Narrative Methods: Talk, Listening and Representation

2003 ◽  
Vol 66 (4) ◽  
pp. 136-142 ◽  
Author(s):  
Teena Clouston
Keyword(s):  
Occupational Therapy ◽  
Qualitative Methodology ◽  
Social Care ◽  
Relevant Literature ◽  
Occupational Therapists ◽  
Narrative Methods ◽  
Health And Social Care ◽  
Narrative Process ◽  
Emerging Themes ◽  
The Voice

The involvement of the user in decisions about his or her own health and social care has become a key element of the changes encapsulated in the Government's legislation. Listening to the service user and responding to his or her needs is an integral part of that change. Occupational therapy philosophy has always engendered client-centred practice and, therefore, listening to and valuing the voice of the user. Now, more than ever, occupational therapists have to show that this is an integral part of their everyday practice. Narrative is one method that could be used to explore the lived experiences of users of occupational therapy. This study explored the relevant literature about narrative using qualitative methodology. The emerging themes from the data suggest that narrative, in its varied forms, could be a useful tool in clinical and research-based occupational therapy activity. Also, occupational therapists' own approach and reflexivity within the narrative process are key elements in the effectiveness of this technique.

scholarly journals Occupational therapists’ experiences of enabling people to participate in sport

2020 ◽  
pp. 030802262097394
Author(s):  
Deborah Bullen ◽  
Channine Clarke
Keyword(s):  
Qualitative Study ◽  
Occupational Therapy ◽  
Thematic Analysis ◽  
Social Care ◽  
Occupational Therapists ◽  
Phenomenological Approach ◽  
Scope Of Practice ◽  
Local Populations ◽  
Care Services ◽  
Health And Social Care

Introduction In response to growing demands on health and social care services there is an emphasis on communities addressing the needs of local populations to improve lives and reduce inequalities. Occupational therapists are responding to these demands by expanding their scope of practice into innovative settings, such as working with refugees, the homeless and residents of nursing homes, and within sport and leisure environments. The benefits of sport are widely acknowledged, and this paper argues that occupational therapists could play a pivotal role in enabling people to participate. Method This qualitative study drew on a phenomenological approach and used interviews and thematic analysis to explore five occupational therapists’ experiences of enabling people to participate in sport. Findings Findings revealed that participants demonstrated the uniqueness of occupational therapy when enabling people to participate in sport and practised according to their professional philosophy. There were opportunities to reach wider communities and promote the value of occupational therapy by collaborating with organisations, but there were also challenges when working outside of traditional settings. Conclusion The study emphasises the unique skills occupational therapists can bring to this setting. It highlights opportunities to expand their practice, to forge new partnerships in sports and leisure environments, and to address the national inactivity crisis.

Occupational Therapy in Social Services: A Missed Opportunity?

2002 ◽  
Vol 65 (11) ◽  
pp. 502-508 ◽  
Author(s):  
Jill Riley
Keyword(s):  
Occupational Therapy ◽  
Social Services ◽  
Social Care ◽  
Occupational Therapists ◽  
Local Health ◽  
Theory Approach ◽  
Initial Separation ◽  
Health And Social Care ◽  
Therapy Services ◽  
Missed Opportunity

The College of Occupational Therapists' recent document, A Strategy for Modernising Occupational Therapy Services in Local Health and Social Care Communities - a Consultation (COT 2002), has provoked debate within the profession on the future delivery of occupational therapy services across health and social care. This seems an appropriate time to reflect on events of 30 years ago when, following the initial separation of health and social services, the profession was faced with the dilemma as to where occupational therapists should be located. This paper looks at the events and issues influencing the profession's decisions then, using a grounded theory approach and drawing on literature and documentation. At that time, discussions raised concerns about the division of skills, adherence to the ethical code and the status within the profession of occupational therapists working in local authorities. The profession's immaturity, lack of autonomy and medical orientation were key factors in influencing its response, which focused on drawing all occupational therapists into the health service. Despite lengthy discussions and consultations, the profession could not influence events and some local authority occupational therapists automatically became part of the newly set-up social services departments. Analysis reveals a possible missed opportunity to establish a firm foundation for occupational therapy in social services, the consequences of which are still evident today.

scholarly journals Facilitating integrated delivery of services across organisational boundaries: Essential enablers to integration

2017 ◽  
Vol 80 (5) ◽  
pp. 302-309
Author(s):  
Stephanie Best
Keyword(s):  
United Kingdom ◽  
Qualitative Study ◽  
Service Provision ◽  
Social Care ◽  
Occupational Therapists ◽  
Leadership Communication ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Integration Of Services ◽  
Integrated Delivery

Introduction Integrating services is a key tenet to developing services across the United Kingdom. While many aspects of integration have been explored, how to facilitate integration of services remains unclear. Method An exploratory qualitative study was undertaken in 2015 to explore occupational therapists’ perceptions on integrating service provision across health and social care organisational boundaries. The views of practitioners who had experienced integration were sought on a range of aspects of integrating services. This paper focuses on the facilitators for delivering integration and the essential enablers are identified. Findings Numerous factors were noted to facilitate integration and three essential enablers were highlighted. Leadership, communication and joint education were recognised as playing a central role in integrating services across organisational boundaries; without these three essential enablers, integration is liable to fail. Conclusion Integration is a process rather than an event; continued emphasis will be required on leadership, communication and joint education to progress integration achievements made to date.

Impact of occupational therapy in an integrated adult social care service: Audit of Therapy Outcome Measure Findings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sharon J. Davenport
Keyword(s):  
Occupational Therapy ◽  
Social Care ◽  
Outcome Measure ◽  
Care Service ◽  
Data Gathering ◽  
Sampling Bias ◽  
Therapy Outcome ◽  
Social Care Service ◽  
Content Type ◽  
Health And Social Care

PurposeHealth and social care services should demonstrate the quality of their interventions for commissioners, patients and carers, plus it is a requirement for occupational therapists to measure and record outcomes. Use of the “Therapy Outcome Measure” (TOMs) standardised tool was implemented by an occupational therapy adult social care service to demonstrate outcomes from April 2020, following integration to a community NHS Trust.Design/methodology/approachThe aim was to demonstrate occupational therapy outcomes in adult social care through a local audit of the TOMs. The objective was to determine if clients improved following occupational therapy intervention in the four domains of impairment, activity, participation and wellbeing/carer wellbeing. 70 cases were purposively sampled over a 2-month timeframe, extracting data from the local electronic recording system.FindingsOccupational therapy in adult social care clearly makes an impact with their client group and carers. Evidence from the dataset demonstrates clinically significant change, as 93% of clients seen by adult social care occupational therapy staff showed an improvement in at least one TOMs domain during their whole episode of care. 79% of activity scores, 20% of participation scores and 50% of wellbeing scores improved following intervention. 79% of carer wellbeing scores improved following occupational therapy.Research limitations/implicationsThe audit did not collect data on uptake from the separate teams (equipment, housing, STAR and adult social care work) in occupational therapy adult social care. Potential sampling bias occurred as cases with completed scores only were purposively sampled. Sampling was not random which prevented data gathering on uptake of TOMs across the separate teams. Additionally, the audit results can only be applied to the setting from which the data was collected, so has limited external validity.Originality/valueThese novel findings illustrate the valuable and unique impact of occupational therapy in this adult social care setting. The integration of adult social care into an NHS Community Trust has supported the service to measure outcomes, by utilising the same standardised tool in use by allied health professions across the Trust.

A Survey of Current Occupational Therapy Practice for Parkinson's Disease in the United Kingdom

2003 ◽  
Vol 66 (5) ◽  
pp. 193-200 ◽  
Author(s):  
K H O Deane ◽  
C Ellis-Hill ◽  
K Dekker ◽  
P Davies ◽  
C E Clarke
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
United Kingdom ◽  
Occupational Therapy ◽  
Social Services ◽  
Postgraduate Training ◽  
Controlled Trial ◽  
Occupational Therapists ◽  
The United Kingdom ◽  
Health And Social Care

Little is known about the current character of occupational therapy practice for Parkinson's disease in the United Kingdom. The study aimed to document this in order to inform plans for a future multicentre randomised controlled trial. Two hundred and forty-two occupational therapists that treated people with Parkinson's disease were sent a questionnaire regarding demographics, service organisation and therapy content. One hundred and sixty-nine occupational therapists (70%) responded. They had worked with people with Parkinson's disease for a median of 6 years and personally treated a median of 15 people with Parkinson's disease annually. Most (86%) were at senior grade or above; 87% worked in the National Health Service and 12% in social services. Forty per cent worked in specialist Parkinson's disease clinics. Most (79%) felt that they needed more specialist postgraduate training. Occupational therapists are employed in both health and social care settings. The character of the occupational therapy is often determined by the location in which it is provided. Current occupational therapy appears to focus on functional activities rather than on the wider social and psychological aspects of occupation. Many occupational therapists felt that they needed more specialist postgraduate training to treat people with Parkinson's disease effectively.

scholarly journals PERSONAL NARRATIVES OF AGING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S757-S757
Author(s):  
Louise Taylor ◽  
Jan Bailey ◽  
Paul Kingston ◽  
Charlotte Eost-Telling
Keyword(s):  
Social Care ◽  
Social Research ◽  
Personal Narratives ◽  
Cohort Effects ◽  
Written Narratives ◽  
Narrative Methods ◽  
Person Description ◽  
Health And Social Care ◽  
Age Cohort ◽  
Personal Understanding

Abstract This presentation reflects on self-written narratives from respondents to a mass observation directive, focusing on the experiences of growing older. Narrative methods are theoretically and methodologically diverse, and are helpful in social research to understand events or happenings in human lives. This data presents accounts from a heterogeneous sample in the form of self-penned responses. These experience-centred narratives bring stories of personal understanding into being by means of the first person description of past, present, future or imaginary experiences. This presentation will focus on the findings with reference to physical and mental impacts, both real and anticipated. We will also explore themes arising from the data including gender differences, age-cohort effects and stigma. The data can be used to inform Health and Social Care education and practice, particularly in co-producing appropriate person-centred services with older people.

Occupational therapy training on palliative and end-of-life care: Scoping review

2020 ◽  
Vol 83 (10) ◽  
pp. 609-619
Author(s):  
Claudia Talbot-Coulombe ◽  
Manon Guay
Keyword(s):  
Occupational Therapy ◽  
End Of Life ◽  
Scoping Review ◽  
End Of Life Care ◽  
Relevant Literature ◽  
Occupational Therapists ◽  
Unique Contribution ◽  
Life Care ◽  
Educational Strategies ◽  
Care Training

Introduction While occupational therapists promote quality of life enabling occupation, many receive little to no training on palliative and end-of-life care. This study synthesizes relevant literature to find out what is known about training for them on this matter. Methods A scoping review using Arksey and O’Malley’s five-stage framework exploring literature on palliative and end-of-life care training in occupational therapy (French or English; undergraduate or graduate). The first author screened the titles, abstracts, and keywords and selected literature to be read by the teams to extract and include relevant knowledge. Corroborated thematic analysis synthesized the findings. Result Out of the 384 publications initially identified, 25 were included in the review. To be trained in palliative and end-of-life care, occupational therapists have to (a) be exposed to knowledge on specific (b) topics required for competent practice using (c) educational strategies supporting learning about palliative and end-of-life care. Conclusion Whereas introductory-level knowledge of palliative and end-of-life care should be offered to all students, advanced training should allow occupational therapists to master the philosophy of this type of care, deepen the understanding of topics such as being confronted with death, and empower them to advocate for their unique contribution.

Institutional Entrepreneurship in Hostile Settings: Health and Social Care Partnerships in Scotland, 2002–05

2012 ◽  
Vol 30 (6) ◽  
pp. 1100-1115 ◽  
Author(s):  
Tom Forbes
Keyword(s):  
Qualitative Methodology ◽  
Social Care ◽  
Secondary Data ◽  
Institutional Entrepreneurship ◽  
Change Initiatives ◽  
Implementing Change ◽  
Care Services ◽  
Partnership Model ◽  
Urban City ◽  
Health And Social Care

Using institutional entrepreneurship theory, I examine the emergence of a novel partnership model in Scotland between 2002 and 2005 to deliver health and social care services. Utilising a qualitative methodology based on interviews and secondary data, I investigate how health and social care managers in a large urban city area acted as institutional entrepreneurs. By engaging in institutional work at a microlevel, mesolevel, and macrolevel, these managers overcame institutional pressure to implement a centrally mandated partnership model advocated by the then Scottish Executive. The study suggests that institutional entrepreneurship is a specific form of change management that can provide unique insights into the political and negotiative processes involved in implementing divergent change in the face of local and national resistance and offers guidance to policy makers and practitioners in framing and implementing change initiatives.

How do Clients with Learning Disabilities Evaluate their Experience of Cooking with the Occupational Therapist?

1998 ◽  
Vol 61 (3) ◽  
pp. 106-110 ◽  
Author(s):  
Jane Melton
Keyword(s):  
Learning Disabilities ◽  
Occupational Therapy ◽  
Qualitative Methodology ◽  
Research Study ◽  
Occupational Therapists ◽  
Teaching Skills ◽  
Structured Interviews ◽  
Client Group ◽  
Vital Element ◽  
Individualised Treatment

This research study set out to establish the views of five clients with mild learning disabilities. Qualitative methodology was employed, with particular focus given to occupational therapy and the activity of cooking. Semi-structured interviews were carried out in the clients' own environment. Following analysis, the data revealed that clients have powerful individual views regarding the meaning of cooking. The individual's role and routine in this activity was seen to vary greatly. The occupational therapists were perceived as being sensitive to individual circumstances and assistive in developing clients' skills and confidence in the tasks. The empowering style used by the occupational therapists was highlighted as an important element in the clients' development of control over the activity. The therapists were perceived as having a number of different roles according to the stage of intervention, including supporter, teacher and facilitator. A respectful attitude towards the client was determined as being a vital element of the therapy. The study concludes that occupational therapy is valuable for teaching skills to and empowering clients with mild learning disabilities. The recommendations suggest that individualised treatment programmes are required for successful intervention. Furthermore, subsequent research into the meaning of other occupations to clients with learning disabilities would provide greater understanding of the needs of this client group in relation to occupational therapy.

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