Student-resourced service delivery of occupational therapy rehabilitation groups: patient, clinician and student perspectives about the ingredients for success

Author(s):  
Freyr Patterson ◽  
Emmah Doig ◽  
Jenny Fleming ◽  
Jenny Strong ◽  
Stephen Birch ◽  
...  
Author(s):  
Linda Furness ◽  
Anna Tynan ◽  
Alison Pighills

Purpose: This paper describes the exploration of clinical educator and student perspectives on the implementation of the Calderdale Framework (CF) as a model for pre-entry occupational therapy clinical placement. Setting: The study was undertaken within a regional health service in Queensland, Australia. The orthopaedic inpatient ward at the regional hospital and mixed inpatient and outpatient community based caseloads in rural hospitals were the focus of this study. Methods: The Calderdale Framework is a seven stage process which involves: engaging staff with the framework; identifying which clinical tasks are carried out within the service; analysing which tasks can be allocated to students; setting up supervision systems; developing Clinical Task Instructions (CTIs); providing competency training and assessment; and developing organisational systems to sustain the new ways of working. In the first week of placement, students were ‘taught’ background and theoretical information for nine Clinical Task Instructions. In the remainder of their placement they achieved competence in these tasks and implemented clinical interventions with patients. Results: Separate focus groups and in-depth interviews were used to explore clinical educator and student opinions about their experience of the application of the Calderdale Framework in clinical education. Five themes emerged from the data analysis: experience of new model; adjustment to change in approach to the placement model; impact of the Calderdale Framework Clinical Task Instructions; impact of the Calderdale Framework learning model on student confidence and impact of the Calderdale Framework placement model on service delivery. Conclusion: In this pilot study, the application of the Calderdale Framework in clinical education was supported by both clinical educators and students as a model that supported student learning and safe contribution to patient service delivery. The time invested in planning, resource development and implementing this application of the Calderdale Framework in clinical education has resulted in a model which can continue to be implemented within our health service and could be applied to other professions or replicated elsewhere.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Jessica Grab ◽  
Meghan Green ◽  
Julianna Norris ◽  
Kristen Pilchik ◽  
Grace S. Fisher

Author(s):  
Martin FitzGerald ◽  
Abigail Smith ◽  
Nazman Rehman ◽  
Michelle Taylor

Purpose: Role-emerging placements in occupational therapy training are contributing to professional and workforce development because of their strong occupational focus and placement of students in emerging practice. This manuscript explores how one role-emerging placement challenged and developed student theoretical and clinical skills, presented new ways of working at the recipient site, and enhanced service delivery. Methods: The background to role-emerging placements in occupational therapy is explored through the use of a case study which reflects on and analyses how the assessment and treatment of occupation enhanced service delivery at a local, non-traditional site. Eight students in England developed and ran a psycho-education group to support the occupational needs of female service users who have experienced domestic abuse. Results There was an overall increase in self-esteem scores and an expressed increase in knowledge and understanding by participants. Students reported developing a deeper understanding of occupation, and the hosts identified the student’s clinical skills as unique contributors to service delivery. Conclusion: By focusing on occupation, role-emerging placements draw on the roots of the profession and anchor its future to the theoretical foundations of its past. However, in order to employ occupational therapists, these organisations need to understand what the occupational therapy profession can offer them.


2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Leah S Dunn ◽  
Stephanie Arias ◽  
Alexa Beyer ◽  
Elizabeth Hermes ◽  
Sydney Radcliff

2016 ◽  
Vol 1 (4) ◽  
pp. 1
Author(s):  
Ahmad Zamir Che Daud ◽  
Jenni Judd ◽  
Matthew Yau ◽  
Fiona Barnett

A Delphi study with three rounds of inquiry was conducted to identify the barriers of implementing Occupation-based Intervention (OBI) in Malaysia. Fifteen occupational therapy practitioners and educators consented and completed all the Delphi rounds. The first Delphi round began with an open-ended questionnaire asking the participants a broad question on barriers for applying OBI into clinical practice. Data was qualitatively analysed to develop statements about the barriers of applying OBI were grouped under five categories. In the second and third round, the participants were asked to rank their agreement with the statements about the barriers in applying OBI. Twenty-seven statements finally achieved the consensus level.2398-4279 © 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK.. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Occupation, Clinical Practice, Occupational Therapy, Service Delivery


2021 ◽  
Vol 76 (1) ◽  
Author(s):  
Jessica Edelstein ◽  
Rebekah Walker ◽  
Addie Middleton ◽  
Timothy Reistetter ◽  
Kelli Williams Gary ◽  
...  

Importance: Hospital readmissions are associated with poor patient outcomes, including higher risk for mortality, nutritional concerns, deconditioning, and higher costs. Objective: To evaluate how acute occupational therapy service delivery factors affect readmission risk. Design: Cross-sectional, retrospective study. Setting: Single academic medical center. Participants: Medicare inpatients with a diagnosis included in the Hospital Readmissions Reduction Program (HRRP; N = 17,618). Data were collected from medical records at a large urban hospital in southeastern Wisconsin. Outcomes and Measures: Logistic regression models were estimated to examine the association between acute occupational therapy service delivery factors and odds of readmission. In addition, the types of acute occupational therapy services for readmitted versus not-readmitted patients were compared. Results: Patients had significantly higher odds of readmission if they received occupational therapy services while hospitalized (odds ratio [OR] = 1.18, 95% confidence interval [CI] [1.07, 1.31]). However, patshients who received acute occupational therapy services had significantly lower odds of readmission if they received a higher frequency (OR = 0.99, 95% CI [0.99,1.00]) of acute occupational therapy services. A significantly higher proportion of patients who were not readmitted, compared with patients who were readmitted, received activities of daily living (ADL) or self-care training (p < .01). Conclusions and Relevance: For patients with HRRP-qualifying diagnoses who received acute occupational therapy services, higher frequency of acute occupational therapy services was linked with lower odds of readmission. Readmitted patients were less likely to have received ADL or self-care training while hospitalized. What This Article Adds: Identifying factors of acute occupational therapy services that reduce the odds of readmission for Medicare patients may help to improve patient outcomes and further define occupational therapy’s role in the U.S. quality-focused health care system.


1980 ◽  
Vol 47 (1) ◽  
pp. 27-29
Author(s):  
Donna Campbell

This paper, based on an address delivered at the 1977 C.A.O.T. Conference in Halifax, contends that, generally speaking, occupational therapists are neither well informed about, nor proficient in the use of statistics. This is unfortunate in an age when its use of has become a powerful administrative tool. It is important for Occupational Therapists to become knowledgeable about the use of statistics in order that they can communicate with the administrators who speak the language of numbers. Statistics can be used and abused. Improved knowledge and understanding will protect occupational therapy from abuse and enable us to concentrate on our real specialty, service delivery.


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