A Worthwhile Collaboration: Integrating Optometry and Occupational Therapy in the Treatment of Children

2020 ◽  
pp. 221-236

Background: Vision deficits are highly prevalent in children with neurodevelopmental disorders including those with motor delays, learning and reading difficulties, and maladaptive behaviors. These deficits can interfere with their participation and performance in everyday life activities and therefore, require a comprehensive approach to therapy. As such, optometrists and occupational therapists are an optimal team to provide interprofessional collaborative care, reported in research as best practice, in the treatment of these children. However, little is known about the long-called-for collaboration between these professions. The purpose of this study was to explore factors and implications associated with a collaborative practice between optometrists and occupational therapists in the co-management of vision deficits in the pediatric population. Methods: A qualitative, descriptive design was employed to explore perceptions of collaborative practice among teams of optometrists and occupational therapists in the remedial care of children with visual deficits. Following IRB approval, co-located optometrists and occupational therapists were recruited for this study. Semistructured interviews served as the primary data collection tool to investigate the factors and implications of collaborative practice. Results: Eleven professionals provided informed consent and took part in this study, including five occupational therapists and six optometrists. Following thematic analysis, four overarching themes emerged including 1) professional boundaries, 2) co-located, integrated practice, 3) professional growth, and 4) improved patient care. Participants indicated that although barriers exist, exercising humility, upholding patient-centered focus, maintaining mutual respect, communicating frequently, and co-location were factors that enable collaboration. Positive outcomes related to both the provider and the patient were further highlighted supporting the interprofessional collaboration between these professionals. Conclusions: The findings of this qualitative study add to the body of evidence underpinning interprofessional collaborative practice. Furthermore, this study supports the coordination of care, through optometry and occupational therapy collaboration, in the treatment of visual deficits in children with special needs.

1983 ◽  
Vol 50 (5) ◽  
pp. 165-169 ◽  
Author(s):  
Marilyn Ernest

The Canadian Journal of Occupational therapy (CJOT) is the only Canadian refereed professional publication reflecting the views and professional development of occupational therapists in Canada. A study of all issues of CJOT published during three five-year periods was carried out to see if CJOT could be said to be improving in terms of reflecting professional trends. Some areas examined were quantity of articles, type of articles, references, authors and citations. It was found that although CJOT did reflect professional growth in many areas, there were a number of areas needing improvement before CJOT could be considered to be the primary professional publication for occupational therapists in Canada.


Author(s):  
Portia Leasilane ◽  
Clinton Aigbavboa

This study examines the influence of job dissatisfaction on absenteeism and employee turnover. This is because it has been observed that many construction projects are facing challenges relating to the delivering of defective work, delayed project completion and cost overruns in most cases; and job dissatisfaction has been identified as one of the factors contributing to these challenges encountered in the construction industry. The study was conducted with reference to existing theoretical literature (secondary data) and the use of a structured questionnaire survey for the primary data collection. The questionnaire survey was distributed amongst construction professional in the South African construction industry. The findings from the questionnaire survey revealed that the aspects associated with job dissatisfaction which brings about absenteeism and employee low productivity include: salary issues, incentives, professional growth, working relationship as well as enforcement of fair policies. These factors were rated by the study respondents as the most influential factors of absenteeism and employee turnover in the South African construction industry. This study contributes to the body of knowledge relating to the influence of job dissatisfaction on absenteeism and employee turnover in the South African construction industry.


2000 ◽  
Vol 67 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Jack Kasar ◽  
Mary E. Muscari

The ever-changing, dynamic practice environment coupled with increased consumer needs and awareness create an atmosphere that requires optimal professionalism from occupational therapists. Professionalism requires specific knowledge, attitudes, and values — all manifested by professional behaviours. The authors assume that professional behaviours mature through a natural developmental process; a process that requires careful nurturing on the part of educators and clinical supervisors. Based on this assumption, the authors propose this conceptual model based on Erikson's life cycle stages. The model implies that occupational therapy professional behaviours develop sequentially through stages that begin during the educational process of occupational therapists, and progress throughout their career. The purpose of this model is to provide a framework for educators and supervisors to nurture professional behaviours in students and novice clinicians, and to continue their own professional growth.


Author(s):  
Katie Kruszynski ◽  
Jackie Leeseberg ◽  
Tommy Loranger ◽  
Courtney O'Keeffe ◽  
Haley Pfafman ◽  
...  

Introduction Background: Occupational therapists (OT) and speech-language pathologists (SLP) are unique within their skills. Both professions work closely together in a collaborative manner to improve child and family outcomes. Purpose:The aim of this study is to develop evidence based interprofessional educational modules to improve outcomes between occupational therapists and speech-language pathologists when working with a child who demonstrates sensory processing disorder. Aim of the study: 1.Understand the impact of interprofessional collaboration OTs and SLPs when working with a child with sensory processing deficits 2.Understand the influence of educating SLPs on sensory processing 3.Demonstrate the Methodology Research Design: Mixed Methods Study using Pre-test Post-test and Qualitative Method Initial stage of study: 5 Speech Language Pathologists to determine Face Validity and 5 Occupational Therapists to determine Content Validity. Results Phase 1: Complete Phase 2: Recruitment is to begin September 2018 Phase 3: Recruitment to begin Spring 2019 Conclusions Conclusion to be determined upon Phase 2 CompletionImplications for practice: In this study, we have sought to demonstrate the value of interprofessional collaboration between occupational therapy and speech therapy graduate students treating sensory processing issues in pediatric clients. There is a growing body of research emphasizing sensory processing as an important component of human behavior, affecting health care practices and increasing among children in the United States (Dunn, 2007). Individuals with sensory processing challenges, mostly children, can experience disruptions to their daily routines, decreased participation at home and school, and attention issues that cause challenges during speech therapy sessions and that may hinder treatment outcomes. Our study has aimed to increase the body of knowledge pertaining to sensory processing challenges in relation to speech therapy specifically, such as ways that speech therapists can identify sensory processing challenges among their pediatric clients and make necessary referrals for occupational therapy services to increase therapy outcomes, as well as to demonstrate effective collaboration and interprofessional education practices between  occupational therapists and speech therapists to be furthered by future research. 


2018 ◽  
Vol 15 (2) ◽  
pp. 1-20
Author(s):  
Sabri Embi ◽  
Zurina Shafii

The purpose of this study is to examine the impact of Shariah governance and corporate governance (CG) on the risk management practices (RMPs) of local Islamic banks and foreign Islamic banks operating in Malaysia. The Shariah governance comprises the Shariah review (SR) and Shariah audit (SA) variables. The study also evaluates the level of RMPs, CG, SR, and SA between these two type of banks. With the aid of SPSS version 20, the items for RMPs, CG, SR, and SA were subjected to principal component analysis (PCA). From the PCA, one component or factor was extracted each for the CG, SR, and RMPs while another two factors were extracted for the SA. Primary data was collected using a self-administered survey questionnaire. The questionnaire covers four aspects ; CG, SR, SA, and RMPs. The data received from the 300 usable questionnaires were subjected to correlation and regression analyses as well as an independent t-test. The result of correlation analysis shows that all the four variables have large positive correlations with each other indicating a strong and significant relationship between them. From the regression analysis undertaken, CG, SR, and SA together explained 52.3 percent of the RMPs and CG emerged as the most influential variable that impacts the RMPs. The independent t-test carried out shows that there were significant differences in the CG and SA between the local and foreign Islamic banks. However, there were no significant differences between the two types of the bank in relation to SR and RMPs. The study has contributed to the body of knowledge and is beneficial to academicians, industry players, regulators, and other stakeholders.


2020 ◽  
pp. 030802262097394
Author(s):  
Deborah Bullen ◽  
Channine Clarke

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.


2021 ◽  
pp. 153944922110054
Author(s):  
Sharon A. Gutman

Although occupational therapists were once integrally involved in mental health practice, the percentage of therapists presently working in this clinical area is low. In 2017, the American Occupational Therapy Foundation convened a planning grant collective (PGC) to generate research to support populations with serious mental health challenges. The PGC’s primary mission was to identify key research areas in which occupational therapists and colleagues could work collaboratively to demonstrate evidence for occupational therapy services supporting mental health community participation. Participants included 21 members from six professions and three program officers from federal funding establishments. The PGC identified seven overarching research concepts, three broad areas of research inquiry, and eight possible studies addressing occupational therapy’s contribution to research promoting community participation and health outcomes for people with mental illness. This article provides a summary of the PGC proceedings so that researchers can collaboratively implement identified research topics.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Company-Morales ◽  
A Fontalba-Navas ◽  
M F Rubio-Jimenez ◽  
V Gil-Aguilar ◽  
J P Arrebola

Abstract Introduction Persistent Toxic Substances (PTS) are substances that are characterized by the cumulative effect at low doses inside the body. Exposure to PTS in pregnant and breastfeeding women, through food consumption, shows various harmful effects on the health of the mother, the fetus and the baby. The objective of this article is to analyze how pregnant and breastfeeding women perceive the presence of chemical substances in food and reflect on the accumulation, transmission and elimination of these substances. Methodology Descriptive and interpretive study under the qualitative research paradigm following a phenomenological and ethnographic perspective. As instruments to obtain the primary data we rely on 111 semi-structured interviews with pregnant and breastfeeding women, 4 focused ethnographies, 8 focus groups (63 women), 71 feeding diaries, 71 free listings. To encode the content of the speeches of pregnant and nursing women we rely on the N-Vivo 12 software. Results Pregnant and breastfeeding women are concerned about food quality controls. Women trust on local and seasonal foods such as fresh fruits and vegetables from non-extensive crops and close to their home. Foods that produce distrust in women are processed, packaged foods, red meat and large fish. The latter foods promote in women a perception of risk of contamination by chemical substances, manifesting a defenseless situation to maintain a diet without contaminants. Conclusions Pregnant and breastfeeding women in Spain have no information on the risk and danger of synthetic chemicals or PTS, with the exception of certain toxic substances such as mercury present in large fish. Women maintain a duality in their own care and that of the fetus or child. This circumstance implies that the women interviewed believe that PTS and synthetic chemicals may have different harmful effects on the mother and the degree of growth of the fetus and, subsequently, of the baby. Key messages Future mothers are worried about the type of product they eat, knowing that food influences healthy growth and development of the fetus. Pregnant and breastfeeding women often distrust “processed” or “industrial” foods, which they tend to associate with low quality and large amounts of additives and chemical substances.


2020 ◽  
Vol 83 (6) ◽  
pp. 375-386
Author(s):  
Debbie Kramer-Roy ◽  
Denise Hashim ◽  
Nighat Tahir ◽  
Areeba Khan ◽  
Asma Khalid ◽  
...  

Introduction Occupational therapists around the world increasingly seek to support the participation of children with disabilities and special educational needs in mainstream education. Contemporary school-based occupational therapy practice is progressing from an individual, impairment focus towards collaborative, universal interventions at the whole class and whole school level. Participation-focused practice and collaboration is particularly important, but uncommon, in low-resource contexts such as Pakistan. Methods This article reports on collaborative action research that developed the role of occupational therapy in inclusive education in Karachi, Pakistan. A research team consisting of occupational therapists and teachers worked with five local primary schools, using the action research cycles of plan–implement–observe–reflect to develop practical strategies, materials and inclusive lesson plans to facilitate the participation of all children in all school-based occupations. Findings Support from school management and interdisciplinary collaboration were crucial for implementing change. In addition, strategies like inclusive lesson planning were found to benefit all children in class. Collaborative action research led to increased professional confidence in the teachers and occupational therapists, and skill development through developing a resource guide, running workshops and presenting at (inter)national conferences. Conclusion Collaborative action research was an effective means to develop the occupational therapy role in inclusive education practices in Pakistan, develop culturally appropriate educational resources, and upskill local therapists and teachers.


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