Involvement in Research and Development Projects Among Community-working Occupational Therapists in Norway

Bonsaksen, Tore; Dolva, Anne‐Stine; Hagby, Cathrine; Sveen, Unni; Horghagen, Sissel; Thyness, Else Merete; Arntzen, Cathrine

doi:10.1080/07380577.2018.1526434

Cited by 10 publications

(10 citation statements)

References 16 publications

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“…The development of professional practice was the focus of a study that presented a cross-sectional descriptiv research and development projects (Bonsaksen et al, 2018), which included occupational therapy services an 'restorative care', which is more commonly used in the USA, and describes home-based, goal-oriented interve elderly with functional decline" (Bonsaksen et al, 2018: 2).…”

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confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

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Background: While the field of rehabilitation has determined a common definition of professional practice, legislators and healthcare professionals in various Western countries have been struggling to reach consensus about how the newer offer of ‘reablement’ should be organised, operationalised, and understood as a health service for older adults. International research indicates that a great deal of confusion, ambiguity, and disagreement has arisen regarding the terminology and the structure of these programmes, and they may not be adequately supporting older people. Could a clarification of the concept help reablement become more effective in theory and in practice?Methods: We conducted a qualitative and quantitative scoping review to determine how reablement has developed through time and space. Eligible articles (n=86) had to focus on any of the defined features of current reablement programmes; there were no restrictions on study designs or publication dates. In articles published from 1947–2019, we identified themes and patterns, commonalities, and differences in how various countries described and defined reablement. We also performed an analysis using computer software to construct and visualise term maps based on significant words extracted from the article abstracts.Results: The fundamental principles of reablement have a long history. However, these programmes have undergone a widespread expansion since the early 2000s with an intention to reduce costs related to providing long-term care services and in-home assistance to growing older populations. As reablement programmes have developed internationally, they have begun to overemphasise training older people to (re)gain their skills and confidence in maintaining or improving functional ability related to activities of daily living (ADLs). Conclusions: Reablement programmes are fundamentally intended to be person-centred and should support older people in attaining their self-defined goals to be both more physically independent at home and socially involved in their communities. However, the rapid implemention of these programmes without clear evidence for the full scope of their potential effects and impact means that they may not adequately consider older people’s own goals. A continued lack of agreement about what reablement is (and what it should achieve) may lead to ineffective programmes and unclear guidance on which outcomes to measure.

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confidence: 99%

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Clotworthy

Kusumastuti

Westendorp

2020

Preprint

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“…A previous study based on the same data showed that having further education was positively associated with involvement in research and development. 18 Thus, associations between education level, research involvement and perceived influence appear to align with rational choice theory. 15-17 As derived from this view, increasing one’s education level and becoming involved in research and development projects may be guided by a motivation to secure and strengthen one’s opportunities in current and future employments.…”

Section: Discussionmentioning

confidence: 64%

Perceived Influence on Service Goals Among Community-Working Occupational Therapists in Norway

Bonsaksen

Sveen

Dolva

et al. 2018

J Prim Care Community Health

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Aim: This study aimed to assess the perceived influence that community-working occupational therapists in Norway have on the service goals of their respective organizations. In addition, we aimed to assess sociodemographic and work-related factors associated with the perceived level of influence. Methods: A cross-sectional survey was distributed to occupational therapists in community-based services in Norway (n = 1767), to which 561 (32%) responded. By multivariate regression analysis, factors associated with “self-perceived influence” were assessed. Results: After controlling for all variables, having a master’s degree (β = 0.09, P < .05), being involved in a research and development project (β = 0.25, P < .001), and not working with assistive technology (β = −0.19, P < .001) were associated with higher perceived influence. Conclusions: For occupational therapy to reach its potential in Norwegian community-based health care, the profession needs to establish itself more firmly and increase its influence within the health care services. To do so, it appears important to support occupational therapists’ educational aspirations, their participation in research and development projects, and their autonomous role in relation to the provision of assistive technology equipment.

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“… 26 , 31 , 32 Moreover, municipalities with more OTs can offer a higher degree of internal specialisation, which, in turn, might increase both the number of OT positions, and help to recruit attractive candidates. 17 The emerging picture suggests that the establishment of OT-positions could indicate the starting point for an upwards-spiral, through which both availability and quality of OT-services increases through better knowledge, and more relevant tasks for community-based OT-services. 17 , 34 This might imply major benefits for the communities-in-question; however, this also implies challenges with health equity if some municipalities are ‘left behind’ in respect to this development.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform

Maass

Bonsaksen

Gramstad

et al. 2021

Health�Serv�Insights

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Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However, even if approximately 400 positions have been established between 2012 and 2017, little is known whether they have contributed to increased and/or more equal coverage across municipalities. To explore this matter, survey data was gathered among members of the Norwegian Occupational Therapy Association during 2017. Data was analyzed statistically (descriptive, comparative and associative) with SPSS 25. Results suggest large regional variations in the establishment of new positions. Moreover, most new positions were established in medium-sized municipalities that already had (an) occupational therapist(s) in the community. Number of prior positions, as well as being in the process of merging with another municipality were the only significant predictors for the establishment of new positions during regression analysis. Findings suggest that no levelling-out of geographical distributions of OT-coverage has occurred, even if new positions might have contributed to level-out workload (number-of-patients-per-therapist). Further, we discuss implications of our findings for policy-making and recruitment of Occupational Therapists for rural positions.

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Involvement in Research and Development Projects Among Community-working Occupational Therapists in Norway

Cited by 10 publications

References 16 publications

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalised

Perceived Influence on Service Goals Among Community-Working Occupational Therapists in Norway

Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform

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