How occupational therapists are perceived within inpatient mental health settings: The perceptions of seven Australian nurses

Smith, Else; Mackenzie, Lynette

doi:10.1111/j.1440-1630.2011.00944.x

Cited by 13 publications

(17 citation statements)

References 21 publications

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“…Some found that physician's referral behavior was influenced by complex patient presentation such as pain [16]; patient need relative to chronic disease management [2]; and active outreach on the part of the occupational therapist [2,7]. A study of nurses' perception of occupational therapy [OT] in inpatient mental health emphasized the need for education regarding role delineation to assist interdisciplinary understanding of the potential value of occupational therapy contribution to client recovery [17]. Other studies echoed themes relative to perceived added value and quality of life, and the need to prioritize referrals [2,18].…”

Section: Literature Reviewmentioning

confidence: 99%

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Merryman

Synovec

2020

WOR

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BACKGROUND: Occupational therapists have a long history of addressing community performance and participation challenges faced by individuals with complex, chronic conditions, including those with serious mental illnesses (SMI) and cognitive issues that present with a traumatic brain injury (TBI). Healthcare reform has shifted incentives to support practices that promote successful community life for people with complex medical conditions. Community based care models emphasizing integrated primary care, such as Federally Qualified Health Centers (FQHC) are emerging, and a generalist role for occupational therapy is being defined. Those with complex comorbid conditions such as mental illness, substance abuse and traumatic brain injury are at risk for negative health outcomes that are further compounded by homelessness. There is a critical need to understand effective treatment options for this population to reduce the negative effects of chronic health conditions. As occupational therapists further define a role serving traditional clients in less traditional settings, such as the FQHC, it is helpful to explore the perceptions of the utility of OT services on the part of provider referrers. OBJECTIVE: This study explored provider referrer perceptions of a new occupational therapy service for homeless adults in an FQHC to assist effective allocation of scarce resources. METHODS: Twelve provider referrers at an FQHC were interviewed regarding their perception of the role and utility of occupational therapy in this setting. Interviews were then coded for themes. RESULTS: Providers identified the unique value of occupational therapy, emphasizing critical information gleaned from the performance-based assessment of functional cognition, and the positive impact on team interactions and subsequent care decisions. CONCLUSION: Occupational therapy provides a distinct perspective on client performance in FQHC settings indicating benefit for inclusion of services.

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Section: Literature Reviewmentioning

confidence: 99%

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Merryman

Synovec

2020

WOR

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“…A challenge unique to OT includes the perception that the profession is not part of the primary care team. For example, studies have shown that knowledge and appreciation for OT practice is frequently misunderstood (Loy, Mitcheff, Nyugen, & O'Brien, 2015), OT is not perceived as an integral member of the team (Smith & Mackenzie, 2011), and the role of OT is hindered by ambiguity, confusion, and lack of clarity around the profession's scope of practice by other professionals, insurance agencies, and patients (Wilding & Whiteford, 2018). Therefore, to reach a goal of client-centered care where all health professionals understand how to appropriately partner with OT, there is a need to create curricular units that are easily accessible to educators across the health professions.…”

Section: Introductionmentioning

confidence: 99%

Interprofessional Education Enhancement: Inclusion of Occupational Therapy

Woodnorth

Davidson

2019

JOTE

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The increase in interprofessional education (IPE) opportunities provides an excellent opportunity for occupational therapy (OT) educators to partner with other health professions to deepen the understanding of how the OT profession adds value to future healthcare teams. The purpose of this study was to describe the development and impact of a curricular unit about the OT profession that was integrated into an established IPE program for medical, advanced practice nursing, pharmacy and social work students. A Needs Assessment was conducted by embedding an OT consultant within interprofessional student teams working in clinical environments over six weeks to observe baseline understanding of how student primary care teams work with OT professionals. From these observations, a curricular unit was designed that included lecture, interactive work stations, and case studies. Students completed pre and post surveys in order to assess their learning. Quantitative and qualitative analysis of pre and post surveys indicated a significant increase in knowledge, application of information, and confidence to refer to and utilize OT in clinical practice. Interprofessional students learned about OT scope of practice, possible interventions, and examples of appropriate referrals. The curricular unit provided an excellent example of how OT professionals can partner with health professions schools to provide content about OT when OT students are not accessible. Future improvements include assessment of longitudinal impact of the curriculum on health professions behavior, including impact on patient referrals to OT by primary care teams.

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“…Several studies (Fortune & Fitzgerald, 2009;Smith & Mackenzie, 2011) have examined the relationship between occupational therapists and nurses in acute psychiatric settings through the use of interviews. Nurse participants who worked with occupational therapists had trouble defining occupational therapy (Smith & Mackenzie, 2011). One nurse participant reported the problem was because occupational therapists had trouble justifying their work (Fortune & Fitzgerald, 2009).…”

Section: Interprofessional Collaboration Between Nurses and Occupatiomentioning

confidence: 99%

“…One nurse participant reported the problem was because occupational therapists had trouble justifying their work (Fortune & Fitzgerald, 2009). Some nurse participants perceived that occupational therapists did not know where their professional boundary lies (Smith & Mackenzie, 2011).…”

Section: Interprofessional Collaboration Between Nurses and Occupatiomentioning

confidence: 99%

“…Occupational therapist participants also stated that they felt there was a lack of understanding and respect for them (Fortune & Fitzgerald, 2009). Nurse participants were reported to hold preconceived views and negative stereotypical perceptions of occupational therapists (Smith & Mackenzie, 2011).…”

Section: Interprofessional Collaboration Between Nurses and Occupatiomentioning

confidence: 99%

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Interprofessional Collaboration Between Occupational Therapists and Nurses in an Acute Care Setting

Loy¹,

Micheff

Nguyen³

et al.

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We would like to thank all of the people that have offered their assistance in the development of this Capstone Project. Specifically, we would like to acknowledge Eira Klich-Heartt for her advising and support, and Ruth Ramsey for her supportive guidance, suggestions, and editing in her role of our second reader. We are also very appreciative for each of the participants in this study who allowed us to interview them and conduct this research project based upon their experiences and insights. We would like to acknowledge our families and significant others for their never-ending patience and support throughout this process. We would also like to acknowledge our friends who have stayed by our side, even though we often had to delay or break plans because the work took over our lives. We would also like to acknowledge our coworkers and employers for their flexibility in our schedules so that we could attend meetings and take time to complete this project. In addition to the many people who mean so much to us that we have dedicated not only our efforts in this master's thesis to, but also the efforts of completing the entire requirements of this MSOT program at Dominican, we thank Grace for granting us fortitude, perseverance, humility, and teamwork throughout it all. Without which, we would have lost sight of the gravity of our endeavors and achievements, as well as the significance and potential this manuscript has for future discussion and research to come.

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How occupational therapists are perceived within inpatient mental health settings: The perceptions of seven Australian nurses

Cited by 13 publications

References 21 publications

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Integrated Care: Provider referrer perceptions of occupational therapy services for homeless adults in an integrated primary care setting

Interprofessional Education Enhancement: Inclusion of Occupational Therapy

Interprofessional Collaboration Between Occupational Therapists and Nurses in an Acute Care Setting

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