scholarly journals Perceptions of Healthcare Clinicians on Occupational Therapists Providing Services During Well-Baby Visits

2020 ◽  
Author(s):  
Alexis Brenner ◽  
Lauren Kresge ◽  
Trisha MacLeod ◽  
Rebecca McMaster
Keyword(s):  
Primary Care ◽  
Occupational Therapy ◽  
Developmental Delay ◽  
Parent Education ◽  
Primary Care Physicians ◽  
Rating Scale ◽  
Occupational Therapists ◽  
Years Of Experience ◽  
Developmental Guidance ◽  
Occupational Therapy Practitioners

Abstract Background: To explore the perceptions of healthcare clinicians on the involvement of occupational therapists during a well-baby visit to allot for more face-to-face time with a healthcare practitioner and more efficient developmental milestone screening. Due to the high demand of healthcare clinicians, well-baby visits are becoming shorter caused by lack of availability for healthcare professionals to take on the roles of parent education. Occupational therapy practitioners are qualified as developmental specialists. Therefore, occupational therapy practitioners’ involvement in well-baby visits can compensate for this lack of time and allow for additional parent education and screening for developmental delay. Methods: A 13 question survey to quantitatively analyze the perceptions of healthcare clinicians using a Likert-type psychometric rating scale. The Qualtrics XM survey was distributed to licensed practitioners (i.e. primary care physicians, pediatricians, obstetrician-gynecologists, advanced practice clinicians) through Facebook groups and snowball sampling. Data was analyzed using the Statistical Package for the Social Sciences. Results: Majority of clinicians believed the inclusion of occupational therapy during a well-baby visit would be beneficial in providing preventative education and developmental guidance to prevent developmental delay. This research was successful in determining that gender, age, and years of experience did not influence the perceptions of healthcare clinicians in regard to the inclusion of occupational therapy practitioners in primary care. Additional findings indicated that there is a discrepancy between the needs of parents and caregivers and the perceptions of healthcare clinicians regarding the sufficiency of education and resources provided during well-baby visits. Conclusion: Majority of clinicians believed the inclusion of occupational therapy practitioners during a well-baby visit would be beneficial to provide preventative education and developmental guidance to prevent developmental delay. Gender, age, and years of experience did not influence the perceptions of healthcare clinicians in regard to the inclusion of occupational therapy practitioners in primary care. Trial Registration: Retrospectively registered

Exploring Occupational Therapists' Experiences in U.S. Primary Care Settings: A Qualitative Study

2021 ◽  
Vol 76 (1) ◽  
Author(s):  
Stephanie A. Rouch ◽  
Tara C. Klinedinst ◽  
Jennifer S. White ◽  
Natalie E. Leland
Keyword(s):  
Primary Care ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
The United States ◽  
Care Team ◽  
Primary Care Team ◽  
Patient Centered ◽  
Care Experience ◽  
Centered Care ◽  
And Behavior

Importance: Occupational therapy's scope of practice aligns with the goals of comprehensive primary care set forth by the 2010 Patient Protection and Affordable Care Act (Pub. L. 111-148). To successfully integrate occupational therapy into primary care, we must understand occupational therapy practitioners' experiences in this setting. Objective: To explore facilitators of, barriers to, and recommendations for integrating occupational therapy into primary care. Design: A descriptive qualitative design that incorporated semistructured interviews, member checking sessions, and deductive thematic analysis. Interviews were structured to capture occupational therapists' experiences of and recommendations for practicing in primary care. Setting: Primary care. Participants: A purposive sample of licensed occupational therapists with at least 6 mo primary care experience in the United States. Results: Seven participants reported 1 to 8 yr of experience in primary care. Four themes emerged that contextualized the experiences of occupational therapists in primary care. The first theme captured the process of gaining entry onto the primary care team. Once structurally embedded on the team, the second and third themes, respectively, captured barriers and facilitators to navigating team-based care and providing patient-centered care. The fourth theme reflected participants' vision and ideas of how to expand reach nationally to promote consistent integration of occupational therapy into primary care. Conclusion and Relevance: Given the important role of an interprofessional primary care team in improving population health, this study is timely in that it explored occupational therapists' experiences in this emerging practice area. What This Article Adds: Occupational therapists in this study used their skills, resources, and networks to become part of a primary care team. They indicated that they contributed to positive outcomes through working with patients on self-management, functional problem solving, and behavior change.

scholarly journals Role of Occupational Therapy in Pediatric Primary Care: Promoting Childhood Development

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Bonnie R. W. Riley ◽  
Stephanie L. de Sam Lazaro
Keyword(s):  
Primary Care ◽  
Occupational Therapy ◽  
Culturally Responsive ◽  
Childhood Development ◽  
Pediatric Primary Care ◽  
Service Delivery Models ◽  
Primary Care Settings ◽  
Delivery Models ◽  
Occupational Therapy Practitioners

Occupational therapy practitioners have the opportunity to promote development for all children as new service delivery models are established for pediatric primary care. Three action steps are identified: (1) advocacy for legislation that requires developmental screenings and surveillance, (2) support of culturally responsive developmental monitoring, and (3) building evidence for occupational therapy in primary care settings. This article describes the role of occupational therapy practitioners on pediatric interprofessional teams in encouraging family capacity within the scope of health promotion and universal developmental monitoring.

Role of Occupational Therapy in Pain Management

2021 ◽  
Vol 75 (Supplement_3) ◽  
Author(s):  
Keyword(s):  
At Risk ◽  
Pain Management ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Active Engagement ◽  
Interprofessional Teams ◽  
Occupational Therapy Practitioners

The American Occupational Therapy Association (AOTA) asserts that occupational therapists and occupational therapy assistants, collectively referred to as occupational therapy practitioners (AOTA, 2020b), are distinctly prepared to work independently and to contribute to interprofessional teams in the treatment of pain. Occupational therapy practitioners work to ensure active engagement in meaningful occupations for “persons, groups, or populations (i.e., the client)” (AOTA, 2020b, p. 1) at risk for and affected by pain.

Core Skills and Competencies: Part 1, What is Experience?

1993 ◽  
Vol 56 (2) ◽  
pp. 48-50 ◽  
Author(s):  
Vivien Hollis
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Practical Application ◽  
Professional Expertise ◽  
Core Skills ◽  
Head Level ◽  
Occupational Therapy Practitioners

In this first article of a series of four, the focus is on outlining the perception of authors who are concerned with the acquisition of professional expertise. This work is related to the reasons for and the difficulty in defining specifically what occupational therapists do without having to resort to listing technical tasks. This is especially relevant now, more than ever, as occupational therapists are asked to justify and defend local and national career structures in terms of input and outcomes for clients' needs. Part 2 will describe the competency approach as a method of clarifying the input of occupational therapy practitioners. Part 3 will detail research carried out in this field and give examples of the competencies of occupational therapists from basic grade to head level, showing graded levels of expertise. Lastly, part 4 will demonstrate the practical application of this work.

scholarly journals Occupational Therapists’ Interactions With Older Adult Caregivers: Negotiating Priorities and Expertise

2018 ◽  
Vol 39 (1) ◽  
pp. 48-55
Author(s):  
Jennifer L. Womack ◽  
Margareta Lilja ◽  
Virginia Dickie ◽  
Gunilla Isaksson
Keyword(s):  
Occupational Therapy ◽  
Older Adult ◽  
Occupational Therapists ◽  
Care Recipient ◽  
Constructivist Grounded Theory ◽  
Theory Approach ◽  
Care Outcomes ◽  
Adult Caregivers ◽  
Older Adult Caregivers ◽  
Occupational Therapy Practitioners

Although numerous studies have examined provider–caregiver interactions and their influence on care outcomes, few represent the perspective of the provider or specifically consider occupational therapy practitioners. The aim of this article is to explore the perspectives of occupational therapists regarding interactions with older adult caregivers in geriatric practice settings. The study was conducted using a constructivist grounded theory approach based on data obtained from repeated focus group sessions and subsequent individual reflections. Occupational therapy practitioners interact with older adult caregivers in ways that reflect negotiations about who holds expertise and whose priorities are most relevant in care situations. These interactions are influenced by health care contexts that foreground the needs of the care recipient. A deeper understanding of caregiving as an occupation via a transactional perspective may serve to illuminate complex care situations and optimize therapist–caregiver interactions.

Spirituality in Occupational Therapy Practice According to New Graduates

2018 ◽  
Vol 39 (4) ◽  
pp. 197-203 ◽  
Author(s):  
Anna Misiorek ◽  
Edyta Janus
Keyword(s):  
Occupational Therapy ◽  
Quantitative Methods ◽  
Occupational Therapists ◽  
Occupational Therapy Education ◽  
New Graduates ◽  
Qualitative And Quantitative Methods ◽  
Process And Outcome ◽  
Definition Of ◽  
Therapy Education ◽  
Occupational Therapy Practitioners

Occupational therapy practitioners consider spirituality to be significant in affecting the process and outcome of occupational therapy; however, many therapists voice confusion and concern about its application within their practice. This study aimed to describe the personal definition of spirituality of young occupational therapy practitioners and their perspectives on its application to their practice. Thirty-five young occupational therapists, engaged in a postprofessional master’s degree, were interviewed using a self-prepared questionnaire, which included open and close-ended questions. The data was analysed using qualitative and quantitative methods. Most participants defined spirituality as a driving force, which shapes many aspects of life. More than half of the participants considered spirituality as crucial in forming therapeutic relationships. The findings suggest that inclusion of spirituality within occupational therapy education warrants further research.

scholarly journals Evidence-Based Practice in Primary Care Occupational Therapy: A Cross-Sectional Survey in Sweden

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Ann-Charlotte Lindström ◽  
Susanne Bernhardsson
Keyword(s):  
Primary Care ◽  
Occupational Therapy ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Easy Access ◽  
Evidence Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Main Barrier

Introduction. Understanding of attitudes, knowledge, and behaviour related to evidence-based practice (EBP) and guidelines in Swedish occupational therapy is limited. The study aims were to investigate attitudes, knowledge, and behaviour related to evidence-based practice and guidelines of Swedish occupational therapists in primary care.Methods. A web-based survey of 94 Swedish primary care occupational therapists (response rate 53.7%). Data were analysed using logistic regressions.Results. Attitudes towards EBP and guidelines were highly positive (97%–98%). About half of the respondents reported confidence in finding and using evidence. Almost two-thirds reported being aware of guidelines and 47% knowing where to find guidelines. Four-fifths stated that they had easy access to guidelines and 75% that they used guidelines frequently. Men were more likely to feel confident to find research (OR 8.58, 95% CI 1.03 to 71.66;p=0.047) and have easy access to guidelines (OR 9.10, 95% CI 1.94 to 42.83;p=0.005). Occupational therapists older than 50 years were more likely to integrate patient preferences with guideline use (OR 6.44, 95% CI 1.14 to 36.57;p=0.035). Few reported reading scientific articles, and many expressed uncertainty in finding research. The main barrier for using guidelines was reported to be lack of time.Conclusion. Although attitudes among primary care occupational therapists towards EBP are positive and a large proportion report using guidelines, many state that they want to learn more and improve their evidence-based practice skills. The findings suggest that education measures need to be taken to address the identified shortcomings.

scholarly journals Clinician-Reported Barriers to Group Visit Implementation

2016 ◽  
Vol 7 (3) ◽  
pp. 188-193 ◽  
Author(s):  
Beth A. Careyva ◽  
Melanie B. Johnson ◽  
Samantha A. Goodrich ◽  
Kyle Shaak ◽  
Brian Stello
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Response Rate ◽  
Research Network ◽  
Years Of Experience ◽  
Group Visits ◽  
Group Visit ◽  
Practice Based Research ◽  
Primary Care Clinicians

Background: Group visits have been shown to improve disease-oriented outcomes and satisfaction, yet many clinicians have not incorporated them into practice. We aimed to identify clinician-reported barriers that preclude clinicians from implementing group visits. Methods: Primary care physicians from one practice-based research network were surveyed regarding their experience with and barriers to group visits. The survey, developed for this study, was mailed to 246 clinicians. Results: Of 107 respondents (44% response rate), those in practice <10 years were significantly more likely to have had group visit experience than those with >10 years of experience. For those without prior group visit experience, training was named as the top barrier to incorporating group visits. Those with group visit experience named staffing concerns and recruitment as the top barriers to group visit implementation. Conclusions: Primary care clinicians without prior group visit experience were less likely to endorse group visits. Addressing the modifiable barriers may enhance the incorporation of group visits into practice.

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