Participant evaluation of an inpatient occupational therapy groups programme in brain injury rehabilitation

Patterson, Freyr; Fleming, Jennifer; Doig, Emmah; Griffin, Janelle

doi:10.1111/1440-1630.12392

Cited by 13 publications

(19 citation statements)

References 29 publications

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“…2,7,29 Increasingly, allied health staff are seeking placement models and supervision approaches that enable the 'best fit' and contribution of the student placement to the work team and environment. 29,30 This cautions managers from making a direct link between placement model innovations and increasing offers. It may be that the drive for innovation to increase placement capacity is best centred on enhancing the quality of student education and their safe contribution to health care, as well as building the supervision expertise of staff across professions, health service teams and contexts.…”

Section: Enablers To Sustainabilitymentioning

confidence: 99%

Allied health pre-entry student clinical placement capacity: can it be sustained?

McBride

Fitzgerald

Costello

et al. 2020

Aust. Health Review

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Objective Meeting the demand for clinical placements in an environment of increasing university cohort growth and changes in health service delivery models is challenging. This paper describes the outcomes of a quality review activity designed to gain key stakeholder perspectives on the enablers and barriers to sustaining effort to placement provision and reports on: (1) measures used to determine the effect of a jurisdiction-wide initiative in clinical education for five allied health professions; (2) outcomes of data related to key factors affecting placement supply and demand; and (3) qualitative perspectives from management, workforce and university stakeholders on placement sustainability. Methods This study reviewed clinical placement, staff full-time equivalent numbers, university program and student cohort data for five allied health professions from 2013 to 2016. In addition, qualitative response data from key stakeholder surveys was analysed thematically. Results In the study period, the rate of growth in placement offers did not match that of university program student numbers and full-time equivalent staff numbers. All stakeholders agreed that sustaining placement provision is enabled by collaboration, continuation of management support for dedicated clinical education staff, a focus on clinical education capacity building activities, outcome data reporting and statewide profession-specific governance, including leadership positions. Collaborations and networks across health and education sectors were reported to enhance efficiency, minimise duplication, streamline communication and support information and resource sharing within and across professions and stakeholders, ultimately sustaining placement provision. Identified barriers to sustainability centred on resourcing and the continued increasing demand for placements. Conclusion Sustaining pre-entry student placements requires stakeholder flexibility and responsiveness and is underpinned by collaboration, information and resource sharing. Dedicated clinical education positions were highly valued and seen as a key contributor to placement sustainability. What is known about the topic? The increasing demand for student placements and strategies used to enhance placement capacity are well known. To date, there have been limited studies investigating cross-sectoral trends and health service enablers and barriers to sustaining responses to placement demand. What does this paper add? This paper describes outcomes of a clinical placement capacity building initiative within public health services, developed from a unique opportunity to provide funding through an industrial agreement. It presents key allied health staff and university partner perspectives on enablers to sustaining placement supply in an environment of increasing placement demand. What are the implications for practitioners? This paper demonstrates that key enablers for the sustainability of placement provision are collaboration between university and health sectors, continuation of management support for dedicated clinical education staff, outcome data reporting and statewide profession-specific governance and leadership. It supports current practices of profession-specific and interprofessional clinical education resource and strategy development and the sharing of expertise for sustained placement provision.

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Section: Enablers To Sustainabilitymentioning

confidence: 99%

Allied health pre-entry student clinical placement capacity: can it be sustained?

McBride

Fitzgerald

Costello

et al. 2020

Aust. Health Review

View full text Add to dashboard Cite

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“…The groups within this study were 'activity groups' where participants were doing daily activities and tasks based on individual goals [26], as compared to support or education groups. The concept of 'real world' preparation emerged strongly within this study, and it would be interesting to investigate whether other types of groups that may not focus on doing and practicing activities also facilitate real world preparation.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Occupational therapy services are delivered through both individual and group therapy. The group program is underpinned by theory and current evidence regarding groups, TBI rehabilitation, occupational therapy and client-centred practice [26]. The program utilises formal processes for referral, goal setting, participation and evaluation [26].…”

Section: Introductionmentioning

confidence: 99%

“…The group program is underpinned by theory and current evidence regarding groups, TBI rehabilitation, occupational therapy and client-centred practice [26]. The program utilises formal processes for referral, goal setting, participation and evaluation [26]. Four groups are facilitated multiple times per week: meal preparation (breakfast and lunch), community access, cognitive, and upper limb groups.…”

Section: Introductionmentioning

confidence: 99%

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Patient perceptions of participation in group-based rehabilitation in an inpatient brain injury rehabilitation setting

Patterson

Fleming

Doig

2019

Patient Education and Counseling

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“…Occupational therapy services are delivered through both individual and group therapy. The group programme is underpinned by theory and current evidence regarding groups, TBI rehabilitation, occupational therapy and client-centred practice (Patterson, Fleming, Doig, & Griffin, 2017). The programme utilises formal processes for referral, goal setting, participation and evaluation .…”

Section: Introductionmentioning

confidence: 99%

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

Patterson¹

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Background: Groups are an integral part of everyday life. Some groups are chosen by participants whereas membership in other groups may not be an active choice.The benefits of participation in groups are widely documented, and perhaps most commonly cited are Yalom's eleven curative factors of group therapy, examples of which include the instillation of hope and imparting of knowledge. Groups have long been used therapeutically and are increasingly used as a context for delivery of rehabilitation interventions. Following a traumatic brain injury (TBI), rehabilitation is recommended to maximise recovery and the use of groups in TBI rehabilitation programmes is common practice, particularly in occupational therapy. TBI results in a complex variety of impairments that can interfere with an individual's ability to participate in their life roles and activities. Therefore, groups in TBI rehabilitation may pose some unique challenges for facilitators. Currently there is limited research evidence to guide clinicians in the facilitation of groups with this population group. In addition, there is limited literature investigating key stakeholder's perspectives of group participation in TBI rehabilitation. The purpose of this thesis is to explore processes and perspectives of participation in inpatient occupational therapy groups in TBI rehabilitation.Objectives: The aims were 1) to scope the current state of evidence regarding the use of groups in rehabilitation following TBI; 2) to explore the perspectives of patients with TBI about participation in inpatient occupational therapy groups; 3) to investigate the perspectives of clinicians from multiple rehabilitation settings about facilitation of groups with patients following TBI; and 4) to explore the nature of interactions in inpatient occupational therapy groups in TBI rehabilitation.Method: A mixed methods approach was used. The primary components of the thesis were a scoping review, focus groups with clinician participants, questionnaires and individual interviews with patient participants, and video-recordings of inpatient occupational therapy groups. A total of 46 rehabilitation inpatients recruited from the occupational therapy groups programme at the hospital participated in the study, with fifteen completing individual interviews. Twenty-two clinicians and four student iii clinicians who worked in inpatient occupational therapy teams in brain injury, spinal cord injury and geriatric rehabilitation settings from one hospital participated in the study. The thesis explored the experiences and perspectives of participants and was guided by a phenomenological approach. The method of qualitative analysis for focus groups was framework analysis. Thematic content analysis was utilised to analyse interview data. Descriptive statistics were used to analyse questionnaire data. Qualitative analysis guided by qualitative description was used to analyse video data.Results: The scoping review concluded that existing research about the use of groups in TBI rehabilitation consiste...

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Participant evaluation of an inpatient occupational therapy groups programme in brain injury rehabilitation

Abstract: Overall, consumer feedback on different aspects of the occupational therapy groups programme in brain injury rehabilitation was positive. Further in-depth investigation of patient perceptions of groups including processes that facilitate or challenge participation is warranted.

Cited by 13 publications

References 29 publications

Allied health pre-entry student clinical placement capacity: can it be sustained?

Allied health pre-entry student clinical placement capacity: can it be sustained?

Patient perceptions of participation in group-based rehabilitation in an inpatient brain injury rehabilitation setting

Group therapy interventions in traumatic brain injury rehabilitation: processes, perceptions and effectiveness

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