Therapists' Perceptions of Contextually Based Service Delivery in School-Based Practice

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505151p1-7512505151p1
Author(s):  
Francine M. Seruya ◽  
Mindy Garfinkel ◽  
Wesley Sanon ◽  
Christina Medwid ◽  
Victoria Fullerton ◽  
...  

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This phenomenological study explored perceptions of school-based OT practitioners through the use of semistructured interviews, to gain insight regarding their views and experiences in providing contextually based services. Four themes emerged: a strong working relationship with other stakeholders is essential; contextually based service delivery is intentional; contextually based services need to be individualized; and there are systemic barriers to the provision of contextually based service delivery. Primary Author and Speaker: Francine M. Seruya Additional Authors and Speakers: Mindy Garfinkel, Wesley Sanon, Christina Medwid, Victoria Fullerton, and Cassandra Velez

2020 ◽  
Vol 51 (2) ◽  
pp. 469-478
Author(s):  
Sarah Allen ◽  
Robert Mayo

Purpose School-aged children with hearing loss are best served by a multidisciplinary team of professionals. The purpose of this research was to assess school-based speech-language pathologists' (SLPs) perceptions of their access to, involvement of, and working relationships with educational audiologists in their current work setting. Method An online survey was developed and distributed to school-based SLPs in North Carolina. Results A significant difference in access to and involvement of educational audiologists across the state was found. Conclusions This research contributes to professional knowledge by providing information about current perceptions in the field about interprofessional practice in a school-based setting. Overall, SLPs reported positive feelings about their working relationship with educational audiologists and feel the workload is distributed fairly.


2020 ◽  
pp. 105566562098060
Author(s):  
Mohammad Moslem Imani ◽  
Amir Jalali ◽  
Prichehr Nouri ◽  
Amin Golshah

Objectives: Cleft lip and palate (CLP) is a congenital anomaly that affects not only the patients but also their family members and companions. Identifying the problems encountered by patients with CLP and their families can greatly help clinicians in efficient treatment planning to obviate the treatment needs and promote the quality of life of patients. This study aimed to determine the experiences of the parents of children with CLP undergoing orthodontic treatment. Methods: This study was conducted based on descriptive phenomenology using the Colaizzi’s 7-step analysis method of phenomenological data. The private orthodontic clinics of Kermanshah city were evaluated in this study. The participants included the parents of children with CLP younger than 15 years who had presented to the clinics seeking orthodontic treatment. In-depth semistructured interviews with open-ended questions were used to collect information regarding the experiences of parents in this process. The collected data were analyzed using the Colaizzi’s 7-step analysis. Results: Qualitative analysis of the interviews yielded 271 codes, 18 subthemes, 7 themes, and 3 main themes including fatigue (exhaustion, helplessness, and incompetence), self-reliance (mutual support and empathy), and the need for social support (counseling services and citizenship rights). Conclusion: In general, the results revealed that parents of children with CLP under orthodontic treatment are vulnerable due to their previous adverse experiences in the course of treatment of their children and need support in several physical, psychological, social and spiritual domains.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510228p1-7512510228p1
Author(s):  
Debra Hanson ◽  
Cherae C. Reeves ◽  
Alyssa Raiber ◽  
Megan K. Hamann

Abstract Date Presented 04/13/21 Results of a qualitative phenomenological study of the influence of spirituality on the lived experience of Christians during the rehabilitation process are shared. Findings show the pervasive impact of spirituality on occupational participation, performance, and engagement and align with the concepts of Humbert’s conceptual model of spirituality. This study of spirituality as expressed from a specific worldview perspective advances the provision of holistic, culturally relevant OT services. Primary Author and Speaker: Debra Hanson Contributing Authors: Heather Roberts, Angela Shierk


Author(s):  
Phaedra Longhurst ◽  
Amy Louise Sumner ◽  
Stephanie Smith ◽  
Jon Eilenberg ◽  
Charlie Duncan ◽  
...  

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Monire Davoodi ◽  
Behnaz Dindamal ◽  
Hossein Dargahi ◽  
Farzad Faraji-Khiavi

Abstract Background More than three decades of research and study for overcoming the problem of “non-acceptance/non-compliance” of patients has neither resolved nor reduced the severity of this problem. This phenomenological study aimed to identify barriers of adherence to medical advice among type 2 diabetic patients. Methods This study was a qualitative research using phenomenology approach, and the data were analyzed using content analysis approach. Participants were 69 type 2 diabetic patients covered by the diabetes unit of West and East Community Health Centers of Ahvaz, Iran. The views and attitudes of patients about the barriers of adherence to medical advice were elicited by conducting 20–45 min sessions of semi-structured interviews. Data analysis was performed following Colaizzi’s seven-step method. Results Barriers of adherence to medical advice were classified into systemic and individual barriers. Individual barriers included 11 codes and 5 categories, and systemic barriers contained within 5 codes and 3 categories. Physiologic and physical factors, financial problems, occupational factors, attitudinal problems and lack of knowledge, and social and family problems were identified as individual barriers. Systemic barriers included inadequate publicizing and limited notification, inadequate equipment and facilities, and poor inter-sectional coordination. Conclusions Generally, problems stated by diabetic patients at the individual level can partly be solved by training patients and the people around them. However, as for the systemic problems, it seems that solving the barriers of adherence to medical advice requires coordination with other organizations as well as intersection coordination. Overall, these problems require not only comprehensive health service efforts, but also the support of policymakers to resolve barriers at infrastructure level.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505175p1-7512505175p1
Author(s):  
Loree T. Pham ◽  
Regina Sarnicola ◽  
Christina Villasenor ◽  
Tiffanie Vu

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This phenomenological study explores the meaning and importance of spirituality and provides insight into the current landscape of spirituality in practice through the perspectives of OT practitioners across diverse settings. Primary Author and Speaker: Loree T. Pham Additional Authors and Speakers: Regina Sarnicola, Christina Villasenor, and Tiffanie Vu


2010 ◽  
Vol 39 (1) ◽  
pp. 122-136 ◽  
Author(s):  
Allison A. Friedrich ◽  
Linda M. Raffaele Mendez ◽  
Stephanie T. Mihalas

Author(s):  
RaMonda Horton

This chapter will provide readers with an overview of how a systems-based approach can be used to understand the relationship between culture, environment, language, and disability. It will identify a useful model of ecology, culture, and development that can and should be considered in conjunction with the WHO-ICF framework to guide service delivery in school-based settings. This chapter will also provide an overview of systems-based approaches that can be used when working with children from traditionally marginalized backgrounds. Finally, a case study example will be used to provide guidance on the application of systems-based approaches to service delivery for children in school-based settings.


2016 ◽  
Vol 25 (5) ◽  
pp. 653-664 ◽  
Author(s):  
Mohaddeseh Mohsenpour ◽  
MohammadAli Hosseini ◽  
Abbas Abbaszadeh ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
HamidReza Khankeh

Background: Patient safety, which is a patient’s right, can be threatened by nursing errors. Furthermore, nurses’ feeling of “being a wrongdoer” in response to nursing errors can influence the quality of care they deliver. Research objectives: To explore the meaning of Iranian nurses’ experience of “being a wrongdoer.” Research design: A phenomenological approach was used to explore nurses’ lived experiences. Nurses were recruited purposively to take part in semistructured interviews, and the data collected from these interviews were analyzed using Van Manen’s thematic analysis. Participants and research context: Eight nurses working in three private or governmental hospitals in Tehran, Iran. Ethical consideration: The research design was approved in each participating hospital, and all interviews were carried out at a predetermined time in a private place. Findings: Five themes were extracted from the data: “wandering in unpleasant feelings” (with two subthemes: “unpleasant physical feelings” and “unpleasant emotions”), “wandering in the conscience court” (with three subthemes: “being the accused,” “being the victim,” and “being the judge”), “being arrested in time,” “time for change” (with three subthemes: “promoting accountability,” “promoting learning,” and “strengthening supportive relationships”), and “spiritual exercise.” Discussion: Some of our results are supported by the model of self-reconciliation and the recovery trajectory of “second victims” theory. Conclusion: The meaning of “being a wrongdoer” has positive and negative aspects. Feelings of wandering provide nurses the opportunity to reflect on and re-embrace the professional and moral responsibility of nursing. Nursing managers can convert their “defeats” into a prelude to learning, increase their accountability, and improve the quality of nursing care.


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