Portrait des pratiques évaluatives des ergothérapeutes œuvrant au Québec

Gobeil, Janie; Larivière, Nadine; Carrier, Annie; Bier, Nathalie; Bottari, Carolina; Veillette, Nathalie; Rouleau, Suzanne; Gélinas, Isabelle; Provencher, Véronique; Couture, Mélanie; Levasseur, Mélanie

doi:10.1177/0008417419839867

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…The views of occupational therapists who chose not to respond to our survey may have differed from those of our participants. Also, our view rate (13%) was low compared to that of other electronic surveys involving Québec occupational therapists (Gobeil et al, 2019; Jasmin et al, 2019). This could be due to technical difficulties during the launch of the survey.…”

Section: Discussioncontrasting

confidence: 60%

Occupational Therapy Practice in Palliative and End-of-Life Care in Québec

Talbot-Coulombe¹,

Bravo²,

Carrier³

2022

Can J Occup Ther

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Background. There is an emerging evidence base about the scope of occupational therapy in palliative and end-of-life care, but little is known about this practice in Québec or barriers impeding it. Purpose. To describe Québec occupational therapists’ practice in palliative and end-of-life care and barriers they encounter. Method. Using the Québec regulatory board members list, we invited occupational therapists working in palliative and end-of-life care to answer an online survey comprising 24 closed- and 5 open-ended questions. We analyzed data using descriptive statistics and content analysis. Findings. The 67 survey participants mainly optimized comfort and safety in meaningful occupations such as mobility, transfers, and hygiene. Barriers to their practice included organizational obstacles and unfamiliarity with their role. Implications. Findings highlight the need to improve education and awareness among occupational therapists and other healthcare professionals about the scope of what occupational therapists can do in palliative and end-of-life care.

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Section: Discussioncontrasting

confidence: 60%

Occupational Therapy Practice in Palliative and End-of-Life Care in Québec

Talbot-Coulombe¹,

Bravo²,

Carrier³

2022

Can J Occup Ther

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“…A total of 77,794 clinical professionals or clinical managers working in the public HSS system will be reached: 4125 occupational therapists, 2142 speech-language pathologists, 8895 social workers, 2489 physiotherapists (O Dallaire-Turmel, personal communication, August 13, 2021), and 60,143 nurses [ 8 ]. Considering the participation rate for recent surveys of the target population (eg, references [ 49 , 50 ]), we estimate that we will obtain a minimum participation rate between 30% (n=23,338)and 45% (n=35,007).…”

Section: Methodsmentioning

confidence: 99%

Fear of Reprisal and Change Agency in the Public Health and Social Service System: Protocol for a Sequential Mixed Methods Study

Carrier,

Bolduc,

Delli-Colli

et al. 2023

JMIR Res Protoc

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Background Since they are key witnesses to the systemic difficulties and social inequities experienced by vulnerable patients, health and social service (HSS) professionals and clinical managers must act as change agents. Using their expertise to achieve greater social justice, change agents employ a wide range of actions that span a continuum from the clinical (microsystem) to the societal (macrosystem) sphere and involve actors inside and outside the HSS system. Typically, however, clinical professionals and managers act in a circumscribed manner, that is, within the clinical sphere and with patients and colleagues. Among the hypotheses explaining this reduced scope of action is the fear of reprisal. Little is known about the prevalence of this fear and its complex dynamics. Objective The overall aim is to gain a better understanding of the complex dynamic process leading to clinical professionals’ and managers’ fear of reprisal in their change agent actions and senior administrators’ and managers’ determination of wrongdoing. The objectives are (1) to estimate the prevalence of fear of reprisal among clinical professionals and managers; (2) to identify the factors involved in (a) the emergence of this fear among clinical professionals and managers, and (b) the determination of wrongdoing by senior administrators and managers; (3) to describe the process of emergence of (a) the fear of reprisal among clinical professionals and managers, and (b) the determination of wrongdoing by senior administrators and managers; and (4) to document the legal and ethical issues associated with the factors identified (objective 2) and the processes described (objective 3). Methods Based on the Exit, Voice, Loyalty, Neglect model, a 3-part sequential mixed methods design will include (1) a web-based survey (objective 1), (2) a qualitative grounded theory design (objectives 2 and 3), and (3) legal and ethical analysis (objective 4). Survey: 77,794 clinical professionals or clinical managers working in the Québec public HSS system will be contacted via email. Data will be analyzed using descriptive statistics. Grounded theory design: for each of the 3 types of participants (clinical professionals, clinical managers, and senior administrators and managers), a theoretical sample of 15 to 30 people will be selected via various strategies. Data will be independently analyzed using constant comparison process. Legal and ethical analysis: situations described by participants will be analyzed using, respectively, applicable legislation and jurisprudence and 2 ethical models. Results This ongoing study began in June 2022 and is scheduled for completion by March 2027. Conclusions Instead of acting, fear of reprisal could induce clinical professionals to tolerate situations that run counter to their social justice values. To ensure they use their capacities for serving a population that is or could become vulnerable, it is important to know the prevalence of the fear of reprisal and gain a better understanding of its complex dynamics. International Registered Report Identifier (IRRID) PRR1-10.2196/48400

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