INTEGRATING SPIRITUALITY AS A DOMAIN OF PRACTICE IN OCCUPATIONAL THERAPY IN INDIA: INDIAN OCCUPATIONAL THERAPISTS' PERSPECTIVES.

2021 ◽  
pp. 16-19
Author(s):  
Amitabh Kishor Dwivedi
Keyword(s):  
Occupational Therapy ◽  
Study Design ◽  
Design Method ◽  
Care Delivery ◽  
Occupational Therapists ◽  
Well Being ◽  
Occupational Therapist ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Private And Public

INTRODUCTION: Spirituality has risen as of considerable recent interest in occupational therapy. Spirituality and occupational therapy is associated with the holistic, person centred approach to care in order to restore a sense of well-being and recognise individual coping strategies. Despite current global economic challenges and healthcare recongurations, there appears to be a professional drive not to return to a reductionist model of care delivery. The purpose of the study is to understand views of Occupational therapist on integrating spirituality in Occupational Therapy practice in India. OBJECTIVE: This qualitative pilot study endeavoured to understand views of Occupational Therapist on integrating spirituality as a domain of practice in Occupational Therapy in India. STUDYDESIGN:The study design of this study is a cross-sectional, qualitative narrative study design. METHOD: The qualitative descriptive study included twenty participants (n=20) who are expert in the eld of Occupational Therapy (Age mean ± SD 44 ± 9.88, in Years) with major inclusion criteria of minimal ten years' experience, were recruited for this study by using non-probability convenient and snow ball sampling method. The study was conducted with Occupational Therapist working in private and public sectors in India. The in-depth semi-structured interviews with senior Occupational Therapists were conducted to explore themes which covered views of Occupational Therapist on Spirituality as a domain of practice in Occupational Therapy in India RESULT: The themes which are generated as result of this study highlight the views of Occupational Therapists on integration of spirituality as domain of practice in occupational therapy in India. CONCLUSION:This study explored the current practices of spirituality as domain in occupational therapy in India.

Sobre o ser doula: possíveis atuações de terapeutas ocupacionais no parto e nascimento / About being a doula: Possible actions of occupational therapists in childbirth and birth

2020 ◽  
Vol 4 (5) ◽  
pp. 742-758
Author(s):  
Victória Marques Santos ◽  
Alana De Paiva Nogueira Fornereto
Keyword(s):  
Occupational Therapists ◽  
Sao Paulo ◽  
Occupational Therapist ◽  
Training Data ◽  
São Paulo ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Analysis Technique ◽  
Practical Support ◽  
Data Collection Technique

Diante do atual cenário das políticas de humanização de assistência ao pré-natal, parto e nascimento e as diretrizes da Rede Cegonha, surge este estudo, fruto de um trabalho de conclusão de curso. O estudo em questão teve como objetivo compreender, a partir da visão de terapeutas ocupacionais que são doulas, suas principais ações e analisar se existem especificidades na sua atuação durante o processo de parto e nascimento. Trata-se de um estudo exploratório, transversal e de caráter qualitativo, que adotou a técnica de coleta de dados bola de neve (“Snowball”). A coleta se deu por meio de entrevistas semi-estruturadas realizadas no estado de São Paulo com terapeutas ocupacionais que possuem capacitação de doulas. A análise de dados foi feita por meio da análise de conteúdo, através da técnica de análise temática. Os resultados apontam que a terapeuta ocupacional com formação de doula possui subsídio teórico e prático para compor e atuar junto à equipe de assistência à mulher e ao bebê e tanto a terapeuta ocupacional quanto a doula se preocupam com aspectos semelhantes no parto e nascimento. AbstractIn view of the current scenario of humanization policies for prenatal care, childbirth and birth and the guidelines of the "Rede Cegonha", this study emerges, the result of a course completion work. The study aimed to understand, from the perspective of occupational therapists who are doulas, their main actions and to analyze whether there are specificities in their performance during the process of childbirth and birth. This is an exploratory, cross-sectional and qualitative study, which adopted the Snowball data collection technique. The collection took place through semi-structured interviews conducted in the state of São Paulo with occupational therapists who have doulas training. Data analysis done through content analysis, using the thematic analysis technique. The results show that the occupational therapist with doula training has theoretical and practical support to compose and work with the team of assistance to women and babies and both the occupational therapist and the doula are concerned with similar aspects in childbirth and birth.Keywords: Occupational Therapy, Doula, "Rede Cegonha", Childbirth, Pregnancy. ResumenEn vista del escenario actual de las políticas de humanización para la atención prenatal, el parto y nacimiento y las pautas de Rede Cegonha, aparece este estudio, el resultado de un trabajo de finalización de curso. El estudio en cuestión tenía la intención de comprender, desde la perspectiva de los terapeutas ocupacionales que son doulas, sus principales acciones y analizar si hay especificidades en su desempeño durante el proceso de trabajo de parto y nacimiento. Este es un estudio exploratorio, transversal y cualitativo, que adopta la técnica de recolección de datos de bola de nieve ("Snowball"). La colección se realizó a través de entrevistas semiestructuradas realizadas en el estado de São Paulo con terapeutas ocupacionales que tienen capacitación en doulas. El análisis de datos se realizó mediante análisis de contenido, utilizando la técnica de análisis temático. Los resultados muestran que el terapeuta ocupacional con capacitación en doulas tiene apoyo teórico y práctico para componer y trabajar con el equipo de atención de la mujer y el bebé, y tanto el terapeuta ocupacional como la doula están preocupados por aspectos similares del trabajo de parto y nacimiento.Palabras clave: Terapia Ocupacional, Doula, “Rede Cegonha”, Parto, Embarazo. 

scholarly journals Patient functional independence and occupational therapist time-use in inpatient services: Patient demographic and clinical correlates

2021 ◽  
pp. 156918612110187
Author(s):  
Bianca E Summers ◽  
Kate E Laver ◽  
Rebecca J Nicks ◽  
Nadine E Andrew ◽  
Christopher J Barr ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Time Use ◽  
Health Care Expenditure ◽  
Functional Independence ◽  
Occupational Therapist ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Patient Demographics ◽  
Therapy Services ◽  
Multivariable Modelling

Introduction Health care expenditure has rapidly increased in Australia. Effective management of occupational therapy services is required to meet clinical demand. Improving our understanding of factors which influence occupational therapy service delivery is a vital step to manage workload distribution and optimise service efficiency. This study aims to examine the influence of patient sociodemographic characteristics, diagnosis and functional independence on the utilisation of occupational therapy resources in hospital inpatients over 18 years old. Methods Prospective, cross-sectional, observational cohort study of 4549 inpatients from three hospital sites in Melbourne, Australia. Data extracted from organisational databases and included in this study were: patient demographics, diagnosis, functional level assessed using the SMAF (Functional Autonomy Measurement System) and occupational therapy time-use. Data were analysed using univariable and multivariable modelling. Results Occupational therapy time-use was significantly associated with all variables included in analysis ( p < 0.05). For each variable the amount and direction of effect differed between hospital sites. The SMAF was the only variable consistently associated with occupational therapy time-use. Higher occupational therapy time-use was associated with lower functional independence (leading to a 3.5 min increase in median occupational therapy time for every unit decrease in SMAF score). Conclusions Management of resources within busy hospitals require knowledge of factors associated with occupational therapist time-use. This study identified that time-use could in part be predicted by functional independence, diagnosis and sociodemographic characteristics. Occupational therapy managers can use this information to support decision making while acknowledging other patient and therapist level factors also influence time-use.

Workplace mental health: Current practice and support needs of Ontario occupational therapists

2018 ◽  
Vol 85 (5) ◽  
pp. 408-417
Author(s):  
Sandra E. Moll ◽  
Caitlin M. Heino ◽  
Alison H. LeBlanc ◽  
Lydia B. Beck ◽  
Laura M. Kalef
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Online Survey ◽  
Occupational Therapists ◽  
Cross Sectional Study ◽  
Support Needs ◽  
Cross Sectional ◽  
Related Services ◽  
Work Related ◽  
Workplace Mental Health

Background. Workplace mental health (WMH) is an important and expanding practice area for occupational therapists. Purpose. This cross-sectional study explores the current practices and support needs of Ontario-based occupational therapists in WMH. Method. Registrants from the provincial association who provide mental health and/or work-related services were invited to participate. Ninety-three therapists completed an online survey; 10 participated in follow-up focus groups. Analysis involved descriptive statistics of the survey data and content analysis of the focus group data. Findings. Return to work, reactivation, and functional cognitive assessment were the most commonly reported services. Key challenges were limited funding and training and lack of awareness of the occupational therapy role. Therapists emphasized the importance of raising the competence, credibility, and profile of occupational therapy in WMH. Implications. Defining the role of occupational therapy, developing training and resources, and advocacy are needed to advance occupational therapy practice within this rapidly changing field.

Exploring the meaning of value-based occupational therapy services from the perspectives of managers, therapists and clients

2021 ◽  
pp. 030802262110300
Author(s):  
Su Ren Wong ◽  
Bi Xia Ngooi ◽  
Fang Yin Kwa ◽  
Xiang Ting Koh ◽  
Rachel J J Chua ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Goal Setting ◽  
Management Strategies ◽  
Perceived Value ◽  
Occupational Therapists ◽  
Therapeutic Relationships ◽  
Structured Interviews ◽  
Therapeutic Communication ◽  
Main Concept ◽  
Therapy Services

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.

scholarly journals The central role of the occupational therapist in facilitating housing adaptations/home modifications for disabled children

2017 ◽  
Vol 80 (6) ◽  
pp. 375-383
Author(s):  
Gail Boniface ◽  
Deborah Morgan
Keyword(s):  
Positive Impact ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Specific Information ◽  
Structured Interviews ◽  
Online Questionnaire ◽  
Negative Experience ◽  
Home Modifications ◽  
Information And Communication

Introduction Six reviews/inquiries into housing adaptations/home modifications processes occurred in Wales between 2004 and 2015. One resulted in the removal of the means test for children's Disabled Facilities Grants. This research investigated families' and professionals' experiences of the adaptations/home modification process to gain an understanding of their views and experiences. Method Mixed methods of an online questionnaire for professionals, and semi-structured interviews or an online questionnaire for families (depending on their preference), were employed. Forty-eight families participated and an additional 16 families responded to an online questionnaire. Analysis of qualitative data identified emergent themes, which are discussed in this article. Findings The themes were: poor information and communication mainly aimed at older adults; negative experience of the process; and the positive impact of the completed adaptation. Additionally, whilst undergoing the process, families felt that they needed a contact to guide them through the process. This contact was often by default the community occupational therapist. Conclusion A single contact person should be made available for families; occupational therapists should consider their part in that role; more specific information on children's needs should be provided; families need to recognize the part they can play in adding to delays in the delivery of adaptations.

scholarly journals Servant leadership, team-based learning and hope and optimism: A sectoral comparative study

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Anton Grobler ◽  
Aden-Paul Flotman
Keyword(s):  
Servant Leadership ◽  
Empirical Evidence ◽  
Future Orientation ◽  
Well Being ◽  
Total Sample ◽  
Cross Sectional ◽  
Team Based Learning ◽  
The Future ◽  
Private And Public ◽  
The Impact

Purpose: This is an era of unprecedented turbulence. The current coronavirus disease 2019 (Covid-19) global pandemic testifies to this turmoil as, daily, the unknown dynamically unfolds. It is important during challenging times like these that leadership and organisational response enhance a shared positive vision for the future of humanity. This study aimed at determining the role played by servant leadership (SL) in promoting employee well-being, specifically, a positive future expectation in terms of hope and optimism (HO), as well as the impact that team-based learning (TBL) has on this relationship, and whether this is the same for both the private and public sectors.Design/methodology/approach: This study employed an empirical paradigm, using a cross-sectional design and quantitative analysis. The total sample consisted of 1560 participants, with 780 employed in the private and public sector, respectively.Findings/results: The results suggest that both SL and TBL have a significant impact on employees’ HO, with TBL being a mediating variable and with stronger relationships reported for the private sector. Technically, the TBL instrument employed was validated for South African use and the study included a statistical assessment of common method bias, which was found not to skew the results.Practical implications: This study provides further empirical evidence that SL is positively associated with HO. Secondly, the future-mindedness and future-orientation of HO could stimulate adaptive responses during this time of uncertainty and turmoil. Thus, HO, as potential resilience factors, could generate resilience by harnessing opportunities and setbacks both during the Covid-19 pandemic and in its aftermath.Originality/value: The practical value of this article is in the empirical evidence that both the leaders and the organisation have an impact on the employees’ wellness and positive work attitudes.

scholarly journals Team Focus: Occupational Therapist

2008 ◽  
Vol 10 (3) ◽  
pp. 94-98
Author(s):  
Susan J. Forwell ◽  
Kathleen M. Zackowski
Keyword(s):  
Occupational Therapy ◽  
Health Care Professionals ◽  
Occupational Therapists ◽  
Well Being ◽  
Therapy Process ◽  
Functional Difficulties ◽  
Care And Support ◽  
Symptomatic Management ◽  
Home Work ◽  
Health And Well Being

Occupational therapists (OTs) have a unique and valued role in the health and functional recovery of individuals with multiple sclerosis (MS). To maximize the benefit of occupational therapy by both health care professionals who refer patients and the patients who use the services, an understanding of the scope of services that OTs offer is essential. This article describes the breadth of the OT evaluation and intervention specific to the treatment of individuals who have MS. As an overriding goal, the OT assists clients in processing the implications of physical, cognitive, and emotional changes and creatively developing strategies to cope with and, when appropriate, minimize the effects of these changes. The occupational therapy process is described, beginning with evaluation and providing guidelines and resources for appropriate client-centered goal setting. The OT and client then discuss intervention that ensures optimal functional outcome and includes symptomatic management, according to the specific functional difficulties and implications and the particular symptoms of each patient. Through discussion, the OT helps each client achieve health and well-being with remedial and compensatory techniques that enable participation in meaningful activities and roles in the home, work, and community. OT services are essential to the appropriate and optimal delivery of comprehensive care and support to individuals with MS.

scholarly journals Atuação do terapeuta ocupacional no NASF: reflexões sobre a prática/Occupational therapist at the NASF: reflections on practice

2019 ◽  
Vol 3 (4) ◽  
pp. 569-583
Author(s):  
Míriam De França Chagas ◽  
Magda Fernanda Lopes de Oliveira Andrade
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Family Health ◽  
Occupational Therapists ◽  
Structured Interview ◽  
Physical Structure ◽  
Occupational Therapist ◽  
Health Networks ◽  
Unified Health System ◽  
The Family

Em 2008, foi criado, pelo Ministério da Saúde, o Núcleo de Apoio à Saúde da Família (NASF), com o intuito de apoiar as equipes da Estratégia de Saúde da Família (ESF) nas redes de saúde e ampliar a ação da Atenção Básica da Saúde. O NASF é composto por uma equipe multidisciplinar e o terapeuta ocupacional é um dos integrantes desta equipe. O objetivo deste trabalho é o de conhecer a atuação dos terapeutas ocupacionais nos NASFs do município de Maceió, Alagoas, e suas reflexões sobre o trabalho desempenhado. Trata-se de uma pesquisa qualitativa, sendo a coleta de dados realizada por meio de entrevista semiestruturada. Como resultados, foram elencadas três categorias temáticas: A atuação do terapeuta ocupacional no NASF: ações e atividades efetuadas; Os principais obstáculos encontrados pelo terapeuta ocupacional no NASF e As ferramentas tecnológicas utilizadas para a realização do trabalho no NASF. A Terapia Ocupacional ainda é uma profissão que busca seu reconhecimento no NASF. Visitas domiciliares, salas de espera e atividades em grupo foram identificadas como ações desempenhadas pelos profissionais, apesar das dificuldades como falta de recursos materiais e de uma estrutura física melhor. Este estudo serviu para enfatizar a importância do trabalho do terapeuta ocupacional no serviço, bem como as dificuldades encontradas por eles, citando assim a falta de reconhecimento/conhecimento da profissão, recursos e espaço. Apesar das dificuldades mencionadas, os mesmos sempre buscam realizar um atendimento humanizado, preocupando-se com os usuários, minimizando os riscos e promovendo a saúde. AbstractIn 2008, the Family Health Support Center (NASF) was created by the Ministry of Health to support the Family Health Strategy (ESF) teams in health networks and expand the action of Primary Care of health. The NASF is composed of a multidisciplinary team and the occupational therapist is one of the members of this team. The objective of this work is to know the performance of occupational therapists in the NASFs of the city of Maceió-AL, and their reflections on the work performed. This is qualitative research, and the data collection is done through a semi-structured interview with occupational therapists of the NASFs in the municipality of Maceió-AL. As a result, three thematic categories were listed: The work of the occupational therapist in the NASF: actions and activities carried out; the main obstacles encountered by the occupational therapist in NASF; at technological tools used to perform work in the NASF. Occupational Therapy is still a profession that seeks recognition in the NASF. Home visits, waiting rooms and group activities were identified as actions performed by professionals, despite difficulties such as lack of material resources and a better physical structure. This study contributed to emphasize the practice of the work of the occupational therapist in the service, as well as the difficulties encountered to know: citing the lack of recognition/knowledge of the profession, resources and space. Despite the mentioned difficulties, they seek to perform a humanized care, reaffirming principles and guidelines of the Unified Health System - SUS, to minimize risks and promote health care. Keywords: Occupational Therapy, Primary Health Care, Family Health. Resumen En 2008, fue creado por el Ministerio de Salud, el Núcleo de Apoyo a la Salud de la Familia (NASF), con el propósito de apoyar a los equipos de la Estrategia de Salud de la Familia (ESF) en las redes de salud y ampliar la acción de la Atención Básica de la Salud. El NASF está compuesto por un equipo multidisciplinario y el terapeuta ocupacional es uno de los integrantes de este equipo. El objetivo de este trabajo es el de conocer la actuación de los terapeutas ocupacionales en los NASF del municipio de Maceió-AL, y sus reflexiones sobre el trabajo desempeñado. Se trata de una investigación cualitativa, siendo la recolección de datos realizada por medio de una entrevista semiestructurada con terapeutas ocupacionales de NASF en el municipio de Maceió-AL. Como resultados, se enumeraron tres categorías temáticas: La actuación del terapeuta ocupacional en el NASF: acciones y actividades efectuadas; los principales obstáculos encontrados por el terapeuta ocupacional en el NASF; las herramientas tecnológicas utilizadas para la realización del trabajo en el NASF. La Terapia Ocupacional sigue siendo una profesión que busca su reconocimiento en el NASF. Las visitas domiciliarias, salas de espera y actividades en grupo fueron identificadas como acciones realizadas por los profesionales, a pesar de las dificultades como falta de recursos materiales y de una estructura física mejor. Este estudio contribuido para enfatizar la práctica del terapeuta ocupacional en el servicio, así como las dificultades a saber:la falta de reconocimiento / conocimiento de la profesión, recursos y espacio. A pesar de las dificultades mencionadas, buscan realizar una atención humanizada, reafirmando los principios y lineamientos del Sistema Único de Salud - SUS, para minimizar los riesgos y promover la atención médica.Palabras clave: Terapia Ocupacional, Atención Primaria de Salud, Salud Familiar. 

Health Equity, Aboriginal Peoples and Occupational Therapy

2012 ◽  
Vol 79 (2) ◽  
pp. 70-76 ◽  
Author(s):  
Janet E. G. Jull ◽  
Audrey R. Giles
Keyword(s):  
Occupational Therapy ◽  
Belief Systems ◽  
Occupational Therapists ◽  
Well Being ◽  
Aboriginal Peoples ◽  
Critical Examination ◽  
Theoretical Concepts ◽  
Canadian Health ◽  
At Risk Populations ◽  
Foundational Belief

Background. In Canada, Aboriginal peoples are affected by colonial relations of power that result in poor health outcomes. Despite occupational therapists' efforts to work in a safe and competent manner with people experiencing challenges to participating in daily life, Western healthcare models reflect values that often undermine Aboriginal peoples' health and well-being. Purpose. Meaningful, effective, and culturally appropriate healthcare practices cannot be fully implemented by occupational therapists without an ongoing and critical examination of occupational therapy's foundational belief systems. Only a critical examination of these foundational belief systems will enable occupational therapists to take action towards addressing these inequities, which is an important step in moving towards culturally safe care. Key Issues. Canadian health professions, including occupational therapy, have the potential to create positive change at a systems level through the critical exploration of underlying professional assumptions. Implications. To advance dialogue about Aboriginal peoples' health, occupational therapists must engage in exploration of their profession's underlying theoretical concepts or risk participating in the perpetuation of health inequities for already at-risk populations.

scholarly journals Play and play occupation: a survey of paediatric occupational therapy practice in Ireland

2018 ◽  
Vol 46 (1) ◽  
pp. 59-72 ◽  
Author(s):  
Alice Moore ◽  
Helen Lynch
Keyword(s):  
Occupational Therapy ◽  
Online Survey ◽  
Qualitative Content Analysis ◽  
Occupational Therapists ◽  
Assessment Practices ◽  
Skills Acquisition ◽  
Cross Sectional ◽  
Content Type ◽  
Childhood Play ◽  
Primary Focus

Purpose Play occupation has been identified as an essential part of children’s lives, and it subsequently features in paediatric occupational therapy. However, few studies address the current place of play and play occupation in occupational therapy practice. This study aims to address this gap in knowledge by exploring paediatric occupational therapists’ perspectives on the place of play and play occupation in occupational therapy practice in Ireland. Design/methodology/approach A cross-sectional online survey was conducted to gather data about the current use of play in the occupational therapy for children under 12 years. Convenience sampling and snowball recruitment techniques were used to recruit paediatric occupational therapists. Data were analysed using descriptive statistics and qualitative content analysis. Findings In total, 65 therapists responded to the survey (estimated response rate, 32%). Results are organised into four sections: demographics and practice context, play assessment practices, use of play in practice and perceived barriers to play-centred practice. Respondents reported that they valued play as a childhood occupation. However, the survey findings identified that the primary focus was on play as a means to an end. Lack of education on play (research, theory and interventions) and pressures in the workplace have been identified as barriers to play-centred practice. Research limitations/implications Findings indicate that there is a mismatch between therapists valuing play as an occupation and how play is used in occupational therapy practice. Unless clarifications are made about play occupation as being different to skills acquisition in childhood, play occupation will continue to get overlooked as an authentic concern of occupation-centred practice. Thus, play as occupation deserves further attention from educators, researchers and practitioners as a means of strengthening occupation-centred practice, in particular play-centred practice in the paediatric context. Originality/value Play has been described as an important occupation in childhood, and consequently, it features in paediatric occupational therapy. However, little is known about the current place of play in occupational therapy practice. This study addresses this gap by considering the current place of play in occupational therapy practice in Ireland.

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