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Lage CR, Wright S, Monteiro RGDS, Aragão L, Boshoff K. Foundational concepts of collaborative practice with parents in occupational therapy for children. Aust Occup Ther J 2024. [PMID: 38923580 DOI: 10.1111/1440-1630.12952] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 02/13/2024] [Accepted: 03/20/2024] [Indexed: 06/28/2024]
Abstract
INTRODUCTION In occupational therapy for children, collaborative practice with parents is crucial for meaningful family-centred interventions, yet it remains undefined and inconsistently addressed. This study aimed to establish foundational concepts for collaborative practice with parents in occupational therapy for children in progressing the field with a universal description. METHODS This paper encompasses the second dataset of a larger scoping review and a preliminary validation of findings by an advisory panel. Data were gathered from indexed sources on collaborative practice with parents in occupational therapy for children (ages 0-10) using MedLine, PsychInfo, ERIC, Embase, OTSeeker, Scopus, and ProQuest Central. Data were extracted, charted, and descriptively analysed by paired independent reviewers. The Joanna Briggs Institute Manual and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis-extension for Scoping Reviews were used. A draft definition of collaborative practices, developed based on preliminary review findings and an operational definition, was validated by an advisory panel of 13 experienced Australian occupational therapists, whose input was integrated into a final, comprehensive description of collaborative practice. RESULTS The scoping review encompassed 299 sources, revealing three major components of collaborative practice: 'collaborative practice aims', 'parent-therapist partnership', and 'strategies for collaboration'. The advisory panel endorsed the draft definition, confirmed its professional relevance, and suggested some modifications. CONCLUSION The major outcome of this study is an evidence-based and discipline-specific preliminary description of collaborative practice with parents in occupational therapy for children. This description provides a common language and foundational concepts for the future development of a collaborative practice framework to guide practice and research. Future studies can explore specific components, exploring their mechanisms and significance. Further expanded validation is required, incorporating the perspectives of a wider community of occupational therapists and families to enhance the description's applicability.
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Affiliation(s)
- Carla R Lage
- Allied Health and Human Performance, Occupational Therapy Program, University of South Australia, Adelaide, South Australia, Australia
- Rehabilitation Sciences, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Shelley Wright
- Allied Health and Human Performance, Occupational Therapy Program, University of South Australia, Adelaide, South Australia, Australia
| | - Rafaelle G de S Monteiro
- Department of Applied Social Sciences, Technological University of the Shannon: Midlands Midwest, Limerick, Ireland
| | - Luisa Aragão
- Department of Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Kobie Boshoff
- Allied Health and Human Performance, Occupational Therapy Program, University of South Australia, Adelaide, South Australia, Australia
- Innovation, Implementation and Clinical Translation in Health (IIMPACT), Adelaide, South Australia, Australia
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Corvin J, Hoskinson Z, Mozolic-Staunton B, Hattingh L, Plumbridge-Jones R. The effects of virtual reality interventions on occupational participation and distress from symptoms in palliative care patients: A pilot study. Palliat Support Care 2024:1-8. [PMID: 38605653 DOI: 10.1017/s1478951524000245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
BACKGROUND Virtual reality (VR) offers the prospect of a safe and effective adjunct therapeutic modality to promote mental health and reduce distress from symptoms in palliative care patients. Common physiological and psychological symptoms experienced at the end of life may impact the person's participation in day-to-day activities that bring them meaning. The purpose of this study was to examine the effect of VR interventions on occupational participation and distress from symptoms. OBJECTIVES To describe the stimulus, results, and learnings from a single-site pilot study of virtual reality therapy in a specialist palliative care setting. METHODS Participants engaged in a VR session lasting from 9 to 30 minutes related to coping with pain, inner peace and mindfulness, adventure, and bucket list. METHODS MEASURES The pilot prospective quantitative observational cohort study was conducted from November 2021 through March 2022 using a pre-post VR intervention research design. Quantitative data was collected using patient-rated assessments and a wireless pulse oximeter. Occupational performance, satisfaction, and distress symptoms were measured using the Canadian Occupational Performance Measure and the Palliative Care Outcomes Collaboration Symptom Assessment Scale (PCOC SAS). The intervention and study design adhered to international guidelines. RESULTS Ten participants engaged in the VR interventions. Data showed significantly improved occupational performance and satisfaction scores (p < .001), decreases in PCOC SAS distress from pain (p = .01), fatigue (p < .001), and heart rate (p = .018). No adverse side effects were observed. SIGNIFICANCE OF RESULTS Outcomes included an analysis of virtual reality's effectiveness to alleviate symptom burden and increase occupational participation for palliative care patients. Of specific interest to the research team was the application of virtual reality in a community-based and inpatient palliative care context to supplement allied health services and its feasibility of integration into standard palliative care. CONCLUSION VR therapy showed positive improvements in the participants' occupational performance, satisfaction, and distress from pain and fatigue.
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Affiliation(s)
- Julian Corvin
- Faculty of Health Science and Medicine, Bond University, Gold Coast, Queensland, Australia
| | - Zara Hoskinson
- Supportive and Specialist Community Palliative Care Service, Gold Coast Health, Robina, Queensland, Australia
| | - Beth Mozolic-Staunton
- Faculty of Health Science and Medicine, Bond University, Gold Coast, Queensland, Australia
| | - Laetitia Hattingh
- Department of Allied Health Research, Allied Health & Rehabilitation Services, Gold Coast Health, Southport, Queensland, Australia
| | - Russell Plumbridge-Jones
- Supportive and Specialist Community Palliative Care Service, Gold Coast Health, Robina, Queensland, Australia
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Aas MH, Bonsaksen T. Exploring occupation-based practice among occupational therapists in hospitals and rehabilitation institutions. Scand J Occup Ther 2023; 30:1074-1084. [PMID: 35561233 DOI: 10.1080/11038128.2022.2059564] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 01/30/2022] [Accepted: 03/25/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND While occupational therapists value occupation-based practice, they appear to spend less time on this approach and more time on impairment-based practices. Several barriers are reported for the occupation-based approach. AIM To explore different aspects of occupation-based practice among occupational therapists working in hospitals and rehabilitation institutions, and to examine associations between sociodemographic factors, barriers, and occupation-based practice. MATERIALS AND METHODS A cross-sectional survey was conducted. Participants were occupational therapists working in hospitals and rehabilitation institutions in Norway. The data were analysed with descriptive statistics and logistic regression. RESULTS The therapists (n = 124) valued occupation-based practice and reported using it frequently and to a large extent. Relatively small proportions of their practice (26% assessments and 38% interventions) were classified as occupation-based. Lack of time, space and equipment were reported as large barriers. Lack of time and lack of equipment were associated with low self-reported level of occupation-based practice. CONCLUSIONS The participants valued occupation-based practice, while the reported assessment and intervention methods were mainly not occupation-based. Several barriers were reported, and some were associated with less use of occupation-based practice. SIGNIFICANCE The results can be used to raise awareness of occupational therapists' use of occupation-based practice and barriers to this approach.
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Affiliation(s)
- Maren Høgblad Aas
- Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Tore Bonsaksen
- Department of Health and Nursing, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway
- Department of Health, Faculty of Health Studies, VID Specialized University, Sandnes, Norway
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Ahmad A, A. Rahman P, Tomori K, Wan Yunus F, Romli MH, Che Daud AZ. The use of occupation-based intervention among Malaysian occupational therapists: A focus group discussion. WORLD FEDERATION OF OCCUPATIONAL THERAPISTS BULLETIN 2022. [DOI: 10.1080/14473828.2021.2018835] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Aisyah Ahmad
- Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia
| | - Padma A. Rahman
- Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia
| | - Kounosuke Tomori
- Department of Occupational Therapy, School of Health Sciences, Tokyo University of Technology, Hachioji, Japan
| | - Farahiyah Wan Yunus
- Centre for Rehabilitation & Special Needs Studies, Occupational Therapy Programme, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Muhammad Hibatullah Romli
- Department of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Malaysia & Malaysian Research Institute on Ageing (MyAgeing), Serdang, Malaysia
| | - Ahmad Zamir Che Daud
- Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia
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Jones KB, Schell BAB, Neville M, Pickens ND. Novice Occupational Therapy Practitioners’ Use of Occupation in Practice: A Scoping Review. Occup Ther Health Care 2022; 37:210-229. [PMID: 35068311 DOI: 10.1080/07380577.2022.2025513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
An occupation-centered perspective is a foundational component defining occupational therapy practice. A scoping review was conducted of research studies from 2002 - 2020 describing novice occupational therapy practitioners and occupation. Ten articles met the inclusion criteria. Novices acknowledged that using occupation was a source of professional tension, describing a mismatch between their education and workplace expectations. The cognitive load of occupation-centered practice influenced novices' avoidance of occupation. Few articles address novices' experiences using occupation in their practice. Existing research primarily addresses barriers limiting novices' use of occupation such as lack of supervision and confidence.
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Affiliation(s)
- Kristin Bray Jones
- School of Occupational Therapy, Dominican University of California, San Rafael, CA, USA
| | | | - Marsha Neville
- School of Occupational Therapy, Texas Woman’s University, Dallas, TX, USA
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Farias MN, Lopes RE. Terapia ocupacional e Paulo Freire: uma revisão de escopo. CADERNOS BRASILEIROS DE TERAPIA OCUPACIONAL 2022. [DOI: 10.1590/2526-8910.ctoar22412958] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Introdução O referencial teórico e o aporte metodológico trazidos pelas obras de Paulo Freire vêm se espraiando por distintas áreas, inclusive na terapia ocupacional. Objetivo Apreender como o referencial freireano vem sendo utilizado em publicações acadêmicas da terapia ocupacional, reunindo e analisando essa literatura, para identificar eixos temáticos e lacunas presentes. Método Revisão de escopo, com levantamento de publicações nas bases de dados CINAHL, Scopus e Web of Science, focalizando artigos acadêmicos que referenciam explicitamente Paulo Freire, num período que, sem recorte inicial, foi até abril de 2020, tendo sido incluídos todos os artigos que referenciavam pelo menos uma obra do autor. Uma planilha desenvolvida no programa Microsoft Excel® reuniu os dados gerais dos artigos, cujos conteúdos foram agrupados, sintetizados e analisados a partir de conjuntos temáticos significativos. Resultados Foram identificados 56 artigos, publicados entre 1993 e abril de 2020. A obra de Freire vem sendo utilizada em publicações acadêmicas da terapia ocupacional, destacando-se o livro “Pedagogia do Oprimido” e as categorias Diálogo/Dialógica e Conscientização/Consciência crítica/política. Foram definidos e discutidos três conjuntos temáticos: 33 (58,9%) artigos que utilizam o referencial freireano para o pensar/fazer da terapia ocupacional; 10 (17,8%) em que ele parametriza a pesquisa na área; 13 (23,2%) cujas análises e proposições envolvendo a formação de terapeutas ocupacionais tomam-no como aporte. Conclusão Paulo Freire informa de diversas maneiras a terapia ocupacional, em prol de uma práxis para a transformação social, embora, em boa parte das vezes, as formulações freireanas não sejam o centro dos esforços de elaboração reflexiva.
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Affiliation(s)
- Magno Nunes Farias
- Universidade de Brasília, Brasil; Universidade Federal de São Carlos, Brasil
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Ford E, Di Tommaso A, Molineux M, Gustafsson L. Identifying the characteristics of occupation-centred practice: A Delphi study. Aust Occup Ther J 2021; 69:25-37. [PMID: 34490901 DOI: 10.1111/1440-1630.12765] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 08/11/2021] [Accepted: 08/23/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Occupation-centred practice is key to aligning with the contemporary paradigm. Benefits of this approach for clients and the profession are well documented, yet how to identify occupation-centred practice is not yet understood. Therefore, this study aimed to uncover the characteristics of occupation-centred practice and how they can be identified in practice. METHODS A three round Delphi survey was conducted to gain consensus on the defining characteristics of occupation-centred practice. Purposive, convenience, and snowball sampling were used to distribute three survey rounds to occupational therapists internationally. Content analysis was used to create characteristics, descriptions, and examples of occupation-centred practice. Percentage agreement between occupational therapists were calculated to determine consensus. RESULTS Responses were received from 100 participants in round one, 89 in round two, and 70 in round three. Round one generated 12 characteristics that were refined and finalised into four defining characteristics, one of which had three subcharacteristics. The four characteristics are as follows: guided by theory and philosophy grounded in occupation, language and documentation promotes occupation among stakeholders, understanding and incorporating the person's context, and occupation as core to practice, which includes occupation in goal setting, assessment, and intervention. Descriptions and examples were generated for each characteristic. CONCLUSION This study presents valuable information for occupational therapists wanting to practise in an occupation-centred manner. The characteristics, descriptions, and examples provide a foundation upon which occupational therapists can understand and identify occupation-centred practice. Examples provided were highly influenced by factors including practice settings and preferred terminology. Future research will explore the creation of a tool for occupational therapists to evaluate their own practice against the characteristics to demonstrate areas of strength and for development.
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Affiliation(s)
- Ellie Ford
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia.,Occupational Therapist, Youthrive Integrated Therapy Services, Springfield, Queensland, Australia
| | - Amelia Di Tommaso
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
| | - Matthew Molineux
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
| | - Louise Gustafsson
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
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Wæhrens EE, Nielsen KT, Cutchin M, Fritz H, Jonsson H, la Cour K. Fostering Change Through Occupation-Based Intervention: An International Joint Group Concept Mapping Study. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2021; 42:10-21. [PMID: 34474628 DOI: 10.1177/15394492211038283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Further consolidation and clarity regarding occupation as a means to foster change in interventions are needed. The study aimed to utilize the knowledge of occupational scholars to systematically determine what is required to use occupation as means to foster change within occupation-based interventions and to generate a conceptual model from those results. Group Concept Mapping involved the following: preparation, generation of ideas, structuring of statements, data analysis, interpretation of maps, and development of conceptual model. Fifty-two international occupational scholars brainstormed 125 ideas. A cluster rating map with nine clusters posed the foundation for a conceptual model with seven themes, namely, artful use of occupation, evidence-based use of occupation, collaboration to promote occupation, coordinating intervention fit, client factors, sociocultural context, and structural influences. The conceptual model, capturing dimensions and dynamics required for using occupation to foster change, may guide future research into occupation-based interventions.
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Affiliation(s)
- Eva Ejlersen Wæhrens
- University of Southern Denmark, Odense, Denmark.,Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark
| | - Kristina Tomra Nielsen
- University of Southern Denmark, Odense, Denmark.,Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.,University College of Northern Denmark, Aalborg, Denmark
| | - Malcolm Cutchin
- Pacific Northwest University of Health Sciences, Yakima, WA, USA
| | - Heather Fritz
- Pacific Northwest University of Health Sciences, Yakima, WA, USA
| | - Hans Jonsson
- University of Southern Denmark, Odense, Denmark.,Karolinska Institutet, Stockholm, Sweden
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9
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Ford E, Di Tommaso A, Gustafsson L, Molineux M. Describing the occupational nature of practice: A scoping review. Scand J Occup Ther 2021; 29:353-362. [PMID: 34455894 DOI: 10.1080/11038128.2021.1968949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Describing how occupation is used in practice can be challenging for occupational therapists. Occupation-centred, occupation-based, and occupation-focussed terminology are frequently used interchangeably and ambiguously to describe practice. However, ambiguous language creates confusion and inadequately demonstrates the value of occupation. AIMS/OBJECTIVES This scoping review aimed to identify how occupation-centred, occupation-based, and occupation-focussed terminology are defined and represented in occupational therapy literature. MATERIALS AND METHODS A five-step scoping review included papers published between 2014 and 2019 from four databases. Extracted data were summarised to outline how the terms were being used within the literature. RESULTS Initial searching yielded 819 articles and 35 papers met inclusion/exclusion criteria. Within current literature, occupation-focussed and occupation-based terminology were inconsistently described. A limited number of articles used occupation-centred and occupation-focussed terminology to describe practice, whilst occupation-based was more prominent. Occupation-based terminology was represented in numerous ways to describe assessments, practice tools, interventions, research, and theory. Discrepancies between the description and implementation of occupation-based practice were most prominent within interventions. CONCLUSION AND SIGNIFICANCE Findings demonstrated that occupation-based and occupation-focussed terminology were used interchangeably and inconsistently in literature. It is timely to consider how this is problematic for our professional identity and perceptions of occupation in practice.
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Affiliation(s)
- Ellie Ford
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia.,Youthrive Integrated Therapy Services, Queensland, Australia
| | - Amelia Di Tommaso
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
| | - Louise Gustafsson
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
| | - Matthew Molineux
- Discipline of Occupational Therapy, School of Health Sciences and Social Work, Griffith University, Queensland, Australia
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Evolution of professional identity in Iranian occupational therapy students and new graduates: A comparative study. Br J Occup Ther 2021. [DOI: 10.1177/03080226211017752] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction The development of professional attitude evolves over time and contributes to the formation of professional identity. This study tracked formation of professional identity by comparing professional attitudes of three cohorts: new graduates, final-year, and first-year students of occupational therapy. Method The online survey, including a 5-point Likert scale 17-item questionnaire and one qualitative inquiry using an incomplete statement, revealed the perception and future career prospects of 144 novice practitioners and students of occupational therapy. Written statements were compared to each other to provide insight about the participants’ perspectives during the three time periods. Findings One-way ANOVA indicated that there were significant differences in professional attitudes among the three cohorts (F (2, 141) = 14.32, p < 0.0001), demonstrating a downward trend in professional identity formation. The comparison analysis of statements confirmed the quantitative results and highlighted an issue of negative professional identity through indicating great concerns over the future career prospects. Conclusion Despite increased awareness of occupational therapy over time, these participants seemed to have had trouble developing a sound sense of professional identity. Possible sources and solutions for this issue were discussed, to better facilitate a clear sense of professional identity in occupational therapy students and practitioners.
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Affiliation(s)
- Duncan Pentland
- Division of Occupational Therapy and Arts Therapies, Queen Margaret University, Edinburgh, Scotland
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12
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Hoffmann M, Gustafsson L, Di Tommaso A. Exploring stroke survivors' experiences and understandings of occupational therapy. Scand J Occup Ther 2020; 29:165-174. [PMID: 33054465 DOI: 10.1080/11038128.2020.1831060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Occupational therapists view people with stroke as occupational beings who may experience occupational issues. Concurrently, occupational therapy practice is guided by research evidence that supports predominantly impairment-based practices. There has been limited exploration of how people with stroke experience and understand occupational therapy in the context of the potential tension between the professional philosophy and the research-based evidence. AIMS/OBJECTIVE To explore the experience and understanding of occupational therapy with stroke survivors. MATERIAL AND METHODS Interpretative phenomenology guided semi-structured interviews with nine participants from five states across Australia. RESULTS Three themes emerged: Understanding of occupational therapy grows by 'doing' outlines how participants understood occupational therapy based on their individual experiences over time; Personal factors influence the experience highlights how participants had diverse expectations for recovery that influenced their occupational therapy experience. Context shapes occupational therapy experience identified that the therapeutic relationship and context of occupational therapy were important factors in shaping experiences. CONCLUSION Both impairment-based and occupation-based therapy were considered valuable aspects of occupational therapy, representing the proposed tension between the professional philosophy and research-based evidence. Occupation-based and client-centred practice was more often experienced in the outpatient setting, with challenges described for both within the inpatient setting.
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Affiliation(s)
- Mikhala Hoffmann
- Former Student Occupational Therapist, Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Louise Gustafsson
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Amelia Di Tommaso
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
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14
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Abiodun R, Daniels F, Pimmer DC, Chipps J. A whatsapp community of practice to support new graduate nurses in South Africa. Nurse Educ Pract 2020; 46:102826. [DOI: 10.1016/j.nepr.2020.102826] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 03/22/2020] [Accepted: 06/14/2020] [Indexed: 11/16/2022]
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Murray A, Di Tommaso A, Molineux M, Young A, Power P. Contemporary occupational therapy philosophy and practice in hospital settings. Scand J Occup Ther 2020; 28:213-224. [PMID: 32356478 DOI: 10.1080/11038128.2020.1750691] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND Occupational therapists have sought to reconnect with the foundations of the profession for many years, and a key focus has been the place of occupation in practice. Existing literature suggests that therapists working in acute settings experience difficulties practicing in ways that centralise occupation. AIM/OBJECTIVE This scoping review aimed to explore the existing literature on contemporary occupational therapy philosophy and practice in acute hospital settings. METHODS A five step scoping review process was implemented. Four electronic databases were searched using a combination of search terms. Searching reference lists of papers was also completed. Results were summarised using numeric and thematic analysis. RESULTS Twenty four publications were included. Four themes were identified; attitudes towards occupation-based practice, benefits of occupation-based approaches, challenges implementing occupation-based practice, and strategies to overcome challenges. CONCLUSION AND SIGNIFICANCE Findings highlighted therapists value occupation as an important aspect of practice, however they experience many environmental and personal challenges in acute settings. Strategies to overcome these challenges related to individual's changing their practice to be more occupation-focussed and changes within the practice context including adapting environments, documentation and intervention protocols to focus on occupation. These strategies may support therapists to align practice with their professional values.
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Affiliation(s)
- Alice Murray
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, QLD, Australia
| | - Amelia Di Tommaso
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, QLD, Australia
| | - Matthew Molineux
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, QLD, Australia
| | - Anna Young
- Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Queensland Hospital and Health Service, Brisbane, QLD, Australia
| | - Penny Power
- Occupational Therapy and Music Therapy Department, Queensland Children's Hospital, Queensland Hospital and Health Service, Brisbane, QLD, Australia.,Clinical Education Leader - Paediatrics, Occupational Therapy Clinical Education Program,Queensland Health, Brisbane, QLD, Australia
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16
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Pereira RB, Whiteford G, Hyett N, Weekes G, Di Tommaso A, Naismith J. Capabilities, Opportunities, Resources and Environments (CORE): Using the CORE approach for inclusive, occupation-centred practice. Aust Occup Ther J 2020; 67:162-171. [PMID: 31957045 DOI: 10.1111/1440-1630.12642] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND/AIM Occupational participation is often claimed as a human right and determinant of health by occupational science and therapy scholars. Yet, maintaining occupation at the centre of practice is a challenge. The Capabilities, Opportunities, Resources and Environments (CORE) approach provides a mechanism for occupational therapists to address this challenge by viewing their practice through an inclusive lens, and enacting inclusive, occupation-centred occupational therapy. This paper presents applications of the CORE approach via three case narratives. The aim is to increase occupational therapists' understanding of how to apply the CORE approach and to facilitate research-to-practice knowledge translation. METHODS The CORE approach is introduced and applied through three case narratives, each highlighting one of the CORE elements within the context of the broader approach. FINDINGS The narratives contain critical reflective case narratives on the application of the CORE approach in the context of three different practice settings in Australia based on the authors' experiences. Practice settings include working within the National Disability Insurance Scheme, in a secure forensic mental health facility, and in rural community health. The forensic health case narrative documents findings from the authors' research which applied the CORE approach as an analytical tool, providing an additional layer of analysis of the identified themes from the original study. CONCLUSION This paper provides occupational therapists with a practical understanding of how to apply the CORE approach through diverse case narrative examples. The practical "how to" questions that guided the development of the case narratives can be used by occupational therapists and occupational therapy students in individual or group critical reflection to support development and application of socially inclusive and occupation-centred praxis. If occupational therapists are to claim expertise in enabling occupation and social inclusion, then using the CORE approach is vital to designing and implementing inclusive, occupation-centred interventions.
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Affiliation(s)
- Robert B Pereira
- Hospital Admission Risk Program, Barwon Health, Geelong, Vic, Australia.,Discipline of Occupational Therapy, Faculty of Health, University of Canberra, Canberra, ACT, Australia
| | - Gail Whiteford
- NSW Health and Charles Sturt University, Port Macquarie, NSW, Australia
| | - Nerida Hyett
- La Trobe Rural Health School, La Trobe University, Bendigo, Vic, Australia
| | - Gemma Weekes
- Community Forensic Mental Health Service, Justice Health & Forensic Mental Health Network, Matraville, NSW, Australia
| | - Amelia Di Tommaso
- School of Allied Health Sciences, Griffith University, Southport, Qld, Australia
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Murray A, Di Tommaso A, Molineux M, Young A, Power P. Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital. Br J Occup Ther 2019. [DOI: 10.1177/0308022619876836] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Alice Murray
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
- Occupational Therapy and Music Therapy, Queensland Children’s Hospital, Children's Health Queensland Hospital and Health Service, South Brisbane, Queensland, Australia
| | - Amelia Di Tommaso
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Matthew Molineux
- Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Anna Young
- Occupational Therapy and Music Therapy, Queensland Children’s Hospital, Children's Health Queensland Hospital and Health Service, South Brisbane, Queensland, Australia
| | - Penny Power
- Occupational Therapy and Music Therapy, Queensland Children’s Hospital, Children's Health Queensland Hospital and Health Service, South Brisbane, Queensland, Australia
- Occupational Therapy Clinical Education Program, Queensland Health, Queensland, Australia
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Murray CM, Edwards I, Jones M, Turpin M. Learning thresholds for early career occupational therapists: A grounded theory of learning-to-practise. Br J Occup Ther 2019. [DOI: 10.1177/0308022619876842] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Early career occupational therapists experience considerable learning. This research sought to develop a theory of how they learn once practising. Method The research employed a constructivist grounded theory methodology. Interviews were conducted with 20 participants who were either experienced ( n = 8), early career occupational therapists ( n = 10) or in supporting roles for early career occupational therapists ( n = 2). Participants were asked their views about what early career occupational therapists find troublesome and how they respond. Data were collected and analysed concurrently. Open, focused and theoretical coding were used to develop a theory. Findings The theory of learning-to-practise occupational therapy included four learning thresholds: consolidating professional reasoning; navigating into the workplace; building competence and confidence; and developing a personal theory and practise style. There were 11 strategies identified that early career occupational therapists use to cross the learning thresholds. Early career occupational therapists’ understanding and value of knowledge shifted, which culminated in them ‘realising’ their personal theory and practice style. They refined their values and beliefs and learned to be more deliberate and reflective in their thinking and actions. Conclusion Early career occupational therapists were challenged, which promoted learning. This research extends understanding of the learning needs, thinking and actions taken by early career occupational therapists to cross learning thresholds and to develop their personal theory and practice style.
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Affiliation(s)
- Carolyn M Murray
- University of South Australia, Adelaide, South Australia, Australia
| | - Ian Edwards
- University of South Australia, Adelaide, South Australia, Australia
| | - Mark Jones
- University of South Australia, Adelaide, South Australia, Australia
| | - Merrill Turpin
- The University of Queensland, Brisbane, Queensland, Australia
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Di Tommaso A, Wicks A, Scarvell J, Isbel S. Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists. Br J Occup Ther 2019. [DOI: 10.1177/0308022618823656] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Amelia Di Tommaso
- School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Alison Wicks
- Faculty of Health, University of Canberra, ACT, Australia
| | - Jennie Scarvell
- Faculty of Health & Health Research Institute and Faculty of Health, University of Canberra, ACT, Australia
| | - Stephen Isbel
- Faculty of Health & Health Research Institute and Faculty of Health, University of Canberra, ACT, Australia
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Turcotte S, Vallée C, Vincent C. [Occupational therapy and community integration of adults with neurological conditions: A scoping review]. The Canadian Journal of Occupational Therapy 2019; 85:365-377. [PMID: 30599776 DOI: 10.1177/0008417418813399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND. Although community integration (CI) is the ultimate goal of rehabilitation, it is rarely achieved in clinical settings. PURPOSE. The purpose of this study was to (a) synthesize the state of occupational therapy knowledge related to CI for people with neurological issues and to (b) illustrate how CI is conceptualized within the literature. METHOD. A scoping review was completed using two reviewers, resulting in the selection of 47 articles pertaining to four study populations. Themes common across all client populations were identified through content analysis, and an iterative synthesis was used to analyse the evolution of knowledge. FINDINGS. The selected articles covered craniocerebral trauma ( n = 21, 9 experimental categories [EXP]), medullar injuries ( n = 11, 4 EXP), cerebrovascular injuries ( n = 9, 4 EXP), and multiple sclerosis ( n = 4, 1 EXP). CI was used interchangeably with the term social participation. Fifty-one percent of the articles defined CI solely as part of a measurement tool, and 10% did not provide a definition of CI. The physical dimension of CI had been studied more frequently than the social and psychological dimensions. IMPLICATIONS. Innovative practices should work to enable community inclusion and full citizenship to support the long-term enablement.
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Usher R, Stapleton T. Overview of the Assisted Decision-Making (Capacity) Act (2015). IRISH JOURNAL OF OCCUPATIONAL THERAPY 2018. [DOI: 10.1108/ijot-08-2018-0013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Purpose
In Ireland, the Assisted Decision Making (Capacity) Act 2015 provides a statutory framework to adults who are experiencing difficulties with decision-making. This legislation has significant implications for all who work in health and social care. Increasing age and life expectancy, alongside the rising incidence of chronic health conditions and dementia-related diseases, indicates that more individuals are likely to experience challenges regarding decision-making capacity. Therefore, the need for more consistent, best-practice processes to assess decision-making capacity is likely to increase. To ensure occupational therapists are responsible in their contributions, and to ensure those with disabilities are supported, clinicians must be well-informed of the principles underscoring the Act. The purpose of this paper is to provide an overview of this multidisciplinary issue, including recent legislation, and consider how occupational therapy can contribute.
Design/methodology/approach
The authors reviewed current literature and considered occupational therapy’s role in decision-making capacity assessment.
Findings
Occupational therapists have potential to play a key role in multi-disciplinary assessments of decision-making capacity for clients. Further research is required to explore professional issues, identify clinical best practices and determine training and resource needs.
Originality/value
This paper seeks to provoke consideration of how occupational therapists can contribute to capacity assessment from a client-centred, occupation-based perspective that is mindful of ethical and legislative considerations.
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Di Tommaso A, Wicks A, Scarvell J, Isbel S. Uncovering educator perspectives of occupation-centred education in Australia: A qualitative study. Aust Occup Ther J 2018; 66:174-182. [PMID: 30264521 DOI: 10.1111/1440-1630.12529] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND/AIM Occupation and an occupational perspective of health and wellbeing are required to be taught in accredited occupational therapy programmes internationally. Current research into occupational therapy education has commonly focused on curriculum design and the experience of students and their developing skills for practice. Little research has focused on the perspectives of educators and in particular their own reflections and beliefs on the use of occupation in occupational therapy education. The aim of this study was to uncover Australian educator perspectives of occupation in occupational therapy education. METHOD This study utilised a qualitative research framework. Eight occupational therapy educators and practice education coordinators completed semi-structured interviews. Educators ranged in experience from two to over 20 years in the university sector. The interview transcripts were transcribed verbatim, forming the data for analysis. Braun and Clarke's thematic analysis was used to analyse the dataset. RESULTS Three themes emerged from the data: occupation is our framework; the balance between practice education and occupation-centred education; and educators changing the focus. Overall, educators believed that the 'occupation for health' philosophy and its application are important foundations for education. However, educators provided varied responses on how to teach these concepts to students. CONCLUSION Gaining educators' opinions on the importance of occupation in education is beneficial for ensuring consistency throughout occupational therapy curricula. Theoretical models were endorsed by educators to foster occupation-based practice. Educators must continue to innovate within the profession for occupation-based approaches in practice and education to be strengthened in the future.
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Affiliation(s)
- Amelia Di Tommaso
- University of Canberra Health Research Institute, University of Canberra, Bruce, Australian Capital Territory, Australia.,Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Southport, Queensland, Australia
| | - Alison Wicks
- University of Canberra Health Research Institute, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Jennie Scarvell
- University of Canberra Health Research Institute, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Stephen Isbel
- University of Canberra Health Research Institute, University of Canberra, Bruce, Australian Capital Territory, Australia
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Farias L, Laliberte Rudman D, Pollard N, Schiller S, Serrata Malfitano AP, Thomas K, van Bruggen H. Critical dialogical approach: A methodological direction for occupation-based social transformative work. Scand J Occup Ther 2018; 26:235-245. [PMID: 29724120 DOI: 10.1080/11038128.2018.1469666] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND Calls for embracing the potential and responsibility of occupational therapy to address socio-political conditions that perpetuate occupational injustices have materialized in the literature. However, to reach beyond traditional frameworks informing practices, this social agenda requires the incorporation of diverse epistemological and methodological approaches to support action commensurate with social transformative goals. AIM Our intent is to present a methodological approach that can help extend the ways of thinking or frameworks used in occupational therapy and science to support the ongoing development of practices with and for individuals and collectives affected by marginalizing conditions. METHOD We describe the epistemological and theoretical underpinnings of a methodological approach drawing on Freire and Bakhtin's work. RESULTS Integrating our shared experience taking part in an example study, we discuss the unique advantages of co-generating data using two methods aligned with this approach; dialogical interviews and critical reflexivity. DISCUSSION Key considerations when employing this approach are presented, based on its proposed epistemological and theoretical stance and our shared experiences engaging in it. SIGNIFICANCE A critical dialogical approach offers one way forward in expanding occupational therapy and science scholarship by promoting collaborative knowledge generation and examination of taken-for-granted understandings that shape individuals assumptions and actions.
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Affiliation(s)
- Lisette Farias
- a Division of Occupational Therapy , Karolinska Institutet , Sweden
| | - Debbie Laliberte Rudman
- b School of Occupational Therapy and Occupational Science Field , Western University , Canada
| | - Nick Pollard
- c School of Occupational Therapy and Vocational Rehabilitation , Sheffield Hallam University , UK
| | - Sandra Schiller
- d Faculty of Social Work and Health , University of Applied Sciences and Arts Hildesheim/Holzminden/Goettingen , Germany
| | - Ana Paula Serrata Malfitano
- e Department of Occupational Therapy , Post Graduate Program in Occupational Therapy, Federal University of São Carlos , Brazil
| | - Kerry Thomas
- f Director InterPART and Associates (International Partners in Action, Research and Training) , Australia
| | - Hanneke van Bruggen
- g Director of FAPADAG (Facilitation and Participation of Disadvantaged Groups) Netherlands.,h Supervisor of the Occupational Therapy Programme of the Iv. Javakhishvili Tbilisi State University , Georgia
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Stigen L, Bjørk E, Lund A. The conflicted practice: Municipal occupational therapists' experiences with assessment of clients with cognitive impairments. Scand J Occup Ther 2018; 26:261-272. [PMID: 29489422 DOI: 10.1080/11038128.2018.1445778] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND The practice of Norwegian occupational therapists (OTs) in municipal practice is a little explored area and with the Coordination Reform Act from 2012, Norwegian OTs in municipal practice have received responsibilities concerning clients with cognitive impairments. The aim of this study was to explore municipal OTs experiences with assessment of clients with cognitive impairments. METHOD Fourteen individual interviews with OTs who worked with clients with cognitive impairments, were conducted. An inductive thematic analysis, using text condensation and coding, was performed. RESULTS The results revealed three themes; power of occupation, advantages and disadvantages of assessments used and the need for competencies within municipal services. The participants emphasized using observation in the assessment process and reflected on pros and cons of the standardized assessment tools they used. They expressed a need for competence development, although it was difficult to prioritize to do so. CONCLUSION This study illustrated a conflicted practice related to choices OTs make in their practices. They valued the importance of working occupation based, however, they chose to use impairment based standardized assessments. They expressed a need to engage in professional development, but due to heavy workloads, the limited power they experienced and lack of knowledge, this was difficult.
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Affiliation(s)
- Linda Stigen
- a Department of Health Science , NTNU, Norwegian University of Science and Technology , Gjøvik , Norway
| | - Evastina Bjørk
- a Department of Health Science , NTNU, Norwegian University of Science and Technology , Gjøvik , Norway
| | - Anne Lund
- b Department of Occupational Therapy, Prosthetics and Orthotics , Oslo and Akershus University college , Oslo , Norway
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Burley S, Di Tommaso A, Cox R, Molineux M. An occupational perspective in hand therapy: A scoping review. Br J Occup Ther 2018. [DOI: 10.1177/0308022617752110] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists’ expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective.
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Affiliation(s)
- Samantha Burley
- Occupational Therapist, Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Amelia Di Tommaso
- Lecturer, Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
| | - Ruth Cox
- Director of Occupational Therapy, Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia
| | - Matthew Molineux
- Professor and Head, Discipline of Occupational Therapy, School of Allied Health Sciences, Griffith University, Queensland, Australia
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Cheung TWC, Clemson L, O' Loughlin K, Shuttleworth R. Erognomic education on housework for women with upper limb repetitive strain injury (RSI): a conceptual representation of therapists' clinical reasoning. Disabil Rehabil 2017; 40:3136-3146. [PMID: 28922988 DOI: 10.1080/09638288.2017.1378928] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Ergonomic education in housework that aims to facilitate behavior change is important for women with upper limb repetitive strain injury. Therapists usually conduct such programs based on implicit reasoning. Making this reasoning explicit is important in contributing to the profession's knowledge. AIM To construct a conceptual representation of how occupational therapists make clinical decisions for such program. METHOD Based on a constructivist-grounded theory methodology, data were collected through in-depth interviewing with 14 occupational therapists from a major hospital in Singapore. Interviews were audiotaped and transcribed. Data was analyzed with line by line, focused and axial coding with constant data comparison throughout data collection. RESULTS Therapists made clinical decisions based on their perceptions of their clients' behavior change in three stages: (i) listen; (ii) try; and (iii) persevere, bearing significant similarities to the transtheoretical theory of change. The study also showed that therapists may not have considered the full range of meanings that their clients attach to housework when interacting with them, a gap that needs to be addressed. CONCLUSIONS The present study indicates the importance of therapists' understanding of the meanings that their clients attach to housework. Further research needs to address how to achieve this in a time-pressured clinical environment. Implications for Rehabilitation This study used qualitative research to demonstrate the process of translating therapists' tacit knowledge into an explicit form. It elucidates the following major implications for practice when therapists conduct ergonomic education to facilitate behavior change in housework for female homemakers with upper limb RSI:The conceptual framework of clinical reasoning constructed from the results can be used to increase therapists' awareness of how they make clinical decisions during an intervention. This framework can also be used for training new therapists. It is important for therapists to actively listen to their clients. Active listening will enable the therapists to understand and consider the personal meanings that these women attach to housework in order to facilitate a behavior change. Client-therapist interactions to facilitate clients' willingness to change should become a major focus in such a program. Similar research should be conducted in other clinical areas to develop explicit clinical reasoning frameworks to facilitate learning of novice therapists and reflection of experienced therapists to address any gap in their clinical reasoning.
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Affiliation(s)
- Therma W C Cheung
- a Department of Occupational Therapy , Singapore General Hospital , Singapore
| | - Lindy Clemson
- b Department of Ageing and Health , University of Sydney , Sydney , Australia
| | - Kate O' Loughlin
- b Department of Ageing and Health , University of Sydney , Sydney , Australia
| | - Russell Shuttleworth
- c School of Health and Social Development , Deakin University , Victoria , Australia
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Pereira RB. Towards inclusive occupational therapy: Introducing the CORE approach for inclusive and occupation-focused practice. Aust Occup Ther J 2017; 64:429-435. [DOI: 10.1111/1440-1630.12394] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2017] [Indexed: 11/27/2022]
Affiliation(s)
- Robert B. Pereira
- Hospital Admission Risk Program; Barwon Health; Geelong Victoria Australia
- Discipline of Occupational Therapy; School of Public Health and Nutrition; Faculty of Health; University of Canberra; Canberra Australia
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Kahjoogh MA, Kessler D, Rassafiani M, Hosseini SA, Khankeh H, Akbarfahimi N. Occupational performance coaching for mothers of children with cerebral palsy: A case report. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2017. [DOI: 10.12968/ijtr.2017.24.5.218] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Mina Ahmadi Kahjoogh
- PhD candidate of occupational therapy. Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Mehdi Rassafiani
- Associate professor, Pediatric Neurorehabilitation Research Centre, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Seyed Ali Hosseini
- Professor, Social Determinants of Health Research Centre, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences. Tehran, Iran
| | - Hamidreza Khankeh
- Post-Doc professor, Department of Health in Emergency and Disaster, and Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Nazila Akbarfahimi
- Assistant professor, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Science, Tehran, Iran
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Larsson-Lund M, Nyman A. Participation and occupation in occupational therapy models of practice: A discussion of possibilities and challenges. Scand J Occup Ther 2016; 24:393-397. [PMID: 27996336 DOI: 10.1080/11038128.2016.1267257] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Occupation has been the focus in occupational therapy practice to greater or lesser degrees from a historical viewpoint. This evokes a need to discuss whether concepts that are added to our field will enhance or blur our focus on occupation. AIM To explore how the concept of participation in the International Classification of Functioning, Disability and Health (ICF) is related to the concept of occupation by reviewing and comparing its use in three models of practice within occupational therapy. The aim was also to generate discussion on possibilities and challenges concerning the relationship of participation and occupation. METHOD The models reviewed were The Model of Human Occupation (MOHO), the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the Occupational Therapy Intervention Process Model (OTIPM). RESULTS The concept of participation was related to occupation in different ways in these models. Based on the review some challenges and considerations for occupational therapy were generated. CONCLUSION Relating the concept of participation from the ICF to the concept of occupation in models of practice can be challenging. At the same time, relating the concepts can be a resource to develop occupational therapy and the understanding of occupational issues in society.
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Affiliation(s)
- Maria Larsson-Lund
- a Department of Health Science, Occupational Therapy , Luleå University of Technology , Luleå , Sweden
| | - Anneli Nyman
- a Department of Health Science, Occupational Therapy , Luleå University of Technology , Luleå , Sweden
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Di Tommaso A, Isbel S, Scarvell J, Wicks A. Occupational therapists’ perceptions of occupation in practice: An exploratory study. Aust Occup Ther J 2016; 63:206-13. [DOI: 10.1111/1440-1630.12289] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Amelia Di Tommaso
- University of Canberra Health Research Institute; University of Canberra; Bruce Australian Capital Territory Australia
| | - Stephen Isbel
- University of Canberra Health Research Institute; University of Canberra; Bruce Australian Capital Territory Australia
| | - Jennie Scarvell
- University of Canberra Health Research Institute; University of Canberra; Bruce Australian Capital Territory Australia
| | - Alison Wicks
- University of Canberra Health Research Institute; University of Canberra; Bruce Australian Capital Territory Australia
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Spang L, Holmqvist K. Occupational therapy practice in emergency care: Occupational therapists’ perspectives. Scand J Occup Ther 2015; 22:345-54. [DOI: 10.3109/11038128.2015.1033455] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Prodinger B, Shaw L, Stamm T, Rudman DL. Enacting Occupation-Based Practice: Exploring the Disjuncture between the Daily Lives of Mothers with Rheumatoid Arthritis and Institutional Processes. Br J Occup Ther 2014. [DOI: 10.4276/030802214x14122630932359] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Introduction: Occupation-based approaches are a hallmark of excellence in occupational therapy practice. This article focuses on the disjuncture between how women with rheumatoid arthritis go about their daily lives, that is to say their occupations, and what is addressed during routine visits at a specialized rheumatology outpatient clinic. Method: Institutional ethnography was employed as a method of inquiry to identify the occupations and related issues that were or were not accounted for in health records and addressed within institutional processes. Interviews and participant observations were conducted with seven women with rheumatoid arthritis who were mothers. Hospital records were analysed as texts mediating between the women's daily lives and the rheumatology outpatient clinic. Findings: The analysis revealed that despite the diversity in the ways that the women managed their daily lives, the things that they did were viewed, understood, and addressed only within the boundaries of the standardizing relations that ruled practice in this clinical setting. Institutional processes grounded in biomedical concepts such as functional status or disease activity, as well as clinical assessments that depict these concepts, both shape and limit opportunities for occupational therapists to advance and enact occupation-based practice. Conclusion: In this setting, the complexity of the participants' daily lives and the occupations they engage in remain unaddressed.
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Affiliation(s)
- Birgit Prodinger
- Group Leader, Swiss Paraplegic Research, Nottwil, Switzerland; Graduate Program in Health and Rehabilitation Sciences, Field of Occupational Science, Western University, London, Ontario, Canada; Medical University of Vienna, Department of Rheumatology, Vienna, Austria
| | - Lynn Shaw
- Vice President Academic and Dean, Pacific Coast University for Workplace Health Science, Port Alberni, British Columbia, Canada
| | - Tanja Stamm
- Associate Professor, Medical University of Vienna, Department of Rheumatology, Vienna, Austria
| | - Debbie Laliberte Rudman
- Associate Professor, Western University, Faculty of Health Sciences, School of Occupational Therapy, London, Ontario, Canada
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Sirkka M, Zingmark K, Larsson-Lund M. A process for developing sustainable evidence-based occupational therapy practice. Scand J Occup Ther 2014; 21:429-37. [PMID: 25162596 DOI: 10.3109/11038128.2014.952333] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The purpose of this qualitative descriptive study was to describe how long-term improvement work based on the Occupational Therapy Intervention Process Model (OTIPM) evolved in an occupational therapy unit. METHOD Data included written documents related to the improvement work (435 pages in total) from 2001 to 2013 that were analysed using pattern matching. RESULTS The findings from the analysis of the documents formed three main patterns describing reorientation towards the OTIPM, establishment of the implementation of the OTIPM, and ensuring the sustainability of the implementation. Each pattern contained a number of phases of the improvement work emanating from different reasons and resulting in different long-term achievements. The transformation between the phases was smooth, and several of the phases became starting points for improvement work that continued throughout the years. CONCLUSION The findings showed how an occupational therapy model of practice, such as the OTIPM, can guide an improvement process and keep it going over a long period of time, thereby supporting sustainable improvements in practice.
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Affiliation(s)
- Marianne Sirkka
- Department of Health Sciences, Luleå University of Technology , Luleå , Sweden
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Fisher AG. Occupation-centred, occupation-based, occupation-focused: Same, same or different? Scand J Occup Ther 2014; 21 Suppl 1:96-107. [DOI: 10.3109/11038128.2014.952912] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Thursday 5 June 2014. Br J Occup Ther 2014. [DOI: 10.1177/03080226140770s803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Towns E, Ashby S. The influence of practice educators on occupational therapy students’ understanding of the practical applications of theoretical knowledge: A phenomenological study into student experiences of practice education. Aust Occup Ther J 2014; 61:344-52. [DOI: 10.1111/1440-1630.12134] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 04/07/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Emma Towns
- School of Health Sciences; University of Newcastle; Callaghan New South Wales Australia
| | - Samantha Ashby
- School of Health Sciences; University of Newcastle; Callaghan New South Wales Australia
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An SJL. Occupation-based family-centered therapy approach for young children with feeding problems in South Korea; a case study. Occup Ther Int 2013; 21:33-41. [PMID: 23934934 DOI: 10.1002/oti.1358] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2013] [Revised: 06/27/2013] [Accepted: 07/08/2013] [Indexed: 11/08/2022] Open
Abstract
Documenting the effectiveness of an occupation-based family-centered therapy approach, when providing therapy for a young child with feeding problems, is needed in a culture such as Korea, which has a strong medical model of service. A case study was conducted involving a 16-month-old boy with feeding problems. An occupation-based family-centered therapy approach was carried out for 10 weeks. The results indicated that this approach addressed the physical components of the child's feeding problems and also the parent-child bonding, which together improved the overall family dynamics. Although these results may stimulate clinicians to consider an alternative approach to a medical model, further research with a larger sample is needed to provide sufficient evidence for therapists to shift to a new service delivery model.
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Affiliation(s)
- Sun-Joung L An
- Department of Occupational Therapy, Inje University, Gimhae, Gyeong-Sang-Nam-Do, Republic of Korea
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Preston J, Hammersley R, Gallagher H. The Executive Dysfunctions Most Commonly Associated with Multiple Sclerosis and Their Impact on Occupational Performance. Br J Occup Ther 2013. [DOI: 10.4276/030802213x13679275042726] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction: The relationship between executive dysfunction and functional status in people with multiple sclerosis (MS) is not fully understood. This study attempts to provide empirical evidence of the executive dysfunctions most commonly associated with MS and to develop an understanding of the impact of this on occupational performance. Method: This cross-sectional study explores the relationships between an MS group (n = 69) and a healthy control group (n = 30) using the Behavioural Assessment of Dysexecutive Syndrome and the Dysexecutive Questionnaire. Results: More than a third of people with MS experienced some impairment of executive function sufficient to interfere with occupational performance. The most commonly occurring problems included planning, problem solving, behavioural regulation, lack of insight, apathy and lack of motivation. Executive function deficits were evident from the early stages of the disease, although participants with a secondary progressive form of MS appeared to demonstrate greater difficulties. Conclusion: While the Behavioural Assessment of Dysexecutive Syndrome may reliably identify the presence of executive dysfunction within this clinical population it does not inform clinicians of the impact on occupational performance. Self-reported executive function demonstrates heightened awareness of occupational performance deficits and may lead to more accurate reporting of executive dysfunction. The impact of depression, fatigue and anxiety, however, requires further investigation.
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Affiliation(s)
- Jenny Preston
- Consultant Occupational Therapist, NHS Ayrshire and Arran, Occupational Therapy Department, Irvine and Glasgow Caledonian University, School of Health and Life Sciences
| | - Richard Hammersley
- Professor of Health Psychology, Department of Psychology, University of Hull, Hull
| | - Helen Gallagher
- Head of Department, Psychology and Allied Health Science, Glasgow Caledonian University, School of Health and Life Sciences, Glasgow
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Fisher AG. Occupation-centred, occupation-based, occupation-focused: same, same or different? Scand J Occup Ther 2013; 20:162-73. [PMID: 23311311 DOI: 10.3109/11038128.2012.754492] [Citation(s) in RCA: 120] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Since the beginning of the occupational therapy profession, engagement in occupation has been valued as the primary therapeutic agent as well as the goal of intervention. While there are few today who would not support this idea, occupational therapists continue to struggle with implementing their beliefs through "what we do" and "how we do it". Contributing to this problem is their failure to use terminology in a manner that clearly defines what and how occupational therapists do what they do in occupational therapy research, education, and practice. METHODS The author will, therefore, first discuss some key occupational therapy terms and propose that they represent an occupation-related taxonomy that can be used to more clearly define and describe for occupational therapists and others what they do and how they do what they do as occupational therapists. Then, with a goal of fostering critical self-reflection among occupational scientists and occupational therapy researchers, educators, and practitioners, the author will go through the stages of the occupational therapy process outlined in the Occupational Therapy Intervention Process Model (OTIPM) and demonstrate how a more precise use of this occupation-related taxonomy can facilitate maximizing the power of occupation in practice.
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Affiliation(s)
- Anne G Fisher
- Division of Occupational Therapy, Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
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Takashima R, Saeki K. Professional identities of occupational therapy practitioners in Japan. Health (London) 2013. [DOI: 10.4236/health.2013.56a2010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Prodinger B, Shaw L, Rudman DL, Townsend E. Arthritis-Related Occupational Therapy: Making Invisible Ruling Relations Visible Using Institutional Ethnography. Br J Occup Ther 2012. [DOI: 10.4276/030802212x13496921049707] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction: Occupational therapists' intention of enabling women with rheumatoid arthritis to participate in everyday life is fraught with challenges in everyday practice. Method: Inspired by institutional ethnography, this paper aims to make explicit how the work of occupational therapists in an outpatient rheumatology hospital setting is governed within invisible, ruling relations. An analytical description of the first author's clinical experience was a standpoint from which to explicate how occupational therapy is coordinated to the ruling relations of the Austrian health care system. Findings: Occupational therapy practice and research are ruled within a positivist, body-focused, medical apparatus, which renders largely invisible occupational therapists' knowledge of enabling people to engage in occupations that are meaningful to them. Conclusion: Occupational therapists have professional power that can be asserted by strategically using occupational therapy specific knowledge and language in textually mediated practices, from assessments and case files to media images, to give greater visibility and influence to the profession's work of enabling occupation.
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Affiliation(s)
- Birgit Prodinger
- Research Fellow, IFZ — Institute for Advanced Studies in Social Ethics, Salzburg, Austria
| | - Lynn Shaw
- Associate Professor, School of Occupational Therapy, Western University, London, Ontario, Canada
| | - Debbie Laliberte Rudman
- Associate Professor, School of Occupational Therapy, Western University, London, Ontario, Canada
| | - Elizabeth Townsend
- Professor Emerita, School of Occupational Therapy, Dalhousie University, Halifax, Nova Scotia, and Adjunct Professor, Faculty of Education, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada
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Abstract
PURPOSE The overall aim of this study was to understand the occupational lives of people with rheumatoid arthritis. Further aims were to identify the creative agency that occurs while performing these occupations and to understand the socio-cultural aspects of engaging in valued occupations. METHODS Five participants were recruited and various qualitative methods of data collection were engaged, including open interviews, participant observation and gathering occupational diaries. A combination of thematic and narrative analysis was performed. RESULTS Findings uncovered six themes, including; changing occupations; environmental factors count; taking control over occupations; being or becoming normal; people and objects are important; hopes and dreams matter. Subthemes uncovered how individuals constantly adapt and alter their occupations; some radically changing lifestyles for the better, while others work towards regaining occupational control. Meaning of occupations became apparent. People were creative agents. Work and leisure occupations featured strongly. Objects and other individuals were significant factors to individuals when engaging in occupations. People strived to be 'normal' in their occupational worlds. CONCLUSION The implication of these results in relation to professional practice for therapists is that attention should be refocused on the occupational narratives of clients, working with the positive, creative aspects that people are already employing and building on these in areas that might not been seen as traditional, such as work and leisure.
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Affiliation(s)
- Ruth Squire
- School of Health Care Studies, Cardiff University, Cardiff, UK.
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Abstracts. Br J Occup Ther 2012. [DOI: 10.1177/03080226120758s101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Wilson L, Atwal A, Richards C, McIntyre A. Do occupational therapy pre-discharge home visits affect the longer term outcomes of the discharge process? INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2012. [DOI: 10.12968/ijtr.2012.19.6.335] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Lesley Wilson
- Occupational Therapy, Brunel University, Uxbridge Middlesex
| | - Anita Atwal
- Centre for Professional Practice Research and Senior Lecturer in Occupational Therapy at Brunel University, Uxbridge. Middlesex
| | - Chris Richards
- Therapies and Stroke Services, West Middlesex University Hospital NHS Trust, Middlesex; and
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Abstract
In response to widespread public health promotions, many health professionals have sought to deliver physical activity advice. Occupational therapists are well positioned to contribute to clients' adoption of physically active lifestyles. Employing a client-centred approach that incorporates meaningful activity into lifestyle patterns, occupational therapists collaborate with other health professionals and have the advantage of consulting within clients' occupational settings. Those without an academic grounding in exercise science are typically reliant upon published physical activity guidelines as a primary source of information. It is suggested that these guidelines have limitations that occupational therapists need to consider carefully when providing physical activity guidance.
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Affiliation(s)
- Phil Handcock
- Senior Lecturer, School of Physical Education, University of Otago, Dunedin, New Zealand
| | - Kevin Tattersall
- Lecturer, School of Occupational Therapy, Otago Polytechnic, Dunedin, New Zealand
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Affiliation(s)
- Craig Greber
- Sunshine Coast-Wide Bay Health Services District, Queensland Health, Queensland, Australia.
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Ranmuthugala G, Plumb JJ, Cunningham FC, Georgiou A, Westbrook JI, Braithwaite J. How and why are communities of practice established in the healthcare sector? A systematic review of the literature. BMC Health Serv Res 2011; 11:273. [PMID: 21999305 PMCID: PMC3219728 DOI: 10.1186/1472-6963-11-273] [Citation(s) in RCA: 207] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2011] [Accepted: 10/14/2011] [Indexed: 11/28/2022] Open
Abstract
Background Communities of Practice (CoPs) are promoted in the healthcare sector as a means of generating and sharing knowledge and improving organisational performance. However CoPs vary considerably in the way they are structured and operate in the sector. If CoPs are to be cultivated to benefit healthcare organisations, there is a need to examine and understand their application to date. To this end, a systematic review of the literature on CoPs was conducted, to examine how and why CoPs have been established and whether they have been shown to improve healthcare practice. Methods Peer-reviewed empirical research papers on CoPs in the healthcare sector were identified by searching electronic health-databases. Information on the purpose of establishing CoPs, their composition, methods by which members communicate and share information or knowledge, and research methods used to examine effectiveness was extracted and reviewed. Also examined was evidence of whether or not CoPs led to a change in healthcare practice. Results Thirty-one primary research papers and two systematic reviews were identified and reviewed in detail. There was a trend from descriptive to evaluative research. The focus of CoPs in earlier publications was on learning and exchanging information and knowledge, whereas in more recently published research, CoPs were used more as a tool to improve clinical practice and to facilitate the implementation of evidence-based practice. Means by which members communicated with each other varied, but in none of the primary research studies was the method of communication examined in terms of the CoP achieving its objectives. Researchers are increasing their efforts to assess the effectiveness of CoPs in healthcare, however the interventions have been complex and multifaceted, making it difficult to directly attribute the change to the CoP. Conclusions In keeping with Wenger and colleagues' description, CoPs in the healthcare sector vary in form and purpose. While researchers are increasing their efforts to examine the impact of CoPs in healthcare, cultivating CoPs to improve healthcare performance requires a greater understanding of how to establish and support CoPs to maximise their potential to improve healthcare.
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Affiliation(s)
- Geetha Ranmuthugala
- Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW 2052, Australia.
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Townsend EA, Polatajko HJ, Craik JM, von Zweck CM. Introducing the Leadership in Enabling Occupation (LEO) Model. The Canadian Journal of Occupational Therapy 2011; 78:255-9. [DOI: 10.2182/cjot.2011.78.4.7] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Background. Occupational therapy is a broad profession yet access to services remains restricted and uneven across Canada. Access to the potential breadth of occupational therapy is severely restrained by complex supply, retention, and funding challenges. To improve access to occupational therapy, widespread leadership is needed by all practitioners. Purpose. This brief report introduces the Leadership in Enabling Occupation (LEO) Model, which displays the inter-relationship of four elements of everyday leadership as described in “Positioning Occupational Therapy for Leadership,” Section IV, of Enabling Occupation II: Advancing a Vision of Health, Well-being and Justice through Occupation (Townsend & Polatajko, 2007). Key Issues. All occupational therapists have the power to develop leadership capacity within and beyond designated leadership positions. Implications. LEO is a leadership tool to extend all occupational therapists' strategic use of scholarship, new accountability approaches, existing and new funding, and workforce planning to improve access to occupational therapy.
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Affiliation(s)
| | - Helene J. Polatajko
- Helene J. Polatajko, PhD, OT Reg. (Ont.), OT(C), FCAOT, FCAHS, is Professor, Department of Occupational Science and Occupational Therapy, University of Toronto. 160-500 University Ave, Toronto, ON, M5G 1V7
| | - Janet M. Craik
- Janet M. Craik, MSc., OT(C), OT Reg. (Ont.), is Director of Professional Practice, Canadian Association of Occupational Therapists, Suite 3400 CTTC Building, 1125 Colonel By Drive, Ottawa, ON K1S 5R1
| | - Claudia M. von Zweck
- Claudia M. von Zweck, PhD, OT Reg. (Ont.), OT(C), is Executive Director, Canadian Association of Occupational Therapists, Suite 3400 CTTC Building, 1125 Colonel By Drive, Ottawa, ON K1S 5R1
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Galvin D, Wilding C, Whiteford G. Utopian visions/dystopian realities: Exploring practice and taking action to enable human rights and occupational justice in a hospital context. Aust Occup Ther J 2011; 58:378-85. [DOI: 10.1111/j.1440-1630.2011.00967.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Maria Galheigo S. What needs to be done? Occupational therapy responsibilities and challenges regarding human rights. Aust Occup Ther J 2011; 58:60-6. [DOI: 10.1111/j.1440-1630.2011.00922.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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