Promoting autonomy of the client with persistent mental illness: A challenge for occupational therapists from The Netherlands, Germany and Belgium

Granse, Mieke le; Kinébanian, Astrid; Josephsson, Staffan

doi:10.1002/oti.208

Cited by 7 publications

(15 citation statements)

References 10 publications

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“…This is a very important issue in health care because enhancing patients' personal autonomy will empower and help them to make meaningful decisions. [4] However, it must be taken into consideration that in Muslim countries, families play a major role in medical decisions. The patient must listen to the opinion of close family members about the treatment he or she is going to accept.…”

Section: Introductionmentioning

confidence: 99%

Saudi female university employee self-determination in their own health-related issues

Hallila

Al-Halabi

2018

JNEP

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Introduction: To date, there have been no studies located investigating Saudi women's self-determination in their own healthrelated issues. This study aims to investigate how women in Saudi Arabia see their ability and willingness to decision making in this matter. Methodology: The study design is ethnonursing and Leininger's Sunrise model was utilized as background theory; qualitative data analysis method was used. 12 Saudi women worked at a large University in Saudi Arabia were interviewed in-depth. Results and discussion: Seven universal Saudi Arabian cultural themes were identified: customs and traditions, women's decision-making denied, shared decision-making, informed women and empowerment rise, financial status matters, emerging changes in the society, and impact from the Western world. Conclusions: One of the major findings in the interviews was that all research participants observed themselves as more independent and empowered than in the accounts reflecting other women they knew. They saw other women, whom they met at the hospital or who were their friends or relatives, were without equal rights for independent decision making. Mainly, men are interested in reproductive health and are willing to dominate women's independent decision making in healthcare. The main conclusion, according to this study, the Saudi women research participants who are educated, are more independent in their health-related decision making than the previous literature suggested. The result may be different in villages and among less educated women and their husbands.

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Section: Introductionmentioning

confidence: 99%

Saudi female university employee self-determination in their own health-related issues

Hallila

Al-Halabi

2018

JNEP

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“…The Canadian Occupational Performance Measure (COPM) is an individualised client-oriented measure to assess the evolution of self-perception of skills in patients across time [34,35]. The COPM was, for example, used by Trombly and co-workers [36] to investigate the association between participation in goal-specific outpatient occupational therapy and improvement in self-identified goals in adults with acquired brain injury.…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of an integrated 'fast track' rehabilitation service for multi-trauma patients involving dedicated early rehabilitation intervention programs: design of a prospective, multi-centre, non-randomised clinical trial

Kosar¹,

Seelen

Hemmen³

et al. 2009

J Trauma Manage Outcomes

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Background: In conventional multi-trauma care service (CTCS), patients are admitted to hospital via the accident & emergency room. After surgery they are transferred to the IC-unit followed by the general surgery ward. Ensuing treatment takes place in a hospital's outpatient clinic, a rehabilitation centre, a nursing home or the community. Typically, each of the CTCS partners may have its own more or less autonomous treatment perspective. Clinical evidence, however, suggests that an integrated multi-trauma rehabilitation approach ('Supported Fast-track multi-Trauma Rehabilitation Service': SFTRS), featuring: 1) earlier transfer to a specialised trauma rehabilitation unit; 2) earlier start of 'non-weight-bearing' training and multidisciplinary treatment; 3) welldocumented treatment protocols; 4) early individual goal-setting; 5) co-ordination of treatment between trauma surgeon and physiatrist, and 6) shorter lengths-of-stay, may be more (cost-)effective.

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“…Granse et al (2006) labelled the liberal-individualist view of autonomy as primarily a Western concept that does not recognise the individual as part of a societal network. Therefore, the notion of interdependence has gained acceptance, as human beings are interdependent within a large network of people, systems and services (Corbett 1996).…”

Section: The Difficulties With Defining Independencementioning

confidence: 98%

“…Granse et al (2006) found that occupational therapists made choices depending on their own concept of autonomy. In practice, beyond personal interpretation components, a therapist's practice techniques can influence estimations of independence.…”

Section: Data Synthesis From Clinical Themesmentioning

confidence: 99%

Independence: An Analysis of a Complex and Core Construct in Occupational Therapy

Bonikowsky

Musto²,

Suteu³

et al. 2012

British Journal of Occupational Therapy

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Introduction: Independence is a core concept in occupational therapy, but there is little consensus within the profession upon a universal definition. The present study employed a critical interpretive synthesis to examine two fundamental research questions: ‘How is independence conceptualised in quantitative and qualitative research within occupational therapy?’ and ‘How does the term “independence”, in its present use, critically impact occupational therapy policy and practice?’ Method: Articles pertaining to occupational therapy and contributing to the definition of independence within the profession were examined. Three successive levels of coding — open, axial and selective — were used to analyse 19 final articles. Findings: From the literature, nine definition themes emerged: function, autonomy and competence, control, context, culture, environment, personal attributes and safety. These themes were then organised into three categories: personal factors, environmental factors and continuum, which were synthesised together to create a model that addresses all factors critical to the composition of independence. In addition, four clinical themes developed: goal of occupational therapy, client-therapist relationship, variable definitions in occupational therapy practice and limitations of present practice. Conclusion: Through the formalisation of the integral components of independence, this study enables a standardised foundation for the examination of this core concept across the profession.

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Promoting autonomy of the client with persistent mental illness: A challenge for occupational therapists from The Netherlands, Germany and Belgium

Cited by 7 publications

References 10 publications

Saudi female university employee self-determination in their own health-related issues

Saudi female university employee self-determination in their own health-related issues

Cost-effectiveness of an integrated 'fast track' rehabilitation service for multi-trauma patients involving dedicated early rehabilitation intervention programs: design of a prospective, multi-centre, non-randomised clinical trial

Independence: An Analysis of a Complex and Core Construct in Occupational Therapy

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