An occupational perspective in hand therapy: A scoping review / Samantha Burley in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 299-318 Titre : An occupational perspective in hand therapy: A scoping review Type de document : texte imprimé Auteurs : Samantha Burley ; Amelia Di Tommaso ; Ruth Cox ; Matthew Molineux Année de publication : 2018 Article en page(s) : p. 299-318 Langues : Anglais (eng) Mots-clés : Hand therapy  occupational therapy  occupational perspective Résumé : Introduction There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists’ expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective. Permalink : ./index.php?lvl=notice_display&id=80150 [article] An occupational perspective in hand therapy: A scoping review [texte imprimé] / Samantha Burley ; Amelia Di Tommaso ; Ruth Cox ; Matthew Molineux . - 2018 . - p. 299-318. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.81 Issue 6 (Juin 2018) . - p. 299-318 Mots-clés : Hand therapy  occupational therapy  occupational perspective Résumé : Introduction There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists’ expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective. Permalink : ./index.php?lvl=notice_display&id=80150

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Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists / Amelia Di Tommaso in The British Journal of Occupational Therapy, Vol. 82 Issue 7 (Juillet 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 7 (Juillet 2019) . - p. 412-421 Titre : Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists Type de document : texte imprimé Auteurs : Amelia Di Tommaso ; Alison Wicks ; Jennie Scarvell ; Stephen Isbel Année de publication : 2019 Article en page(s) : p. 412-421 Note générale : doi.org/10.1177/0308022618823656 Langues : Anglais (eng) Mots-clés : Practice  occupation  occupational therapy  qualitative research  practice patterns Résumé : Introduction The call for occupational therapists to embrace occupation-based practice has increased in recent decades. Little is known about how occupational therapists perceive and implement occupation-based practice. This study aims to uncover the experiences of new and recent graduates using occupation in their practice. Method A phenomenological design guided the development of semi-structured interviews. New and recent Australian occupational therapy graduates were interviewed about their experiences of occupation in their practice. Interview transcripts formed the data and themes were developed by thematic analysis. Findings Eighteen occupational therapists were interviewed. Three main themes emerged from the data. Overall, graduates found it challenging to embrace occupation in their everyday practice, deciding it is more pressing to remediate impairments than to enable occupations. Some participants stated that occupation-based practice was unrealistic given the efficiency pressures of their practice environments. However, graduates felt that with more experience they would be able to implement occupation in their daily practice. Conclusion Recently graduated occupational therapists in Australia find it challenging to consistently implement occupation in their daily practice. Confidence to apply occupation-based skills is an important factor for implementing occupation in practice. Some recent graduates are choosing impairment-based techniques over occupation-based practice. Permalink : ./index.php?lvl=notice_display&id=84563 [article] Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists [texte imprimé] / Amelia Di Tommaso ; Alison Wicks ; Jennie Scarvell ; Stephen Isbel . - 2019 . - p. 412-421. doi.org/10.1177/0308022618823656 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 7 (Juillet 2019) . - p. 412-421 Mots-clés : Practice  occupation  occupational therapy  qualitative research  practice patterns Résumé : Introduction The call for occupational therapists to embrace occupation-based practice has increased in recent decades. Little is known about how occupational therapists perceive and implement occupation-based practice. This study aims to uncover the experiences of new and recent graduates using occupation in their practice. Method A phenomenological design guided the development of semi-structured interviews. New and recent Australian occupational therapy graduates were interviewed about their experiences of occupation in their practice. Interview transcripts formed the data and themes were developed by thematic analysis. Findings Eighteen occupational therapists were interviewed. Three main themes emerged from the data. Overall, graduates found it challenging to embrace occupation in their everyday practice, deciding it is more pressing to remediate impairments than to enable occupations. Some participants stated that occupation-based practice was unrealistic given the efficiency pressures of their practice environments. However, graduates felt that with more experience they would be able to implement occupation in their daily practice. Conclusion Recently graduated occupational therapists in Australia find it challenging to consistently implement occupation in their daily practice. Confidence to apply occupation-based skills is an important factor for implementing occupation in practice. Some recent graduates are choosing impairment-based techniques over occupation-based practice. Permalink : ./index.php?lvl=notice_display&id=84563

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Not everything is rosy and not everyone wants to fix their garden / Amelia Di Tommaso

Public ISBD fait partie de Illuminating the dark side of occupation / Rebecca Twinley Titre : Not everything is rosy and not everyone wants to fix their garden : an Australian example of integrating the dark side of occupation into curriculum for final year students Type de document : texte imprimé Auteurs : Amelia Di Tommaso, Auteur Importance : p. 163-172 Langues : Français (fre) Permalink : ./index.php?lvl=notice_display&id=92320 fait partie de Illuminating the dark side of occupation / Rebecca Twinley Not everything is rosy and not everyone wants to fix their garden : an Australian example of integrating the dark side of occupation into curriculum for final year students [texte imprimé] / Amelia Di Tommaso, Auteur . - [s.d.] . - p. 163-172. Langues : Français (fre) Permalink : ./index.php?lvl=notice_display&id=92320

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Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital / Alice Murray in The British Journal of Occupational Therapy, Vol. 82 Issue 12 (Décembre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 759-769 Titre : Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital Type de document : texte imprimé Auteurs : Alice Murray ; Amelia Di Tommaso ; Matthew Molineux ; Anna Young ; Penny Power Année de publication : 2019 Article en page(s) : p. 759-769 Note générale : doi.org/10.1177/0308022619876836 Langues : Anglais (eng) Mots-clés : Occupational therapists  occupational therapy philosophy  occupation-based practice  acute hospital setting  occupational therapy Résumé : Introduction The acute occupational therapy department at a specialist paediatric hospital in metropolitan Australia is undergoing a service transformation to increase their alignment with contemporary occupational therapy philosophy and practice. The purpose of this study was to explore occupational therapists’ current knowledge and skills regarding contemporary occupational therapy philosophy and practice, and their attitudes and motivation towards a service transformation. Method Qualitative data were collected through semi-structured interviews with eight occupational therapists. Interviews were audio-recorded and transcribed for thematic data analysis. Findings Four major themes were established: a glimmer of occupation; variability with recognising and articulating the core of occupational therapy; therapists externalising challenges; and the barriers and enablers to the transformation. Conclusion The findings suggest that therapists in acute settings are attempting to incorporate contemporary occupational therapy philosophies in practice. Therapists recognised the power of occupation and the benefits of an occupation-based approach, and hence were accepting of the service transformation; although the implementation of occupation-based practice appears to be inconsistent in acute settings. Findings highlight a need to enhance therapists’ knowledge of contemporary occupational therapy. However, therapists did not foresee this as a significant factor, leading to feeling a lack of control and externalising the barriers to service transformation. Permalink : ./index.php?lvl=notice_display&id=85673 [article] Occupational therapists’ perceptions of service transformation towards contemporary philosophy and practice in an acute specialist paediatric hospital [texte imprimé] / Alice Murray ; Amelia Di Tommaso ; Matthew Molineux ; Anna Young ; Penny Power . - 2019 . - p. 759-769. doi.org/10.1177/0308022619876836 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 12 (Décembre 2019) . - p. 759-769 Mots-clés : Occupational therapists  occupational therapy philosophy  occupation-based practice  acute hospital setting  occupational therapy Résumé : Introduction The acute occupational therapy department at a specialist paediatric hospital in metropolitan Australia is undergoing a service transformation to increase their alignment with contemporary occupational therapy philosophy and practice. The purpose of this study was to explore occupational therapists’ current knowledge and skills regarding contemporary occupational therapy philosophy and practice, and their attitudes and motivation towards a service transformation. Method Qualitative data were collected through semi-structured interviews with eight occupational therapists. Interviews were audio-recorded and transcribed for thematic data analysis. Findings Four major themes were established: a glimmer of occupation; variability with recognising and articulating the core of occupational therapy; therapists externalising challenges; and the barriers and enablers to the transformation. Conclusion The findings suggest that therapists in acute settings are attempting to incorporate contemporary occupational therapy philosophies in practice. Therapists recognised the power of occupation and the benefits of an occupation-based approach, and hence were accepting of the service transformation; although the implementation of occupation-based practice appears to be inconsistent in acute settings. Findings highlight a need to enhance therapists’ knowledge of contemporary occupational therapy. However, therapists did not foresee this as a significant factor, leading to feeling a lack of control and externalising the barriers to service transformation. Permalink : ./index.php?lvl=notice_display&id=85673

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