Occupational therapy in Australian acute hospitals: A modified practice

Britton, Lauren; Rosenwax, Lorna; McNamara, Beverley

doi:10.1111/1440-1630.12298

Cited by 18 publications

(40 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Systemic barriers such as the focus on medical management as a priority, and the discharge-focused nature of traditional healthcare, could affect uptake of even the most basic of changes to practice or interventions (Novak and McIntyre, 2010). Furthermore, Britton et al (2016) and Wilding and Whiteford (2009) described time constraints and the difficulty of deviating from accepted standards of practice as other challenges. It was evident from the interviews that these were common barriers for new and recent graduates.…”

Section: Discussionmentioning

confidence: 99%

“…Some occupational therapy research has recently focused on the implementation of occupational approaches in acute hospital settings (Britton et al., 2016; Di Tommaso et al., 2016; Wilding and Whiteford, 2008). In particular, Wilding and Whiteford’s action research study in an Australian hospital found that when occupational therapists more explicitly included occupation in their practice they experienced increased confidence, professional connection and motivation to achieve occupation-based practice (Wilding and Whiteford, 2008, 2009).…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists

Tommaso

Wicks

Scarvell

et al. 2019

British Journal of Occupational Therapy

View full text Add to dashboard Cite

Introduction: The call for occupational therapists to embrace occupation-based practice has increased in recent decades. Little is known about how occupational therapists perceive and implement occupation-based practice. This study aims to uncover the experiences of new and recent graduates using occupation in their practice. Method: A phenomenological design guided the development of semi-structured interviews. New and recent Australian occupational therapy graduates were interviewed about their experiences of occupation in their practice. Interview transcripts formed the data and themes were developed by thematic analysis. Findings: Eighteen occupational therapists were interviewed. Three main themes emerged from the data. Overall, graduates found it challenging to embrace occupation in their everyday practice, deciding it is more pressing to remediate impairments than to enable occupations. Some participants stated that occupation-based practice was unrealistic given the efficiency pressures of their practice environments. However, graduates felt that with more experience they would be able to implement occupation in their daily practice. Conclusion: Recently graduated occupational therapists in Australia find it challenging to consistently implement occupation in their daily practice. Confidence to apply occupation-based skills is an important factor for implementing occupation in practice. Some recent graduates are choosing impairment-based techniques over occupation-based practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists

Tommaso

Wicks

Scarvell

et al. 2019

British Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

“…When occupational therapists are pushed by the biomedical model to use a human deficit discourse and other language such as 'function', they may contribute to the public's confusion about the occupational therapy profession (Di Tommaso & Wilding, 2014;Prodinger, Shaw, Rudman & Townsend, 2012;Wilding & Whiteford, 2008). Occupational therapists may benefit from critical reflection facilitated through supervision, which may provide a platform for them to articulate and consider ways to make their practice more occupation-focussed (Britton, Rosenwax & McNamara, 2016).…”

Section: The Implications Of a Tacit Occupational Perspectivementioning

confidence: 99%

Primary Contact Occupational Therapy Hand Clinics: The pull of an occupational perspective

Burley

Cox

Tommaso

et al. 2018

Aus Occup Therapy J

View full text Add to dashboard Cite

Occupational therapists working in primary contact roles were pushed by the biomedical culture of the setting. Despite this, there was still a pull towards an occupational perspective. This research provides an initial exploration of primary contact clinics, and highlighted the added bonus of an occupational perspective. The findings present a timely opportunity for occupational therapists to critically reflect on practice in PCOTH clinics.

show abstract

“…Those participants adjusted the constructive concepts by reflecting on the chronological and physical realities and the payment system for medical services. In a similar way, according to Britton, Rosenwax, and McNamara (2016), occupational therapists who worked in an Australian hospital described difficulties constructing their professional identities in an acute care setting. The participants modified their practices using the following three strategies: becoming the client advocate, being the facilitator, and applying clinical reasoning.…”

Section: States Thatmentioning

confidence: 94%

Practical Actions Shaped by the Internal Structures of Occupational Therapists’ Professional Identities

Takashima¹,

Saeki²

2019

The Open Journal of Occupational Therapy

View full text Add to dashboard Cite

Background: This study aims to consider the internal structures of the professional identities that occupational therapists construct in clinical settings and to explore the differences of practices resulting from these structures. Methods: In completion of this study, a qualitative methodology based on a grounded theory approach was employed. Semi-structured, individual interviews were conducted with 30 practicing occupational therapists in Japan. First, the internal structures in the participants' professional identities were identified and typified. Second, the participants' actions in their practices were analyzed. Results: We identified three types of internal structures of professional identities. One type focused on their knowledge and skills, whereas the second type placed more emphasis on empathizing with their clients. The third type showed flexibility, and therapists with this internal structure switched between various approaches, depending on situations. The internal structures that influenced therapists' practices were informed by six properties. Conclusion: Three types of professional identities and six properties were identified in the study. Of the three types of professional identities, the therapies of those whose typology was consistent with flexibility are expected to be the most beneficial for clients. Comments

show abstract

Occupational therapy in Australian acute hospitals: A modified practice

Cited by 18 publications

References 20 publications

Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists

Experiences of occupation-based practice: An Australian phenomenological study of recently graduated occupational therapists

Primary Contact Occupational Therapy Hand Clinics: The pull of an occupational perspective

Practical Actions Shaped by the Internal Structures of Occupational Therapists’ Professional Identities

Contact Info

Product

Resources

About