‘Why are You doing That?’ A Project to Look for Evidence of Efficacy within Occupational Therapy

1997 ◽  
Vol 60 (11) ◽  
pp. 487-490 ◽  
Author(s):  
M Catherine Conroy
Keyword(s):  
Clinical Practice ◽  
Occupational Therapy ◽  
Special Needs ◽  
Occupational Therapists ◽  
Future Research ◽  
Emotional And Behavioural Problems ◽  
Related Activity ◽  
The Past ◽  
Research Findings ◽  
Therapy Service

Nine occupational therapists working with children agreed to participate in a project designed to extend their awareness of evidence of efficacy in their clinical practice. Successful procedures would be developed for use in other areas of the occupational therapy service in Southampton. The occupational therapists divided themselves into three groups – those working with children whose needs were primarily physical, those working with children with emotional and behavioural problems and those working in mainstream schools with children with special needs – and used the following process to develop the project. They devised a statement related to their clinical practice. Electronic databases were used to search for relevant articles. Papers published during the past 10 years and available locally were distributed to the participating therapists. They reviewed the articles, using an agreed format. The articles were discussed by the therapists at regular meetings, culminating in a summary of the research findings, how they related to clinical practice and priorities for future research. There is evidence of increased research-related activity beyond that required by the project. Requests have been made by occupational therapists in other clinical areas to be included in this process.

Considering Spirituality in Occupational Therapy Practice

1994 ◽  
Vol 61 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Mary Egan ◽  
M. Denise Delaat
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Occupational Performance ◽  
Exact Role ◽  
Therapy Guidelines

Despite its prominent place in the Occupational Therapy Guidelines for client-centred practice, the exact role of spirituality in clinical practice has been difficult to delineate. In this paper current concepts of spirituality are outlined and ways in which these concepts have been applied in health care are described. To illustrate these spiritual concepts, the experiences of individuals whom the authors have met in their clinical practice are outlined in a series of vignettes. Finally, a revision of the model of occupational performance which enhances consideration of spirituality in occupational therapy practice is proposed, and some guidelines for occupational therapists wishing to incorporate spiritual concerns in therapy are suggested.

Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer

2018 ◽  
Vol 81 (7) ◽  
pp. 402-412 ◽  
Author(s):  
Sharon Keesing ◽  
Lorna Rosenwax ◽  
Beverley McNamara
Keyword(s):  
Breast Cancer ◽  
Occupational Therapy ◽  
Women Survivors ◽  
Service Provision ◽  
Potential Role ◽  
Occupational Therapists ◽  
Occupational Engagement ◽  
Barriers And Enablers ◽  
Role Engagement ◽  
Therapy Service

Introduction Little is known about how occupational therapy could assist women survivors of breast cancer and their partners who experience activity and role limitations during survivorship. This study sought to obtain views and consensus among occupational therapists regarding their potential role and the barriers and enablers to this potential service. Method We used a three-round classical Delphi process to determine the views of occupational therapists ( n = 40), and sought consensus (70%) for 49 statements concerning barriers and enablers affecting occupational therapy service provision during survivorship. Thematic analysis was used to determine themes and descriptive statistics to determine consensus level and median for statements. Findings Forty-six statements showed consensus. Themes identified were: (a) women and partners experience unmet needs; (b) gaps exist regarding supportive care; (c) access to comprehensive survivorship support is required; (d) barriers to occupational therapy exist; and (e) occupational therapists offer many supports to improve activity and role engagement for women and partners. Conclusion Occupational therapy is well-positioned to affect improvements in occupational engagement and role participation for women survivors of breast cancer and their partners. However, many barriers are identified. Occupational therapists must advocate the value of occupational therapy during survivorship to facilitate women’s engagement in meaningful activities and roles.

Historical Research: Ordering the Past to Chart Our Future

1986 ◽  
Vol 6 (5) ◽  
pp. 259-269 ◽  
Author(s):  
Ruth Ellen Levine
Keyword(s):  
Occupational Therapy ◽  
Social Movement ◽  
Occupational Therapists ◽  
The State ◽  
Theory And Practice ◽  
Historical Research ◽  
Arts And Crafts ◽  
The Past

Present concerns about the state of theory and practice in occupational therapy can be explained in light of past developments, both successful and unsuccessful efforts. This article explains why occupational therapists still use arts-and-crafts modalities, the practice of which can be traced to early therapists influenced by the philosophy and practices of a social movement that swept across America from 1895 to 1920. This analysis is based on historical research, a methodology not common in occupational therapy literature.

Research in Occupational Therapy: Luxury or Necessity?

1989 ◽  
Vol 52 (9) ◽  
pp. 349-351 ◽  
Author(s):  
Rita E A Goble
Keyword(s):  
Occupational Therapy ◽  
Single Case ◽  
Occupational Therapists ◽  
The Past ◽  
New Methods ◽  
Self Help ◽  
Large Patient ◽  
Personal Approach ◽  
University Department ◽  
Many Sources

Occupational therapists know that practical problems demand practical solutions which are a combination of the intuitive personal approach and planned observation. Observation must be systematic, consistent and deliberate if it is to be accurate and effective. This article recommends that all occupational therapists should have ready access to a university department or local occupational therapy school and that they should concentrate upon concise, appropriate and consistent measures of outcome. The author suggests that therapists start by looking at their own patients, and that, although researchers have traditionally sought large patient samples in the past, this approach may no longer be the most suitable, since newer and innovative approaches to research are now increasingly using single case analysis as an alternative method. Funding has always been difficult and one solution developed by St Loye's School of Occupational Therapy is put forward, that is, the establishment of a Foundation in order to promote research. With a little self-help, occupational therapists can become involved in planned observation and development of new methods. The Health Service review entitled ‘Working for Patients’ highlights the fact that the professional must withstand critical analysis from many sources, and that occupational therapists must clearly identify their product and define their focus. Occupational therapists now have the opportunity to present their observations and prove that they are not merely ‘a dying institution’ but ‘a living and influential force’.

Client-Centred Practice: What does it Mean and Does it Make a Difference?

1995 ◽  
Vol 62 (5) ◽  
pp. 250-257 ◽  
Author(s):  
Mary Law ◽  
Sue Baptiste ◽  
Jennifer Mills
Keyword(s):  
Health Service ◽  
Occupational Therapy ◽  
Functional Outcomes ◽  
Research Evidence ◽  
Occupational Therapists ◽  
Individual Autonomy ◽  
The Past ◽  
Canadian Association ◽  
Key Concepts ◽  
Current Guidelines

During the past 15 years, occupational therapists in Canada, through the Canadian Association of Occupational Therapists, have worked to develop and implement guidelines for practice of a client-centred approach to occupational therapy. One of the difficulties with the current Guidelines for the Client-Centred Practice of Occupational Therapy is the lack of a definition and discussion of the concepts and issues fundamental to client-centred practice. In this paper, key concepts of client-centred practice: individual autonomy and choice, partnership, therapist and client responsibility, enablement, contextual congruence, accessibility and respect for diversity are discussed. Two practice examples are used to illustrate these ideas and raise issues about obstacles to the practice of client-centred occupational therapy. Research evidence about the effectiveness of client-centred concepts in enhancing client satisfaction, functional outcomes and adherence to health service programmes is reviewed.

Getting the Evidence into Practice: The Challenges and Successes of Action Research

2002 ◽  
Vol 65 (7) ◽  
pp. 335-341 ◽  
Author(s):  
Anita Atwal
Keyword(s):  
Clinical Practice ◽  
Action Research ◽  
Health Care Professionals ◽  
Occupational Therapists ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Health And Social Care ◽  
Research Findings ◽  
Discharge Model ◽  
Interprofessional Working

In health and social care, occupational therapists are acknowledging the importance of being evidence-based practitioners. The challenge is not only how to find the evidence but also how to implement research findings or best evidence in clinical practice. Furthermore, the pressure for more effective implementation of research findings is likely to increase. This paper discusses the issues and challenges that occupational therapists may face and must overcome when doing action research from the inside. Action research can be used to improve clinical practice by identifying and solving practical problems. The paper demonstrates the use of action research to change practice by implementing a new interprofessional discharge model with fractured neck of femur patients in an inner-London teaching hospital. The strategies used to help to overcome the challenges of action research are discussed. The main problems encountered were the difficulties in reaching amicable solutions and in empowering health care professionals who often had little or no influence on decision making. While the aims of the research project were not met, it did highlight further areas that needed to be resolved in order to enhance interprofessional working.

Mental Handicap: Why are There So Few Occupational Therapists?

1983 ◽  
Vol 46 (10) ◽  
pp. 282-283 ◽  
Author(s):  
Erica Candlish
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Physical Field ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
The Past ◽  
Part Time ◽  
The Subject ◽  
Do So

The author divides her time between St Loye's and the Langdon Hospital for the mentally handicapped at Dawlish. This article was written as a result of an attendance at a study day on the subject of mental handicap, held in London. The author met with a number of occupational therapists who were working single-handed or with only part-time support. She asked herself the following question: if, each year, hundreds of enthusiastic graduates flow out through the occupational therapy college gates, why do so many jostle for vacancies in the psychiatric or physical field and why do so few turn towards mental handicap? She investigated the subject, listening to a wide variety of suggestions put forward by numerous occupational therapists throughout the past year. She has included those which were a recurring theme.

scholarly journals Barriers of Occupation-based Intervention

2016 ◽  
Vol 1 (4) ◽  
pp. 1
Author(s):  
Ahmad Zamir Che Daud ◽  
Jenni Judd ◽  
Matthew Yau ◽  
Fiona Barnett
Keyword(s):  
Clinical Practice ◽  
Open Access ◽  
Occupational Therapy ◽  
Service Delivery ◽  
Delphi Study ◽  
Publishing House ◽  
Delphi Round ◽  
International Publishing ◽  
Open Access Article ◽  
Therapy Service

A Delphi study with three rounds of inquiry was conducted to identify the barriers of implementing Occupation-based Intervention (OBI) in Malaysia. Fifteen occupational therapy practitioners and educators consented and completed all the Delphi rounds. The first Delphi round began with an open-ended questionnaire asking the participants a broad question on barriers for applying OBI into clinical practice. Data was qualitatively analysed to develop statements about the barriers of applying OBI were grouped under five categories. In the second and third round, the participants were asked to rank their agreement with the statements about the barriers in applying OBI. Twenty-seven statements finally achieved the consensus level.2398-4279 © 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK.. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Occupation, Clinical Practice, Occupational Therapy, Service Delivery

Occupational therapists’ use of yoga in post-stroke care: A descriptive qualitative study

2020 ◽  
pp. 030802262091037
Author(s):  
Alexandra P Andrews ◽  
Karen E Atler ◽  
Jennifer Dickman Portz ◽  
Marieke VanPuymbroeck ◽  
Caroline M Rose ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Stroke Rehabilitation ◽  
Occupational Therapists ◽  
Stroke Care ◽  
The United States ◽  
Structured Interview ◽  
Daily Activities ◽  
Treatment Technique ◽  
Psychosocial Needs ◽  
The Past

Introduction Over the past decade, yoga has gained popularity in health care. The benefits of yoga can go beyond the physical to address the psychosocial and emotional. Such gains can be beneficial for people who have had a stroke. As a leading cause of disability, stroke can lead to challenges returning to daily activities. Occupational therapists may use yoga to promote engagement in daily activities after stroke. This study aimed to understand how and why occupational therapists integrate yoga into stroke rehabilitation. Methods This study involved occupational therapists practicing in the United States. Ten occupational therapists using yoga in practice participated in a semi-structured interview. Interview data were transcribed and analyzed using deductive and inductive coding. Themes emerged from the data related to the benefits of using yoga in stroke rehabilitation. Results According to this study, yoga is currently being used as a treatment technique and merged with occupational therapy. Yoga may promote client-centered recovery; bring “context” to therapy; and address physical, emotional, and psychosocial needs following stroke. Conclusion Individuals who have had a stroke may face challenges related to both physical and psychosocial engagement. The use of yoga in occupational therapy may be beneficial after stroke for both physical and psychosocial rehabilitation.

scholarly journals WEB PLOT DIGITIZER SOFTWARE: CAN IT BE USED TO MEASURE NECK POSTURE IN CLINICAL PRACTICE?

2018 ◽  
Vol 11 (14) ◽  
pp. 86 ◽  
Author(s):  
Suresh Mani ◽  
Shobha Sharma ◽  
Devinder Kaur Ajit Singh
Keyword(s):  
Clinical Practice ◽  
Neck Pain ◽  
Head Tilt ◽  
Future Research ◽  
Clinical Settings ◽  
Digital Photogrammetry ◽  
Validity And Reliability ◽  
The Past ◽  
History Of ◽  
Larger Sample

Objective : The aim of this study was to examine the use of WPD software to evaluate FHP using digital photogrammetry method.Method: A total of 15 adults with no history of neck pain for the past 6 months were recruited for the study. Using digital photogrammetry and sagittal head tilt, craniocervical and shoulder angles (SAs) were measured using a WPD, which is an open resource of web or Windows-based software.Result: Fifteen participants aged 17–40 years (mean 24.7±6.3 years) were examined. Sagittal head tilt and craniocervical angles were 16.35°±8.33° and 47.43°±7.97°, respectively. SA was 52.28°±12.46°.Conclusion: WPD may be used to evaluate FHP in the clinical settings. However, future research is required to determine the validity and reliability of WPD among patients with neck-related musculoskeletal disorders with a larger sample.

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