Maintaining occupation-based practice in Australian mental health practice: A critical stance / Samantha Ashby in The British Journal of Occupational Therapy, Volume 78 numéro 7 (Juillet 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 7 (Juillet 2015) . - p.431-439 Titre : Maintaining occupation-based practice in Australian mental health practice: A critical stance Type de document : texte imprimé Auteurs : Samantha Ashby, Auteur ; Mel Gray, Auteur ; Susan Ryan, Auteur Année de publication : 2015 Article en page(s) : p.431-439 Langues : Anglais (eng) Mots-clés : Occupational therapy  professional identity  personal paradigms Résumé : Introduction This paper explores the way dominant discourses, and their associated practice knowledge dimensions, shape personal paradigms and occupation-based practice in mental health workplaces. Method Narrative inquiry methods and narrative thematic analysis was used to explore the career stories of nine occupational therapists who had worked in mental health practice for more than five years. Findings The main narrative themes to emerge were (i) living with the biomedical practice knowledge discourse, (ii) living with the psychological practice knowledge discourse and (iii) reflection as a strategy for maintaining occupation-based practice. These discourses created the need to reflect on practice and adopt strategies to avoid the marginalisation of occupational perspectives and occupation-based practice. The strategies used to cope with these discourses varied from acceptance and embracing of other discourses to resistance and rejection. Conclusion This paper demonstrates that in some mental health workplaces there is a danger that occupational perspectives and occupation-based practice can become marginalised. Making visible the different discourses in mental health practice allows occupational therapists to analyse, better understand, and live with the tensions in their professional lives. This requires professional support strategies to be in place to maintain occupation-based practices and retain practitioners in the workforce. Permalink : ./index.php?lvl=notice_display&id=40382 [article] Maintaining occupation-based practice in Australian mental health practice: A critical stance [texte imprimé] / Samantha Ashby, Auteur ; Mel Gray, Auteur ; Susan Ryan, Auteur . - 2015 . - p.431-439. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 7 (Juillet 2015) . - p.431-439 Mots-clés : Occupational therapy  professional identity  personal paradigms Résumé : Introduction This paper explores the way dominant discourses, and their associated practice knowledge dimensions, shape personal paradigms and occupation-based practice in mental health workplaces. Method Narrative inquiry methods and narrative thematic analysis was used to explore the career stories of nine occupational therapists who had worked in mental health practice for more than five years. Findings The main narrative themes to emerge were (i) living with the biomedical practice knowledge discourse, (ii) living with the psychological practice knowledge discourse and (iii) reflection as a strategy for maintaining occupation-based practice. These discourses created the need to reflect on practice and adopt strategies to avoid the marginalisation of occupational perspectives and occupation-based practice. The strategies used to cope with these discourses varied from acceptance and embracing of other discourses to resistance and rejection. Conclusion This paper demonstrates that in some mental health workplaces there is a danger that occupational perspectives and occupation-based practice can become marginalised. Making visible the different discourses in mental health practice allows occupational therapists to analyse, better understand, and live with the tensions in their professional lives. This requires professional support strategies to be in place to maintain occupation-based practices and retain practitioners in the workforce. Permalink : ./index.php?lvl=notice_display&id=40382

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Reliability and validity of the Assessment of Client's Enablement (ACE) / Tatsunori Sawada in The British Journal of Occupational Therapy, Vol.81 Issue 7 (Juillet 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 369-375 Titre : Reliability and validity of the Assessment of Client's Enablement (ACE) Type de document : texte imprimé Auteurs : Tatsunori Sawada ; Taeko Kitahashi ; Ayami Kose ; Samantha Ashby ; Yu Karamatsu ; Kanta Ohno ; Masahiro Ogawa ; Kounosuke Tomori Année de publication : 2018 Article en page(s) : p. 369-375 Langues : Anglais (eng) Mots-clés : Client-centred practice  occupational performance  perception gap Résumé : Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings. Permalink : ./index.php?lvl=notice_display&id=80157 [article] Reliability and validity of the Assessment of Client's Enablement (ACE) [texte imprimé] / Tatsunori Sawada ; Taeko Kitahashi ; Ayami Kose ; Samantha Ashby ; Yu Karamatsu ; Kanta Ohno ; Masahiro Ogawa ; Kounosuke Tomori . - 2018 . - p. 369-375. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 7 (Juillet 2018) . - p. 369-375 Mots-clés : Client-centred practice  occupational performance  perception gap Résumé : Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings. Permalink : ./index.php?lvl=notice_display&id=80157

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