A qualitative meta-synthesis about challenges experienced in occupational therapy practice / Carolyn Murray in The British Journal of Occupational Therapy, Volume 78 numéro 9 (Septembre 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 9 (Septembre 2015) . - p.534-546 Titre : A qualitative meta-synthesis about challenges experienced in occupational therapy practice Type de document : texte imprimé Auteurs : Carolyn Murray, Auteur ; Merrill Turpin, Auteur ; Ian EDWARDS, Auteur Année de publication : 2015 Article en page(s) : p.534-546 Langues : Anglais (eng) Mots-clés : Culture  decision-making  clinical  professional ethics  thinking Résumé : Introduction Information about challenges for occupational therapists is typically provided in small-scale studies from different perspectives. The purpose of this meta-synthesis was to synthesise and report about challenges in occupational therapy practice that appear to penetrate across the profession. Method Databases searched were Ovid Medline, EMBASE, AMED and CINAHL. Search terms were selected after gaining understanding of the topic: occupational therap* AND Exp burnout / OR Exp morals / OR retention OR clinical reasoning OR new graduate OR novice OR transition-to-practice. Studies were critically appraised using the criteria of credibility, transferability, confirmability and dependability. Findings, along with direct quotes, were extracted and data compared and contrasted through first, second and third order analysis. Findings Twenty-four studies were included in the meta-synthesis and three constructs were identified: ‘challenges in context’; ‘personal challenges’ and ‘social and cultural challenges’. These findings inform knowledge about constraining factors on clinical reasoning and the alignment of practice with the occupational therapy philosophy, and give insight into satisfaction with practice, ethical and professional behaviours. Conclusion These findings could inform provision of professional support, education for students and enhance agency to reform practice. More research is needed about professional socialisation, clinical reasoning and ethical issues. Permalink : ./index.php?lvl=notice_display&id=40394 [article] A qualitative meta-synthesis about challenges experienced in occupational therapy practice [texte imprimé] / Carolyn Murray, Auteur ; Merrill Turpin, Auteur ; Ian EDWARDS, Auteur . - 2015 . - p.534-546. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 9 (Septembre 2015) . - p.534-546 Mots-clés : Culture  decision-making  clinical  professional ethics  thinking Résumé : Introduction Information about challenges for occupational therapists is typically provided in small-scale studies from different perspectives. The purpose of this meta-synthesis was to synthesise and report about challenges in occupational therapy practice that appear to penetrate across the profession. Method Databases searched were Ovid Medline, EMBASE, AMED and CINAHL. Search terms were selected after gaining understanding of the topic: occupational therap* AND Exp burnout / OR Exp morals / OR retention OR clinical reasoning OR new graduate OR novice OR transition-to-practice. Studies were critically appraised using the criteria of credibility, transferability, confirmability and dependability. Findings, along with direct quotes, were extracted and data compared and contrasted through first, second and third order analysis. Findings Twenty-four studies were included in the meta-synthesis and three constructs were identified: ‘challenges in context’; ‘personal challenges’ and ‘social and cultural challenges’. These findings inform knowledge about constraining factors on clinical reasoning and the alignment of practice with the occupational therapy philosophy, and give insight into satisfaction with practice, ethical and professional behaviours. Conclusion These findings could inform provision of professional support, education for students and enhance agency to reform practice. More research is needed about professional socialisation, clinical reasoning and ethical issues. Permalink : ./index.php?lvl=notice_display&id=40394

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Understanding and living with multiple sclerosis fatigue / Merrill Turpin in The British Journal of Occupational Therapy, Vol.81 Issue 2 (February 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 2 (February 2018) . - p. 82-89 Titre : Understanding and living with multiple sclerosis fatigue Type de document : texte imprimé Auteurs : Merrill Turpin ; Georgina Kerr ; Hannah Gullo ; [et al...] Année de publication : 2018 Article en page(s) : p. 82-89 Langues : Anglais (eng) Mots-clés : ergothérapie  sclérose en plaques  fatigue  phénoménologie Résumé : Introduction Fatigue substantially affects the lives of many people with multiple sclerosis. This study aimed to further our understanding of the experience of living with multiple sclerosis fatigue by exploring how people became aware of and understood their multiple sclerosis fatigue and how they accommodate it in their daily lives. Method The study used an existential approach to thematic analysis. Thirteen in-depth, semi-structured interviews with people who experienced multiple sclerosis fatigue were conducted and analysed. Results Participants developed an understanding of multiple sclerosis fatigue through gaining awareness of its effect on their lives, seeking information themselves and being informed by health professionals. Participants described how they began to understand the effect of fatigue in their lives and make decisions about how to accommodate it. They discussed the challenges associated with helping others to understand their multiple sclerosis fatigue. Conclusion Lay and expert explanations, the phenomenological notions of lived experience, self-identity and embodiment and stigma associated with invisible disability were useful concepts for understanding the results. Clinicians should consider these concepts when supporting people with multiple sclerosis fatigue to understand the effect of fatigue in their daily lives and use fatigue management strategies to make effective lifestyle changes to accommodate it. Permalink : ./index.php?lvl=notice_display&id=57836 [article] Understanding and living with multiple sclerosis fatigue [texte imprimé] / Merrill Turpin ; Georgina Kerr ; Hannah Gullo ; [et al...] . - 2018 . - p. 82-89. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 2 (February 2018) . - p. 82-89 Mots-clés : ergothérapie  sclérose en plaques  fatigue  phénoménologie Résumé : Introduction Fatigue substantially affects the lives of many people with multiple sclerosis. This study aimed to further our understanding of the experience of living with multiple sclerosis fatigue by exploring how people became aware of and understood their multiple sclerosis fatigue and how they accommodate it in their daily lives. Method The study used an existential approach to thematic analysis. Thirteen in-depth, semi-structured interviews with people who experienced multiple sclerosis fatigue were conducted and analysed. Results Participants developed an understanding of multiple sclerosis fatigue through gaining awareness of its effect on their lives, seeking information themselves and being informed by health professionals. Participants described how they began to understand the effect of fatigue in their lives and make decisions about how to accommodate it. They discussed the challenges associated with helping others to understand their multiple sclerosis fatigue. Conclusion Lay and expert explanations, the phenomenological notions of lived experience, self-identity and embodiment and stigma associated with invisible disability were useful concepts for understanding the results. Clinicians should consider these concepts when supporting people with multiple sclerosis fatigue to understand the effect of fatigue in their daily lives and use fatigue management strategies to make effective lifestyle changes to accommodate it. Permalink : ./index.php?lvl=notice_display&id=57836

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