Personal–Professional Connections in Palliative Care Occupational Therapy

Prochnau, Catherine; Liu, Huan; Boman, Jeanette

doi:10.5014/ajot.57.2.196

Cited by 28 publications

(39 citation statements)

References 27 publications

(19 reference statements)

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“…Furthermore, there is limited research identifying the benefits of occupational therapy services in palliative care (Norris, 1999;Prochnau et al, 2003) and funding restrictions (Kealey & McIntyre, 2005;Rahman, 2000). The current study investigates the reasons for the limited numbers of occupational therapists working in palliative care in Western Australia, from the perspectives of palliative care occupational therapists and health professionals.…”

Section: Introductionmentioning

confidence: 97%

Occupational therapy in palliative care: Is it under‐utilised in Western Australia?

Halkett

Ciccarelli

Keesing

et al. 2010

Aus Occup Therapy J

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Section: Introductionmentioning

confidence: 97%

Occupational therapy in palliative care: Is it under‐utilised in Western Australia?

Halkett

Ciccarelli

Keesing

et al. 2010

Aus Occup Therapy J

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“…[24][25][26][27] Webster and Kristjanson 28 found that palliative care nurses frequently experienced a sense of vitality when caring for people in the final part of life. The achievement of goals, the effective relief of suffering, engagement, and an openness of communication are frequently the impetus for staff to begin working in palliative care.…”

Section: Discussionmentioning

confidence: 99%

Ideals and Compromises in Palliative Care

Philip

Komesaroff

2006

Journal of Palliative Medicine

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This qualitative study explores the concept of ideal palliative care as it broadens its field of application from terminal care to include people earlier in the course of an illness. Focus groups were held with palliative care professionals from community, inpatient, and hospital consultancy services to examine this issue. Palliative care professionals have clear views of what constitutes ideal care that include: establishing a relationship, setting goals, communication, acceptance, advocacy, flexibility, symptom relief, and recognising the identity of each person. There was agreement upon the nature of obstacles that prevented ideal care being achieved including obstacles created by families, other health professionals, administrative structures, and conflicts between the aims of care for a particular patient. Finally each clinician has a well-developed set of personal views of the acceptable limits to practice, although these views vary widely. The clusters of ideas emerging in this study describe three objects of different ontologic status. The elements of ideal care are conceptual in nature, highlighting the aspirations for workers. The obstacles reflect the real world that palliative care professionals must negotiate each day, giving rise to a form of care that was good enough. The acceptable standards and their limits is the degree to which staff will or will not accept the compromises in care raised by the real world of practice, reflecting the ethical stance of the workers. The pursuit of ideal care may be motivated by a complex mix of aspirations, real-world practicalities and fulfilment for both patients and staff.

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“…Perhaps such a tool could be useful for occupational therapists who are exam-ining their own views of spirituality, prior to implementing it in their own practice. Prochnau, Liu, and Boman (2003), suggest that occupational therapists examine their "personal-professional connections" (p. 196) with their clients (especially those receiving palliative care), share their stories with other therapists, and through that sharing help to confirm other therapists' feelings and experiences. This type of ongoing narrative sharing could help occupational therapists help themselves and each other to gain insight into their views of spirituality as they grow in professional experience.…”

Section: Implications For Occupational Therapy Practicementioning

confidence: 99%

Spirituality and Disability: An Analysis of Select Themes

Schulz¹

2005

Occupational Therapy In Hlth. Care

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This paper is a thematic analysis of the literature regarding spirituality, which is applied to the understanding of spirituality and disability. Implications for occupational therapy practice are suggested. The themes of "connectedness" and "expressiveness" as aspects of spirituality were generated from both the occupational therapy literature and literature from other health professions. A definition of spirituality is proposed by the author for use by the profession of occupational therapy, as follows: experiencing a meaningful connection to our core selves, other humans, the world, and/or a greater power as expressed through our reflections, narratives, and actions. Persons with disabilities described a sense of disconnectedness to others, to the world, and to a greater power. They expressed their spirituality through actions to rectify that sense of disconnection. This study suggests that further research is warranted that explores the scope of spirituality in the lives of individuals with disabilities and how spirituality relates to the theoretical and philosophical realm of occupational therapy.

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Personal–Professional Connections in Palliative Care Occupational Therapy

Cited by 28 publications

References 27 publications

Occupational therapy in palliative care: Is it under‐utilised in Western Australia?

Occupational therapy in palliative care: Is it under‐utilised in Western Australia?

Ideals and Compromises in Palliative Care

Spirituality and Disability: An Analysis of Select Themes

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