Occupational Therapists on The Front Line

Iva Ričko, Joya John, edel mcmanus, Ellen McAulife, Jessie Basra
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Abstract

Introduction. There is a growing focus on the need for an increased number of allied health professionals to reduce the pressure on acute hospitals through admission avoidance. There is little in the way of guidelines on how services should be delivered and a lack of evidence base demonstrating effectiveness. Methods. An audit has been carried out by the occupational therapy team in the Emergency Department to capture the total number of referrals to the occupational therapy service in the Emergency Department at Royal Berkshire Hospital and to capture discharge decisions made following occupational therapy input. Results. The occupational therapy team in the Emergency Department focuses particularly on admission avoidance using a home first approach to prevent patients from being admitted to acute wards. The results showed that the service was beneficial regarding both the number of referrals and the utilisation of various discharge destinations from the Emergency Department. Conclusion. The report has identified several areas for further research by the same team and implications for the wider literature base. The hope is that this report would highlight the role of occupational therapists working in the emergency department at Royal Berkshire Hospital and encourage the completion of further research in this area of practice.
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前线的职业治疗师
介绍。人们越来越关注需要更多的专职卫生专业人员,以通过避免住院来减轻急性医院的压力。关于如何提供服务的指导方针几乎没有,而且缺乏证明有效性的证据基础。方法。急诊科的职业治疗小组进行了一项审计,以获取皇家伯克郡医院急诊科职业治疗服务的转诊总数,并获取职业治疗投入后作出的出院决定。结果。急诊科的职业治疗小组特别注重使用家庭优先的方法来避免住院,以防止患者被收治到急性病房。结果显示,这项服务在转诊人数和急诊科各个出院地点的利用率方面都是有益的。结论。该报告确定了几个领域,由同一团队进一步研究,并对更广泛的文献基础的影响。希望这份报告能够突出在皇家伯克郡医院急诊科工作的职业治疗师的作用,并鼓励在这一实践领域完成进一步的研究。
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