Education leads to increased adherence to the ‘Australian Competency Standards for Occupational Therapy Driver Assessors’

Fields, Sally M.; Unsworth, Carolyn A.; Harreveld, Bobby

doi:10.1080/11038128.2022.2076735

Cited by 4 publications

(9 citation statements)

References 34 publications

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“…A study conducted in Australia that assessed the adherence of occupational therapist driver assessors to competency standards illustrates further strategies for enhancing competence. Fields et al (2022) investigated the efficacy of providing individualized education using the Australian Competency Standards for Occupational Therapy Driver Assessors . Following individual sessions including education, personalized feedback from a practice audit, and encouraging reflection on how the session may affect their practice, occupational therapist adherence to competency standards increased (Fields et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Fields et al (2022) investigated the efficacy of providing individualized education using the Australian Competency Standards for Occupational Therapy Driver Assessors . Following individual sessions including education, personalized feedback from a practice audit, and encouraging reflection on how the session may affect their practice, occupational therapist adherence to competency standards increased (Fields et al, 2022). This research provides evidence that well-informed practice guidelines can be supplemented with such feedback to increase competency.…”

Section: Discussionmentioning

confidence: 99%

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Addressing Driving in Acute Care: Perceived Relevance and Competence

Veen¹,

Holmes²,

Tucker³

et al. 2023

Can J Occup Ther

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Background. Recent legislation has expanded the responsibilities of occupational therapists regarding fitness to drive in the Canadian province of Ontario. To date, little is known about the practice of acute care occupational therapy with addressing driving, or how such responsibilities have affected clinical practice. Purpose. The objective of this study was to understand the relevance of driving-related knowledge areas to acute care occupational therapists and examine their self-reported competency for these areas. Method. Anonymous online surveys were administered to 41 occupational therapists working in acute care hospitals in Ontario. Findings. Therapists reported many driving-related knowledge areas are relevant to acute care practice yet consistently reported lower levels of competence for addressing such areas. Implications. Findings support the need for further competency development regarding driving-related practice in acute care. Occupational therapy curriculum and continuing education initiatives are avenues for capacity-building. Future research to identify effective competency development strategies is warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Addressing Driving in Acute Care: Perceived Relevance and Competence

Veen¹,

Holmes²,

Tucker³

et al. 2023

Can J Occup Ther

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“…This study elucidated the professional reasoning applied in practice by 12 driver‐trained occupational therapists of various experience levels from across Australia when implementing rehabilitative interventions. In seeking to explore their reasoning, therapists were able to narrate and exemplify their practice, reflecting on the competencies for driver‐trained occupational therapists (Fields et al, 2018). Unsurprisingly, the participants never explicitly stated the mode of reasoning they used, but when narratives were combined, a coherent and stable pattern of assessment and intervention strategy emerged.…”

Section: Discussionmentioning

confidence: 99%

Professional reasoning of occupational therapy driver rehabilitation interventions

Berndt

Hutchinson

Tepper³

et al. 2022

Aus Occup Therapy J

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Introduction Driver‐trained occupational therapists are advanced practitioners who work with people to help maintain their independence and autonomy through driving. There is a lack of investigation of professional reasoning processes for why interventions are recommended by driver‐trained occupational therapists. This research project sought to explore the reasoning of driver‐trained occupational therapists when they plan, implement, and reflect on driver rehabilitation interventions. Methods In‐depth semistructured interviews (n = 7) and one focus group (n = 5) were conducted with 12 experienced driver‐trained occupational therapists, comprising a wide range of experience, client populations, and licensing jurisdictions. Data were analysed using a modified template analysis approach. Results Seven higher order modes that reflect professional reasoning theory and hierarchical models were evident in the work of the driver‐trained occupational therapists, with no new modes of reasoning emerging. Ethical reasoning regarding the balance of safety versus client independence was an overarching shared framework, with therapists mostly using interactive and conditional reasoning in practice. Twenty‐three second‐level themes were identified that exemplify how the reasoning modes operate in practice. Therapists described assessment activity even when solely asked about intervention, indicating the importance of assessment to intervention design. The full hierarchy of reasoning was evident during the rehabilitation phase. Conclusion These findings elucidate the application of professional reasoning in advanced occupational therapy practices and could support driver‐trained occupational therapists in making driving rehabilitation recommendations if used in reflective practices.

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“…This involves a 60‐minute pre‐drive component (information is gathered about medical condition, potential impact on driving, vision, cognitive and motor screening) followed by a 60‐minute on‐road assessment (with a motor driving instructor and the occupational therapist) in a specialised vehicle with an emergency brake. The driver fails the assessment if physical or verbal intervention from the motor driving instructor (MDI) or the occupational therapist (OT) is provided to maintain safety, or if unsafe driving is demonstrated 18 . Rehabilitation may be recommended if the driver follows instruction and can modify behaviours.…”

Section: Methodsmentioning

confidence: 99%

“…The standards refer to the option of a practical on‐road assessment, if required, to assist with determining a person's functional fitness to drive, when there is uncertainty about the extent to which a medical condition affects driving. An on‐road assessment may involve a specialist occupational therapist completing a pre‐drive component where information is gathered about the person's capacities (vision, motor, cognitive, goals for driving) and an on‐road component to assess the functional impact of the medical condition on driving skills in a real‐world driving environment 18 . Alternatively, a driving competency test may be conducted through a transport authority.…”

Section: Introductionmentioning

confidence: 99%

Mild cognitive impairment and fitness to drive: An audit of practice in a driving specialist clinic in Australia

et al. 2021

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Objective: To describe current practice and outcomes relating to fitness to drive for people with mild cognitive impairment (MCI) attending a specialist driving clinic. Methods:Retrospective medical record audit from a driving fitness assessment clinic at a tertiary medical centre, South Australia, from 2015 to 2019.Results: Of 100 notes audited, n = 40 had a documented diagnosis of MCI and n = 60 had subjective cognitive concerns characteristic of MCI. Participants mean age was 80.0 years (SD 6.7), and mean Mini-Mental State Examination score was 26.1 (SD 2.1). Medical practitioners completed a comprehensive initial assessment relating to medical fitness to drive, considering scores from a cognitive assessment battery and non-cognitive factors (driving history, current driving needs, vision, physical abilities and collateral from family). After the initial assessment, most participants (84%) were referred for a practical on-road assessment, before receiving a final driving recommendation. Over half of participants continued driving (51%), most with conditions, while 35% ceased driving. Outcomes for the remaining 14% are unknown as we were unable to determine whether the practical assessment (11%) or lessons (3%) were completed. Conclusions:Driving outcomes for people with MCI with questionable driving capabilities are variable, with both cognitive and non-cognitive factors important in guiding medical fitness to drive recommendations. There is a need for more driving clinics to provide in-depth assessment for people with MCI who demonstrate uncertain driving capabilities and improved support for decision-making in other non-driving specialist settings.

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Education leads to increased adherence to the ‘Australian Competency Standards for Occupational Therapy Driver Assessors’

Cited by 4 publications

References 34 publications

Addressing Driving in Acute Care: Perceived Relevance and Competence

Addressing Driving in Acute Care: Perceived Relevance and Competence

Professional reasoning of occupational therapy driver rehabilitation interventions

Mild cognitive impairment and fitness to drive: An audit of practice in a driving specialist clinic in Australia

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