scholarly journals Home Quick – Occupational Therapy Home Visits Using mHealth, to Facilitate Discharge from Acute Admission Back to the Community

2017 ◽  
Vol 9 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Jacqueline Nix ◽  
Tracy Comans
Keyword(s):  
Patient Safety ◽  
Occupational Therapy ◽  
Process Evaluation ◽  
Home Visiting ◽  
Community Hospital ◽  
Discharge Planning ◽  
Home Visits ◽  
Occupational Therapists ◽  
Alternative Technologies ◽  
Number Of Patients

This article reports upon an initiative to improve the timeliness of occupational therapy home visits for discharge planning by implementing technology solutions while maintaining patient safety. A community hospital in Queensland, Australia, hosted a process evaluation that examined which aspects of home visiting could be replaced or augmented by alternative technologies. Strategies were trialled, implemented and assessed using the number of home visits completed and the time from referral to completion as outcomes. A technology-enhanced solution called “Home Quick” was developed using technology to facilitate pre-discharge home visits. The implementation of Home Quick resulted in an increase in the number of home visits conducted prior to discharge (50% increase from 145 to 223) and significantly increased the number of patients seen earlier following referral (X2=69.3; p<0.001). The substitution of direct home visits with technology-enabled remote visits is suitable for a variety of home visiting scenarios traditionally performed by occupational therapists. 

Development of a Tool to Measure Clinical Competence in Occupational Therapy: A Pilot Study?

2000 ◽  
Vol 67 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Penny Salvatori ◽  
Sue Baptiste ◽  
Maureen Ward
Keyword(s):  
Pilot Study ◽  
Occupational Therapy ◽  
Clinical Competence ◽  
Discharge Planning ◽  
Program Planning ◽  
Occupational Therapists ◽  
Chart Audit ◽  
Supervisor Ratings ◽  
Stimulated Recall

Clinical competence is generally defined as a combination of knowledge, skill and professional behaviour. It is typically assessed using written tests, direct observation, chart audit, client satisfaction surveys and supervisor ratings. This paper describes the development and evaluation of a chart-stimulated recall (CSR) measure that combines the methods of chart audit and clinician interview to assess the clinical competence of practicing occupational therapists. The CSR tool was developed using the Canadian Guidelines for Client-Centred Practice and taps global domains of competence: use of theory, assessment, program planning, intervention, discharge planning, follow-up, program evaluation, clinical reasoning and professional behaviours. This pilot study involved two independent raters/interviewers who assessed twelve occupational therapy clinicians on two occasions using a random sample of client cases/records on each occasion Results indicate that the CSR tool is not only reliable and valid, but also sufficiently generic to be used in a variety of practice settings as a global measure of on-the-job performance.

scholarly journals P151: Occupational therapy in the emergency department: sustaining results

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S110-S111
Author(s):  
J. Trenholm
Keyword(s):  
Emergency Department ◽  
Occupational Therapy ◽  
Hospital Admissions ◽  
Discharge Planning ◽  
Functional Decline ◽  
Pilot Project ◽  
Added Value ◽  
Functional Impairments ◽  
Chart Audit ◽  
Number Of Patients

Introduction: An emergency department visit may represent a sentinel event for someone who is older and frail, signalling a slide into dependence and functional decline. The gold standard for the treatment of frail older adults is a comprehensive geriatric assessment, involving consideration of multiple domains including mobility and function in activities of daily living. Despite this, when a chart audit was conducted in a Canadian metropolitan emergency department, none of the patients age 65 and older had a documented assessment of their function or mobility. In response, an occupational therapy program was implemented. The goals of this program were to reduce the number of unnecessary hospital admissions related to patient functional impairments, and to increase function, safety, and independence for patients upon discharge from the emergency department. Methods: The pilot project, which was completed in 2013, was evaluated using a mixed methods approach. Positive patient outcomes at that time included a reduction in avoidable admissions and better support for patients upon discharge from the emergency department. A survey of emergency department staff indicated that occupational therapy consultation added value to the diagnostic and discharge planning processes. However, due to changes in administrative priorities, several service redesigns were required. Multiple PDSA cycles were completed, and the development of a logic model guided and focused program development. Results: A reassessment of program objectives was conducted using 2015 data, which found that the number of patients seen by the occupational therapist remained the same, as did the percentage of patients discharged with support of occupational therapy intervention, such as provision of adaptive equipment or referral to community rehabilitation referrals. The percentage of patients discharged due to occupational therapy as a primary contributing factor rose slightly, and staff satisfaction with the program remained high. Conclusion: This evaluation proves that the provision of occupational therapy services in the emergency department is sustainable, benefits patients, and can be incorporated into the emergency department workflow and culture.

Distribution of Motor Neurone Disease Patients in Occupational Therapy Departments

1986 ◽  
Vol 49 (8) ◽  
pp. 260-262 ◽  
Author(s):  
Diana Langford Jones ◽  
R S Ramaiah
Keyword(s):  
Occupational Therapy ◽  
Occupational Therapists ◽  
Motor Neurone ◽  
Motor Neurone Disease ◽  
Community Based ◽  
Number Of Patients ◽  
Community Based Services

In a study to ascertain the distribution of motor neurone disease patients in occupational therapy departments, it was found that care takes place in a variety of settings. Although occupational therapists based in the specialist units were seeing a comparatively larger number of patients, care was also provided in the nonspecialist units as well as in the community-based services. It is suggested that this finding illustrates the need for training occupational therapists in the management of motor neurone disease patients.

scholarly journals Patient Safety Awareness and Emergency Response Ability Perceived by Nursing Homes and Home Visiting Caregivers

2018 ◽  
Vol 24 (4) ◽  
pp. 347-357
Author(s):  
Su Youn Kim ◽  
Soon Ock Kim
Keyword(s):  
Patient Safety ◽  
Nursing Homes ◽  
Emergency Response ◽  
Home Visiting ◽  
Emergency Situation ◽  
Working Hours ◽  
Safety Education ◽  
Affecting Factors ◽  
Safety Awareness ◽  
Number Of Patients

Purpose: The purpose of this study was to identify patient safety awareness and emergency response ability and affecting factors perceived by nursing homes and home visiting caregivers. Methods: This study was a descriptive study that conveniently extracts nursing caregivers who care for elderly patients in S and G provinces, Korea. Data collection was done by structural questionnaires from April to May 2018. A total of 204 responses consisting of 103 nursing homes and 101 home visiting caregivers were used for data analysis in SPSS Win 22.0. Results: Patient safety awareness and emergency response ability of nursing homes caregivers with each $4.24{pm}0.50$, $74.26{pm}09.57$ was each higher than that of the home visiting caregivers with $3.68{pm}0.49$, $68.02{pm}12.12$ (p<.001). The affecting factors of the patient safety awareness were working place, safety education, and daily average working hours with 12 or more (F = 27.30, p<.001) and that of emergency response ability were number of patients per personnel with 9 or more and emergency situation experience (F=14.00, p<.001). Conclusion: These results suggest that it is necessary to develop a safety education program that can share indirectly experience emergency situations that occur on the job site.

A Review of Home Visits by Occupational Therapists in a Geriatric Assessment Unit

1986 ◽  
Vol 49 (11) ◽  
pp. 365-366 ◽  
Author(s):  
John J Whitaker ◽  
Jane Hornby
Keyword(s):  
Occupational Therapy ◽  
Geriatric Assessment ◽  
Home Visit ◽  
Home Visits ◽  
Occupational Therapists ◽  
Discharge Home ◽  
Assessment Unit ◽  
Additional Support ◽  
At Home

A review of occupational therapy home visits carried out from a geriatric assessment unit over a 6-month period is reported. There were 179 non-respite admissions of patients previously living at home and 33% of these patients had a pre-discharge occupational therapy home visit. Almost 90% of visits led to discharge home, with the provision of additional aids in 63% and the recommendation of other additional support arrangements in almost 80%. Only one of the 54 patients discharged home was considered to have had a failed discharge.

Profiting from Consensus Methods in Occupational Therapy: Using a Delphi Study to Achieve Consensus on Multiprofessional Discharge Planning

2003 ◽  
Vol 66 (2) ◽  
pp. 65-70 ◽  
Author(s):  
Anita Atwal ◽  
Kay Caldwell
Keyword(s):  
Occupational Therapy ◽  
Delphi Study ◽  
Delphi Technique ◽  
Discharge Planning ◽  
Methodological Approach ◽  
Occupational Therapists ◽  
Survey Method ◽  
Consensus Methods ◽  
Action Research Project ◽  
National Health Service Trust

In occupational therapy, there is much debate regarding many aspects of practice. In order to make effective decisions in situations where there is contradictory or insufficient information, it is important to reach a consensus decision. The Delphi technique is a survey method of research, which aims to gain consensus among a panel of experts using repeated rounds of a questionnaire. This article is based on the first author's experience of using a Delphi survey as part of an action research project, located in a large acute National Health Service trust. This project aimed to analyse and improve multidisciplinary teamwork in discharge planning. The aim of the article is to focus on the Delphi technique as a methodological approach and, to illustrate this, examples are used from the research study. However, before using the Delphi technique, occupational therapists must understand the strengths and weaknesses of this approach.

scholarly journals An exploratory study of discharge planning home visits within an Irish context – investigating nationwide practice and nationwide perspectives

2019 ◽  
Vol 47 (2) ◽  
pp. 95-113
Author(s):  
Aisling Jane Davis ◽  
Patricia Mc Clure
Keyword(s):  
Clinical Practice ◽  
Discharge Planning ◽  
Home Visits ◽  
Occupational Therapists ◽  
Survey Questionnaire ◽  
Content Type ◽  
Hospital Size ◽  
Republic Of Ireland ◽  
Irish Context ◽  
The Republic

Purpose Discharge planning home visits (DPHVs) are a routine part of occupational therapy clinical practice. However, there is a dearth of evidence to support or refute their efficacy and limited policies or standards to guide clinical practice. This study aims to investigate current clinical practice during home visits and the value that occupational therapists’ attribute to home visits within an Irish context. Design/methodology/approach Data collection was carried out by using a survey questionnaire (postal and electronic options). The study population comprised occupational therapists across 52 sites including acute, rehabilitation and convalescence settings within the Republic of Ireland. In total, 122 occupational therapists that completed the survey questionnaire were recruited for the study. Findings Quantitative data identified time spent per visit, departmental size, hospital size, number of visits and report writing times. Information was gathered regarding clinical areas assessed during visits in a Likert scale format. Qualitative data identified benefits, risks, recommendations to improve home visit practice and clinical criteria for home visits. Findings conclude that DPHVs are routinely carried out by occupational therapists and that there is consistency in clinical practice within an Irish setting. Occupational therapists value home visits as clinical assessments and have identified risks during practice, benefits of visits and ways to improve practice. Originality/value This study has provided a reflection of clinical practice in the Republic of Ireland. It is the only study of its kind in an Irish setting, and it could be used as a knowledge base regarding current practice on DPHV and occupational therapists’ clinical reasoning regarding home visits. The information gathered in this study could influence policies regarding DPHV and could serve as a comparison to standardise practice and justify the need for DPHV.

scholarly journals Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform

2021 ◽  
Vol 14 ◽  
pp. 117863292199490
Author(s):  
Ruca Maass ◽  
Tore Bonsaksen ◽  
Astrid Gramstad ◽  
Unni Sveen ◽  
Linda Stigen ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Occupational Therapy ◽  
Survey Data ◽  
Policy Making ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Responsibility To Protect ◽  
Community Based ◽  
Factors Associated ◽  
Number Of Patients

Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However, even if approximately 400 positions have been established between 2012 and 2017, little is known whether they have contributed to increased and/or more equal coverage across municipalities. To explore this matter, survey data was gathered among members of the Norwegian Occupational Therapy Association during 2017. Data was analyzed statistically (descriptive, comparative and associative) with SPSS 25. Results suggest large regional variations in the establishment of new positions. Moreover, most new positions were established in medium-sized municipalities that already had (an) occupational therapist(s) in the community. Number of prior positions, as well as being in the process of merging with another municipality were the only significant predictors for the establishment of new positions during regression analysis. Findings suggest that no levelling-out of geographical distributions of OT-coverage has occurred, even if new positions might have contributed to level-out workload (number-of-patients-per-therapist). Further, we discuss implications of our findings for policy-making and recruitment of Occupational Therapists for rural positions.

Present Trends in Occupational Therapy Practice

1983 ◽  
Vol 46 (8) ◽  
pp. 216-219 ◽  
Author(s):  
D E Bayliss ◽  
R E A Goble ◽  
D J King ◽  
M A Mendez
Keyword(s):  
Occupational Therapy ◽  
Current Practice ◽  
Age Groups ◽  
Working Party ◽  
Occupational Therapists ◽  
Small Range ◽  
Number Of Patients ◽  
Service Departments ◽  
The Uk ◽  
Clinical Problems

A Working Party considering ‘Competence to Practise’ circulated a questionnaire in March 1982 to all district occupational therapists and equivalent grades in social service departments in the UK to survey current practice in occupational therapy. The results indicate that a wide variety of skills are required by basic grade occupational therapists to deal with a relatively small range of clinical problems for a large number of patients/clients in the middle and older age groups. The information will act as a baseline for further work to proceed to determine what relevant knowledge, skills and attitudes are required of basic grade occupational therapists in order to practise competently.

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