Melissa Kilian, Tania Rauch Van der Merwe, Sanetta H J du Toit
{"title":"Evidence-Based Practice: Implementing REIS Findings in South African Aged Care Facilities.","authors":"Melissa Kilian, Tania Rauch Van der Merwe, Sanetta H J du Toit","doi":"10.1177/15394492231164948","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Older adults living in Residential Aged Care Facilities (RACFs) in South Africa are often exposed to environments that fail to provide adequate occupational opportunities. Practitioners in developing economies are challenged to provide therapeutic services in environments that emphasize occupational deprivation.</p><p><strong>Objectives: </strong>This study investigated barriers and enablers to implementing recommendations derived from the findings generated by the Residential Environment Impact Scale (REIS).</p><p><strong>Method: </strong>A two-phased embedded mixed methodology was employed. Phase 1 was the administration of the REIS. In Phase 2, leadership staff considered factors to implementing findings of the REIS, using the nominal discussion group technique. Data were thematically analyzed.</p><p><strong>Findings: </strong>Findings indicated an organizational culture characterized by top-down management and a medically dominated care approach, constrained by financial and operational concerns.</p><p><strong>Conclusion: </strong>Using the REIS to holistically assess, RACFs are an applicable tool that could promote collaborative approaches to enhance organizational culture change, cultivating more occupational opportunities.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676036/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otjr-Occupation Participation and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15394492231164948","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/4/25 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Older adults living in Residential Aged Care Facilities (RACFs) in South Africa are often exposed to environments that fail to provide adequate occupational opportunities. Practitioners in developing economies are challenged to provide therapeutic services in environments that emphasize occupational deprivation.
Objectives: This study investigated barriers and enablers to implementing recommendations derived from the findings generated by the Residential Environment Impact Scale (REIS).
Method: A two-phased embedded mixed methodology was employed. Phase 1 was the administration of the REIS. In Phase 2, leadership staff considered factors to implementing findings of the REIS, using the nominal discussion group technique. Data were thematically analyzed.
Findings: Findings indicated an organizational culture characterized by top-down management and a medically dominated care approach, constrained by financial and operational concerns.
Conclusion: Using the REIS to holistically assess, RACFs are an applicable tool that could promote collaborative approaches to enhance organizational culture change, cultivating more occupational opportunities.
期刊介绍:
The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.