Decision polarization among rehabilitation team recommendations concerning discharge housing for stroke patients

Unsworth, Carolyn A.; Sa, Thomas; Km, Greenwood

doi:10.1097/00004356-199703000-00005

Cited by 17 publications

(9 citation statements)

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“…It has been successfully used in a wide variety of fields, such as medicine (Wigton 1988(Wigton , 1996, finance (Waller 1988) and weather forecasting (Stewart 1990). It has also been successfully used to analyse the relationship between individuals' decision making in multidisciplinary rehabilitation teams that have included occupational therapists (for example, Unsworth et al 1997).…”

Section: Rationalementioning

confidence: 99%

Studying Clinical Reasoning, Part 2: Applying Social Judgement Theory

Harries¹,

Harries²

2001

British Journal of Occupational Therapy

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Part 1 of this paper (Harries and Harries 2001) examined the reasoning studies of the 1980s and 1990s and critiqued the ethnographic and information-processing approaches, based on stated information use. The need for an approach that acknowledged the intuitive nature of experienced thinkers' reasoning was identified. Part 2 describes such an approach ± social judgement theory ± and presents a pilot application in occupational therapy research. The method used is judgement analysis. The issue under study is that of prioritisation policies in community mental health work. The results present the prioritisation policies of four occupational therapists in relation to managing community mental health referrals.

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Section: Rationalementioning

confidence: 99%

Studying Clinical Reasoning, Part 2: Applying Social Judgement Theory

Harries¹,

Harries²

2001

British Journal of Occupational Therapy

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“…Both of these studies were conducted in Australia and focus on housing recommendations made by rehabilitation teams for stroke patients on discharge ( Unsworth et al . 1995 , 1997). The first study by Unsworth et al .…”

Section: Delivery Of Rehabilitation Programmes and Team Workingmentioning

confidence: 99%

Neurological rehabilitation nursing: a review of the research

Thorn

2000

Journal of Advanced Nursing

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Neurological rehabilitation is increasingly seen as a specialist form of rehabilitation requiring specialist nursing knowledge. However, as in many areas of nursing, nurses in this field recognize that there is a need to increase their knowledge base to ensure that they provide the best and most up-to-date quality care for their patients and their families. To achieve high levels of competence, neurological rehabilitation nurses need to be aware of the existing body of research in this field so that they can make sound decisions regarding their practice and future research endeavours. This review aims to validate the existing knowledge base in this area by identifying and critically analysing research conducted in the area of neurological rehabilitation nursing during the decade 1988-1998 and by identifying any gaps and weaknesses that may be addressed by future research. Studies were included in the review if they examined an aspect of rehabilitation nursing, were concerned predominately with the neurological patient and were conducted in an in-patient setting. Research with a medical focus was not included and only research published in English was reviewed. Relevant research located examined the following areas: (1) the role of the rehabilitation nurse; (2) specific problems concerning the neurological rehabilitation patient; (3) specific nursing interventions; (4) rehabilitation nursing practice; (5) the delivery of rehabilitation programmes and team working; and (6) the family of the rehabilitation patient. The review concludes that research in this speciality remains limited both in quantity and quality. Most of the studies lack rigour and, because they were conducted at a single site, their generalizability to other clinical sites may be limited.

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“…Occupational therapists, as members of a health‐care team, frequently find themselves involved in the assessment of their older clients’ capacity to continue with community living. Occupational therapists play a large role in health‐care team discussions about future housing for their clients (Unsworth, Thomas & Greenwood, 1997). The decision for a person to return home or to move to an alternative accommodation such as a nursing home is a momentous one for the client.…”

Section: Introductionmentioning

confidence: 99%

Discharge decision‐making with older people: The influence of the institutional environment

Moats

2006

Aus Occup Therapy J

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Background/Aim: Occupational therapists often participate in decision-making about postdischarge accommodations. This paper presents the findings of a study that identified and explored institutional factors influencing discharge accommodation decision-making with older people, from the perspective of occupational therapists. Methods: Qualitative, semistructured, face-to-face interviews were conducted with 10 occupational therapists. Interviews were recorded, transcribed, coded and analysed for the presence and emergence of themes. Results: Decision-making processes were influenced by the institutional environment. The medical model and pressure for fast decisions seemed to impede client-centred processes in acute settings. Conclusions: When possible, decision-making about long-term care needs to occur in community or longer-stay rehabilitation settings that allow time for negotiated clientcentred processes. KEY WORDS aged, occupational therapy, patient care planning, patient care team, patient discharge.

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Decision polarization among rehabilitation team recommendations concerning discharge housing for stroke patients

Cited by 17 publications

References 0 publications

Studying Clinical Reasoning, Part 2: Applying Social Judgement Theory

Studying Clinical Reasoning, Part 2: Applying Social Judgement Theory

Neurological rehabilitation nursing: a review of the research

Discharge decision‐making with older people: The influence of the institutional environment

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