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Occupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings / Jane Hughes in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 336-344 Titre : Occupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings Type de document : texte imprimé Auteurs : Jane Hughes ; Mark Wilberforce ; Eileen Symonds ; [et al...] Année de publication : 2016 Article en page(s) : p. 336-344 Langues : Anglais (eng) Mots-clés : ergothérapie  soin communautaire  soin social  organisation Résumé : Introduction This paper documents the development of a diary schedule to describe the work of occupational therapists of all grades, across a range of adult care groups and community health and social care settings, to permit comparison between them and over time. Method Two sources of information were used to develop the schedule: findings from five focus groups with occupational therapists (46 participants) and analysis of previous research on staff time use undertaken by the Personal Social Services Research Unit at the University of Manchester. It was piloted and evaluated by scrutiny of the schedules, a group interview with participants and meetings with managers. Results Practitioners identified almost 200 activities in their day-to-day work. These were categorised into three principal activity themes: direct care, indirect care and team or service development. The pilot study revealed ease of completion and discernible differences between settings and activities together with suggestions for improvement to the schedule regarding the description of activities and the accompanying guidance. Conclusion A diary schedule and common activity list, covering the full breadth of occupational therapy practice in adult community care, was developed. Whilst its utility in an organisation employing practitioners in multiple settings was demonstrated its wider applicability is unproven. Permalink : ./index.php?lvl=notice_display&id=45770 [article] Occupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings [texte imprimé] / Jane Hughes ; Mark Wilberforce ; Eileen Symonds ; [et al...] . - 2016 . - p. 336-344. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 336-344 Mots-clés : ergothérapie  soin communautaire  soin social  organisation Résumé : Introduction This paper documents the development of a diary schedule to describe the work of occupational therapists of all grades, across a range of adult care groups and community health and social care settings, to permit comparison between them and over time. Method Two sources of information were used to develop the schedule: findings from five focus groups with occupational therapists (46 participants) and analysis of previous research on staff time use undertaken by the Personal Social Services Research Unit at the University of Manchester. It was piloted and evaluated by scrutiny of the schedules, a group interview with participants and meetings with managers. Results Practitioners identified almost 200 activities in their day-to-day work. These were categorised into three principal activity themes: direct care, indirect care and team or service development. The pilot study revealed ease of completion and discernible differences between settings and activities together with suggestions for improvement to the schedule regarding the description of activities and the accompanying guidance. Conclusion A diary schedule and common activity list, covering the full breadth of occupational therapy practice in adult community care, was developed. Whilst its utility in an organisation employing practitioners in multiple settings was demonstrated its wider applicability is unproven. Permalink : ./index.php?lvl=notice_display&id=45770

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Understanding advocacy in action: A qualitative study / Shaminder Dhillon in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 345-352 Titre : Understanding advocacy in action: A qualitative study Type de document : texte imprimé Auteurs : Shaminder Dhillon ; Seanne Wilkins ; Debra Stewart Année de publication : 2016 Article en page(s) : p. 345-352 Langues : Anglais (eng) Mots-clés : soutien au patient  ergothérapie Résumé : Introduction Occupational therapists advocate with/for people with disabilities. In the occupational therapy literature, advocacy is mentioned within the context of specific populations or practice settings and thus there is no consistent way of describing advocacy itself. The objective of this article is to describe advocacy in action for occupational therapists who report engaging in advocacy with/for people with disabilities. Method In this hermeneutic phenomenological study, 13 occupational therapists were interviewed about their advocacy experiences. Data analysis was completed using a Gadamerian-based approach. Findings Advocacy is complex given that the specific tasks, the third party to whom advocacy is directed and the individual(s) advocating with the therapist vary greatly. Many skills used for advocacy are already part of the therapist’s practice, such as defining the problem, acquiring information, communicating and providing education. In this study, occupational therapists describe advocating as assisting clients who are struggling with access to equipment, services or funding. Also, they advocate by fostering the development of self-advocacy, rather than representing people with disabilities on an ongoing basis. Conclusion While these findings provide some insights about how advocacy is currently practiced, a detailed framework is needed to further guide therapists through this complex area of practice. Permalink : ./index.php?lvl=notice_display&id=45771 [article] Understanding advocacy in action: A qualitative study [texte imprimé] / Shaminder Dhillon ; Seanne Wilkins ; Debra Stewart . - 2016 . - p. 345-352. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 345-352 Mots-clés : soutien au patient  ergothérapie Résumé : Introduction Occupational therapists advocate with/for people with disabilities. In the occupational therapy literature, advocacy is mentioned within the context of specific populations or practice settings and thus there is no consistent way of describing advocacy itself. The objective of this article is to describe advocacy in action for occupational therapists who report engaging in advocacy with/for people with disabilities. Method In this hermeneutic phenomenological study, 13 occupational therapists were interviewed about their advocacy experiences. Data analysis was completed using a Gadamerian-based approach. Findings Advocacy is complex given that the specific tasks, the third party to whom advocacy is directed and the individual(s) advocating with the therapist vary greatly. Many skills used for advocacy are already part of the therapist’s practice, such as defining the problem, acquiring information, communicating and providing education. In this study, occupational therapists describe advocating as assisting clients who are struggling with access to equipment, services or funding. Also, they advocate by fostering the development of self-advocacy, rather than representing people with disabilities on an ongoing basis. Conclusion While these findings provide some insights about how advocacy is currently practiced, a detailed framework is needed to further guide therapists through this complex area of practice. Permalink : ./index.php?lvl=notice_display&id=45771

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Strategies for increasing the intensity of upper limb task-specific practice after acquired brain impairment: A secondary analysis from a randomised controlled trial / Leo F. Ross in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 353-360 Titre : Strategies for increasing the intensity of upper limb task-specific practice after acquired brain impairment: A secondary analysis from a randomised controlled trial Type de document : texte imprimé Auteurs : Leo F. Ross ; Lisa A. Harvey ; Natasha A. Lannin Année de publication : 2016 Article en page(s) : p. 353-360 Langues : Anglais (eng) Mots-clés : accident vasculaire cérébral  rééducation  main  bras  épaule  membre supérieur Résumé : Introduction Patients with acquired brain impairments require intensive, task-specific training to maximise upper limb recovery. Current evidence suggests, however, that they rarely achieve this. The purpose of this study was to describe the amount of practice that can be achieved by patients with acquired brain impairment during intensive upper limb treatment within a public hospital, and to examine the strategies used by therapists to maximise practice. Method A secondary analysis was conducted using data from a previously published randomised trial. The training received by 20 people with acquired brain impairment over the 6-week trial period was recorded. The strategies used by therapists to maximise practice were also noted. Results Over the 6-week period, 45 hours of upper limb training was provided. The median (interquartile range) amount of actual practice achieved by patients was 59 (54–63) minutes per day, with a median (interquartile range) of 186 (50–330) repetitions of active movement. Patients’ practice was maximised through the use of task-specific feedback, practice books, counters, environmental cues and stopwatches. In addition, therapists provided coaching as well as ensuring tasks were goal-oriented, measurable and patient-driven. Conclusion Described strategies enabled patients with acquired brain impairment to practise upper limb tasks at intensities greater than currently reported in the literature. Permalink : ./index.php?lvl=notice_display&id=45772 [article] Strategies for increasing the intensity of upper limb task-specific practice after acquired brain impairment: A secondary analysis from a randomised controlled trial [texte imprimé] / Leo F. Ross ; Lisa A. Harvey ; Natasha A. Lannin . - 2016 . - p. 353-360. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 353-360 Mots-clés : accident vasculaire cérébral  rééducation  main  bras  épaule  membre supérieur Résumé : Introduction Patients with acquired brain impairments require intensive, task-specific training to maximise upper limb recovery. Current evidence suggests, however, that they rarely achieve this. The purpose of this study was to describe the amount of practice that can be achieved by patients with acquired brain impairment during intensive upper limb treatment within a public hospital, and to examine the strategies used by therapists to maximise practice. Method A secondary analysis was conducted using data from a previously published randomised trial. The training received by 20 people with acquired brain impairment over the 6-week trial period was recorded. The strategies used by therapists to maximise practice were also noted. Results Over the 6-week period, 45 hours of upper limb training was provided. The median (interquartile range) amount of actual practice achieved by patients was 59 (54–63) minutes per day, with a median (interquartile range) of 186 (50–330) repetitions of active movement. Patients’ practice was maximised through the use of task-specific feedback, practice books, counters, environmental cues and stopwatches. In addition, therapists provided coaching as well as ensuring tasks were goal-oriented, measurable and patient-driven. Conclusion Described strategies enabled patients with acquired brain impairment to practise upper limb tasks at intensities greater than currently reported in the literature. Permalink : ./index.php?lvl=notice_display&id=45772

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Predictors of academic performance and education programme satisfaction in occupational therapy students / Tore Bonsaksen in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 361-367 Titre : Predictors of academic performance and education programme satisfaction in occupational therapy students Type de document : texte imprimé Auteurs : Tore Bonsaksen Année de publication : 2016 Article en page(s) : p. 361-367 Langues : Anglais (eng) Mots-clés : ergothérapie  étudiant  enquête de satisfaction Résumé : Introduction Thriving and performing well in entry-level programmes is important to occupational therapy students, but also for the competitive status of the institutions providing their education. The literature is sparse concerning the factors of importance for occupational therapy students’ academic performance in, and satisfaction with, their education programme. Method This cross-sectional study explored sociodemographic, relationship, education and work-related variables and their associations with the students’ academic performance and satisfaction with the education programme. The data were analysed with multivariate linear regression. Results Participants were 123 students (mean age 24 years, 80% women) enrolled in an undergraduate occupational therapy programme in Norway. Having prior experience of higher education was associated with better academic performance, whereas having occupational therapy as the highest priority line of study at entry, and spending fewer hours on self-studies, were associated with lower satisfaction with the education programme. Conclusion To improve academic performance, occupational therapy educators are encouraged to help students learn about the tasks, requirements, standards and culture that constitute higher education. To improve satisfaction, it may be most efficient to target students who initially indicate the most interest in studying occupational therapy. Permalink : ./index.php?lvl=notice_display&id=45773 [article] Predictors of academic performance and education programme satisfaction in occupational therapy students [texte imprimé] / Tore Bonsaksen . - 2016 . - p. 361-367. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 361-367 Mots-clés : ergothérapie  étudiant  enquête de satisfaction Résumé : Introduction Thriving and performing well in entry-level programmes is important to occupational therapy students, but also for the competitive status of the institutions providing their education. The literature is sparse concerning the factors of importance for occupational therapy students’ academic performance in, and satisfaction with, their education programme. Method This cross-sectional study explored sociodemographic, relationship, education and work-related variables and their associations with the students’ academic performance and satisfaction with the education programme. The data were analysed with multivariate linear regression. Results Participants were 123 students (mean age 24 years, 80% women) enrolled in an undergraduate occupational therapy programme in Norway. Having prior experience of higher education was associated with better academic performance, whereas having occupational therapy as the highest priority line of study at entry, and spending fewer hours on self-studies, were associated with lower satisfaction with the education programme. Conclusion To improve academic performance, occupational therapy educators are encouraged to help students learn about the tasks, requirements, standards and culture that constitute higher education. To improve satisfaction, it may be most efficient to target students who initially indicate the most interest in studying occupational therapy. Permalink : ./index.php?lvl=notice_display&id=45773

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The journey of young people in an early psychosis program involved in participatory photography / Yogeswary Maniam in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 368-375 Titre : The journey of young people in an early psychosis program involved in participatory photography Type de document : texte imprimé Auteurs : Yogeswary Maniam ; Pushpa Kumaran ; Yi Ping Lee ; [et al...] Année de publication : 2016 Article en page(s) : p. 368-375 Langues : Anglais (eng) Mots-clés : santé mentale  adulte  jeune  psychose  activité  photographie Résumé : Introduction The purpose of this study was to examine the experiences and perceptions of young people in an early psychosis program towards participating in a 10-week photovoice and exhibition project and the themes that had emerged from their photographs. Method Photographs create meanings and participants are able to tell their stories in a meaningful way. Eleven clients who had gone through a prior 10-week photovoice project and exhibition consented to being interviewed for this study. Clients chose and brought to the interview photos of theirs that had been exhibited. Structured questions were asked to generate discussions. Findings Findings illustrated that participants were keen to educate the general public on mental health issues. They craved acceptance and were keen to make connections and build relationships. They were their own agents of change. Supportive networks create hope, which in turn helps people with mental health issues to reframe their outlook. Conclusion The results of this study are important and provide occupational therapists with another tool for intervention and advocacy. As both photovoice and occupational therapy focus on the process rather than the product, occupational therapists can utilize photography in groups creatively to generate more client- and peer-led discussions. Permalink : ./index.php?lvl=notice_display&id=45774 [article] The journey of young people in an early psychosis program involved in participatory photography [texte imprimé] / Yogeswary Maniam ; Pushpa Kumaran ; Yi Ping Lee ; [et al...] . - 2016 . - p. 368-375. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 368-375 Mots-clés : santé mentale  adulte  jeune  psychose  activité  photographie Résumé : Introduction The purpose of this study was to examine the experiences and perceptions of young people in an early psychosis program towards participating in a 10-week photovoice and exhibition project and the themes that had emerged from their photographs. Method Photographs create meanings and participants are able to tell their stories in a meaningful way. Eleven clients who had gone through a prior 10-week photovoice project and exhibition consented to being interviewed for this study. Clients chose and brought to the interview photos of theirs that had been exhibited. Structured questions were asked to generate discussions. Findings Findings illustrated that participants were keen to educate the general public on mental health issues. They craved acceptance and were keen to make connections and build relationships. They were their own agents of change. Supportive networks create hope, which in turn helps people with mental health issues to reframe their outlook. Conclusion The results of this study are important and provide occupational therapists with another tool for intervention and advocacy. As both photovoice and occupational therapy focus on the process rather than the product, occupational therapists can utilize photography in groups creatively to generate more client- and peer-led discussions. Permalink : ./index.php?lvl=notice_display&id=45774

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Using historical documentary methods to explore the history of occupational therapy / Brid Dunne in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 376-384 Titre : Using historical documentary methods to explore the history of occupational therapy Type de document : texte imprimé Auteurs : Brid Dunne ; Judith Pettigrew ; Katie Robinson Année de publication : 2016 Article en page(s) : p. 376-384 Langues : Anglais (eng) Mots-clés : méthodologie de la recherche  histoire  ergothérapie Résumé : Introduction Historical research can benefit health professions by providing a basis for understanding how current beliefs and practices developed over time. From an occupational therapy perspective, a need for deeper critical understandings of the profession has been identified; historical research can facilitate this process. Documentary research is a significant methodology in historical inquiry, but there is a dearth of guidance for occupational therapists wishing to employ this method. Method A conceptual literature review was conducted to describe how to use documentary sources to understand the development of the profession, drawing on literature from the disciplines of history and occupational therapy. Results The stages of historical documentary research are described: choosing a topic, sourcing and selecting evidence, and managing sources. How to consider the authenticity, credibility and representativeness of historical material is discussed. Various means to determine the meaning of historical evidence are considered, with chronological, thematic and theoretical approaches proposed. Conclusion Methodological transparency is central to the process of historical documentary research. To enhance understanding of the quality of historical source material, adoption of the guidelines outlined is recommended. Adopting a clearly defined questioning perspective promotes more substantial conclusions and professional understandings. Permalink : ./index.php?lvl=notice_display&id=45775 [article] Using historical documentary methods to explore the history of occupational therapy [texte imprimé] / Brid Dunne ; Judith Pettigrew ; Katie Robinson . - 2016 . - p. 376-384. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 376-384 Mots-clés : méthodologie de la recherche  histoire  ergothérapie Résumé : Introduction Historical research can benefit health professions by providing a basis for understanding how current beliefs and practices developed over time. From an occupational therapy perspective, a need for deeper critical understandings of the profession has been identified; historical research can facilitate this process. Documentary research is a significant methodology in historical inquiry, but there is a dearth of guidance for occupational therapists wishing to employ this method. Method A conceptual literature review was conducted to describe how to use documentary sources to understand the development of the profession, drawing on literature from the disciplines of history and occupational therapy. Results The stages of historical documentary research are described: choosing a topic, sourcing and selecting evidence, and managing sources. How to consider the authenticity, credibility and representativeness of historical material is discussed. Various means to determine the meaning of historical evidence are considered, with chronological, thematic and theoretical approaches proposed. Conclusion Methodological transparency is central to the process of historical documentary research. To enhance understanding of the quality of historical source material, adoption of the guidelines outlined is recommended. Adopting a clearly defined questioning perspective promotes more substantial conclusions and professional understandings. Permalink : ./index.php?lvl=notice_display&id=45775

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Enhancing occupational performance in the virtual context using smart technology / Michèle Verdonck in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 385-390 Titre : Enhancing occupational performance in the virtual context using smart technology Type de document : texte imprimé Auteurs : Michèle Verdonck ; Fiona Maye Année de publication : 2016 Article en page(s) : p. 385-390 Langues : Anglais (eng) Mots-clés : blessé médulaire  technologie mobile  Internet Résumé : Statement of context Physical limitations restrict occupational performance in the virtual context for people with cervical spinal cord injuries. Critical reflection on practice A review of smart device goals in 10 health care records at one hospital identified three types of occupational therapy intervention. Compensation involved alternative methods of physical access, positioning, and customisation of devices. Acquisition involved providing opportunities for learning and overcoming challenges. Education and training sought to empower users and their families to use smart devices successfully. Implications for practice Occupational therapists need to incorporate virtual occupations and the use of personal smart devices within current practice. This requires keeping abreast of mainstream technology advances as well as providing clients with opportunities and support within the virtual context. Permalink : ./index.php?lvl=notice_display&id=45776 [article] Enhancing occupational performance in the virtual context using smart technology [texte imprimé] / Michèle Verdonck ; Fiona Maye . - 2016 . - p. 385-390. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 385-390 Mots-clés : blessé médulaire  technologie mobile  Internet Résumé : Statement of context Physical limitations restrict occupational performance in the virtual context for people with cervical spinal cord injuries. Critical reflection on practice A review of smart device goals in 10 health care records at one hospital identified three types of occupational therapy intervention. Compensation involved alternative methods of physical access, positioning, and customisation of devices. Acquisition involved providing opportunities for learning and overcoming challenges. Education and training sought to empower users and their families to use smart devices successfully. Implications for practice Occupational therapists need to incorporate virtual occupations and the use of personal smart devices within current practice. This requires keeping abreast of mainstream technology advances as well as providing clients with opportunities and support within the virtual context. Permalink : ./index.php?lvl=notice_display&id=45776

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Existential concerns for people with motor neurone disease: Who is listening to their needs, priorities and preferences? / Denise A. Harris in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 391-393 Titre : Existential concerns for people with motor neurone disease: Who is listening to their needs, priorities and preferences? Type de document : texte imprimé Auteurs : Denise A. Harris Année de publication : 2016 Article en page(s) : p. 391-393 Langues : Anglais (eng) Mots-clés : maladie neuro motrice  ergothérapie Résumé : People living with motor neurone disease are told at the time of their diagnosis that they have a life-limiting illness, and depending on the type of motor neurone disease diagnosed they may have only months or years to live. The Motor Neurone Disease Association practice guidelines recommend that multidisciplinary health and social care professionals should focus upon psychological, functional and medical management. A referral to the palliative care team is recommended as the disease progresses, if a person experiences a loss of speech or respiratory insufficiency. People living with motor neurone disease have existential concerns from the time of their diagnosis. Valuable opportunities may be lost to discuss and document their needs, priorities and preferences for end-of-life care before a person loses their ability to communicate by any means. Occupational therapists working as a member of a multidisciplinary team have an important role to play in this area of practice, as people newly diagnosed with motor neurone disease are often referred to occupational therapy services because of their loss of function. Permalink : ./index.php?lvl=notice_display&id=45777 [article] Existential concerns for people with motor neurone disease: Who is listening to their needs, priorities and preferences? [texte imprimé] / Denise A. Harris . - 2016 . - p. 391-393. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°6 (June 2016) . - p. 391-393 Mots-clés : maladie neuro motrice  ergothérapie Résumé : People living with motor neurone disease are told at the time of their diagnosis that they have a life-limiting illness, and depending on the type of motor neurone disease diagnosed they may have only months or years to live. The Motor Neurone Disease Association practice guidelines recommend that multidisciplinary health and social care professionals should focus upon psychological, functional and medical management. A referral to the palliative care team is recommended as the disease progresses, if a person experiences a loss of speech or respiratory insufficiency. People living with motor neurone disease have existential concerns from the time of their diagnosis. Valuable opportunities may be lost to discuss and document their needs, priorities and preferences for end-of-life care before a person loses their ability to communicate by any means. Occupational therapists working as a member of a multidisciplinary team have an important role to play in this area of practice, as people newly diagnosed with motor neurone disease are often referred to occupational therapy services because of their loss of function. Permalink : ./index.php?lvl=notice_display&id=45777

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