A Pilot Study of Client Satisfaction: An Occupational Therapy Duty System in an Occupational Therapy Bureau

2000 ◽  
Vol 63 (3) ◽  
pp. 131-136
Author(s):  
Rachel Dean
Keyword(s):  
Pilot Study ◽  
Occupational Therapy ◽  
Client Satisfaction ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Accurate Information ◽  
The Public ◽  
Telephone Interviews ◽  
Assessment Visit ◽  
High Level

The duty system is the telephone referral system for the Kent Occupational Therapy Bureau service for members of the public and health professionals. The duty rota is staffed by occupational therapists and rehabilitation coordinators. This evaluation aimed to determine the quality and equity of the service in relation to client satisfaction. Over a 2-week period, telephone interviews were conducted using a questionnaire. All members of the public who telephoned to make a referral and had had no prior contact with the bureau were eligible for the study. The duty system was shown to provide a consistently high level of service in all areas evaluated. However, those interviewed expressed dissatisfaction with the predicted time of wait for an assessment visit and the lack of accurate information regarding this wait. This pilot study demonstrates that an occupational therapist may not be needed to fulfil the role of duty officer. A trained duty officer with an occupational therapist available for consultation can provide the service, thereby freeing occupational therapists to undertake assessments and reduce waiting lists. More accurate information and regular contact from the bureau regarding the waiting time for an assessment is required to reduce dissatisfaction.

A Model for Community Occupational Therapy Practice, Stage 1

1993 ◽  
Vol 56 (5) ◽  
pp. 169-172 ◽  
Author(s):  
Christine A Mayers
Keyword(s):  
Pilot Study ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Lifestyle Questionnaire ◽  
Stage 1

This article describes the first stage of a client-centred model, being developed by the author, for community occupational therapy practice. The key objective of this stage is to have the client identify his/her needs before the occupational therapist makes the first visit. The tools of the first stage, a contact letter and a Lifestyle Questionnaire, have been used in a pilot study by occupational therapists around the country. A summary of the results of this study is given.

Development of a Tool to Measure Clinical Competence in Occupational Therapy: A Pilot Study?

2000 ◽  
Vol 67 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Penny Salvatori ◽  
Sue Baptiste ◽  
Maureen Ward
Keyword(s):  
Pilot Study ◽  
Occupational Therapy ◽  
Clinical Competence ◽  
Discharge Planning ◽  
Program Planning ◽  
Occupational Therapists ◽  
Chart Audit ◽  
Supervisor Ratings ◽  
Stimulated Recall

Clinical competence is generally defined as a combination of knowledge, skill and professional behaviour. It is typically assessed using written tests, direct observation, chart audit, client satisfaction surveys and supervisor ratings. This paper describes the development and evaluation of a chart-stimulated recall (CSR) measure that combines the methods of chart audit and clinician interview to assess the clinical competence of practicing occupational therapists. The CSR tool was developed using the Canadian Guidelines for Client-Centred Practice and taps global domains of competence: use of theory, assessment, program planning, intervention, discharge planning, follow-up, program evaluation, clinical reasoning and professional behaviours. This pilot study involved two independent raters/interviewers who assessed twelve occupational therapy clinicians on two occasions using a random sample of client cases/records on each occasion Results indicate that the CSR tool is not only reliable and valid, but also sufficiently generic to be used in a variety of practice settings as a global measure of on-the-job performance.

scholarly journals Atuação do terapeuta ocupacional no NASF: reflexões sobre a prática/Occupational therapist at the NASF: reflections on practice

2019 ◽  
Vol 3 (4) ◽  
pp. 569-583
Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Family Health ◽  
Occupational Therapists ◽  
Structured Interview ◽  
Physical Structure ◽  
Occupational Therapist ◽  
Health Networks ◽  
Unified Health System ◽  
The Family

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. 

Applying Clinical Reasoning: A Caseload Management System for Community Occupational Therapists

1996 ◽  
Vol 59 (5) ◽  
pp. 207-211 ◽  
Author(s):  
Tracy Fortune ◽  
Susan Ryan
Keyword(s):  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Therapy Assessment ◽  
Therapy Services ◽  
Subjective Phenomenon ◽  
Experienced Therapist ◽  
Perceived Complexity ◽  
Complex Cases

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.

scholarly journals Beyond Brushing Teeth: Pilot Study Reveals Community Based Opportunities to Promote Oral Care for Clients with a Spinal Cord Injury

2013 ◽  
Author(s):  
Amy Sullivan ◽  
Christy Morgan
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pilot Study ◽  
Occupational Therapy ◽  
Health Care Services ◽  
Oral Care ◽  
Occupational Therapists ◽  
Community Based ◽  
Cord Injury ◽  
Dental Offices

OBJECTIVE: This study identified opportunities for occupational therapists serving those with a spinal cord injury needing community based dental care. METHODS: Dental professionals answered survey questions on attitudes toward treating clients with a spinal cord injury, knowledge of transfer skills, occupational therapy as a community resource, and dental clinic physical design. The data collected for this pilot study were analyzed using descriptive statistics. RESULTS: The participants revealed hesitation toward treating these clients, some knowledge of occupational therapy as a community referral source, limited knowledge for transfer skills, and questionable clinic designs for meeting accessibility guidelines. CONCLUSIONS: Findings from this pilot study should spark interest in more similar study’s and expand sample size. Based upon the initial findings, it would seem occupational therapists should search for appropriate dental offices in which to refer clients with a spinal cord injury. In addition, occupational therapists could serve as consultants to local dental clinics ensuring adequate quality of care for a variety of disabilities. Ultimately, the profession is uniquely positioned to educate clients and providers promoting utilization of community oral health care services.

Legal Aspects of Occupational Therapy: Part 1

1987 ◽  
Vol 50 (8) ◽  
pp. 259-262 ◽  
Author(s):  
Bridgit Dimond
Keyword(s):  
Occupational Therapy ◽  
Criminal Law ◽  
Civil Law ◽  
Occupational Therapists ◽  
Legal Liability ◽  
Legal Aspects ◽  
Occupational Therapist ◽  
Professional Accountability ◽  
Legal Implications ◽  
Civil Courts

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.

Nursing and Occupational Therapy: Focus for the Future

1982 ◽  
Vol 45 (2) ◽  
pp. 45-48
Author(s):  
E. N. Dunkin ◽  
R. A. Goble
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Recovery Process ◽  
Occupational Therapist ◽  
Social Aspects ◽  
Process Measures ◽  
Training Post ◽  
Effective Delivery ◽  
Eventual Outcome

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.

scholarly journals The (dis)obedient occupational therapist: A reflection on dissent against disciplinary propaganda

2021 ◽  
Vol 29 ◽  
Author(s):  
Pier-Luc Turcotte ◽  
Dave Holmes
Keyword(s):  
Occupational Therapy ◽  
Theoretical Analysis ◽  
Occupational Therapists ◽  
Status Quo ◽  
Occupational Therapist ◽  
Rapid Expansion ◽  
The Political ◽  
Erich Fromm ◽  
The Status ◽  
The Military

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.

Sign in / Sign up

Export Citation Format

Share Document