja timanttia -blogi. Metropolia Ammattikorkeakoulu. TOKASA-Toiminnallisesti kaksikielinen sairaanhoitajakoulutus -hanke 2023. Vartiainen, P. 2021. Säädellysti Suomeen – kohti hoitoalan kansainvälisen rekrytoinnin ratkaisuja. Työelämän tutkimus, 19(2), 264—277. Vipunen — opetushallinnon tilastopalvelu: Korkeakoulujen hakeneet ja paikan vastaanottaneet. Opetushallituksen ylläpitämä opiskelijavalintarekisteri.