What factors influence time‐use of occupational therapists in the workplace? A systematic review

Summers, Bianca; Laver, Kate; Nicks, Rebecca; Lannin, Natasha A.

doi:10.1111/1440-1630.12466

Cited by 5 publications

(5 citation statements)

References 32 publications

(41 reference statements)

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“…Recommendations for this category came from seven papers. To overcome an over reliance on cross-sectional study designs and to help confirm the causality of the hypothesis raised by cross-sectional studies, more longitudinal research designs should be used [ 50 , 63 , 67 ]. Cohort study designs could monitor the workforce data for underserved areas [ 63 ] and also apply to trajectories over time, such as measuring how willingness for rural practice evolves with students through their occupational therapy education [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

Limitations and Recommendations for Advancing the Occupational Therapy Workforce Research Worldwide: Scoping Review and Content Analysis of the Literature

Jesus

Mani²,

Ledgerd³

et al. 2022

IJERPH

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Occupational therapy workforce research can help determine whether occupational therapists exist in sufficient supply, are equitably distributed, and meet competency standards. Advancing the value of occupational therapy workforce research requires an understanding of the limitations and recommendations identified by these investigations. This scoping review and content analysis synthesizes the study limitations and recommendations reported by the occupational therapy research worldwide. Two independent reviews included 57 papers from the past 25 years. Stated limitations included: focus on cross-sectional studies with small and convenience samples; participants from single settings or regions; local markets or preferences not specified; focus on self-reported data and intentions (rather than behaviors or occurrences); challenges in aggregating or synthesizing findings from descriptive data; lack of statistical adjustment for testing multiple associations; and the lack of detailed, up-to-date, and accessible workforce data for continuous monitoring and secondary research. Stated recommendations included: strengthening routine workforce data collection; developing longitudinal studies that include interventions (e.g., recruitment or retention packages); developing context-sensitive comparisons; studying the impact on ultimate outcomes; promoting nation-wide, coordinated workforce plans and requirements; and fostering international coalitions for workforce research and developments at scale. These study limitations and recommendations reported by the literature must be considered in the design of a local and global occupational therapy workforce research agenda.

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Section: Resultsmentioning

confidence: 99%

Limitations and Recommendations for Advancing the Occupational Therapy Workforce Research Worldwide: Scoping Review and Content Analysis of the Literature

Jesus

Mani²,

Ledgerd³

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Documentary and health policy analysis is often used in workforce research [100,101] and cross-national comparisons of variations on regulation across jurisdictions are common in health workforce research [102,103], but were underused in the reviewed literature. The systematic review found no use of workload models and indicators [73], while these are commonly utilized for the continuous advancement of the nursing and other health professions [104][105][106][107].…”

Section: Discussionmentioning

confidence: 99%

“…Finally, regarding workload prediction for time management and staffing determinations, a recent systematic review found no workload prediction models for occupational therapists, which contrasts for example with the nursing profession [73]. The authors concluded that occupational therapist time (highly individualized for each client) may not be as easily categorized into specific tasks, time to complete them, or in a time-use or workload formula as seen in the nursing literature [73]. In addition, the volume of research and understanding of the variables impacting time-use has been stronger for the nursing profession [73].…”

Section: Human Resources Management-recruitment Leadership and Workloadmentioning

confidence: 99%

“…The authors concluded that occupational therapist time (highly individualized for each client) may not be as easily categorized into specific tasks, time to complete them, or in a time-use or workload formula as seen in the nursing literature [73]. In addition, the volume of research and understanding of the variables impacting time-use has been stronger for the nursing profession [73].…”

Section: Human Resources Management-recruitment Leadership and Workloadmentioning

confidence: 99%

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Type of Findings Generated by the Occupational Therapy Workforce Research Worldwide: Scoping Review and Content Analysis

Jesus

Mani

Zweck³

et al. 2022

IJERPH

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Occupational therapists are needed to meet the health and occupational needs of the global population, but we know little about the type of findings generated by occupational therapy workforce research conducted worldwide. We aim to synthesize these findings and their range of content to inform future investigations. A scoping review with content analysis was used. Six scientific databases, websites of official institutions, snowballing, and key informants were used for searches. Two independent reviewers took selection decisions against the eligibility criteria published a priori in the review protocol. Of the 1246 unique references detected, 57 papers were included for the last 25 years. A total of 18 papers addressed issues of attractiveness and retention, often in Australia, and 14 addressed the issues of supply, demand, and distribution, often in the US. Only these two categories generated subtopics. Many workforce issues were rarely addressed as a main topic (e.g., race/ethnic representation). Cross-national, cross-regional, or cross-professional studies generated more actionable findings. Overall, we found few discernable trends, minimal evidence of research programs, and various gaps in content coverage or in the use of contemporary research approaches. There is a need for a coordinated strengthening of the occupational therapy workforce research worldwide.

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“…In addition to the benefit of guidelines and a clear conceptualisation of best practice, participants in this study noted the significant impact of caseloads, time, and access to assessment measures on implementing best practice. Caseload management is a complex topic, primarily influenced by organisational factors, including funding models, as well as client and clinician characteristics (Davidson & Bressler, 2010 ; Foley et al, 2020 ; Summers et al, 2018 ). Assessment and reporting of the functioning of clients with NDCs took Australian clinicians on average almost 7 hours per client, varying according to individual client needs and context.…”

Section: Discussionmentioning

confidence: 99%

Assessing functioning for individuals with neurodevelopmental conditions: Current clinical practice in Australia

D’Arcy

Evans

Afsharnejad

et al. 2022

Aus Occup Therapy J

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Background In the disability sector globally, and specifically in Australia, assessments of functioning have become key to diagnostic processes, and accessing therapy and funding. Over half of all individuals accessing support through Australia's National Disability Insurance Scheme have a neurodevelopmental condition diagnosis. Little is known about assessments of functioning for this population. Methods A mixed methods online survey was designed to understand the current assessment of functioning practices (including clinical contexts, concepts being assessed, and assessment methods) and barriers and facilitators to clinicians using best practice. Results were analysed descriptively, and differences between professions calculated where possible. Content analysis was used to explore qualitative comments. Results Clinicians from various medical and allied health backgrounds completed the survey (n = 93), with varying ranges of age, experience, and education. Clinicians reported that they assessed functioning across age, setting, sector, funding body, and individuals with a wide variety of diagnoses. Missing from current practice is a clear transdisciplinary conceptualisation of functioning. The largest barriers to best practice were limited time, large caseloads, availability of appropriate tools, and lack of clarity from funding bodies. Conclusions Missing from current practice is a clear transdisciplinary conceptualisation of functioning.These results will help inform steps forward to improve assessment of functioning practices to ensure that all individuals receive appropriate and sufficient support.

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What factors influence time‐use of occupational therapists in the workplace? A systematic review

Cited by 5 publications

References 32 publications

Limitations and Recommendations for Advancing the Occupational Therapy Workforce Research Worldwide: Scoping Review and Content Analysis of the Literature

Limitations and Recommendations for Advancing the Occupational Therapy Workforce Research Worldwide: Scoping Review and Content Analysis of the Literature

Type of Findings Generated by the Occupational Therapy Workforce Research Worldwide: Scoping Review and Content Analysis

Assessing functioning for individuals with neurodevelopmental conditions: Current clinical practice in Australia

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