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A new tool to support research capability building 支持科研能力建设的新工具
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-17 DOI: 10.1177/03080226241270456
Jo Watson, Sureshkumar Kamalakannan
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引用次数: 0
Occupational therapy students’ and educators’ perspectives and understanding of the role of occupational therapy within social prescribing: A qualitative interview study 职业治疗专业学生和教育工作者对职业治疗在社会处方中的作用的看法和理解:定性访谈研究
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-13 DOI: 10.1177/03080226241270442
Siobhan Elliott, Catherine Haighton
Introduction:Social prescribing is building traction internationally and within the United Kingdom healthcare system, highlighted as the biggest investment in the National Health Service. The Royal College of Occupational Therapists has highlighted the contribution that occupational therapy can make to social prescribing. Therefore, this study aimed to investigate Bachelor of Science, Master of Science and Degree Apprenticeship Occupational Therapy students’ and educators’ perspectives and understanding of occupational therapists’ role within social prescribing.Method:Qualitative one-to-one, in depth, semi-structured interviews were carried out with occupational therapy students ( n = 5) and educators ( n = 4). Data were subject to framework analysis.Results:Three main themes were constructed: Knowledge of social prescribing and occupational therapy involvement, social prescribing context and education provided on social prescribing. Students had a basic knowledge of social prescribing, but there was no shared definition of social prescribing between students or educators. Students were unsure of the occupational therapist’s role within social prescribing, as they had not been exposed to this area during their practice placements.Conclusion:Universal use of the international consensus definition of social prescribing is needed to ensure consistent teaching of the approach. Including social prescribing within practice placements for occupational therapy students would aid understanding of the approach.
导言:社会处方在国际上和英国的医疗保健系统中正日益受到重视,并被强调为国民健康服务的最大投资。皇家职业治疗师学院强调了职业治疗对社会处方的贡献。因此,本研究旨在调查理科学士、理科硕士和学位学徒职业治疗学生和教育工作者对职业治疗师在社会处方中的角色的看法和理解。方法:对职业治疗学生(5 人)和教育工作者(4 人)进行了一对一、深入的半结构式定性访谈。结果:构建了三大主题:对社会处方和职业治疗参与的了解、社会处方的背景和提供的社会处方教育。学生对社会处方有基本的了解,但学生和教育者之间对社会处方没有共同的定义。学生们不确定职业治疗师在社会处方中的角色,因为他们在实习期间没有接触过这一领域。将社会处方纳入职业治疗专业学生的实习项目将有助于学生对该方法的理解。
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引用次数: 0
Burnout and occupational stress of home care rehabilitation professionals transitioning out of the COVID-19 pandemic in Ontario, Canada 加拿大安大略省从 COVID-19 大流行中过渡出来的家庭护理康复专业人员的职业倦怠和职业压力
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-12 DOI: 10.1177/03080226241269251
Behdin Nowrouzi-Kia, Emily King, Brydne Edwards, Sonia Nizzer, Amin Yazdani, Basem Gohar, Ali Bani-Fatemi, Aaron Howe, Yusra Fayyaz, Bushra Alam, Raabia Khan, Vijay Kumar Chattu
Introduction:The COVID-19 pandemic has significantly impacted the home healthcare industry, with increased rates of burnout and stress among homecare rehabilitation professionals (hcRPs). This study aimed to (1) examine the nature of burnout and occupational stress among homecare rehabilitation professionals at a large home care organization in Ontario, Canada, transitioning out of the pandemic, and (2) assess its impact on work participation and engagement.Methods:We conducted a cross-sectional survey using the National Institute for Occupational Safety and Health Generic Job Stress Questionnaire and Copenhagen Burnout Inventory to examine burnout and job stress.Results:One hundred thirty-nine participants identified that work stress and burnout are more likely to occur when one struggles to cope, experiences unexpected circumstances, and feels a lack of control, which can lead to anger and emotional exhaustion. The adjusted odds ratio for emotional exhaustion was 5.46, indicating that the probability of experiencing work stress among homecare rehabilitation professionals increases as emotional exhaustion increases. Significant associations were found between coping with daily tasks and levels of burnout.Conclusion:Work stress and burnout influence coping, unexpected circumstances in homecare rehabilitation professionals work–life. Furthermore, highlighting the need to provide organizational support and policies that specifically address these issues in the home care sector.
导言:COVID-19 大流行严重影响了家庭医疗保健行业,导致家庭护理康复专业人员(hcRPs)的职业倦怠率和压力增加。本研究旨在:(1)研究加拿大安大略省一家大型家庭护理机构中的家庭护理康复专业人员在大流行过后的职业倦怠和职业压力的性质;(2)评估其对工作参与和投入的影响。方法:我们使用美国国家职业安全与健康研究所通用工作压力问卷和哥本哈根职业倦怠量表进行了一项横断面调查,以研究职业倦怠和工作压力。结果:139 名参与者认为,当一个人努力应对、遭遇意外情况、感到缺乏控制时,更容易出现工作压力和职业倦怠,从而导致愤怒和情感衰竭。情绪衰竭的调整赔率为 5.46,表明家庭护理康复专业人员经历工作压力的概率随着情绪衰竭的增加而增加。结论:工作压力和职业倦怠会影响应对措施和家庭护理康复专业人员工作生活中的意外情况。结论:工作压力和职业倦怠影响着家庭护理康复专业人员的工作和生活中的应对突发状况,此外,还强调了在家庭护理领域提供专门解决这些问题的组织支持和政策的必要性。
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引用次数: 0
Is the Morriston Occupational Therapy Outcome Measure (MOTOM) an appropriate tool for reablement services? 莫里斯顿职业治疗结果测量法(MOTOM)是否适合用于康复服务?
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-06 DOI: 10.1177/03080226241269255
Sophie Tooke, Julia Warrener, Tamsin Leah, Joanna Ward, Jeremy Dearling
Introduction:The Care Act (2014) requires local authorities to provide reablement services but does not standardise how to do this, leading to different services utilising different outcome measures. This article investigates the Morriston Occupational Therapy Outcome Measure, which has been under researched in community reablement settings.Method:A questionnaire was distributed to the staff working within one local authority to seek their experience of using the Morriston Occupational Therapy Outcome Measure. The questionnaire consisted of closed and open-ended questions to gain insights into their understanding and experience of the Morriston Occupational Therapy Outcome Measure.Findings:Quantitative findings showed that staff felt they understood the Morriston Occupational Therapy Outcome Measure, and most respondents agreed that the Morriston Occupational Therapy Outcome Measure was an effective tool for reablement services. However, staff provided contradictory responses as to whether the Morriston Occupational Therapy Outcome Measure was applied consistently or that service users understand the assessment.Qualitative:Findings showed the Morriston Occupational Therapy Outcome Measure is a service user tool, service provider tool, and it provides quality assurance. However, the Morriston Occupational Therapy Outcome Measure can have restricted applicability and within this local authority, more training was needed to improve the consistency of goal-scoring.Conclusion:The Morriston Occupational Therapy Outcome Measure does have strengths within reablement services; however, to ensure it is an effective tool, this research highlights the need for a high level of training.
导言:《护理法案》(2014 年)要求地方当局提供复能服务,但并未对如何提供复能服务进行标准化,导致不同的服务机构采用不同的结果测量方法。本文对莫里斯顿职业治疗结果测量法进行了调查,该方法在社区可再适应设置中的研究不足。方法:我们向一个地方当局的工作人员发放了一份调查问卷,以了解他们使用莫里斯顿职业治疗结果测量法的经验。调查结果:定量调查结果显示,工作人员认为他们了解莫里斯顿职业治疗结果测量法,而且大多数受访者都认为莫里斯顿职业治疗结果测量法是一种有效的康复服务工具。定性:调查结果显示,莫里斯顿职业治疗结果衡量标准是服务使用者和服务提供者的工具,它提供了质量保证。然而,莫里斯顿职业治疗结果测量法的适用性可能会受到限制,在该地方当局中,需要进行更多培训,以提高目标评分的一致性。结论:莫里斯顿职业治疗结果测量法在可再适应服务中确实具有优势;然而,为确保其成为有效的工具,本研究强调需要进行高水平的培训。
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引用次数: 0
Research priority seven: What is the role of occupational therapy in supporting self-management? Developing an occupation-centred lens for research and practice. 研究重点七:职业治疗在支持自我管理方面的作用是什么?为研究和实践发展以职业为中心的视角
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-01 Epub Date: 2023-08-30 DOI: 10.1177/03080226231197312
Niamh Kinsella, Julie King
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引用次数: 0
Book of Abstracts 摘要集
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-08-01 DOI: 10.1177/03080226241265797
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引用次数: 0
Implementing constraint-induced movement therapy into practice in sub-acute stroke: Experiences and perceptions of stroke survivors and therapists 在亚急性中风的实践中实施约束诱导运动疗法:中风幸存者和治疗师的经验和看法
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-26 DOI: 10.1177/03080226241261183
Kathryn A Jarvis, Nicola MJ Edelstyn, Susan M Hunter
Introduction:Constraint-induced movement therapy has been shown to be effective in a sub-group of sub-acute stroke survivors but has not been widely implemented in the United Kingdom. This study explored therapist and stroke survivor perceptions and experiences of constraint-induced movement therapy and explored the non-agreement (incongruence) and agreement (congruence) of these perspectives.Method:Consenting occupational therapists ( n = 3) and physiotherapist ( n = 5) participated in a focus group discussion. Four-stroke survivors undertook pre- and post-constraint-induced movement therapy interviews. Stroke survivor participants selected and undertook an evidence-based constraint-induced movement therapy protocol. Focus groups and interview audio recordings were independently analysed thematically. Therapist and stroke survivor views were subsequently synthesised using meta-ethnographic principles.Findings:Four over-arching themes were identified: motivation and determination to participate in constraint-induced movement therapy; who benefits; which protocol; making constraint-induced movement therapy feasible. The final over-arching theme comprised five sub-themes: fatigue and sleep; pain; transport; need for support; training, support and mentorship for therapists. Stroke survivors and therapists held contrasting views on three themes.Conclusion:Participating stroke survivors successfully undertook a self-selected, evidence-based constraint-induced movement therapy protocol. The identified enablers and barriers should inform future constraint-induced movement therapy protocol development. The contrasting views held by therapists and stroke survivors reinforce the need for collaborative communication and opportunity for choice during constraint-induced movement therapy.
导言:约束诱导运动疗法已被证明对亚急性中风幸存者亚群有效,但尚未在英国广泛实施。本研究探讨了治疗师和中风幸存者对约束诱导运动疗法的看法和体验,并探讨了这些观点的不一致(不协调)和一致(协调)情况。方法:征得同意的职业治疗师(3 人)和物理治疗师(5 人)参加了焦点小组讨论。四名中风幸存者接受了约束诱导运动疗法前后的访谈。脑卒中幸存者选择并接受了以证据为基础的约束诱导运动疗法方案。对焦点小组和访谈录音进行了独立的专题分析。研究结果:确定了四个总体主题:参与约束诱导运动疗法的动机和决心;谁能受益;哪种方案;使约束诱导运动疗法可行。最后一个总主题包括五个分主题:疲劳和睡眠;疼痛;交通;需要支持;治疗师的培训、支持和指导。中风幸存者和治疗师对三个主题的看法截然不同。结论:参与研究的中风幸存者成功地进行了自我选择、以证据为基础的约束诱导运动疗法。所发现的促进因素和障碍应为未来制约诱导运动疗法方案的制定提供参考。治疗师和中风幸存者持有的截然不同的观点加强了在限制诱导运动疗法中进行合作交流和提供选择机会的必要性。
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引用次数: 0
Study repeats findings demonstrating in-person instruction improves empathic awareness: Curriculum emphasizes literary narratives, narrative reasoning, person-to person interaction, and close reading 该研究重复了有关亲自授课可提高移情意识的研究结果:课程强调文学叙事、叙事推理、人与人之间的互动和精读
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-25 DOI: 10.1177/03080226241265228
Cavenaugh Kelly, Kim McKeage
Despite the widely accepted importance of clinician empathy in quality healthcare, no occupational therapy-based pedagogy has consistently demonstrated the ability to improve the level of empathic awareness in students. In an effort to replicate 2020 findings that demonstrated the close reading of literary narratives improves empathic awareness in occupational therapy students ( p < 0.001), the study’s curriculum and methodology were repeated in 2021 and 2022. Results demonstrated that classes taught fully in-person repeated findings ( p < 0.001), while classes taught online (2021) did not ( p > 0.001). Study implications include the potential of an in-person curriculum that emphasizes literary narratives to facilitate empathic awareness in occupational therapy students, and the possible limitations of online instruction to foster greater understanding of client needs.
尽管临床医生的同理心在高质量医疗保健中的重要性已被广泛接受,但还没有任何一种基于职业治疗的教学法能够持续证明能够提高学生的同理心意识水平。2020 年的研究结果表明,细读文学叙事能提高职业治疗专业学生的移情意识(p <0.001),为了复制这些研究结果,我们在 2021 年和 2022 年重复了这项研究的课程和方法。结果表明,完全面对面授课的班级重复了研究结果(p <0.001),而在线授课的班级(2021 年)没有重复研究结果(p >0.001)。研究意义包括:强调文学叙事的面授课程有可能促进职业治疗专业学生的移情意识,而在线教学在促进学生更好地了解客户需求方面可能存在局限性。
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引用次数: 0
Exploring the impact of early-stage dementia on everyday activities 探索早期痴呆症对日常活动的影响
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-24 DOI: 10.1177/03080226241261178
Bethan M Edwards, Monica Busse, Teena J Clouston, Ben Hannigan
Introduction:This paper explores the impact that early-stage dementia has on everyday activities from the perspective of people living with dementia, their supporters and occupational therapy practitioners.Method:People living with dementia and their supporters ( n = 10), and occupational therapy practitioners ( n = 21) took part in semi-structured interviews, with transcripts analysed thematically.Findings:Six primary themes were identified across participants, namely: (1) ‘Everybody seems to be different, [but] they are similar’; (2) An awareness of change: ‘Something’s not quite right’; (3) ‘ Changes’ and ‘ difficulties’ associated with complex and unfamiliar activities; (4) Social withdrawal and exclusion: ‘I’ve felt like I was a leper’; (5) Post-diagnostic mental health: ‘. . . a dark place’; and (6) A process of adaptation: ‘I’m still who I am, I can still do things. . .’Conclusion:Findings indicate that occupational therapy intervention programmes for people living with early-stage dementia should target difficulties associated with a broad range of activity types, and include components that target mental health and motivational needs. The study adds to existing knowledge about the need to personally tailor interventions to ensure that they meet individual needs, experiences, and circumstances. Findings will inform the development of an occupational therapy intervention programme theory (theory of change) for early-stage dementia.
方法:痴呆症患者及其支持者(10 人)和职业治疗从业人员(21 人)参加了半结构式访谈,并对访谈记录进行了主题分析。研究结果:在所有参与者中确定了六个主要的主题,即:(1)"每个人似乎都不一样,[但]他们又很相似";(2)对变化的认识:"有些东西不太对劲";(3)与复杂和陌生活动相关的 "变化 "和 "困难";(4)社会退缩和排斥:"我感觉自己像个麻风病人";(5)诊断后的心理健康:"..一个黑暗的地方";(6) 适应过程:"我仍然是我,我仍然可以做事......"。...... "结论:研究结果表明,针对早期痴呆症患者的职业治疗干预计划应针对与各种活动类型相关的困难,并包含针对心理健康和动机需求的内容。这项研究补充了现有的知识,即有必要对干预措施进行个人定制,以确保其满足个人需求、经历和情况。研究结果将为早期痴呆症职业治疗干预方案理论(变化理论)的发展提供参考。
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引用次数: 0
Occupation- and lifestyle-based mental health interventions - A hallmark for the occupational therapy profession? 基于职业和生活方式的心理健康干预——职业治疗专业的标志?
IF 1.3 4区 医学 Q3 REHABILITATION Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1177/03080226241228750
Mona Eklund, Jackie Parsonage-Harrison, Elisabeth Argentzell
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引用次数: 0
期刊
British Journal of Occupational Therapy
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