Occupation-based practice in a tertiary hospital setting: occupational therapists' perceptions and experiences

Hess-April, Lucia; Ganas, Nicolette; Phiri, L.L.; Phoshoko, Pumza; Dennis, Lynique

doi:10.17159/2310-3833/2017/v47n3a5

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…This is consistent with findings by Hess-April et al (2017) who explored the perceptions of four occupational therapists in South Africa regarding their experiences using occupation-based practice. Hess-April et al (2017) acknowledged occupational therapists' high regard for client-centred practice and emphasised the importance of allowing clients to identify meaningful occupations to direct and facilitate occupation-based practice. Given this, universities could play a greater role in providing professional development opportunities for therapists to ensure they maintain contemporary knowledge regarding new and emerging evidence, particularly related to theoretical advances (Do-Live-Well Framework (Moll et al, 2015)).…”

Section: Discussionsupporting

confidence: 90%

“…Specifically, participants identified the importance of integrating patient-directed care and goal setting into practice, and highlighted the benefit of meaningful occupation-based practice for patients. This is consistent with findings by Hess-April et al (2017) who explored the perceptions of four occupational therapists in South Africa regarding their experiences using occupation-based practice. Hess-April et al (2017) acknowledged occupational therapists’ high regard for client-centred practice and emphasised the importance of allowing clients to identify meaningful occupations to direct and facilitate occupation-based practice.…”

Section: Discussionsupporting

confidence: 90%

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Occupational therapists’ experiences of implementing occupation-based practice in neurology, and its impact on professional identity

Bolt

Lalor

Barclay

et al. 2022

British Journal of Occupational Therapy

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Introduction Facilitating engagement in meaningful occupations underpins occupational therapy intervention. Occupation-based practice, while linked to improved professional identity and job satisfaction for occupational therapists, is challenging to implement, particularly in hospital settings. This study aimed to explore occupational therapists’ perceptions of their role, and facilitators and challenges to implementing occupation-based practice in neurology. Method This qualitative descriptive study included semi-structured interviews with seven occupational therapists working in Australian acute/sub-acute neurology settings. Findings Three themes identified: Conceptualisation versus implementation of occupation-based practice; Use of occupation-based practice impacts role satisfaction; Promoting the profession. Participants described using occupations in their practice as important, however, reported that the challenges of the neurology environment hindered their ability to carry out occupation-based practice. Conclusion This study provides insights into occupational therapist’s perceptions regarding occupation-based practice in neurology settings, finding there is a need for occupational therapists to promote their role and use of occupations in neurology settings, and that occupation-based practice impacts job satisfaction. The study highlights occupational therapists working in neurology settings would benefit from a number of approaches including student interprofessional activities, potential buddy system for new graduates and experienced clinicians, and increased support by the profession to maintain their identity as occupation-based specialists.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Occupational therapists’ experiences of implementing occupation-based practice in neurology, and its impact on professional identity

Bolt

Lalor

Barclay

et al. 2022

British Journal of Occupational Therapy

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“…As a result, the confrontation with economic restrictions that prevent the recovery of these occupations leads to feelings of injustice among these AHPs. Moreover, since this is a field-specific service, dilemmas arise for occupational therapists in regard to interprofessional practice when their profession is not valued as important by other professions (Bushby et al, 2015;Dige, 2009;Hess-April et al, 2017;Wimpenny & Lewis, 2015).…”

Section: Aspect 3: Personal Traitsmentioning

confidence: 99%

“…The fourth aspect of the personal dimension, the worldview of the AHP, can be seen as the filter through which the professional views his or her professional practice. This filter is formed by the first three aspects of the personal dimension and consists of core beliefs (Burford et al, 2014;Hess-April et al, 2017) and core values of AHPs (Awlor, 2013;Hayward et al, 2013;Kenny et al, 2009), paired with personal norms which are, specifically, shaped by family upbringing and the AHP's socio-cultural background (Drolet & Sauvageau, 2016;O'Flynn et al, 2014;Wimpenny & Lewis, 2015).…”

Section: Aspect 4: Worldviewmentioning

confidence: 99%

The personal dimension of allied health professional identity: A scoping review in health sciences literature / Die persönliche Dimension der beruflichen Identität von Gesundheitsfachkräften: ein Scoping-Review in der gesundheitswissenschaftlichen Literatur

Belgraver

Coppoolse

Doorn

2022

International Journal of Health Professions

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Introduction With a shift in healthcare from diagnosis-centered to human- and interprofessional-centered work, allied health professionals (AHPs) may encounter dilemmas in daily work because of discrepancies between values of learned professional protocols and their personal values, the latter being a component of the personal dimension. The personal dimension can be defined as a set of personal components that have a substantial impact on professional identity. In this study, we aim to improve the understanding of the role played by the personal dimension, by answering the following research question: What is known about the personal dimension of the professional identity of AHPs in (allied) health literature? Methods In the scoping review, databases, CINAHL, ERIC, Medline, PubMed, and PsychINFO were searched for studies focusing on what is regarded as ‘the personal dimension of professional identity’ of AHPs in the health literature; 81 out of 815 articles were included and analyzed in this scoping review. A varying degree of attention for the personal dimension within the various allied health professions was observed. Result After analysis, we introduce the concept of four aspects in the personal dimension of AHPs. We explain how these aspects overlap to some degree and feed into each other. The first aspect encompasses characteristics like gender, age, nationality, and ethnicity. The second aspect consists of the life experiences of the professional. The third involves character traits related to resilience and virtues. The fourth aspect, worldview, is formed by the first three aspects and consists of the core beliefs and values of AHPs, paired with personal norms. Discussion These four aspects are visualized in a conceptual model that aims to make AHPs more aware of their own personal dimension, as well as the personal dimension of their colleagues intra- and interprofessionally. It is recommended that more research be carried out to examine how the personal dimension affects allied health practice.

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“…Current occupational therapy theory, research, and literature indicate a reorientation from bottom-up approaches that focus on occupational performance components to top-down approaches that emphasize the occupational needs of the whole person (Kielhofner, 2009; Rodger & Kennedy-Behr, 2017). Implementing OBP contributes to occupational therapy professional identity (Estes & Pierce, 2012; Hess-April et al, 2017; Murray et al, 2021). However, despite the benefits of using OBP (Colaianni & Provident, 2010; Estes & Pierce, 2012; Murray et al, 2021), there are ongoing debates about the extent to which occupational therapists implement it in their clinical practice (Ashby & Chandler, 2010; Colaianni & Provident, 2010; Colaianni et al, 2015; Daud et al, 2016a, 2016b; Di Tommaso et al, 2019; Estes & Pierce, 2012; Forsyth & Hamilton, 2008; Molineux, 2001; Nielson et al, 2005; Rebeiro, 1998; Rogers, 2007; Thomas, 2012a, 2012b).…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of Occupation Based Practice Measure (OBPM)

Khayatzadeh-Mahani¹,

Mehraban²,

Kamali³

et al. 2022

Can J Occup Ther

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Background. Occupation based practice (OBP) is the central core of occupational therapy. Therefore, measuring its usage and influencing factors seems necessary. Purpose. To develop and validate the occupation based practice measure (OBPM). Method. OBPM was developed in two phases: (I) following a qualitative study, a literature review was conducted. The item pool was revised by expert panel; (II) The face, content, construct validity, internal consistency, and test–retest reliability were assessed. Findings. The 142 items derived through the qualitative study were integrated with the 42 items derived from the literature review. The item pool was reduced by expert panel to 78 items and finalized to 37 items through face, content, and construct validity. Cronbach's alpha was greater than 0.70 and intra-class correlation coefficient showed good to excellent reliability. Implications. OBPM is a valid and reliable questionnaire that evaluates the occupational therapists’ knowledge, attitudes, interest, usage, and contextual factors influencing the OBP.

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Occupation-based practice in a tertiary hospital setting: occupational therapists' perceptions and experiences

Cited by 8 publications

References 23 publications

Occupational therapists’ experiences of implementing occupation-based practice in neurology, and its impact on professional identity

Occupational therapists’ experiences of implementing occupation-based practice in neurology, and its impact on professional identity

The personal dimension of allied health professional identity: A scoping review in health sciences literature / Die persönliche Dimension der beruflichen Identität von Gesundheitsfachkräften: ein Scoping-Review in der gesundheitswissenschaftlichen Literatur

Development and Validation of Occupation Based Practice Measure (OBPM)

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