Opportunities for Occupational Therapy to Serve as a Catalyst for Culture Change in Nursing Facilities

Rafeedie, Samia; Metzler, Christina A.; Lamb, Amy J.

doi:10.5014/ajot.2018.724003

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…Burnout has been at the forefront of professional discussion as OT practitioners continue to face rising productivity demands, workload, and emotional exhaustion (AOTA, 2020; Rafeedie et al, 2018). Burnout is commonly defined as a complex psychological syndrome involving exhaustion, cynicism, and a sense of ineffectiveness or lack of accomplishment (Maslach & Leiter, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Although OT practitioners continue to demonstrate a strong to be the agents of change for the well-being of their clients (Lannigan & Tyminski, 2021; Rafeedie et al, 2018), research on professional well-being and self-care remains limited and does not consistently consider students. Contextual factors play a crucial role in professional well-being.…”

Section: Introductionmentioning

confidence: 99%

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Exploring Well-Being: Resilience, Stress, and Self-Care in Occupational Therapy Practitioners and Students

Popova

Hahn

Morris

et al. 2022

OTJR: Occupation, Participation and Health

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Burnout is increasingly documented in occupational therapy (OT); however, practitioner and student well-being have not been examined to date. The research aim was to explore the relationship between well-being, resilience, stress, and self-care in OT. For this purpose, a cross-sectional survey of practitioners and students was done, including a background survey, World Health Organization–5 Well-Being Index (WHO-5), Brief Resilience Scale (BRS), Perceived Stress Scale (PSS), and Mindful Self-Care Scale (MSCS). Open-ended questions and Visual Analog Scales were used to gather satisfaction and service access. Practitioners ( n = 235) and students ( n = 200) reported well-being “less than half of the time” on the WHO-5, “moderate” stress on the PSS, and “normal” resilience on the BRS. The BRS, PSS, and MSCS explained a significant proportion of variance on the WHO-5 for practitioners and students. Most participants used at least one self-care strategy and desired additional organizational services. The findings of elevated stress and decreased well-being underscore the importance of reimagining wellness initiatives in OT.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring Well-Being: Resilience, Stress, and Self-Care in Occupational Therapy Practitioners and Students

Popova

Hahn

Morris

et al. 2022

OTJR: Occupation, Participation and Health

View full text Add to dashboard Cite

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Reducing Hospital Readmissions of Older Adults Pursuing Postacute Care at Skilled Nursing Facilities: A Scoping Review

Shaw

Cabrejo

Adamczyk

et al. 2022

The American Journal of Occupational Therapy

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Importance: Unplanned hospital readmissions can profoundly affect older adults’ quality of life and the financial status of skilled nursing facilities (SNFs). Although many clinical practices focus on reforming these issues, occupational therapy’s involvement remains unclear. Objective: To explore clinical practices aimed at reducing hospital readmissions of older adults pursuing postacute care (PAC) at SNFs and describe how they align with occupational therapy’s scope of practice. Data Sources: We searched CINAHL, Scopus, PubMed, and OTseeker for articles published from January 2011 to February 2020. Study Selection and Data Collection: We conducted a scoping review of peer-reviewed articles with functional outcomes of clinical practices reducing unplanned hospital readmissions of patients older than age 65 yr pursuing PAC services in SNFs. Trained reviewers completed the title and abstract screens, full-text reviews, and data extraction. Findings: Thirteen articles were included and focused on five areas: risk and medical disease management and follow-up, hospital-to-SNF transition, enhanced communication and care, function, and nutrition. Early coordination of care and early identification of patients’ needs and risk of readmission were common features. All clinical practices aligned with occupational therapy domains and processes, but only 1 study specified occupational therapy as part of the research team. Conclusions and Relevance: Comprehensive, multipronged clinical practices encompassing care coordination and early identification and management of acute conditions are critical in reducing preventable readmissions among older adults pursuing PAC services in SNFs. Further research is needed to support occupational therapy’s value in preventing hospital readmissions of older adults in this setting. What This Article Adds: This scoping review maps the presence of occupational therapy’s domains and processes in the clinical practices that reduce hospital readmissions of older adults pursuing PAC services in SNFs. Findings provide occupational therapy practitioners with opportunities to assume roles beyond direct patient care, research, advocate, and publish more, thereby increasing their presence and adding value to occupational therapy interventions that reduce hospital readmissions.

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Occupation-Based Interventions to Improve Occupational Performance Among Older Adults Living in Long-Term Care: A Systematic Review

Mitterfellner,

D’Cunha,

Isbel

2024

The American Journal of Occupational Therapy

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Importance: Evidence for the positive effects of occupation-based interventions on occupational performance is increasing; however, little is known about the impacts of occupation-based interventions on older adults living in long-term care. Objective: To consolidate the evidence on the effectiveness of occupation-based interventions for improving occupational performance among older adults living in long-term care. Data Sources: MEDLINE, CINAHL, PsycINFO, SCOPUS, Web of Science Core Collection, and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from journal–database inception to February 2023. Study Selection and Data Collection: This systematic review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included articles were peer-reviewed studies published in English that evaluated occupation-based interventions for older adults living in long-term care and used validated tools to measure occupational performance. Findings: Seventeen articles, with 2,974 participants, were identified. The reviewed studies included 6 Level 1b randomized controlled trials, 5 Level 2b studies of various study designs, and 5 Level 3b studies with quasi-experimental designs. Across studies, heterogeneous measures were used to assess occupational performance. All studies implemented client-centered, occupation-based interventions designed and/or delivered by occupational therapists. Interventions were tailored to residents’ goals, interests, or abilities to improve occupational performance and participation, and inconsistent effects were reported. Conclusions and Relevance: Moderate evidence supports the use of occupation-based interventions tailored to individual residents and incorporation of physical activities for improving the occupational performance of older adults living in long-term care. Currently, evidence for care partner involvement and multilevel occupation-based interventions is limited. Plain-Language Summary: This study adds to the evidence base indicating that occupation-based interventions have the potential to promote the occupational performance of older adults living in long-term care. High-quality randomized controlled trials with longer term follow-up and assessment of clinically meaningful outcomes are critical for developing the evidence base in this practice setting.

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Opportunities for Occupational Therapy to Serve as a Catalyst for Culture Change in Nursing Facilities

Cited by 3 publications

References 33 publications

Exploring Well-Being: Resilience, Stress, and Self-Care in Occupational Therapy Practitioners and Students

Exploring Well-Being: Resilience, Stress, and Self-Care in Occupational Therapy Practitioners and Students

Reducing Hospital Readmissions of Older Adults Pursuing Postacute Care at Skilled Nursing Facilities: A Scoping Review

Occupation-Based Interventions to Improve Occupational Performance Among Older Adults Living in Long-Term Care: A Systematic Review

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