A process for developing sustainable evidence-based occupational therapy practice

Nakamura

Occupational Therapy International

et al. 2017

Background Occupational therapists sometimes find it challenging to integrate client-centered and occupational therapy specific assessments in practice. The aim of this study was to explore the use of occupational therapy specific assessments such as the Assessment of Motor and Process Skills (AMPS) among occupational therapists in Sweden and Japan. Methods Interviews and qualitative thematic analyses were utilized. Findings Four themes are reported: (1) use it or lose it, (2) simply no space until after hours, (3) biggest barriers can be colleagues, and (4) being more specific: communication. Conclusion In keeping with previous studies, occupational therapists often find it challenging to implement client-centered and occupation-based assessment tools into practice. However, more work is needed to understand how best practices can be incorporated into a changing occupational therapy daily practice.

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Integrating Occupational Therapy Specific Assessments in Practice: Exploring Practitioner Experiences

Nakamura

Occupational Therapy International

et al. 2017

British Journal of Occupational Therapy

“…The Occupational Therapy Intervention Process Model (OTIPM) was used as theoretical framework for the development of the AT intervention (Fisher, 2009). The model was chosen because the OTIPM has been used previously within the field of AT (Kassberg and Skär, 2008;Linden et al, 2010), and because studies have shown that the model can be used to guide an improvement process and lead to an integration of evidence-based knowledge in practice, with long-lasting achievements (Sirkka et al, 2014a(Sirkka et al, , 2014b. In line with the OTIPM, the AT intervention entails the following three phases: evaluation and goal setting, intervention, and re-evaluation.…”

Section: An Evidence-based Client-centered At Interventionmentioning

confidence: 99%

Occupational therapists’ perspectives on an evidence-based, client-centered assistive technology intervention

Larsen

Brandt

Hounsgaard

et al. 2023

Introduction: Reviews within the field of assistive technology have shown that a client-centered approach is important for user satisfaction, and that assistive technology service delivery should be evidence-based, systematic, and structured. However, client-centered instruments and systematic, structured models are not used consistently. As part of a larger research project, an evidence-based, client-centered assistive technology service delivery process was developed and piloted. The purpose of this study was to investigate occupational therapists’ perspectives on this evidence-based, client-centered assistive technology intervention. Method: Ten occupational therapists, from two Danish municipalities, participated in focus groups. Data were analyzed based on a hermeneutic approach. Results: Three themes emerged from the analysis: a more refined collaboration with clients; advantages of using theoretical frameworks, structured models and instruments and challenges in using the intervention. Conclusion: By using the evidence-based, client-centered intervention, the occupational therapists found that the collaboration with the clients was refined—more emphasis was placed on shared responsibility. They found that the intervention was time-efficient in the long run; however, there seems to be a particular challenge in designing services that are inclusive of clients with cognitive limitations.

“…Active involvement in research and partnerships between practitioners and universities are recognized as facilitators of EBP. Additionally, literature suggests the presence of several factors such as appropriate workload, support from the clinical team and disciplinary manager, and even the availability of sufficient evidence in the discipline as the key elements required to consolidate EBP (Bennett et al, 2003;Copley & Allen, 2009;Humphris et al, 2000;Sirkka et al, 2014). Without these additional factors, scientific findings may not be ably integrated into daily occupational therapy practice (Cameron et al, 2005;Thomas & Law, 2013).…”

Section: Sources Of Information Used In Evidence-based Occupational Tmentioning

confidence: 99%

Sources of information used by paediatric occupational therapists in Chile to make clinical decisions

Rojas¹

IntroductionEvidence-based practice (EBP) is a global movement that fosters the use of research evidence, clinical expertise, the patient's values and circumstances, and information from the practice context. It aims to support high quality practice through providing and using sound evidence for decision making, thereby enhancing the client's outcomes. Occupational therapists have been challenged to advance the profession and adopt EBP as a global approach. Although EBP has been increasingly promoted and applied in occupational therapy over the last twenty years, there is a scarcity of research conducted in developing countries, and evidence-based occupational therapy is not yet a worldwide reality. Chile, a developing country graduating an increasing number of occupational therapists, provides a useful case for exploring EBP. The aim of this study was to investigate which sources of information are accessed by occupational therapists in Chile, and how knowledge is built and integrated in paediatric practice. MethodsInterpretive description served as the methodological framework for this study. Ten Chilean occupational therapists, who had diverse demographic profiles and worked in a variety of paediatric settings, were recruited. Participants completed in-depth interviews regarding their decision-making in daily practice. Interviews were conducted in Spanish, transcribed verbatim in Spanish, and then translated into English. Data were rigorously coded and analyzed thematically. To enhance credibility of the data analysis, preliminary conceptualizations and interpretations were returned to the participants for their critical DiscussionScarce access to research knowledge, precarious development of a research culture and lack of connection with the global scientific community can lead occupational therapists to rely on information that has not undergone quality evaluation. In Chile, the absence of regulatory bodies represent an additional risk to the profession , as there are no formal procedures to oversee the quality of professional practice, the standards of continuing professional development nor educational programs. Practitioners may benefit from developing a clinical reasoning framework based on evidence to guide their decision-making, in order to improve quality of practice and client outcomes. The establishment of a clinical reasoning framework based on evidence might be particularly relevant at this time, due to the increasing number of educational programs offering occupational therapy training in Chile.