Occupational therapy inpatient rehabilitation interventions with deconditioned older adults following an acute hospital admission: A <scp>D</scp>elphi study

Timmer, Amanda J; Unsworth, Carolyn A.; Taylor, Nicholas F.

doi:10.1111/1440-1630.12169

Cited by 12 publications

(13 citation statements)

References 38 publications

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“…They highlighted how the foreign nature of the ward environment resulted in previously meaningful occupations losing their sense of meaning, the lack of activity taking place on wards and time spent waiting. These, and several other, authors make recommendations for more activity on hospital wards for older people (Kuys et al., 2012; Timmer et al., 2015), although the concept of activity is often confined to mobility and ADL rather than meaningful activity which is important to the individual and potentially more motivating and beneficial to wellbeing (Wilcock, 2006). Whilst these studies highlight key issues, they have been carried out outside of the United Kingdom (UK) and as such make transferability difficult due to the different nature of health and social care provision abroad.…”

Section: Introduction and Literature Reviewmentioning

confidence: 99%

Lack of meaningful activity on acute physical hospital wards: Older people’s experiences

Clarke

Stack

Martin

2017

British Journal of Occupational Therapy

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Introduction: Research suggests that older people on acute physical hospital wards are at increased risk of physical and mental health decline due to inactivity during their stay. Whilst studies have highlighted potential causes of such inactivity, there exists a paucity of occupational therapy research that explores engagement in meaningful occupational from patients' perspectives in hospital settings.

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Section: Introduction and Literature Reviewmentioning

confidence: 99%

Lack of meaningful activity on acute physical hospital wards: Older people’s experiences

Clarke

Stack

Martin

2017

British Journal of Occupational Therapy

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“…). The questionnaire used Timmer et al .’s () approach of framing best practice around what participants deemed ideal given adequate staffing, resources and equipment. It contained a section on participant demographics and three sections (assessment, management and service delivery) with statements to be rated regarding SLT best practice.…”

Section: Methodsmentioning

confidence: 99%

“…A 75% threshold for consensus was chosen as this was recommended by Timmer et al . () based on a review of the occupational therapy Delphi literature.…”

Section: Methodsmentioning

confidence: 99%

Speech and language therapy best practice for patients in prolonged disorders of consciousness: a modified Delphi study

Roberts

Greenwood

2019

Intl J Lang & Comm Disor

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Background: Research regarding speech and language therapy (SLT) for patients in prolonged disorders of consciousness (PDOC) is very limited. The Royal College of Physicians' (RCP) PDOC guideline provides recommendations regarding best practice, but does not give detail about many aspects of assessment and management. As a result, SLTs have little information regarding best practice for this complex patient group. Aims: To ascertain the degree of consensus amongst expert SLTs regarding SLT best practice for patients in PDOC in order to inform the future development of SLT guidelines. Methods & Procedures:A two-round modified Delphi technique was used. Participants were recruited from major trauma centres and neurorehabilitation units in England and national SLT clinical excellence networks. To participate, SLTs had to be working on neurosciences, neurosurgery or neurorehabilitation wards that treat adult PDOC patients, or have ࣙ 3 years' experience of working with PDOC. The Round 1 questionnaire was developed from the RCP's PDOC guideline and from existing research literature. It included ratings of statements regarding SLT best practice using Likert or temporal scales, with optional written justifications/comments and opportunities for participants to suggest additional statements. The percentage agreement amongst participants was calculated for each Round 1 statement. Written justifications for views were analysed using content analysis. The Round 2 questionnaire contained both quantitative and qualitative feedback from Round 1, allowing participants to reappraise their views. The final degree of consensus was then calculated after completion of both rounds. Outcomes & Results: A total of 40 SLTs completed Round 1, with 36 completing Round 2 (90% response rate). Consensus was achieved for 87% (67/77) of statements regarding best practice on a variety of topics including communication, tracheostomy, dysphagia and oral hypersensitivity. The statements represented assessment, management and service delivery components of SLT practice. Conclusions & Implications: A total of 67 best practice statements were created. The statements provide a useful starting point for the creation of SLT guidelines to support best practice, and also have the potential to be used to advocate for the provision of SLT services for patients in PDOC. Future studies should focus on whether the expert opinion generated here can be borne out in experimental research.

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“…The occupational therapist role in acute medical for older persons' wards is primarily one of discharge planning, equipment provision and cognitive assessments (Timmer et al, 2015). Occupational therapists have expressed dissatisfaction in these job roles, feeling their professional identity can be undermined (Britton et al, 2015).…”

Section: Gallant N University Of Southampton/southern Health Nhs Founmentioning

confidence: 99%

Book of Abstracts

Yazdani¹,

Stringer²

2019

British Journal of Occupational Therapy

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Occupational therapy inpatient rehabilitation interventions with deconditioned older adults following an acute hospital admission: A Delphi study

Cited by 12 publications

References 38 publications

Lack of meaningful activity on acute physical hospital wards: Older people’s experiences

Lack of meaningful activity on acute physical hospital wards: Older people’s experiences

Speech and language therapy best practice for patients in prolonged disorders of consciousness: a modified Delphi study

Book of Abstracts

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