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A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Perspectives of therapists and their line managers / Yeliz Prior in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.467-474 Titre : A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Perspectives of therapists and their line managers Type de document : texte imprimé Auteurs : Yeliz Prior, Auteur ; Evangeline A. Amanna, Auteur ; Sarah BODELL, Auteur Année de publication : 2015 Article en page(s) : p.467-474 Langues : Anglais (eng) Mots-clés : Work rehabilitation  vocational rehabilitation  rheumatology  work assessments Résumé : Introduction Occupational therapy-led work rehabilitation for employed people with inflammatory arthritis and work problems was piloted in five hospitals in the United Kingdom. This qualitative study explored the views of participating occupational therapists and their line managers about the work rehabilitation training received and conducting the intervention, with particular focus on the structured interview used, the Work Experience Survey – Rheumatic Conditions. Method Face-to-face semi-structured interviews were conducted with occupational therapists (n = 9), followed by telephone interviews with their line managers (n = 2). Interviews were audio-recorded, transcribed verbatim and thematically analysed by three researchers to maximize validity. Results The main themes emerging from the occupational therapists’ interviews were: varying levels of prior knowledge and experience of work rehabilitation, initial concerns about the feasibility of a lengthy work assessment in practice and increased confidence in delivering work rehabilitation as the study progressed. The line managers’ interviews generated themes around the positive impact of the work rehabilitation training the occupational therapists received, and changes in their practice. Conclusion The Work Experience Survey – Rheumatic Conditions was considered a good choice of work assessment which can be implemented in practice. Once therapists had provided the work intervention several times, their confidence and skills increased. Permalink : ./index.php?lvl=notice_display&id=40386 [article] A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Perspectives of therapists and their line managers [texte imprimé] / Yeliz Prior, Auteur ; Evangeline A. Amanna, Auteur ; Sarah BODELL, Auteur . - 2015 . - p.467-474. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.467-474 Mots-clés : Work rehabilitation  vocational rehabilitation  rheumatology  work assessments Résumé : Introduction Occupational therapy-led work rehabilitation for employed people with inflammatory arthritis and work problems was piloted in five hospitals in the United Kingdom. This qualitative study explored the views of participating occupational therapists and their line managers about the work rehabilitation training received and conducting the intervention, with particular focus on the structured interview used, the Work Experience Survey – Rheumatic Conditions. Method Face-to-face semi-structured interviews were conducted with occupational therapists (n = 9), followed by telephone interviews with their line managers (n = 2). Interviews were audio-recorded, transcribed verbatim and thematically analysed by three researchers to maximize validity. Results The main themes emerging from the occupational therapists’ interviews were: varying levels of prior knowledge and experience of work rehabilitation, initial concerns about the feasibility of a lengthy work assessment in practice and increased confidence in delivering work rehabilitation as the study progressed. The line managers’ interviews generated themes around the positive impact of the work rehabilitation training the occupational therapists received, and changes in their practice. Conclusion The Work Experience Survey – Rheumatic Conditions was considered a good choice of work assessment which can be implemented in practice. Once therapists had provided the work intervention several times, their confidence and skills increased. Permalink : ./index.php?lvl=notice_display&id=40386

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Becoming the parent of a preterm infant: A meta-ethnographic synthesis / Deanna Gibbs in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.475-487 Titre : Becoming the parent of a preterm infant: A meta-ethnographic synthesis Type de document : texte imprimé Auteurs : Deanna Gibbs, Auteur ; Kobie Boshoff, Auteur ; Mandy Stanley, Auteur Année de publication : 2015 Article en page(s) : p.475-487 Langues : Anglais (eng) Mots-clés : Parenting  occupational adaptation  neonatal intensive care Résumé : Introduction The adoption of family-centred care within neonatal intensive care has been increasing in profile. However, there has been limited exploration of the concept of parenting as an occupation as a means of supporting parent engagement. Method A meta-ethnographic synthesis was conducted to explore the body of literature regarding experiences in the neonatal intensive care unit that enable parents to participate in parenting occupations. Five databases were systematically searched with 35 identified studies appraised using the Critical Appraisal Skills Programme tool and included in the synthesis. Findings Eight themes emerged from the synthesis: relinquishing the anticipated role of parent; feeling vulnerable and powerless; juggling roles and responsibilities; (re)claiming an alternative parental role; navigating environmental boundaries; developing partnerships with staff; coming to know the baby; and adapting to parenting. Conclusion The experiences that enable parents to participate in parenting occupations are multi-faceted, and explicate the process of occupational adaptation that occurs in relation to parenting a preterm infant. These findings provide occupational therapists with greater insight into the experiences of parents of preterm infants in the neonatal setting. Permalink : ./index.php?lvl=notice_display&id=40387 [article] Becoming the parent of a preterm infant: A meta-ethnographic synthesis [texte imprimé] / Deanna Gibbs, Auteur ; Kobie Boshoff, Auteur ; Mandy Stanley, Auteur . - 2015 . - p.475-487. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.475-487 Mots-clés : Parenting  occupational adaptation  neonatal intensive care Résumé : Introduction The adoption of family-centred care within neonatal intensive care has been increasing in profile. However, there has been limited exploration of the concept of parenting as an occupation as a means of supporting parent engagement. Method A meta-ethnographic synthesis was conducted to explore the body of literature regarding experiences in the neonatal intensive care unit that enable parents to participate in parenting occupations. Five databases were systematically searched with 35 identified studies appraised using the Critical Appraisal Skills Programme tool and included in the synthesis. Findings Eight themes emerged from the synthesis: relinquishing the anticipated role of parent; feeling vulnerable and powerless; juggling roles and responsibilities; (re)claiming an alternative parental role; navigating environmental boundaries; developing partnerships with staff; coming to know the baby; and adapting to parenting. Conclusion The experiences that enable parents to participate in parenting occupations are multi-faceted, and explicate the process of occupational adaptation that occurs in relation to parenting a preterm infant. These findings provide occupational therapists with greater insight into the experiences of parents of preterm infants in the neonatal setting. Permalink : ./index.php?lvl=notice_display&id=40387

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Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? / Anne W. Hunt in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.488-498 Titre : Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? Type de document : texte imprimé Auteurs : Anne W. Hunt, Auteur ; LE DORZE G., Auteur ; Helene J. Polatajko, Auteur Année de publication : 2015 Article en page(s) : p.488-498 Langues : Anglais (eng) Mots-clés : Brain injury  goal-setting  communication Résumé : Introduction Setting goals with individuals with acquired brain injury may be challenging due to impairments in cognition and communication. The purpose of this study was to explore how occupational therapists' communication behaviours during goal-setting with individuals with traumatic brain injury facilitated and hindered this process. Method This exploratory study used a conversation analysis inspired approach and frequency calculations to analyse and interpret videotaped goal-setting sessions. Sequences of dialogue leading to, and distracting from, problem identification, a key step in goal-setting, were identified and analysed. Specific therapist behaviours that facilitated or hindered problem identification were subsequently distinguished. Results Acknowledgements and affirmations, open-ended questions about specific tasks and reflective listening, were found to lead to problem identification by the client (facilitators). Instances of disconnections were characterized by a single theme, ‘lack of uptake.' Examples of these hindrances to goal-setting included, abrupt topic shifts, lack of acknowlegement and failure to explore what the client said. Conclusion Clinicians should consider their language use during goal-setting interviews and aim to utilize conversational behaviours that are facilitative whilst minimizing those that distract to optimize their client's engagement during the problem identification phase of goal-setting. Permalink : ./index.php?lvl=notice_display&id=40388 [article] Communication during goal-setting in brain injury rehabilitation: What helps and what hinders? [texte imprimé] / Anne W. Hunt, Auteur ; LE DORZE G., Auteur ; Helene J. Polatajko, Auteur . - 2015 . - p.488-498. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.488-498 Mots-clés : Brain injury  goal-setting  communication Résumé : Introduction Setting goals with individuals with acquired brain injury may be challenging due to impairments in cognition and communication. The purpose of this study was to explore how occupational therapists' communication behaviours during goal-setting with individuals with traumatic brain injury facilitated and hindered this process. Method This exploratory study used a conversation analysis inspired approach and frequency calculations to analyse and interpret videotaped goal-setting sessions. Sequences of dialogue leading to, and distracting from, problem identification, a key step in goal-setting, were identified and analysed. Specific therapist behaviours that facilitated or hindered problem identification were subsequently distinguished. Results Acknowledgements and affirmations, open-ended questions about specific tasks and reflective listening, were found to lead to problem identification by the client (facilitators). Instances of disconnections were characterized by a single theme, ‘lack of uptake.' Examples of these hindrances to goal-setting included, abrupt topic shifts, lack of acknowlegement and failure to explore what the client said. Conclusion Clinicians should consider their language use during goal-setting interviews and aim to utilize conversational behaviours that are facilitative whilst minimizing those that distract to optimize their client's engagement during the problem identification phase of goal-setting. Permalink : ./index.php?lvl=notice_display&id=40388

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Exploring emerging occupational therapy identity and the development of graduate attributes among occupational therapy students / Jackie Boehm in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.499-507 Titre : Exploring emerging occupational therapy identity and the development of graduate attributes among occupational therapy students Type de document : texte imprimé Auteurs : Jackie Boehm, Auteur ; Bronwyn Tanner, Auteur ; Daniel Lowrie, Auteur Année de publication : 2015 Article en page(s) : p.499-507 Langues : Anglais (eng) Mots-clés : Professional identity  occupational therapy students  first year student  regional university  curriculum Résumé : Introduction Strong professional identity allows for appropriate representation and promotion of occupational therapy. Academic education assists in the development of occupational therapy identity. This study aims to explore the development of occupational therapy identity and graduate attributes in occupational therapy students after the first year of a revised curriculum. Method Occupational therapy students (n = 58) were surveyed at the commencement of the second year. Data analysis used descriptive statistics and inferential statistics (χ2 for trend). Results A total of 54 students (93.1%) completed the survey. Students progressively developed occupational therapy identity over time. There were no significant associations between main factors influencing the original decision to study occupational therapy and when occupational therapy identity developed. However, there were significant associations between main factors influencing students' decision to continue studying and when identity developed. Most students agreed the curriculum equipped them to develop graduate attributes, although this was not significantly associated with factors that either influenced students to study, or continue studying, occupational therapy. There was significant association between development of graduate attributes and occupational therapy identity over time. Conclusion This study showed an emergence of occupational therapy identity and graduate attributes in students, demonstrating the importance of first year curriculum in the development of these factors. Permalink : ./index.php?lvl=notice_display&id=40389 [article] Exploring emerging occupational therapy identity and the development of graduate attributes among occupational therapy students [texte imprimé] / Jackie Boehm, Auteur ; Bronwyn Tanner, Auteur ; Daniel Lowrie, Auteur . - 2015 . - p.499-507. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.499-507 Mots-clés : Professional identity  occupational therapy students  first year student  regional university  curriculum Résumé : Introduction Strong professional identity allows for appropriate representation and promotion of occupational therapy. Academic education assists in the development of occupational therapy identity. This study aims to explore the development of occupational therapy identity and graduate attributes in occupational therapy students after the first year of a revised curriculum. Method Occupational therapy students (n = 58) were surveyed at the commencement of the second year. Data analysis used descriptive statistics and inferential statistics (χ2 for trend). Results A total of 54 students (93.1%) completed the survey. Students progressively developed occupational therapy identity over time. There were no significant associations between main factors influencing the original decision to study occupational therapy and when occupational therapy identity developed. However, there were significant associations between main factors influencing students' decision to continue studying and when identity developed. Most students agreed the curriculum equipped them to develop graduate attributes, although this was not significantly associated with factors that either influenced students to study, or continue studying, occupational therapy. There was significant association between development of graduate attributes and occupational therapy identity over time. Conclusion This study showed an emergence of occupational therapy identity and graduate attributes in students, demonstrating the importance of first year curriculum in the development of these factors. Permalink : ./index.php?lvl=notice_display&id=40389

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Sources of meaning derived from occupational engagement for people recovering from mental illness / Nicola Hancock in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.508-515 Titre : Sources of meaning derived from occupational engagement for people recovering from mental illness Type de document : texte imprimé Auteurs : Nicola Hancock, Auteur ; Anne Honey, Auteur ; Anita C. BUNDY, Auteur Année de publication : 2015 Article en page(s) : p.508-515 Langues : Anglais (eng) Mots-clés : Occupation  mental health recovery  meaningful Résumé : Introduction Engagement in meaningful occupations is of central importance in mental health recovery. The purpose of this study was to gain a richer understanding of the relationships between occupations, sources of meaning and recovery for people living with mental illness. Method People living with mental illness (n = 78) attending an Australian Clubhouse completed the recovery assessment scale and socially valued role classification scale. Qualitative and quantitative data were analysed using mixed methods. Findings The most meaningful occupations were those most likely to provide opportunities for social connection and being valued by others. The frequency with which these socially derived sources of meaning were identified far outweighed other sources: positive sense of self; skills/personal development; time use/routine; financial gain and fun/pleasure. Neither the occupations identified as most meaningful nor the source of meaning differed depending on level of recovery. Conclusion Irrespective of stage of recovery, socially derived aspects of meaning are most frequently prioritized by people living with mental illness. In facilitating engagement in personally meaningful occupations, occupational therapists need to understand that, for many, meaningfulness centres around inter-dependence: being with others, belonging, giving or contributing and being valued by others. Permalink : ./index.php?lvl=notice_display&id=40390 [article] Sources of meaning derived from occupational engagement for people recovering from mental illness [texte imprimé] / Nicola Hancock, Auteur ; Anne Honey, Auteur ; Anita C. BUNDY, Auteur . - 2015 . - p.508-515. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.508-515 Mots-clés : Occupation  mental health recovery  meaningful Résumé : Introduction Engagement in meaningful occupations is of central importance in mental health recovery. The purpose of this study was to gain a richer understanding of the relationships between occupations, sources of meaning and recovery for people living with mental illness. Method People living with mental illness (n = 78) attending an Australian Clubhouse completed the recovery assessment scale and socially valued role classification scale. Qualitative and quantitative data were analysed using mixed methods. Findings The most meaningful occupations were those most likely to provide opportunities for social connection and being valued by others. The frequency with which these socially derived sources of meaning were identified far outweighed other sources: positive sense of self; skills/personal development; time use/routine; financial gain and fun/pleasure. Neither the occupations identified as most meaningful nor the source of meaning differed depending on level of recovery. Conclusion Irrespective of stage of recovery, socially derived aspects of meaning are most frequently prioritized by people living with mental illness. In facilitating engagement in personally meaningful occupations, occupational therapists need to understand that, for many, meaningfulness centres around inter-dependence: being with others, belonging, giving or contributing and being valued by others. Permalink : ./index.php?lvl=notice_display&id=40390

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An exploration of the role of the occupational therapist in relation to sleep problems in mental health settings / Sophie Faulkner in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.516-524 Titre : An exploration of the role of the occupational therapist in relation to sleep problems in mental health settings Type de document : texte imprimé Auteurs : Sophie Faulkner, Auteur ; Hilary Mairs, Auteur Année de publication : 2015 Article en page(s) : p.516-524 Langues : Anglais (eng) Mots-clés : Sleep  mental health  thematic analysis Résumé : Introduction An adequate quantity and quality of sleep is a necessary pre-requisite for optimal occupational performance and participation in everyday life. Occupational therapists in various settings encounter people who are affected by sleep problems, but the contribution occupational therapists can make to help those experiencing sleep problems has not yet been fully defined. Method This paper reports upon a focus group study designed to elicit the views of occupational therapists working in mental health settings (where sleep disturbances are particularly prevalent) regarding their role in relation to sleep problems. Thematic analysis using a constant comparative approach was used to capture key themes. Findings Occupational therapists identified sleep as a significant and persistent occupational problem for many of their clients, and acknowledged that sleep was often overlooked. Although they could identify a series of possible strategies to address sleep needs they were uncertain regarding optimal practice. Conclusion Sleep is a valid and relevant area of concern for the profession. Given the findings of this study and the paucity of literature there is an urgent need to identify, design and evaluate occupational therapy assessments and interventions to address sleep problems in mental health and in other settings. Permalink : ./index.php?lvl=notice_display&id=40391 [article] An exploration of the role of the occupational therapist in relation to sleep problems in mental health settings [texte imprimé] / Sophie Faulkner, Auteur ; Hilary Mairs, Auteur . - 2015 . - p.516-524. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.516-524 Mots-clés : Sleep  mental health  thematic analysis Résumé : Introduction An adequate quantity and quality of sleep is a necessary pre-requisite for optimal occupational performance and participation in everyday life. Occupational therapists in various settings encounter people who are affected by sleep problems, but the contribution occupational therapists can make to help those experiencing sleep problems has not yet been fully defined. Method This paper reports upon a focus group study designed to elicit the views of occupational therapists working in mental health settings (where sleep disturbances are particularly prevalent) regarding their role in relation to sleep problems. Thematic analysis using a constant comparative approach was used to capture key themes. Findings Occupational therapists identified sleep as a significant and persistent occupational problem for many of their clients, and acknowledged that sleep was often overlooked. Although they could identify a series of possible strategies to address sleep needs they were uncertain regarding optimal practice. Conclusion Sleep is a valid and relevant area of concern for the profession. Given the findings of this study and the paucity of literature there is an urgent need to identify, design and evaluate occupational therapy assessments and interventions to address sleep problems in mental health and in other settings. Permalink : ./index.php?lvl=notice_display&id=40391

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Development of a new occupational therapy service in a Singapore prison / Bhing Leet Tan in The British Journal of Occupational Therapy, Volume 78 numéro 8 (Août 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.525-529 Titre : Development of a new occupational therapy service in a Singapore prison Type de document : texte imprimé Auteurs : Bhing Leet Tan, Auteur ; Vasanth Ravindra Kumar, Auteur ; Prathipraj Devaraj, Auteur Année de publication : 2015 Article en page(s) : p.525-529 Langues : Anglais (eng) Mots-clés : Occupational therapy  prison Résumé : Statement of context In April 2011, a contract between Singapore Prison Service and Institute of Mental Health paved the way for setting up the first occupational therapy service within the prisons. A well-defined workflow was put in place and a variety of group activities were drawn up to improve life management and social skills among offenders. Critical reflection on practice Occupational therapists found it challenging to provide authentic occupations for offenders within the custodial prison setting, but were able to gradually create pockets of opportunities to improve socialization and assign worker roles for them. After 1 year of occupational therapy intervention, the offenders showed an improvement in all functional domains of the adapted Task Behavioural Scale. Through close collaboration, correctional officers were also gradually supportive of new therapeutic initiatives. Summary Overall, the occupational therapists found that they had gained new valuable skills in adjusting therapy to cater to different risk levels. Permalink : ./index.php?lvl=notice_display&id=40392 [article] Development of a new occupational therapy service in a Singapore prison [texte imprimé] / Bhing Leet Tan, Auteur ; Vasanth Ravindra Kumar, Auteur ; Prathipraj Devaraj, Auteur . - 2015 . - p.525-529. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 8 (Août 2015) . - p.525-529 Mots-clés : Occupational therapy  prison Résumé : Statement of context In April 2011, a contract between Singapore Prison Service and Institute of Mental Health paved the way for setting up the first occupational therapy service within the prisons. A well-defined workflow was put in place and a variety of group activities were drawn up to improve life management and social skills among offenders. Critical reflection on practice Occupational therapists found it challenging to provide authentic occupations for offenders within the custodial prison setting, but were able to gradually create pockets of opportunities to improve socialization and assign worker roles for them. After 1 year of occupational therapy intervention, the offenders showed an improvement in all functional domains of the adapted Task Behavioural Scale. Through close collaboration, correctional officers were also gradually supportive of new therapeutic initiatives. Summary Overall, the occupational therapists found that they had gained new valuable skills in adjusting therapy to cater to different risk levels. Permalink : ./index.php?lvl=notice_display&id=40392

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