Hospice and palliative care: A Delphi survey of occupational therapists' roles and training needs

Dawson, Sky; Barker, Joanna

doi:10.1111/j.1440-1630.1995.tb01323.x

Cited by 36 publications

(27 citation statements)

References 9 publications

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“…Gammage, McMahon, and Shanahan (1976) proposed that occupational therapy has a unique role in supporting clients who are dying, as therapists: assist clients to adjust to the loss of old occupational roles and the facilitation of new ones, adapt activities and the environment to reflect the client's changing functional status, support clients through active listening, and foster the maintenance of client dignity and self-worth. Dawson and Barker (1995) further identified three main categories with respect to the therapist's role at end-of-life: problem-solver, educator/teacher, and networker/communicator. Several articles have suggested that fostering quality-of-life is a major focus for occupational therapy in this area of care (Egan, 2003;Picard & Magno, 1982;Pizzi, 1984;Nelson Tigges & Sherman, 1983;vanderPloeg, 2001).…”

Section: The Role Of Occupational Therapy At End-of-lifementioning

confidence: 99%

“…Many of the articles indicated that the role of occupational therapy in end-of-life settings is not clear-cut; roles can overlap with other members of the hospice team, making it difficult to discern occupational therapy's unique contribution (Dawson & Barker, 1995). Conversely, the contribution of occupational therapy at end-of-life can also be depicted as focusing on very particular areas of care.…”

Section: The Role Of Occupational Therapy At End-of-lifementioning

confidence: 99%

“…This paper reveals that phenomenology may be seen as much more than a broad aim to capture the meaning of phenomena through first hand accounts; it involves a refined and connecting the patient with community services and supports, and conducting home assessments Dawson & Barker, 1995;Egan, 2003;. Many of these services convey a rehabilitative versus a holistic A version of this chapter has been accepted for publication (Park Lala, A., & Kinsella, E.A.…”

Section: First Critiquementioning

confidence: 99%

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A Phenomenological Inquiry into the Embodied Nature of Occupation at End of Life

Lala¹,

Kinsella²

2011

Can J Occup Ther

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The current Canadian milieu depicts a rapidly growing demographic of aging Canadians in need of end-of-life support; however, limited funding and resources are available to provide access to these services. The question of how to foster quality endof-life experiences for people who are terminally ill within this constrained context requires attention. Terminally ill individuals have articulated the inability to engage in activities that make life enjoyable as a factor influencing their decision to hasten their deaths. While occupational scientists and occupational therapists propose that occupation is a basic human need across the lifespan, there is limited understanding of the role of occupation at end-of-life, and its potential to facilitate meaningful end-of-life experiences.The purpose of this work was to examine the embodied nature of occupation at end-oflife, from the perspectives of Canadians 60 years of age or older who are diagnosed with a terminal illness. A phenomenological approach, with a focus on embodiment, was adopted for this study. In-depth, semi-structured interviews were conducted with eight participants. Data collection also involved close, participative observation, embodied methods, and reflexive journaling. Data analysis involved a hermeneutic process utilizing processes of detailed, selective and holistic analysis.This work is comprised of four integrated manuscripts. The first offers a systematic literature review that investigates what has been published about death and dying in the occupation-based literature. The second investigates phenomenology as a fruitful methodological approach for the study of human occupation. The third manuscript reports on an empirical study that examines the embodied nature of occupation at end-ofiv life, and presents the following six emergent findings; participants described orientations toward occupations that involved: living with death, reworking everyday life, being guided by the will of the body, focusing on relationships, attending to the small things, and engaging existential orientations. The final manuscript explores embodied phenomenological research as a methodological approach for qualitative research practices.The thesis contributes to knowledge about human occupation at end-of-life and offers a starting point to guide care practices that are attentive to the lived dimensions of occupation in this life stage.

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Section: The Role Of Occupational Therapy At End-of-lifementioning

confidence: 99%

Section: The Role Of Occupational Therapy At End-of-lifementioning

confidence: 99%

Section: First Critiquementioning

confidence: 99%

See 1 more Smart Citation

A Phenomenological Inquiry into the Embodied Nature of Occupation at End of Life

Lala¹,

Kinsella²

2011

Can J Occup Ther

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“…48 This method is useful in situations where frequent clinical or practical judgments are encountered, yet incomplete published research exists to provide evidence-based decision making. [48][49][50] Because identification of content experts is essential, we targeted first or last authors of published studies that examined or developed prescriptive CPRs. We reasoned that, if an individual published one or more prescriptive CPR articles in the peer-reviewed literature, this person could provide useful feedback in a consensus-based format.…”

Section: Assessment Of Face Validity and Consensus Assessmentmentioning

confidence: 99%

Development of a Quality Checklist Using Delphi Methods for Prescriptive Clinical Prediction Rules: The QUADCPR

Cook

Brismée

Pietrobon

et al. 2010

Journal of Manipulative and Physiological Therapeutics

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“…1995). The study was conducted in 1994 and involved a Delphi survey on the roles and training needs of occupational therapists working in this field (Dawson & Barker, 1995). The results of this study indicated that all participants ( n = 47) identified a need for continuing education, preferably by external studies.…”

Section: Introductionmentioning

confidence: 99%

Development of a distance education palliative care programme for allied health professionals in Australia

Dawson

Walker

1998

Aus Occup Therapy J

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A postal survey of allied health professionals working in hospice and palliative care in Australia was conducted in 1995. Its aims were to investigate the education presently provided for allied health professionals in this field and the interest of these workers in further education. A total of 223 questionnaires were returned. One hundred and sixty-five respondents stated that no specific education for allied health professionals was provided in their workplace. Almost all considered that there was a need for more palliative care education for allied health professionals. Seventy-five per cent said they were interested in distance education in palliative care. The implications of these findings for further training are discussed, as well as the development of a post-graduate distance education package. K E Y W 0 R D S allied health, continuing education, hospice and palliative care.

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Hospice and palliative care: A Delphi survey of occupational therapists' roles and training needs

Cited by 36 publications

References 9 publications

A Phenomenological Inquiry into the Embodied Nature of Occupation at End of Life

A Phenomenological Inquiry into the Embodied Nature of Occupation at End of Life

Development of a Quality Checklist Using Delphi Methods for Prescriptive Clinical Prediction Rules: The QUADCPR

Development of a distance education palliative care programme for allied health professionals in Australia

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