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The development of an authentic professional identity on role-emerging placements / Channine Clarke in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.222 - p.229 Titre : The development of an authentic professional identity on role-emerging placements Type de document : texte imprimé Auteurs : Channine Clarke, Auteur ; Marion Martin, Auteur Année de publication : 2014 Article en page(s) : p.222 - p.229 Langues : Anglais (eng) Mots-clés : role-emerging placements  professional identity  education Résumé : Introduction Role-emerging placements are increasingly used to help occupational therapy students develop the skills, knowledge, and attributes needed to become the therapists of tomorrow. Whilst literature on role-emerging placements is growing, studies have tended to be general placement evaluations, with only a limited number exploring students'experiences in detail. Method This study used interpretative phenomenological analysis to gain a deeper understanding of how five MSc pre-registration occupational therapy students experienced and ascribed meaning to their role-emerging placements. Findings The role-emerging placements acted as a strong catalyst for the students'ontological development (that is, their understanding of self and development of ways ways of being and enacting occupational therapy practice). Through engaging in challenging and autonomous learning experiences, students developed deeper insights into who they were becoming as professionals, leading to a professional identity of their own making. Conclusion Having to cintinually reflect on and verbalize the core essence and contribution of occupational therapy, students developed clarity of understanding about the iniqueness of the profession. This is important in light of the historical difficulty occupational therapists have had in articulating their unique role and professional identity. Permalink : ./index.php?lvl=notice_display&id=33886 [article] The development of an authentic professional identity on role-emerging placements [texte imprimé] / Channine Clarke, Auteur ; Marion Martin, Auteur . - 2014 . - p.222 - p.229. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.222 - p.229 Mots-clés : role-emerging placements  professional identity  education Résumé : Introduction Role-emerging placements are increasingly used to help occupational therapy students develop the skills, knowledge, and attributes needed to become the therapists of tomorrow. Whilst literature on role-emerging placements is growing, studies have tended to be general placement evaluations, with only a limited number exploring students'experiences in detail. Method This study used interpretative phenomenological analysis to gain a deeper understanding of how five MSc pre-registration occupational therapy students experienced and ascribed meaning to their role-emerging placements. Findings The role-emerging placements acted as a strong catalyst for the students'ontological development (that is, their understanding of self and development of ways ways of being and enacting occupational therapy practice). Through engaging in challenging and autonomous learning experiences, students developed deeper insights into who they were becoming as professionals, leading to a professional identity of their own making. Conclusion Having to cintinually reflect on and verbalize the core essence and contribution of occupational therapy, students developed clarity of understanding about the iniqueness of the profession. This is important in light of the historical difficulty occupational therapists have had in articulating their unique role and professional identity. Permalink : ./index.php?lvl=notice_display&id=33886

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Enabling occupational therapy: moving beyond the generalist vs specialist debate in community mental health / Jennifer MICHETTI in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.230 - p.233 Titre : Enabling occupational therapy: moving beyond the generalist vs specialist debate in community mental health Type de document : texte imprimé Auteurs : Jennifer MICHETTI, Auteur ; Crystal DIELEMAN, Auteur Année de publication : 2014 Article en page(s) : p.230 - p.233 Langues : Anglais (eng) Mots-clés : interdisciplinary health team  case management  models  theoretical Résumé : Occupational therapists working in community mental health teams continue to debate their role within a case management model of service. They are caught between a service system, requiring them to work as generalist car coordinators, and a profession working to distinguish itself in a mutli-disciplinary context. This opinion piece moves beyond the debate of generalist/specialist roles to propose that occupational therapists can define their role and increase awareness of the profession's value by demonstrating leadership in everyday practice. The leadership in Enabling Occupation Model is presented as a reflective tool for enabling occupational therapy contributions within community mental health care. Permalink : ./index.php?lvl=notice_display&id=33887 [article] Enabling occupational therapy: moving beyond the generalist vs specialist debate in community mental health [texte imprimé] / Jennifer MICHETTI, Auteur ; Crystal DIELEMAN, Auteur . - 2014 . - p.230 - p.233. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.230 - p.233 Mots-clés : interdisciplinary health team  case management  models  theoretical Résumé : Occupational therapists working in community mental health teams continue to debate their role within a case management model of service. They are caught between a service system, requiring them to work as generalist car coordinators, and a profession working to distinguish itself in a mutli-disciplinary context. This opinion piece moves beyond the debate of generalist/specialist roles to propose that occupational therapists can define their role and increase awareness of the profession's value by demonstrating leadership in everyday practice. The leadership in Enabling Occupation Model is presented as a reflective tool for enabling occupational therapy contributions within community mental health care. Permalink : ./index.php?lvl=notice_display&id=33887

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Clinical reasoning used by occupational therapists to determine the nature of spiritual occupations in relation to psychiatric pathology / Ka Yan HESS in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.234 - p.242 Titre : Clinical reasoning used by occupational therapists to determine the nature of spiritual occupations in relation to psychiatric pathology Type de document : texte imprimé Auteurs : Ka Yan HESS, Auteur ; Elelwani RAMUGONDO, Auteur Année de publication : 2014 Article en page(s) : p.234 - p.242 Langues : Anglais (eng) Mots-clés : spirituality  spiritual occupations  clinical reasoning  client-centredness Résumé : Introduction In this exploratory study, the clinical reasoning process followed by occupational therapists in determining wether their clients'spiritual occupations were health promoting or manifestations of a psychiatric illness is described. There has been limited investigation in this regard in existing literature. Method A qualitative multiple case study design was used. Five occupational therapists working in different mental health care settings were interviewed using semi-structured interviews. review of relevant documents and field-notes also provided imporant data sources. Findings Three themes emerged from thematic analysis namely'Clinical Reasoning: complex, dynamic and multi-layered'; Multiple resources: poeple as key'; and' Rewarding and challenging experience'. 'Underground practice' emerged as a strategy that helped praticipants to navigate around contextual barriers in ordre to ensure client-centredness when addressing spiritual occupational needs within a mental healthcare setting. Conclusion Spiritual occupational engagements should be examined in conjunction with individual clients' own process of meaning-making, implications for health to the client and others within the healthcare setting, and by taking the broader occupational narrative of the person, as well as relevant cultural norms and expectations, into consideration. Permalink : ./index.php?lvl=notice_display&id=33888 [article] Clinical reasoning used by occupational therapists to determine the nature of spiritual occupations in relation to psychiatric pathology [texte imprimé] / Ka Yan HESS, Auteur ; Elelwani RAMUGONDO, Auteur . - 2014 . - p.234 - p.242. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.234 - p.242 Mots-clés : spirituality  spiritual occupations  clinical reasoning  client-centredness Résumé : Introduction In this exploratory study, the clinical reasoning process followed by occupational therapists in determining wether their clients'spiritual occupations were health promoting or manifestations of a psychiatric illness is described. There has been limited investigation in this regard in existing literature. Method A qualitative multiple case study design was used. Five occupational therapists working in different mental health care settings were interviewed using semi-structured interviews. review of relevant documents and field-notes also provided imporant data sources. Findings Three themes emerged from thematic analysis namely'Clinical Reasoning: complex, dynamic and multi-layered'; Multiple resources: poeple as key'; and' Rewarding and challenging experience'. 'Underground practice' emerged as a strategy that helped praticipants to navigate around contextual barriers in ordre to ensure client-centredness when addressing spiritual occupational needs within a mental healthcare setting. Conclusion Spiritual occupational engagements should be examined in conjunction with individual clients' own process of meaning-making, implications for health to the client and others within the healthcare setting, and by taking the broader occupational narrative of the person, as well as relevant cultural norms and expectations, into consideration. Permalink : ./index.php?lvl=notice_display&id=33888

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Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention / Paul BOYLE in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.243 - p.250 Titre : Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention Type de document : texte imprimé Auteurs : Paul BOYLE, Auteur ; David HAINES, Auteur ; Linda LOVELOCK, Auteur ; Kati INNES, Auteur Année de publication : 2014 Article en page(s) : p.243 - p.250 Langues : Anglais (eng) Mots-clés : autistic spectrum disorder (ASD)  safety  home  environment Résumé : Introduction Health and social care agencies are encouraged to provide child-centred services that respond to needs that change over time. There is evidence that occupational therapists are concerned about how to respond to issues of harmful behaviour in the home environment whilst promoting child development. This study explored occupational therapists" experiences regarding harmful behaviour and the safety of children with Autistic Spectrum Disorder. Method Seven community occupational therapists, employed by a local authority and working in social care, participated in two focus groups. Findings An inductive thematic analysis identified five broad themes. These were: 'assessment is complex', 'chidl development and the home environment', 'importance of family-centred services', 'the need for additional services', and 'management of the disabled facilities grant'. Conclusion Local authority occupational therapists prioritize supporting families to keep children safe. It is necessary to adapt the home reduce hazards and for alternative interventions to be made available to address behavioural and sensory needs. Services such as sensory integration are lacking, and where they are available access is difficult. Is is common for disabled facilities gratns to fund adaptations; however, management of grants could be improved to meet the needs of these children and their families. Permalink : ./index.php?lvl=notice_display&id=33889 [article] Home safety for children with autistic spectrum disorder: local authority occupational therapy intervention [texte imprimé] / Paul BOYLE, Auteur ; David HAINES, Auteur ; Linda LOVELOCK, Auteur ; Kati INNES, Auteur . - 2014 . - p.243 - p.250. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.243 - p.250 Mots-clés : autistic spectrum disorder (ASD)  safety  home  environment Résumé : Introduction Health and social care agencies are encouraged to provide child-centred services that respond to needs that change over time. There is evidence that occupational therapists are concerned about how to respond to issues of harmful behaviour in the home environment whilst promoting child development. This study explored occupational therapists" experiences regarding harmful behaviour and the safety of children with Autistic Spectrum Disorder. Method Seven community occupational therapists, employed by a local authority and working in social care, participated in two focus groups. Findings An inductive thematic analysis identified five broad themes. These were: 'assessment is complex', 'chidl development and the home environment', 'importance of family-centred services', 'the need for additional services', and 'management of the disabled facilities grant'. Conclusion Local authority occupational therapists prioritize supporting families to keep children safe. It is necessary to adapt the home reduce hazards and for alternative interventions to be made available to address behavioural and sensory needs. Services such as sensory integration are lacking, and where they are available access is difficult. Is is common for disabled facilities gratns to fund adaptations; however, management of grants could be improved to meet the needs of these children and their families. Permalink : ./index.php?lvl=notice_display&id=33889

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Evaluating the impact of audits and feedback as methods for omplementation of evidence in stroke rehabilitation / Hanne KRISTENSEN in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.251 - p.259 Titre : Evaluating the impact of audits and feedback as methods for omplementation of evidence in stroke rehabilitation Type de document : texte imprimé Auteurs : Hanne KRISTENSEN, Auteur ; Lise HOUNSGAARD, Auteur Année de publication : 2014 Article en page(s) : p.251 - p.259 Langues : Anglais (eng) Mots-clés : stroke rehabilitation  evidence-based practice  occupational therapy Résumé : Introduction This paper evaluates audits and feedback as methods to increase implementation of evidence in stroke rehabilitation. MEthod The study used an action research approach and theories of knowledge translation. A sample of 22 occupational therapists participated from two Danish hospitals that admitted stroke patients. Data collection methods included audits collaborative discussions. Active feedback and discussions of the findings took place, at a group level in four local clinical audits. Data analysis of daily self-reported recordings and audits was descriptive. Audit data were analysed using descriptive statistics. A phonomenological hermeneutical interpretive methodology was used for analysing qualitative data. Findings Audits and feedback were based on clear standars and contextual developing action plans. Daily practice in both settings adapted to the clinical guidelines. Implementations of the standardized assessment tools seemed to be the most successful. Conclusion The effects of audit and feedback profited from the active participation of the therapists, as well as local gatekeepers having formal responsabilities for implementing change. The process was strengthened by providing the audits and feedback more than once. The effect of audits and feedback was positively influenced by being in line with current conceptual frameworks, local policies, and values. Permalink : ./index.php?lvl=notice_display&id=33890 [article] Evaluating the impact of audits and feedback as methods for omplementation of evidence in stroke rehabilitation [texte imprimé] / Hanne KRISTENSEN, Auteur ; Lise HOUNSGAARD, Auteur . - 2014 . - p.251 - p.259. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.251 - p.259 Mots-clés : stroke rehabilitation  evidence-based practice  occupational therapy Résumé : Introduction This paper evaluates audits and feedback as methods to increase implementation of evidence in stroke rehabilitation. MEthod The study used an action research approach and theories of knowledge translation. A sample of 22 occupational therapists participated from two Danish hospitals that admitted stroke patients. Data collection methods included audits collaborative discussions. Active feedback and discussions of the findings took place, at a group level in four local clinical audits. Data analysis of daily self-reported recordings and audits was descriptive. Audit data were analysed using descriptive statistics. A phonomenological hermeneutical interpretive methodology was used for analysing qualitative data. Findings Audits and feedback were based on clear standars and contextual developing action plans. Daily practice in both settings adapted to the clinical guidelines. Implementations of the standardized assessment tools seemed to be the most successful. Conclusion The effects of audit and feedback profited from the active participation of the therapists, as well as local gatekeepers having formal responsabilities for implementing change. The process was strengthened by providing the audits and feedback more than once. The effect of audits and feedback was positively influenced by being in line with current conceptual frameworks, local policies, and values. Permalink : ./index.php?lvl=notice_display&id=33890

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Occupational therapy can flourish in the 21st century - a case for professional engagement with health economics / Rod Lambert in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.260 - p.264 Titre : Occupational therapy can flourish in the 21st century - a case for professional engagement with health economics Type de document : texte imprimé Auteurs : Rod Lambert, Auteur Année de publication : 2014 Article en page(s) : p.260 - p.264 Langues : Anglais (eng) Mots-clés : health economics  cost-effectiveness Résumé : The view that the profession of occupational therapy will flourish in the 21st century was expressed before the banking system and financial market collapse in 2008. The professions now competes for scarce resources as austerity measures take effect. A summit meeting at the College of Occupational Therapists, in May 2013, discussed how to improve the profession's understanding and use of health economics. At this meeting, short-, medium-, and long- term approaches were discussed, with the aim of improving the quality and quantity of publications on economic evaluations in occupational therapy. Despite an increasing number of publications on health economics across professions, occupational therapy lags behind. This focus is now vital for the profession. Permalink : ./index.php?lvl=notice_display&id=33891 [article] Occupational therapy can flourish in the 21st century - a case for professional engagement with health economics [texte imprimé] / Rod Lambert, Auteur . - 2014 . - p.260 - p.264. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.260 - p.264 Mots-clés : health economics  cost-effectiveness Résumé : The view that the profession of occupational therapy will flourish in the 21st century was expressed before the banking system and financial market collapse in 2008. The professions now competes for scarce resources as austerity measures take effect. A summit meeting at the College of Occupational Therapists, in May 2013, discussed how to improve the profession's understanding and use of health economics. At this meeting, short-, medium-, and long- term approaches were discussed, with the aim of improving the quality and quantity of publications on economic evaluations in occupational therapy. Despite an increasing number of publications on health economics across professions, occupational therapy lags behind. This focus is now vital for the profession. Permalink : ./index.php?lvl=notice_display&id=33891

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