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A debate on the professional identity of occupational therapists / Annie Turner in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.664-673 Titre : A debate on the professional identity of occupational therapists Type de document : texte imprimé Auteurs : Annie Turner, Auteur ; Judith Knight, Auteur Année de publication : 2015 Article en page(s) : p.664-673 Langues : Anglais (eng) Mots-clés : Occupational discourse  unique perspective  community of practice Résumé : Introduction: The issue of occupational therapy’s professional identity has been debated for many years and continues today. Lack of clarity has resulted in occupational therapists’ perceptions of holding a low status and of colleague and public misunderstanding. Method: A range of international literature was reviewed. Inductive analysis elicited two major themes – reasons for issues with identity and the consequences of issues with identity. The development of communities of practice is discussed. Results: The analysis of the causes and consequences of issues with professional identity was used to suggest how the profession might become a mature community of practice. Lack of deep knowledge of the profession’s unique beliefs was shown to cause inconsistent messages about its identity. Consequently, practitioners believed they were undervalued. Understanding, owning and reinforcing an occupational paradigm were seen as vital elements for creating professional communities of practice. Conclusion: To function as a community of practice requires occupational therapists to use a range of strategies that reinforce their unique occupation-based practice. Where all members commit to a single set of values and beliefs this can afford a unique identity, reinforced by the ability to demonstrate and articulate this through a clear, single message. En ligne : http://bjo.sagepub.com/content/78/11/664.abstract Permalink : ./index.php?lvl=notice_display&id=40957 [article] A debate on the professional identity of occupational therapists [texte imprimé] / Annie Turner, Auteur ; Judith Knight, Auteur . - 2015 . - p.664-673. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.664-673 Mots-clés : Occupational discourse  unique perspective  community of practice Résumé : Introduction: The issue of occupational therapy’s professional identity has been debated for many years and continues today. Lack of clarity has resulted in occupational therapists’ perceptions of holding a low status and of colleague and public misunderstanding. Method: A range of international literature was reviewed. Inductive analysis elicited two major themes – reasons for issues with identity and the consequences of issues with identity. The development of communities of practice is discussed. Results: The analysis of the causes and consequences of issues with professional identity was used to suggest how the profession might become a mature community of practice. Lack of deep knowledge of the profession’s unique beliefs was shown to cause inconsistent messages about its identity. Consequently, practitioners believed they were undervalued. Understanding, owning and reinforcing an occupational paradigm were seen as vital elements for creating professional communities of practice. Conclusion: To function as a community of practice requires occupational therapists to use a range of strategies that reinforce their unique occupation-based practice. Where all members commit to a single set of values and beliefs this can afford a unique identity, reinforced by the ability to demonstrate and articulate this through a clear, single message. En ligne : http://bjo.sagepub.com/content/78/11/664.abstract Permalink : ./index.php?lvl=notice_display&id=40957

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Visual search training in occupational therapy – an example of expert practice in community-based stroke rehabilitation / Ailie J. Turton in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.674-687 Titre : Visual search training in occupational therapy – an example of expert practice in community-based stroke rehabilitation Type de document : texte imprimé Auteurs : Ailie J. Turton, Auteur ; Jayne Angilley, Auteur ; Marie Chapman, Auteur Année de publication : 2015 Article en page(s) : p.674-687 Langues : Anglais (eng) Mots-clés : Occupational therapy  stroke  visual fields  spatial attention  search training  intervention Résumé : Introduction: Visual searching is an essential component of many everyday activities. Search training is practised as part of occupational therapy to improve performance skills both in people with hemianopia and those with spatial inattention post stroke. Evaluation of the effectiveness of such training first requires a systematic and detailed description of the intervention. To this end, this study describes the practice of a specialist occupational therapist. Method: Single sessions of intervention delivered by the occupational therapist to five participants with visual search disorders post stroke were video recorded. The recordings were analysed for content using a framework approach. Results: The occupational therapist educated participants about the impact of their visual impairment on everyday activities. She used instructions, spatial cueing, placement of objects and verbal feedback to train increased amplitudes of eye and head movements, to direct attention into the blind field or neglected space and to encourage systematic searching during occupations and activities. Activities were graded by manipulating the area for attention and complexity in the environment. Conclusion: This investigation provides a detailed description of a specialist occupational therapist’s community-based intervention for improving visual search post stroke. En ligne : http://bjo.sagepub.com/content/78/11/674.abstract Permalink : ./index.php?lvl=notice_display&id=40958 [article] Visual search training in occupational therapy – an example of expert practice in community-based stroke rehabilitation [texte imprimé] / Ailie J. Turton, Auteur ; Jayne Angilley, Auteur ; Marie Chapman, Auteur . - 2015 . - p.674-687. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.674-687 Mots-clés : Occupational therapy  stroke  visual fields  spatial attention  search training  intervention Résumé : Introduction: Visual searching is an essential component of many everyday activities. Search training is practised as part of occupational therapy to improve performance skills both in people with hemianopia and those with spatial inattention post stroke. Evaluation of the effectiveness of such training first requires a systematic and detailed description of the intervention. To this end, this study describes the practice of a specialist occupational therapist. Method: Single sessions of intervention delivered by the occupational therapist to five participants with visual search disorders post stroke were video recorded. The recordings were analysed for content using a framework approach. Results: The occupational therapist educated participants about the impact of their visual impairment on everyday activities. She used instructions, spatial cueing, placement of objects and verbal feedback to train increased amplitudes of eye and head movements, to direct attention into the blind field or neglected space and to encourage systematic searching during occupations and activities. Activities were graded by manipulating the area for attention and complexity in the environment. Conclusion: This investigation provides a detailed description of a specialist occupational therapist’s community-based intervention for improving visual search post stroke. En ligne : http://bjo.sagepub.com/content/78/11/674.abstract Permalink : ./index.php?lvl=notice_display&id=40958

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Patients’ and caregivers’ perceptions of occupational therapy and adapting to discharge home from an inpatient palliative care setting / Celia Marston in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.688-696 Titre : Patients’ and caregivers’ perceptions of occupational therapy and adapting to discharge home from an inpatient palliative care setting Type de document : texte imprimé Auteurs : Celia Marston, Auteur ; Meera Agar, Auteur ; Ted Brown, Auteur Année de publication : 2015 Article en page(s) : p.688-696 Langues : Anglais (eng) Mots-clés : Occupational therapy  discharge planning  palliative care Résumé : Introduction: There is limited research into the role of occupational therapy in discharge planning in palliative care. This study aimed to explore patients’ and caregivers’ perceptions of occupational therapy in the context of discharge home from an inpatient palliative care setting. Method: Semi-structured interviews were conducted with patients and caregivers following discharge home from inpatient palliative care. Participants were selected using purposive sampling and data was thematically analysed. Results: Five caregivers and three patients were interviewed. Three main themes emerged: (1) shared roles in discharge planning; (2) perceived benefits of occupational therapy; and (3) adapting to discharge home. Patients and caregivers viewed occupational therapy as the practical help needed to achieve discharge. They had difficulty differentiating between professional roles and perceived the discharge process as a shared responsibility between themselves and the clinicians. Adapting to discharge home involved coping with the uncertain and unexpected, where limited understanding of professional roles meant participants did not know who to seek assistance from. Conclusion: Occupational therapy was viewed as the practical help needed for discharge home from a palliative care setting. Clinicians need to take primary responsibility for understanding each other’s roles and providing information on who can assist after discharge. En ligne : http://bjo.sagepub.com/content/78/11/688.abstract Permalink : ./index.php?lvl=notice_display&id=40959 [article] Patients’ and caregivers’ perceptions of occupational therapy and adapting to discharge home from an inpatient palliative care setting [texte imprimé] / Celia Marston, Auteur ; Meera Agar, Auteur ; Ted Brown, Auteur . - 2015 . - p.688-696. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.688-696 Mots-clés : Occupational therapy  discharge planning  palliative care Résumé : Introduction: There is limited research into the role of occupational therapy in discharge planning in palliative care. This study aimed to explore patients’ and caregivers’ perceptions of occupational therapy in the context of discharge home from an inpatient palliative care setting. Method: Semi-structured interviews were conducted with patients and caregivers following discharge home from inpatient palliative care. Participants were selected using purposive sampling and data was thematically analysed. Results: Five caregivers and three patients were interviewed. Three main themes emerged: (1) shared roles in discharge planning; (2) perceived benefits of occupational therapy; and (3) adapting to discharge home. Patients and caregivers viewed occupational therapy as the practical help needed to achieve discharge. They had difficulty differentiating between professional roles and perceived the discharge process as a shared responsibility between themselves and the clinicians. Adapting to discharge home involved coping with the uncertain and unexpected, where limited understanding of professional roles meant participants did not know who to seek assistance from. Conclusion: Occupational therapy was viewed as the practical help needed for discharge home from a palliative care setting. Clinicians need to take primary responsibility for understanding each other’s roles and providing information on who can assist after discharge. En ligne : http://bjo.sagepub.com/content/78/11/688.abstract Permalink : ./index.php?lvl=notice_display&id=40959

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A consensus definition of occupation-based intervention from a Malaysian perspective: A Delphi study / Ahmad Zamir Che Daud in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.697-705 Titre : A consensus definition of occupation-based intervention from a Malaysian perspective: A Delphi study Type de document : texte imprimé Auteurs : Ahmad Zamir Che Daud, Auteur ; Matthew K. Yau, Auteur ; Fiona Barnett, Auteur Année de publication : 2015 Article en page(s) : p.697-705 Langues : Anglais (eng) Mots-clés : Delphi technique  occupations  occupational therapy Résumé : Introduction: Descriptions and definitions for occupation-based intervention vary in the literature. Occupation-based intervention is assumed to be based on occupation and is seen as both a means and an end. Occupation-based intervention also includes all levels of interventions in occupational therapy as long as the goal is occupational performance. Occupation-based intervention can also be described as a therapeutic process that emerges during the therapy session. The purpose of this study was to achieve a consensus definition of occupation-based intervention among Malaysian occupational therapists. Method: A three-round Delphi technique using a sequential questionnaire was conducted. Fifteen occupational therapists and occupational therapy educators completed all rounds. The Delphi process began with open-ended questions, asking the participants some questions about occupation-based intervention. The second and third rounds asked participants to rank their agreement with statements about occupation-based intervention. Results: Occupation-based intervention is seen by therapists to be both a means and an end, with occupational performance as the main outcome. It is believed that using occupation alone is not enough; preparatory and purposeful methods may have to be incorporated to achieve the outcomes. Conclusion: It is important to adopt a common definition of occupation-based intervention in practice and education to signify occupation at the centre of occupational therapy. En ligne : http://bjo.sagepub.com/content/78/11/697.abstract Permalink : ./index.php?lvl=notice_display&id=40960 [article] A consensus definition of occupation-based intervention from a Malaysian perspective: A Delphi study [texte imprimé] / Ahmad Zamir Che Daud, Auteur ; Matthew K. Yau, Auteur ; Fiona Barnett, Auteur . - 2015 . - p.697-705. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.697-705 Mots-clés : Delphi technique  occupations  occupational therapy Résumé : Introduction: Descriptions and definitions for occupation-based intervention vary in the literature. Occupation-based intervention is assumed to be based on occupation and is seen as both a means and an end. Occupation-based intervention also includes all levels of interventions in occupational therapy as long as the goal is occupational performance. Occupation-based intervention can also be described as a therapeutic process that emerges during the therapy session. The purpose of this study was to achieve a consensus definition of occupation-based intervention among Malaysian occupational therapists. Method: A three-round Delphi technique using a sequential questionnaire was conducted. Fifteen occupational therapists and occupational therapy educators completed all rounds. The Delphi process began with open-ended questions, asking the participants some questions about occupation-based intervention. The second and third rounds asked participants to rank their agreement with statements about occupation-based intervention. Results: Occupation-based intervention is seen by therapists to be both a means and an end, with occupational performance as the main outcome. It is believed that using occupation alone is not enough; preparatory and purposeful methods may have to be incorporated to achieve the outcomes. Conclusion: It is important to adopt a common definition of occupation-based intervention in practice and education to signify occupation at the centre of occupational therapy. En ligne : http://bjo.sagepub.com/content/78/11/697.abstract Permalink : ./index.php?lvl=notice_display&id=40960

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Cross-dressing as a meaningful occupation: A single case study / Morag Curtis in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.706-712 Titre : Cross-dressing as a meaningful occupation: A single case study Type de document : texte imprimé Auteurs : Morag Curtis, Auteur ; Karen Morris, Auteur Année de publication : 2015 Article en page(s) : p.706-712 Langues : Anglais (eng) Mots-clés : Transvestite  cross-dressing  transgender  Trans  sexuality Résumé : Introduction: The purpose of this qualitative study was to explore the lived experience of cross-dressing, to raise awareness of cross-dressing and investigate any possible implications for occupational therapy. Method: A single design case study utilizing an unstructured interview was used with a male cross-dresser known to the first author. Following transcription, flexible and ongoing analysis was undertaken following an interpretative phenomenological analysis approach and emergent themes resulted in an ongoing literature review. Findings: The themes that developed were ‘identity’, ‘dressing’ and ‘conflict’. A complexity of meanings related to cross-dressing also emerged: uncontrollable urge; erotic expression; sexual orientation; and a sense of completeness. Conclusion: The findings suggest that cross-dressing is a meaningful occupation and as such influences identity formation and occupational choices. Occupational therapists have a duty of care to this vulnerable and alienated group within society. En ligne : http://bjo.sagepub.com/content/78/11/706.abstract Permalink : ./index.php?lvl=notice_display&id=40961 [article] Cross-dressing as a meaningful occupation: A single case study [texte imprimé] / Morag Curtis, Auteur ; Karen Morris, Auteur . - 2015 . - p.706-712. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.706-712 Mots-clés : Transvestite  cross-dressing  transgender  Trans  sexuality Résumé : Introduction: The purpose of this qualitative study was to explore the lived experience of cross-dressing, to raise awareness of cross-dressing and investigate any possible implications for occupational therapy. Method: A single design case study utilizing an unstructured interview was used with a male cross-dresser known to the first author. Following transcription, flexible and ongoing analysis was undertaken following an interpretative phenomenological analysis approach and emergent themes resulted in an ongoing literature review. Findings: The themes that developed were ‘identity’, ‘dressing’ and ‘conflict’. A complexity of meanings related to cross-dressing also emerged: uncontrollable urge; erotic expression; sexual orientation; and a sense of completeness. Conclusion: The findings suggest that cross-dressing is a meaningful occupation and as such influences identity formation and occupational choices. Occupational therapists have a duty of care to this vulnerable and alienated group within society. En ligne : http://bjo.sagepub.com/content/78/11/706.abstract Permalink : ./index.php?lvl=notice_display&id=40961

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Use of occupation-focused language by occupational therapists in physical health care settings when considering older people and alcohol use / Fiona MACLEAN in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.713-717 Titre : Use of occupation-focused language by occupational therapists in physical health care settings when considering older people and alcohol use Type de document : texte imprimé Auteurs : Fiona MACLEAN, Auteur ; Jenna Breckenridge, Auteur Année de publication : 2015 Article en page(s) : p.713-717 Langues : Anglais (eng) Mots-clés : Occupation  language Résumé : Statement of context: There is ongoing debate about therapists’ use of occupation-focused language in practice. Through practice language analysis we explored how conceptual models influence therapists’ word choice by re-analysing qualitative data from a survey of occupational therapists’ knowledge and beliefs about alcohol use amongst older people. Critical reflection on practice: We used word clouds to analyse practitioners’ responses about whether they used conceptual models in practice. We reflect on three themes: theories that mirror the realities of practice; shaping theories in action; and ‘considered’ practice. Implications for practice: Conceptual models shape, and are shaped by, the language of practice. This provides insight into the relationship between models, language and professional identity. En ligne : http://bjo.sagepub.com/content/78/11/713.abstract Permalink : ./index.php?lvl=notice_display&id=40962 [article] Use of occupation-focused language by occupational therapists in physical health care settings when considering older people and alcohol use [texte imprimé] / Fiona MACLEAN, Auteur ; Jenna Breckenridge, Auteur . - 2015 . - p.713-717. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.713-717 Mots-clés : Occupation  language Résumé : Statement of context: There is ongoing debate about therapists’ use of occupation-focused language in practice. Through practice language analysis we explored how conceptual models influence therapists’ word choice by re-analysing qualitative data from a survey of occupational therapists’ knowledge and beliefs about alcohol use amongst older people. Critical reflection on practice: We used word clouds to analyse practitioners’ responses about whether they used conceptual models in practice. We reflect on three themes: theories that mirror the realities of practice; shaping theories in action; and ‘considered’ practice. Implications for practice: Conceptual models shape, and are shaped by, the language of practice. This provides insight into the relationship between models, language and professional identity. En ligne : http://bjo.sagepub.com/content/78/11/713.abstract Permalink : ./index.php?lvl=notice_display&id=40962

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Respecting global wisdom: Enhancing the cultural relevance of occupational therapy’s theoretical base / Karen Whalley Hammell in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.718-721 Titre : Respecting global wisdom: Enhancing the cultural relevance of occupational therapy’s theoretical base Type de document : texte imprimé Auteurs : Karen Whalley Hammell, Auteur Année de publication : 2015 Article en page(s) : p.718-721 Langues : Anglais (eng) Mots-clés : Models of occupation  colonialism  culture Résumé : Dominant models of occupation that inform the international occupational therapy profession have been delineated predominantly by able-bodied, middle class, middle-aged, white, urban, North American Anglophone academics with Judeo-Christian backgrounds, thus reflecting the culturally-specific perspectives of a global minority. Because these models exclude priorities and occupations valued by the global majority, they are demonstrably inadequate. This opinion piece highlights the imperative of incorporating the wisdom of a diversity of global peoples into occupational therapy’s theories of occupation to enhance the possibility that the profession’s theories and practices will be culturally relevant, safe and inclusive, rather than ethnocentric, imperialistic and potentially irrelevant. En ligne : http://bjo.sagepub.com/content/78/11/718.abstract Permalink : ./index.php?lvl=notice_display&id=40963 [article] Respecting global wisdom: Enhancing the cultural relevance of occupational therapy’s theoretical base [texte imprimé] / Karen Whalley Hammell, Auteur . - 2015 . - p.718-721. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.718-721 Mots-clés : Models of occupation  colonialism  culture Résumé : Dominant models of occupation that inform the international occupational therapy profession have been delineated predominantly by able-bodied, middle class, middle-aged, white, urban, North American Anglophone academics with Judeo-Christian backgrounds, thus reflecting the culturally-specific perspectives of a global minority. Because these models exclude priorities and occupations valued by the global majority, they are demonstrably inadequate. This opinion piece highlights the imperative of incorporating the wisdom of a diversity of global peoples into occupational therapy’s theories of occupation to enhance the possibility that the profession’s theories and practices will be culturally relevant, safe and inclusive, rather than ethnocentric, imperialistic and potentially irrelevant. En ligne : http://bjo.sagepub.com/content/78/11/718.abstract Permalink : ./index.php?lvl=notice_display&id=40963

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