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Plotting current practices and challenges among Indonesian occupational therapists working with individuals with autism spectrum disorders 绘制目前的做法和挑战,印尼职业治疗师与个体自闭症谱系障碍
IF 1.6 Q2 Health Professions Pub Date : 2021-06-18 DOI: 10.1080/14473828.2021.1938863
Erayanti Saloko, Linda Harumi, Eko Sumaryanto, R. Kobayashi, Yuko Ito
ABSTRACT Indonesian occupational therapists, despite being few in numbers, face a high demand for quality care due to the high prevalence of Autism Spectrum Disorders (ASD). Hence, there is a need to investigate how Indonesian occupational therapists render services for individuals with ASD. The objectives of this study were to describe Indonesian occupational therapy practice and identify the challenges in rendering services for individuals with ASD. This cross-sectional study employed an online survey with structured and open-ended questions to collect data from Indonesian occupational therapists who work with persons with ASD. Descriptive statistics and thematic analysis were used to analyse data. Survey was completed with an 88% response rate. Sensory Integration and Short Sensory Profile are the most common frame of reference and standardised assessment, respectively. Challenges identified were: translating theory into practice, being creative and skilful, improving competence for effective collaboration, supporting parental involvement, and overcoming stigma. This study clarified the nature of current Indonesian occupational therapy practice for individuals with ASD and the challenges faced by Indonesian OTs in rendering services for persons with ASD.
摘要印尼职业治疗师虽然人数不多,但由于自闭症谱系障碍(ASD)的高发病率,他们面临着对高质量护理的高需求。因此,有必要调查印尼职业治疗师如何为ASD患者提供服务。本研究的目的是描述印度尼西亚的职业治疗实践,并确定为ASD患者提供服务的挑战。这项横断面研究采用了一项结构化和开放式问题的在线调查,从与ASD患者合作的印尼职业治疗师那里收集数据。使用描述性统计和专题分析来分析数据。调查完成,回复率为88%。感觉统合和短感觉概况分别是最常见的参考框架和标准化评估。所确定的挑战包括:将理论转化为实践、富有创造力和技巧、提高有效合作的能力、支持父母的参与以及克服耻辱。这项研究阐明了目前印尼ASD患者职业治疗实践的性质,以及印尼OT在为ASD患者提供服务方面面临的挑战。
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引用次数: 3
‘Inclusion’ and ‘Democracy’ in Education: An exploration of concepts and ideas for occupational therapists 教育中的“包容”和“民主”:职业治疗师的概念和思想探索
IF 1.6 Q2 Health Professions Pub Date : 2021-05-16 DOI: 10.1080/14473828.2021.1921929
Joana Rostirolla Batista de Souza, P. L. D. O. Borba, L. C. Pan, R. Lopes
ABSTRACT Assuming the Brazilian context, emphasis is placed on occupational therapists’ reflections to contribute to an international dialogue on concepts that support practices in schools/the educational sector that are still little explored. Initially, the World Federation of Occupational Therapists’ position, which adheres to a certain perspective of ‘Inclusion’, applied to schooling processes is challenged. We aim to foster theoretical development about the concept of ‘Inclusion’ in education, in dialogue with occupational therapy and its proposals for this area. The defence of a democratic school by occupational therapists is advocated considering its limitations and possibilities in a society founded on inequality. The question remains as to which new concepts will underpin our practices or whether we can/should assume the task of rewriting/reframing them in search of what motivates us: concern to ensure, in daily professional practice, the access, permanence and, mainly, participation of those who are outside school.
摘要假设在巴西的背景下,重点是职业治疗师的反思,以促进关于支持学校/教育部门实践的概念的国际对话,而这些概念仍然很少被探索。最初,世界职业治疗师联合会坚持“包容”的特定观点,将其应用于学校教育过程,这一立场受到了挑战。我们的目标是促进教育中“包容”概念的理论发展,与职业治疗及其在这一领域的建议进行对话。考虑到民主学校在一个建立在不平等基础上的社会中的局限性和可能性,职业治疗师主张为民主学校辩护。问题仍然是,哪些新概念将支撑我们的实践,或者我们是否可以/应该承担改写/重新构建这些概念的任务,以寻找激励我们的因素:在日常职业实践中,关注确保校外人员的机会、永久性,主要是参与。
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引用次数: 5
World Federation of Occupational Therapists position statement: Occupational Therapy and Human Rights (Revised 2019) – the backstory and future challenges 世界职业治疗师联合会立场声明:职业治疗与人权(2019年修订)-背景故事和未来挑战
IF 1.6 Q2 Health Professions Pub Date : 2021-04-29 DOI: 10.1080/14473828.2021.1915608
C. Hocking, E. Townsend, J. Mace
ABSTRACT The World Federation of Occupational Therapists’ (WFOT) adoption of the Position Statement, Occupational Therapy and Human Rights (2006) was a global milestone for the profession. The revised 2019 Position Statement marks the next milestone towards becoming a socially and ethically responsive profession; playing a vital role to advance human rights, justice, and social inclusion globally. To inform progress towards embracing a human rights perspective, this paper documents that history and unpacks the reasoning behind the revisions. We start with a brief history of the 13-year journey from 2006 to 2019, marked by extensive discussion, consultation, and scholarship on occupational justice, social inclusion, and human rights. We end with notes on opportunities and challenges for occupational therapists in any situation, from clinical practice to policy leadership, to speak out, write, and otherwise take a strong stand on occupational therapy and human rights, occupational justice and social inclusion.
世界职业治疗师联合会(WFOT)通过的立场声明,职业治疗和人权(2006)是该行业的一个全球里程碑。修订后的2019年立场声明标志着成为一个对社会和道德负责的职业的下一个里程碑;在促进全球人权、正义和社会包容方面发挥着至关重要的作用。为了向接受人权观点的进展提供信息,本文记录了这段历史,并揭示了修订背后的原因。我们首先简要回顾从2006年到2019年的13年历程,其间就职业正义、社会包容和人权进行了广泛的讨论、磋商和学术研究。最后,我们记录了职业治疗师在任何情况下的机遇和挑战,从临床实践到政策领导,在职业治疗和人权、职业正义和社会包容方面发表意见、写作或采取强硬立场。
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引用次数: 5
Occupational risk factors and preventative practice reflections during COVID pandemic 新冠肺炎疫情期间的职业风险因素及预防措施思考
IF 1.6 Q2 Health Professions Pub Date : 2021-04-18 DOI: 10.1080/14473828.2021.1910401
D. Tingley, Olivia Vowles
ABSTRACT Occupational therapy within community mental health teams (CMHT) has a unique potential for upstream preventative practice [Letts, L. (2004). In B. C. Crepeau E. & B. B. Schell (Eds.) Health promotion in Willard & Spackman’s occupational therapy (18th edn., pp. 160–177). Lippincott Williams & Wilkins]. Practicing preventatively, was an opportunity posed by the COVID pandemic, we saw an opportunity to realise our professional potential here and preventative practice as a professional strength. However, working in a fast paced, medically driven environment, has historically been a barrier to authentically accessing the service user [Letts, L. (2004). In B. C. Crepeau E. & B. B. Schell (Eds.) Health promotion in Willard & Spackman’s occupational therapy (18th edn., pp. 160–177). Lippincott Williams & Wilkins]. Further, in the light of the pandemic, we had lost our usual ways of working. In place of face-to-face contact, we were left with the medium of the telephone. We decided to become our own occupational therapists, to reconsider our professional roles by reflecting on the body of knowledge which informs our clinical reasoning, in an ethically driven light, to include the values of occupation, sustainability and client centred practice.
摘要社区心理健康团队(CMHT)中的职业治疗在上游预防实践中具有独特的潜力[Letts,L.(2004)。在B.C.Crepeau E.&B.B.Schell(编辑)中,Willard&Spackman职业治疗中的健康促进(第18版,第160-177页)。Lippincott Williams&Wilkins]。预防性实践是新冠肺炎疫情带来的一个机会,我们看到了一个机会来实现我们在这里的专业潜力,并将预防性实践作为一种专业力量。然而,从历史上看,在快节奏、医学驱动的环境中工作一直是真正接触服务用户的障碍[Letts,L.(2004)。在B.C.Crepeau E.&B.B.Schell(编辑)中,Willard&Spackman职业治疗中的健康促进(第18版,第160-177页)。Lippincott Williams&Wilkins]。此外,鉴于疫情,我们已经失去了通常的工作方式。我们没有面对面接触,只剩下电话媒介。我们决定成为自己的职业治疗师,通过反思为我们的临床推理提供依据的知识体系,重新考虑我们的职业角色,从道德角度出发,包括职业、可持续性和以客户为中心的实践价值观。
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引用次数: 1
Being a feral occupational therapist 成为一名野性的职业治疗师
IF 1.6 Q2 Health Professions Pub Date : 2021-03-19 DOI: 10.1080/14473828.2021.1888405
C. McNulty
ABSTRACT This case study explores the background and practice of a feral occupational therapist working in community mental health. The concept of feral occupational therapist is explained and the socio-economic and political climate of feral practice is described and considered. The practice began when unmet occupational and mental health needs in the community were identified and the opportunity for slow rehabilitation was found possible. The feral occupational therapist role, which is outside the restrictions of targets and time limits set by others, allows creativity in thinking drawn from the deep philosophy of occupational therapy, perhaps in some ways now lost in contemporary, mainstream practice.
本案例探讨了一名野性职业治疗师在社区精神卫生工作的背景和实践。解释了野性职业治疗师的概念,描述和考虑了野性实践的社会经济和政治气候。当发现社区中未满足的职业和心理健康需求,并发现可能有缓慢康复的机会时,这种做法就开始了。野性的职业治疗师角色,不受他人设定的目标和时间限制的限制,允许从职业治疗的深层哲学中汲取创造性思维,也许在某些方面,现在已经在当代主流实践中丢失了。
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引用次数: 0
A virtual group program to improve quality of life for people living with Parkinson’s: an Australian response to the COVID-19 pandemic 改善帕金森病患者生活质量的虚拟小组计划:澳大利亚对COVID-19大流行的反应
IF 1.6 Q2 Health Professions Pub Date : 2021-02-16 DOI: 10.1080/14473828.2021.1887631
Kate Sterrenberg
ABSTRACT Globally, COVID-19 has created unprecedented challenges and restrictions, disproportionately impacting our most vulnerable people including those living with Parkinson’s. Organisations supporting these individuals have had to respond in different ways. This paper reports on an Australian pilot programme undertaken from July to September 2020 in response to physical distancing limitations imposed during the pandemic. The aim of the programme was to explore the benefits and effectiveness of delivering a comprehensive biopsychosocial group programme using virtual technology to people living with Parkinson’s. The 10-week group programme of education and wellness was delivered to five participants by a multi-disciplinary allied health team under the coordination of an occupational therapist. Evaluation of this programme suggests that virtual group sessions could be a viable and effective means of delivering a biopsychosocial occupational therapy-driven programme to improve the quality of life of people living with Parkinson’s.
摘要在全球范围内,新冠肺炎带来了前所未有的挑战和限制,对包括帕金森氏症患者在内的最脆弱人群产生了不成比例的影响。支持这些人的组织不得不以不同的方式做出回应。本文报道了2020年7月至9月澳大利亚为应对疫情期间实施的物理距离限制而开展的一项试点计划。该计划的目的是探索利用虚拟技术为帕金森氏症患者提供全面的生物心理社会团体计划的好处和有效性。一个多学科联合健康团队在一名职业治疗师的协调下,为五名参与者提供了为期10周的教育和健康小组计划。对该计划的评估表明,虚拟小组会议可能是一种可行和有效的方式,可以提供生物-心理-社会-职业治疗驱动的计划,以提高帕金森氏症患者的生活质量。
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引用次数: 0
The impact of Covid-19 for occupational therapy: Findings and recommendations of a global survey 新冠肺炎对职业治疗的影响:全球调查结果和建议
IF 1.6 Q2 Health Professions Pub Date : 2021-01-18 DOI: 10.1080/14473828.2020.1855044
Viktoria Hoel, C. V. Zweck, R. Ledgerd
ABSTRACT A global survey of individuals involved in the delivery of occupational therapy was conducted by the World Federation of Occupational Therapists (WFOT) to determine the impact of the COVID-19 pandemic and identify needs and recommendations for future resources and support. The online survey was circulated in five languages through member organisations and other WFOT communications networks. The 30-item survey collected primarily quantitative data, although some comments and recommendations were requested. A total of 2750 individual responses were received from 100 countries. Findings indicated that the Covid-19 pandemic had a wide-ranging impact on occupational therapy as a result of several factors, including a lack of preparedness, restrictions in service access, new demands during redeployment, frequently changing work conditions, use of new technology and limitations in resources such as additional space for physical distancing and personal protective equipment. Working during the pandemic also had a personal impact on the health of most respondents, with some reporting reduced morale and concerns for their safety. Access to Covid-19 specific training and living in a high-income country were found to have a significant positive impact on a number of outcomes, including the respondent's sense of competence, effectiveness and safety. Those working in a clinical role were less likely to report higher levels of safety, effectiveness and positive impacts associated with the pandemic. Important recommendations emerged from the findings to inform the future work of WFOT and other professional organisations, including the need for: collaborative efforts to provide information and training resources; development of standards and supports to promote quality service provision; and advocacy to promote access to occupational therapy and address occupational injustice.
摘要世界职业治疗师联合会(WFOT)对参与提供职业治疗的个人进行了一项全球调查,以确定新冠肺炎大流行的影响,并确定未来资源和支持的需求和建议。该在线调查通过成员组织和其他WFOT通信网络以五种语言分发。这项由30个项目组成的调查主要收集了定量数据,但也提出了一些意见和建议。共收到来自100个国家的2750份个人答复。调查结果表明,新冠肺炎大流行对职业治疗产生了广泛影响,这是由几个因素造成的,包括缺乏准备、服务准入受到限制、重新部署期间的新需求、工作条件频繁变化、使用新技术以及额外的物理距离和个人防护设备空间等资源限制。疫情期间的工作也对大多数受访者的健康产生了个人影响,一些人表示士气低落,担心自己的安全。研究发现,获得新冠肺炎特定培训和在高收入国家生活对许多结果产生了重大的积极影响,包括受访者的能力、有效性和安全感。那些从事临床工作的人不太可能报告与疫情相关的更高水平的安全性、有效性和积极影响。调查结果提出了重要建议,为WFOT和其他专业组织的未来工作提供信息,包括需要:合作提供信息和培训资源;制定标准和支持措施,促进提供优质服务;倡导促进获得职业治疗和解决职业不公正问题。
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引用次数: 40
Report on the 34th WFOT council meeting 19 January 2021 2021年1月19日世界贸易组织理事会第34次会议报告
IF 1.6 Q2 Health Professions Pub Date : 2021-01-02 DOI: 10.1080/14473828.2021.1897292
R. Ledgerd
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引用次数: 0
Coping with bereavement: The experience of a Filipino who lives life using a wheelchair 面对丧亲之痛:一个靠轮椅生活的菲律宾人的经历
IF 1.6 Q2 Health Professions Pub Date : 2021-01-02 DOI: 10.1080/14473828.2020.1868164
D. P. Yao, P. Bontje, Kaoru Inoue, Aoi Tanaka, Jeana Lacsamana-Manalaysay
ABSTRACT Individuals with spinal cord injury are vulnerable to developing mental health issues, as their capability to participate in occupations for coping with life stressors, such as bereavement, is altered. However, the interplay of facilitators and constraints to participating in occupations is not well-known, especially in developing countries like the Philippines. The aim of this paper is to provide an understanding of how facilitators and constraints towards participation in occupation impact the mental health of an individual with spinal cord injury within the context of coping with bereavement. This study employed a single-case participatory action research method with narrative analysis. The result revealed how environmental inaccessibility and attitudes induced negative experiences of coping with bereavement, mitigable by supportive contexts. In conclusion, mental health and participating in occupations are hindered and supported by the contexts. Practitioners should diminish constraints and maximise facilitators to enhance participation in occupations and mental health.
摘要:脊髓损伤患者很容易出现心理健康问题,因为他们参与应对生活压力源(如丧亲之痛)的能力发生了变化。然而,参与职业的促进者和制约因素之间的相互作用并不为人所知,尤其是在菲律宾等发展中国家。本文的目的是了解在应对丧亲之痛的背景下,参与职业的促进者和约束因素如何影响脊髓损伤患者的心理健康。本研究采用个案参与式行动研究方法,结合叙事分析。研究结果揭示了环境的不可接近性和态度如何导致应对丧亲之痛的负面体验,而这种体验可以通过支持性环境来缓解。总之,心理健康和参与职业受到环境的阻碍和支持。从业者应减少限制,最大限度地发挥促进者的作用,以加强对职业和心理健康的参与。
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引用次数: 0
Message from the President: A vital time for collaboration and demonstrating the value of occupational therapy 总统致辞:这是合作和展示职业治疗价值的重要时刻
IF 1.6 Q2 Health Professions Pub Date : 2021-01-02 DOI: 10.1080/14473828.2021.1901184
Samantha Shann
As I sat down to write my first piece for the Bulletin as the newly elected President of theWorld Federation of Occupational Therapists, it was difficult not to reflect back on 2020. The global COVID-19 pandemic saw our lives change beyond recognition both personally and professionally. And as we entered 2021 not much seemed to have changed, with many of us still experiencing restrictions on daily occupations plus increasing numbers of COVID-19 cases in many countries adding further pressures to already strained health systems. However, it is vital to acknowledge that the pandemic has brought opportunities as well as challenges and, as a profession, we have responded and adapted. The WFOT Global Survey (Hoel et al., 2021) documents this well and makes recommendations for future initiatives. Professional organisations and many national occupational therapy associations developed and shared resources regarding good practice; and, in this edition of the WFOT Bulletin, we see how services around the world have evolved and embraced new ways of working to ensure occupational therapy services meet clients’ and societal needs. Before the pandemic, there was awareness of an obvious gap in rehabilitation services around the world. Ten years ago, the World Report on Disability (World Health Organization and World Bank, 2011) showed that 2.4 billion people world-wide were in need of rehabilitation services. Since then, WHO has repeatedly highlighted access to rehabilitation services as essential in embracing universal health coverage and achieving the UN Sustainable Development Goals 2030. Whilst COVID-19 has again highlighted the need for access to rehabilitation (Gutenbrunner et al., 2020) it is important that any rehabilitation strategy addresses both COVID-specific rehabilitation needs plus the needs of those who require rehabilitation for reasons other than coping with and recuperating from the COVID virus (De Biase et al., 2020). Recognition of the indirect effects of the pandemic on peoples’ health and well-being is also growing. For many, national and local ‘lockdowns’ have led to occupational marginalisation, whilst for some the change in daily routines and the move to more digital communications can be viewed more positively through the alleviation of some of the physical and emotional barriers faced pre-pandemic. Either way, as the world transitions to the next stage of the pandemic and the roll out of the vaccination allows for more social (re)integration, occupational therapy’s focus on engagement and participation is well placed to help address the physical and psychological barriers to overcoming the effects of occupational deprivation. As we continue to adapt our practices and develop new services, it is critical that we use effective measures to capture and demonstrate the unique contribution of occupational therapy. The WFOT’s Quality Evaluation Strategy Tool (QUEST) can assist with understanding and using Quality Indicators to monitor, eva
作为新当选的世界职业治疗师联合会主席,当我坐下来为《公报》写我的第一篇文章时,很难不回顾2020年。全球新冠肺炎大流行使我们的生活在个人和职业上发生了翻天覆地的变化。随着我们进入2021年,情况似乎没有太大变化,我们中的许多人仍在经历对日常职业的限制,加上许多国家新冠肺炎病例的增加,给本已紧张的卫生系统增加了进一步的压力。然而,重要的是要承认,疫情带来了机遇和挑战,作为一个职业,我们已经做出了回应和适应。WFOT全球调查(Hoel等人,2021)很好地记录了这一点,并为未来的举措提出了建议。专业组织和许多国家职业治疗协会开发并共享良好实践方面的资源;在本期WFOT公告中,我们看到了世界各地的服务是如何发展和接受新的工作方式的,以确保职业治疗服务满足客户和社会需求。在新冠疫情之前,人们意识到世界各地的康复服务存在明显差距。十年前,《世界残疾报告》(世界卫生组织和世界银行,2011年)显示,全世界有24亿人需要康复服务。自那时以来,世界卫生组织一再强调,获得康复服务对于实现全民健康覆盖和实现2030年联合国可持续发展目标至关重要。虽然新冠肺炎再次强调了获得康复的必要性(Gutenbrunner等人,2020),但重要的是,任何康复策略都要解决特定于新冠肺炎的康复需求,以及那些因应对和康复新冠肺炎病毒以外的原因而需要康复的人的需求(De Biase et al.,2020)。人们也越来越认识到疫情对人民健康和福祉的间接影响。对许多人来说,国家和地方的“封锁”导致了职业边缘化,而对一些人来说,通过缓解疫情前面临的一些身体和情感障碍,可以更积极地看待日常生活的改变和向更多数字通信的转变。无论哪种方式,随着世界过渡到新冠疫情的下一阶段,疫苗接种的推出允许更多的社会(重新)融合,职业治疗对参与和参与的关注有助于解决克服职业剥夺影响的身体和心理障碍。随着我们不断调整我们的实践并开发新的服务,我们必须采取有效措施来捕捉和展示职业治疗的独特贡献。WFOT的质量评估策略工具(QUEST)可以帮助理解和使用质量指标来监测、评估和提高职业治疗服务的质量。来自这些指标的数据可以用来提供证据,说明职业治疗如何促进健康结果、提高满意度和优化有限资源的使用。该工具可从WFOT的网站上免费获得,无论地理位置、实践环境和服务人群如何,都可以应用(WFOT,2020)。QUEST的一个好合作伙伴是经济评估工具(WFOT,2021),它可以帮助证明职业治疗服务的成本效益以及我们对资助者和政府的价值。我强烈敦促你审视这些资源,并将其纳入你的实践中。它们适用于职业治疗师从学生开始的整个职业生涯。我们每个人都有职业责任出于法律和道德原因记录实践,并帮助推进职业发展;我们都能够而且应该促进占领的价值。全球大流行病使我们走到一起,自由分享宝贵的资源。现在比以往任何时候都更需要通过职业治疗师领导的教育、服务和研究来实现职业治疗的价值观和愿景。
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引用次数: 0
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World Federation of Occupational Therapists Bulletin
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