Clinical Practice: An Approach to the Assessment of Clinical Competencies

1989 ◽  
Vol 52 (6) ◽  
pp. 222-226 ◽  
Author(s):  
Elizabeth Burrows

Kielhofner's model of human occupation has been adapted to provide an additional perspective to the process of assessing students' clinical competencies. This approach could supplement current formal assessment procedures: it considers how motivation, roles, habits and the clinical environment influence performance. Clinical practice is a demanding component of occupational therapy training and students, supervisors and tutors are encouraged to adopt a collaborative perspective to both the placement itself and the assessment process.

Author(s):  
Daniel Marinho Cezar da Cruz

Apresenta-se uma discussão conceitual sobre os termos estrutura de prática, abordagens e modelos a fim de distingui-los. Uma ênfase no Modelo de Ocupação Humana de Gary Kielhofner e sua repercussão no Brasil é discutida à luz dos referenciais brasileiros e estadunidenses. Questionamentos e reflexões são pontuados quanto ao uso de modelos de terapia ocupacional e seus benefícios no país. AbstractA conceptual discussion on the terms framework, approaches and models is presented to distinguish them. An emphasis on Gary Kielhofner's Model of Human Occupation and its repercussion in Brazil is discussed in the light of Brazilian and American references. Questions and reflections are made regarding the use of occupational therapy models and their benefits in the country.Keywords: Foundations; History; Models of practice; Occupational Therapy. 


2020 ◽  
Vol 67 (6) ◽  
pp. 605-614
Author(s):  
Patricia Bowyer ◽  
Lauro Muñoz ◽  
Cynthia Gorter Tiongco ◽  
Melanie Morriss Tkach ◽  
Cary C. Moore ◽  
...  

Author(s):  
Jane O'Brien ◽  
Elizabeth Asselin ◽  
Katie Fortier ◽  
Robin Janzegers ◽  
Beverly Lagueux ◽  
...  

2016 ◽  
Vol 79 (12) ◽  
pp. 727-733 ◽  
Author(s):  
Chia-Wei Fan ◽  
Mary Morley ◽  
Mike Garnham ◽  
David Heasman ◽  
Renee Taylor

Introduction In occupational therapy, there has been an increased interest in patients’ occupational participation within forensic settings. This retrospective study involved a longitudinal analysis of occupational participation within six forensic hospitals in England. The aim was to contribute to the understanding of forensic patients’ occupational participation over a two-year period. Methods The Model of Human Occupation Screening Tool (MOHOST) was rated by 78 occupational therapists on 489 patients in low and medium secure units who were receiving occupational therapy over two years. The many-faceted Rasch Model was used to convert their MOHOST scores at each time point into interval scales. Regression analysis was used to examine changes in occupational participation over time. Results Patients’ overall occupational participation improved over time. Specifically, participation improved in five of the six MOHOST subdomains, which included their motivation for occupation, pattern of occupation, communication/interaction skills, process skills, and environment. Patients did not demonstrate significant change in their motor skills, which varied as expected. In addition, patients in low secure units had better occupational participation than those in medium secure settings. Conclusion Our findings indicated improvements in the patients’ occupational participation over the 2-year period. Further investigations are needed to understand factors contributing to change.


1992 ◽  
Vol 55 (1) ◽  
pp. 7-12 ◽  
Author(s):  
George Mocellin

This article presents an overview of the genesis of the beliefs and values about occupational therapy as they emerged in the USA, reviews some of the factors associated with these developments, and questions the professional relevance of the concept of occupation as promulgated in the model of human occupation. Part 1 provides the background: it offers an historical outline of the beginning of occupational therapy in the USA, reflects on the meaning of occupation, and evaluates the concept of occupation as therapy. Part 2 considers the scientific aspects of occupation from a paradigmatic perspective, and concludes with suggesting that the concept of competence, rather than occupation, has provided and will continue to provide the philosophical underpinning for occupational therapy.


2002 ◽  
Vol 69 (4) ◽  
pp. 205-217 ◽  
Author(s):  
Salvador Simó-Algado ◽  
Nina Mehta ◽  
Franciscus Kronenberg ◽  
Lynn Cockburn ◽  
Bonnie Kirsh

A preventive occupational therapy program with children surviving the Kosovo conflict is examined. The objective of the program was to facilitate the emotional expression of traumatic experiences in order to prevent the development of future psychological problems. The intervention was based on a community-centred approach with spirituality as a central focus of the intervention. The Model of Human Occupation and the Occupational Performance Process Model were utilized to guide the identification and intervention of occupational performance issues. The children's return from a land of war to a land of children demonstrates the potential of occupational therapy intervention in this field. With increasing awareness of populations facing social and political challenges, there is a growing importance of the concept of occupational justice and the need to work against occupational apartheid.


1997 ◽  
Vol 60 (3) ◽  
pp. 103-110 ◽  
Author(s):  
Gary Kielhofner ◽  
Kirsty Forsyth

The model of human occupation has evolved since it was first published. A number of important changes and refinements have been made. These changes reflect research findings, new interdisciplinary theory and insights encountered in practice. This article provides an overview of the current theoretical arguments. These concepts attempt to offer a way of understanding how human occupation is motivated, organised, performed and influenced by the environment. This is followed by a discussion of how occupational therapists can use this framework in their clinical practice.


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