An Exploratory Study of the Differences between Unidisciplinary and Multidisciplinary Goal Setting in Acute Therapy Services

2008 ◽  
Vol 71 (10) ◽  
pp. 422-426 ◽  
Author(s):  
Clare Thomson ◽  
Linda Black

The purpose of this preliminary study was to examine the differences between unidisciplinary and multidisciplinary therapy goal setting in an acute trust. The ideal goal is thought to be SMART (specific, measurable, achievable, realistic and timely) and related to functional activity. Twenty-one therapists from one acute trust participated in the study. One group of therapists used a unidisciplinary approach to goal setting and one group of therapists used a multidisciplinary approach. Goals were collected over an 8-week period. The goals were scored as SMART and functional by three independent therapists blind to the method of working. Compared with the unidisciplinary goals, the multidisciplinary goals were more frequently SMART (66/76 multi v 11/50 uni, p<0.001) and related to functional activity (64/76 multi v 31/50 uni, p<0.005). Multidisciplinary working seems to result in goals that are more likely to be SMART and functional. Nevertheless, it remains to be discovered whether setting SMART, functional goals improves patient outcomes.

Author(s):  
Chiwon Ahn ◽  
Seungjae Lee ◽  
Jongshill Lee ◽  
Jaehoon Oh ◽  
Yeongtak Song ◽  
...  

This study aimed to assess the effectiveness of a novel chest compression (CC) smart-ring-based feedback system in a manikin simulation. In this randomized, crossover, controlled study, we evaluated the effect of smart-ring CC feedback on cardiopulmonary resuscitation (CPR). The learnability and usability of the tool were evaluated with the System Usability Scale (SUS). Participants were divided into two groups and each performed CCs with and without feedback 2 weeks apart, using different orders. The primary outcome was compression depth; the proportion of accurate-depth (5–6 cm) CCs, CC rate, and the proportion of complete CCs (≤1 cm of residual leaning) were assessed additionally. The feedback group and the non-feedback group showed significant differences in compression depth (52.1 (46.3–54.8) vs. 47.1 (40.5–49.9) mm, p = 0.021). The proportion of accurate-depth CCs was significantly higher in the interventional than in the control condition (88.7 (30.0–99.1) vs. 22.6 (0.0–58.5%), p = 0.033). The mean SUS score was 83.9 ± 8.7 points. The acceptability ranges were ‘acceptable’, and the adjective rating was ‘excellent’. CCs with smart-ring feedback could help achieve the ideal range of depth during CPR. The smart-ring may be a valuable source of CPR feedback.


2021 ◽  
pp. 030802262110300
Author(s):  
Su Ren Wong ◽  
Bi Xia Ngooi ◽  
Fang Yin Kwa ◽  
Xiang Ting Koh ◽  
Rachel J J Chua ◽  
...  

Introduction There is a worldwide trend towards value-based health care, which strives to control healthcare costs while maximising value for clients. The main concept of value has been defined as health outcomes achieved per US dollar spent. This research explored how clients of occupational therapy services, managers and occupational therapists perceived value in occupational therapy services. Method A qualitative design was used to explore the perspectives of clients ( n = 11), occupational therapists ( n = 7) and occupational therapy managers ( n = 7). Appreciative inquiry guided the two phases of semi-structured interviews ( n = 5) and focus groups ( n = 6). Inductive and deductive coding were used to establish themes. Findings Three themes encompassed the participants’ perceived value of occupational therapy services: (1) outcomes which are meaningful to daily life, (2) a constructive client–therapist relationship and (3) affordable, coordinated and understandable therapy. Conclusion Participants attributed value to occupational therapy services when they encountered personalised goal setting, focused on meaningful outcomes, managed personal costs and experienced positive therapeutic relationships. Enhancing services could focus on (1) developing skills in collaborative goal setting, (2) determining suitable outcome measures which are meaningful at personal- and service-level reporting, (3) encouraging self-management strategies, and (4) emphasising therapeutic relationships and supporting therapeutic communication skill development.


Geosciences ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 172 ◽  
Author(s):  
Michela Ricca ◽  
Giuseppe Paladini ◽  
Natalia Rovella ◽  
Silvestro Antonio Ruffolo ◽  
Luciana Randazzo ◽  
...  

This work focused on the study of decorated pottery dated back to the 16th century from the Roman archaeological site of Villa dei Quintili, a monumental complex located in the south-eastern part of Rome (Italy). A minero-petrographic and geochemical study was undertaken to analyse five archaeological samples in order to define textural features and raw materials used for their production, along with the chemical and physical composition of the superficial decorative glazed coatings. For this purpose, different analytical methods were used, such as polarising optical microscope (POM), X-ray diffraction (XRD), micro-Raman spectroscopy, X-Ray fluorescence (XRF), and electron microprobe analysis coupled with energy dispersive spectrometry (EMPA-EDS). The results of such a multidisciplinary approach allowed us to achieve important results crucial to recognise the shards as majolica of the Renaissance period, improving knowledge about manufacturing processes of these renowned painted ceramic artefacts.


1988 ◽  
Vol 51 (12) ◽  
pp. 425-428 ◽  
Author(s):  
Nina Buchanan

This article describes a preliminary study into the implications of management budgeting for occupational therapy services. † In the Derby Unit of Psychiatry, occupational therapists used a database provided by the hospital to determine measurable clinical treatment time, to examine patient contact hours for differing grades of occupational therapy staff, and to determine possible links between time spent in clinical contacts and staff job satisfaction. Although the sample size is small (N= 43 investigated working days), results and discussion give rise to important budgeting implications and suggestions for further study.


1993 ◽  
Vol 21 (1) ◽  
pp. 13-17
Author(s):  
John Willemse

The local availability of needed publications is, from most users′ point of view, probably the most appropriate measure of a library′s effectiveness. Although immediate availability is the ideal, interlending offers a way to improve availability over time. With the goal of maximum availability in the shortest possible time, the interlending section of the Unisa Library has developed a number of performance measures to determine its effectiveness. The performance measures were instrumental in targeting problem areas which could contribute to a more effective service by technological and other means. Briefly describes the rationale behind the performance measures and the actual performance attained, as well as the factors contributing towards their improvement.


2018 ◽  
Vol 12 (2) ◽  
pp. 71-85
Author(s):  
Andrew Seubert

Eating disorders (EDs) require a multidisciplinary approach, rather than a hammer-and-nail perspective. Based upon recent research and more than a decade of clinical experience, this article highlights the need to include a trauma-informed and dissociation-sensitive treatment of EDs. The emphasis is on EDs as a dissociative coping strategy, created in many cases to tolerate the intolerable. Ego state therapy, Gestalt principles, and empty chair technique support the adaptive information processing (AIP) of eye movement desensitization and reprocessing (EMDR) in both metabolizing painful experiences that give rise to EDs and in loosening the stranglehold of anxiety and shame. The acronym RUG-C introduces four universal principles in working with ego states: recognition, understanding, gratitude and goal setting, and collaboration. Relational ruptures between ego states/parts of the client (intrapsychic) and between the client and the world (interpersonal) are created in the client’s efforts to deal with painful experiences both large and small. They are repaired in the therapeutic relationship, in the processing of past trauma, and in the rescue of body image from the power of shame. Three case reports, with transcripts, are provided to illustrate conceptualization and its application.


Mazahibuna ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 194
Author(s):  
Nurul Aulia Dewi ◽  
Abdul Halim Talli

This article seeks to present a comparison of mediation with teleconference media, both within the PERMA and the scholars of the sect. Mediation is an attempt to resolve conflicts by engaging neutral mediators who do not have the authority to make decisions that help the parties in dispute to reach a resolution or solution accepted by both parties. The multidisciplinary approach used in this article is a juridical, sociological, theological-normative and managerial approach. This article is library research, a study by writing, clarifying, and making data obtained from various written sources. The method of data collection is to use document techniques (library studies). Quoting and analyzing data with document techniques is intended to collect related data contained in documents in the form of books, journals, and research results in the form of thesis, thesis, and dissertation. The results found that the most notable differences regarding the limits of mediation with teleconference media were found in the dissent of the Sect scholars. The Shafi and Hanbali sects argue that the ideal age in marriage is 15 years, while Abu Hanfah argues that the age of maturity comes at 19 years of age for women and 17 years for men, as is the case with Imam Malik arguing that the ideal age of manhood is 18 years for both men and women. The differences between the Imams of the Sect are influenced by the environment and culture in which they live. However, in Islamic law itself there is never a very firm limit, but the most basic thing about the age limit of marriage is that it is already in place


2009 ◽  
Vol 31 (2) ◽  
pp. 211-245 ◽  
Author(s):  
Joachim Stoeber ◽  
Mark A. Uphill ◽  
Sarah Hotham

The question of how perfectionism affects performance is highly debated. Because empirical studies examining perfectionism and competitive sport performance are missing, the present research investigated how perfectionism affected race performance and what role athletes’ goals played in this relationship in two prospective studies with competitive triathletes (Study 1: N = 112; Study 2: N = 321). Regression analyses showed that perfectionistic personal standards, high performance-approach goals, low performance-avoidance goals, and high personal goals predicted race performance beyond athletes’ performance level. Moreover, the contrast between performance-avoidance and performance-approach goals mediated the relationship between perfectionistic personal standards and performance, whereas personal goal setting mediated the relationship between performance-approach goals and performance. The findings indicate that perfectionistic personal standards do not undermine competitive performance, but are associated with goals that help athletes achieve their best possible performance.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Inae C. Gadotti ◽  
Corey Hulse ◽  
Julia Vlassov ◽  
Derek Sanders ◽  
Daniela A. Biasotto-Gonzalez

Background. Physical therapy (PT) has been shown to be one of the most effective conservative treatments for temporomandibular disorders (TMD). Not all dentists are aware of the importance of the collaboration with physical therapists in the treatment of TMD pain.Objectives. To determine the awareness of dentists in Florida about the importance of PT for TMD pain and to create awareness related to collaborations.Methods. An online questionnaire was used. A contact list of dentists was obtained from the Florida Dental Association. The overall awareness and information on patient referral were presented per dentist specialty.Results. A total of 256 dentists completed the survey. Prior to the survey, 41% of the dentists reported not aware that PTs can treat TMD patients. Oral surgeons and orthodontists were more aware about PT compared to other specialties. After the survey, 81% of the dentists were more likely to refer their TMD patients to PT, and 80% were interested to know more about the benefits of collaborations.Conclusion. This study shows the lack of dentists’ awareness in Florida about the benefits of PT for TMD treatment. This study increased the awareness of the surveyed dentists in Florida about the benefit from a multidisciplinary approach.


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