Curriculum Planning for Community Occupational Therapy

1979 ◽  
Vol 46 (5) ◽  
pp. 201-205 ◽  
Author(s):  
Emily Etcheverry

The main objective of this paper is to present methods by which community related education can be integrated into occupational therapy educational programs. Reasons why community roles are necessary for occupational therapists are discussed. This is followed by a definition of the term community occupational therapy, and by a description of the skills and knowledge required of the community occupational therapist. These elements of skill and knowledge are then related to academic and field work components of curricula in occupational therapy.

2021 ◽  
pp. 000841742199437
Author(s):  
Alexandra Lecours ◽  
Nancy Baril ◽  
Marie-Josée Drolet

Background. Professionalism has been given different definitions over time. These are, commonly theoretical and difficult to operationalize. Purpose. This study aimed to provide an operational definition of the concept of professionalism in occupational therapy. Method. Based on a concept analysis design, a meta-narrative review was conducted to extract information from 30 occupational therapy manuscripts. Findings. Professionalism is a complex competence defined by the manifestation of distinct attitudes and behaviours that support excellence in the occupational therapy practice. In addition, professionalism is forged and evolves according to personal and environmental characteristics. The manifestation of professionalism can lead to positive consequences for occupational therapists, clients, and the discipline, notably contributing to a positive and strong professional identity. Moreover, professionalism is also subject to cultural influences, which leads to variations in its development, manifestations, and consequences. Implications. This study offers a contemporary operational definition of professionalism and levers to promote its development and maintenance.


Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade

Em 2008, foi criado, pelo Ministério da Saúde, o Núcleo de Apoio à Saúde da Família (NASF), com o intuito de apoiar as equipes da Estratégia de Saúde da Família (ESF) nas redes de saúde e ampliar a ação da Atenção Básica da Saúde. O NASF é composto por uma equipe multidisciplinar e o terapeuta ocupacional é um dos integrantes desta equipe. O objetivo deste trabalho é o de conhecer a atuação dos terapeutas ocupacionais nos NASFs do município de Maceió, Alagoas, e suas reflexões sobre o trabalho desempenhado. Trata-se de uma pesquisa qualitativa, sendo a coleta de dados realizada por meio de entrevista semiestruturada. Como resultados, foram elencadas três categorias temáticas: A atuação do terapeuta ocupacional no NASF: ações e atividades efetuadas; Os principais obstáculos encontrados pelo terapeuta ocupacional no NASF e As ferramentas tecnológicas utilizadas para a realização do trabalho no NASF. A Terapia Ocupacional ainda é uma profissão que busca seu reconhecimento no NASF. Visitas domiciliares, salas de espera e atividades em grupo foram identificadas como ações desempenhadas pelos profissionais, apesar das dificuldades como falta de recursos materiais e de uma estrutura física melhor. Este estudo serviu para enfatizar a importância do trabalho do terapeuta ocupacional no serviço, bem como as dificuldades encontradas por eles, citando assim a falta de reconhecimento/conhecimento da profissão, recursos e espaço. Apesar das dificuldades mencionadas, os mesmos sempre buscam realizar um atendimento humanizado, preocupando-se com os usuários, minimizando os riscos e promovendo a saúde. AbstractIn 2008, the Family Health Support Center (NASF) was created by the Ministry of Health to support the Family Health Strategy (ESF) teams in health networks and expand the action of Primary Care of health. The NASF is composed of a multidisciplinary team and the occupational therapist is one of the members of this team. The objective of this work is to know the performance of occupational therapists in the NASFs of the city of Maceió-AL, and their reflections on the work performed. This is qualitative research, and the data collection is done through a semi-structured interview with occupational therapists of the NASFs in the municipality of Maceió-AL. As a result, three thematic categories were listed: The work of the occupational therapist in the NASF: actions and activities carried out; the main obstacles encountered by the occupational therapist in NASF; at technological tools used to perform work in the NASF. Occupational Therapy is still a profession that seeks recognition in the NASF. Home visits, waiting rooms and group activities were identified as actions performed by professionals, despite difficulties such as lack of material resources and a better physical structure. This study contributed to emphasize the practice of the work of the occupational therapist in the service, as well as the difficulties encountered to know: citing the lack of recognition/knowledge of the profession, resources and space. Despite the mentioned difficulties, they seek to perform a humanized care, reaffirming principles and guidelines of the Unified Health System - SUS, to minimize risks and promote health care. Keywords: Occupational Therapy, Primary Health Care, Family Health. Resumen En 2008, fue creado por el Ministerio de Salud, el Núcleo de Apoyo a la Salud de la Familia (NASF), con el propósito de apoyar a los equipos de la Estrategia de Salud de la Familia (ESF) en las redes de salud y ampliar la acción de la Atención Básica de la Salud. El NASF está compuesto por un equipo multidisciplinario y el terapeuta ocupacional es uno de los integrantes de este equipo. El objetivo de este trabajo es el de conocer la actuación de los terapeutas ocupacionales en los NASF del municipio de Maceió-AL, y sus reflexiones sobre el trabajo desempeñado. Se trata de una investigación cualitativa, siendo la recolección de datos realizada por medio de una entrevista semiestructurada con terapeutas ocupacionales de NASF en el municipio de Maceió-AL. Como resultados, se enumeraron tres categorías temáticas: La actuación del terapeuta ocupacional en el NASF: acciones y actividades efectuadas; los principales obstáculos encontrados por el terapeuta ocupacional en el NASF; las herramientas tecnológicas utilizadas para la realización del trabajo en el NASF. La Terapia Ocupacional sigue siendo una profesión que busca su reconocimiento en el NASF. Las visitas domiciliarias, salas de espera y actividades en grupo fueron identificadas como acciones realizadas por los profesionales, a pesar de las dificultades como falta de recursos materiales y de una estructura física mejor. Este estudio contribuido para enfatizar la práctica del terapeuta ocupacional en el servicio, así como las dificultades a saber:la falta de reconocimiento / conocimiento de la profesión, recursos y espacio. A pesar de las dificultades mencionadas, buscan realizar una atención humanizada, reafirmando los principios y lineamientos del Sistema Único de Salud - SUS, para minimizar los riesgos y promover la atención médica.Palabras clave: Terapia Ocupacional, Atención Primaria de Salud, Salud Familiar. 


1996 ◽  
Vol 59 (5) ◽  
pp. 207-211 ◽  
Author(s):  
Tracy Fortune ◽  
Susan Ryan

This article presents a system of caseload management for community occupational therapists. Using the clinical reasoning work of Mattingly and Fleming as a framework, the perceived complexity of each case for a community occupational therapist was analysed and then paralleled with the type and amount of clinical reasoning required. Following an initial occupational therapy assessment, each case is given a numerical weighting, graded at 3 for complex cases and from 1 for non-complex or simple cases. The degree of complexity or weighting is recognised to be a subjective phenomenon dependent on the experience, knowledge and skills of the therapist. The cases held by an occupational therapist are able to be mixed so that the experienced therapist holds a varied caseload of complex and simple work. Beginning therapists can follow the same measured approach thus augmenting their background experience. This method promotes continuing education, assists experiential learning and provides variety. Using this system, it is proposed that occupational therapy services are enhanced by reducing unnecessary casework from therapists' active caseloads, allowing increased time to work on complex cases and using expertise more efficiently.


1996 ◽  
Vol 59 (5) ◽  
pp. 237-242 ◽  
Author(s):  
Greg Kelly

The term ‘hermeneutic’ has recently been appearing in the occupational therapy literature related to clinical reasoning but without an adequate definition of its meaning. The purpose of this article, therefore, is to offer a simple introduction to the term and discuss how it applies to clinical reasoning, thus providing occupational therapists with some of the language they will need to understand this relatively new concept fully. Drawing on literature from nursing, physiotherapy, psychology and occupational therapy, this article examines a hermeneutic approach to occupational therapy research and practice and, indeed, to an understanding of the concept of occupational therapy itself.


1987 ◽  
Vol 50 (8) ◽  
pp. 259-262 ◽  
Author(s):  
Bridgit Dimond

The legal anxieties and uncertainties arising from their work are increasingly confronting occupational therapists. It is vital that they are aware of the legal implications. These three articles explore the main spheres of legal liability and professional accountability which arise. The first article analyses the main provisions of the criminal law and the civil law. The types of offence with which an occupational therapist could be prosecuted are discussed together with a brief outline of the criminal law procedures. Similarly, the occupational therapist's liability before the civil courts is examined and the main elements, which anyone suing him or her would have to prove, are considered. The basis for the calculation of compensation is also examined.


1982 ◽  
Vol 45 (2) ◽  
pp. 45-48
Author(s):  
E. N. Dunkin ◽  
R. A. Goble

The professions allied to medicine demonstrate considerable overlap when it comes to defining the unique aims, responsiblities and treatment methods of each. Research is needed in order to discriminate the particular quality and/or quantity of each professional contribution. This paper examines the areas of possible collaboration between nurses and occupational therapists by asking and debating several pertinent questions. What evidence suggests that there might be differences between nurses and occupational therapists? Pre-training During training Post-training What is expected of the newly qualified nurse and Occupational Therapist? (in terms of competence to practice) Who makes these demands on the qualified nurse and occupational therapist? Nursing is frequently seen as offering a service to patients with acute problems (prevention or delay of death) whereas Occupational Therapy is traditionally viewed as being involved in long term rehabilitation (acquisition of independence skills, enhancement of social skills, etc.). However, no one can say precisely where the need for nursing plus the patient's efforts, as a complementary pairing, declines and the need for occupational therapy plus the patient's efforts should take over in the recovery process. Measures in this field are notoriously difficult since both nursing and occupational therapy may be added to a series of prior and/or concurrent treatments which may produce additive or cumulative effects in terms of the eventual outcome. Such problems highlight the importance to each profession of identifying and measuring all achievements that are legitimately deemed to be promoted by nurses and occupational therapists. Areas of debateable responsibility are amendable to plotting on a series of dimensions, each having a continuum of dependence/independence of the patient under treatment. These dimensions, in turn, can be classified in many ways. For instance, the type of disorder yields possibilities of looking at physical, psychological or social aspects of illness and recovery. Attempts are urgently needed to identify the points of key ‘efficiency’ for the two professions on these continuums in order to ensure that we will work closely together in the most effective delivery of our professional skills.


1988 ◽  
Vol 51 (1) ◽  
pp. 4-7 ◽  
Author(s):  
George Mocellin

This paper presents a concise definition of occupational therapy incorporating a theoretical concept which, it is suggested, provides the essential underpinning for the profession. It is further suggested that occupational therapists should become more disciplined in dealing with the health problems of patients. General guidelines considered necessary for effective practice are also outlined.


1994 ◽  
Vol 61 (2) ◽  
pp. 72-77 ◽  
Author(s):  
Mary Ann Mccoll

Holism is an idea that occupational therapists use frequently to describe and characterize their practice. And yet, there seems to be some controversy about what it means and what it implies? This paper explores the historical and contemporary meaning of holism, and attempts to project implications for occupational therapy of adopting a strict definition of the holistic practitioner. Implications are explored according to four principles of holistic health care: that the individual is an integrated being, with the capacity to maintain equilibrium; that the goal of health care is the experience of health, not merely the absence of observable signs of illness; that evaluation of health should be a synthesis of understanding of the individual in his or her environment, not an analysis of the individual; and finally, that illness is a normal experience and an opportunity to achieve a higher level of self-awareness and integration with the environment. Each of these principles is explored relative to perceived current practices in the areas of service, research and education in occupational therapy. The paper concludes with a summary of the changes that would be required of the discipline of occupational therapy, if it were to adhere strictly to this definition.


Author(s):  
Pier-Luc Turcotte ◽  
Dave Holmes

Abstract Introduction Despite struggling to establish itself as an autonomous profession, occupational therapy remains extensively regulated and controlled by discursive authorities inside and outside the discipline. After overcoming the profession’s reformist ideals, the military governance that supported its rapid expansion morphed into civil institutions but both were based on similar grounds: occupational therapists should obey a strict set of rules while disobedience and dissent are consistently repressed or silenced. Objective The objective of this article is to deconstruct dominant (consensual) discourses that shape the status quo in occupational therapy and envision alternative paths for the development of the discipline. Method Drawing on the work of Erich Fromm and Jacques Rancière, we propose a (critical) theoretical analysis of the concepts of disobedience and dissensus as they apply to occupational therapists. Results The concepts of disobedience (Fromm) and dissensus (Rancière) can be used to revisit the consensus shaped by discursive authorities inside and outside occupational therapy and expose the political nature of such processes. We argue that remaining oppressive forces similar to those of a warfare regime persist in regulating occupational therapy practice and knowledge by enacting a form of ‘disciplinary propaganda.’ Rather than threatening the development of the discipline, disobedience and dissensus constitute critical responses to disrupt dominant discourses and give rise to healthier concepts. Conclusion The use of politically charged terms such as disobedience or dissensus can be seen as controversial and unsettling for a profession like occupational therapy but we believe they are necessary for the future of our discipline.


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