Abstract:
INTRODUCTION:Collaboration, choice and power-sharing are cornerstones of practice as occupational therapists support individuals to re-establish an occupational identity and reintegrate into the community following stroke. Yet evidence of unmet client needs suggests client-centred care is not optimal, and little is known of client perspectives of client-centred practice. A deeper understanding of the client experience of therapeutic relationships during adjustment following stroke, will help facilitate client-centred practice. This paper reports on a study exploring the research question: how do stroke survivors perceive their relationship with their health care team as they adjust to life following stroke? METHODS:In this constructivist grounded theory study, in-depth interviews were conducted with six adult stroke survivors from South-East Queensland, Australia. Transcribed interviews were analysed using a constant comparative approach, identifying emerging concepts and patterns, to construct a theoretical understanding of the experience and meaning of adjustment and reintegration back into the community, with a specific focus on perceptions of therapeutic relationships and client-centred practice. RESULTS:Participant perspectives of client-centred care during their rehabilitation following stroke were revealed and implications of this for their recovery identified. Themes of being understood; out of the driver's seat; knowing what's going on; and what I need when I need it emerged. Participants described not being: involved in decision making, provided with information, or receiving services aligned to their needs. Periods of frustration, loss of hope and fluctuating motivation were also common. CONCLUSION:Findings shed further light on previously reported health service and discharge experiences. The insight gained into individual experiences of client-centred care following stroke suggest ways therapists can understand and address each client's adjustment experience and the impact this has on their needs, goal-setting, motivation, and confidence. Client-centred care must be grounded in client reality.
journal_name
Aust Occup Ther Jjournal_title
Australian occupational therapy journalauthors
Walder K,Molineux Mdoi
10.1111/1440-1630.12627subject
Has Abstractpub_date
2020-04-01 00:00:00pages
100-109issue
2eissn
0045-0766issn
1440-1630journal_volume
67pub_type
杂志文章abstract:BACKGROUND/AIM:Occupational therapists who work in palliative care are frequently exposed to the experience of death and dying. Previous occupational therapy research has offered insight into factors that influence feelings relating to death and dying and associated coping strategies. However, existing literature is da...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/1440-1630.12477
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:Individuals with Intellectual and Developmental Disabilities (IDD) experience broad impairments that affect their functional performance and consequently result in the need for supervision and assistance on a daily basis. The literature contains effectiveness studies of functional interventions provided to...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/1440-1630.12577
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND/AIM:Home visits, used by occupational therapists to facilitate independence and enhance safety, are effective but costly and time consuming. This research aims to establish the level of agreement in equipment prescribed by occupational therapists using: digital photographs only, and using home visits and dig...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12121
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND/AIM: The Tree Theme Method (TTM) is an intervention in which the client paints trees representing certain periods in his/her life. The intervention comprises five sessions, using trees as a starting point to tell one's life story. This study, which is part of an implementation project, aimed to examine the t...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2008.00738.x
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND/AIM:Grip strength is useful in clinical practice for the assessment of disease and/or rehabilitation progression. Brief maximal gripping is seldom required in everyday occupations, with repeated or sustained gripping at sub-maximal power more commonly involved. It has been proposed that assessment of both ma...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2010.00888.x
更新日期:2011-04-01 00:00:00
abstract:AIMS:Up to 50% of children with attention deficit hyperactivity disorder (ADHD) also present with difficulties with motor proficiency. Several assessments of motor proficiency are available for occupational therapists, though the validity of these measures in an ADHD population requires further exploration. The aim of ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12641
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:People with severe mental illness often have difficulty sustaining employment. Work Behaviour Inventory and Work Environment Impact Scale are vocational assessments used by occupational therapists to evaluate the facilitators and barriers of work performance and work environment respectively. These factors ma...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12718
更新日期:2021-01-17 00:00:00
abstract:BACKGROUND:Barriers to the use of evidence-based practice extend beyond the individual clinician and often include organisational barriers. Adoption of systematic organisational support for evidence-based practice in health care is integral to its use. This study aimed to explore the perceptions of occupational therapy...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12260
更新日期:2016-02-01 00:00:00
abstract:AIM:This article explores factors that contribute to clients' chronic pain management from an occupational therapy perspective. METHOD:Nine occupational therapists from Australia and New Zealand who worked in this practice area were interviewed. Qualitative method of narrative inquiry was used to analyse the therapist...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12011
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND/AIM:In Australia, all stroke survivors should not drive for four weeks and transient ischaemic attack (TIA) survivors should not drive for two weeks. This study investigates the provision of return-to-driving education in the acute hospital setting and the use of this education by a cohort of Australian pati...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12359
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND/AIM:Occupational therapists consider the impact of autism spectrum disorder on occupational performance at school. Occupational therapists work with teachers to support student participation. Atypical sensory processing is common in children with autism. Therefore, collaborating with teachers to enable stude...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12381
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION:Research has been conducted over several years to develop a new off-road assessment battery referred to as the Occupational Therapy - Driver Off-Road Assessment Battery. This article documents the development of the Battery, and provides preliminary research evidence to support its content and predictive v...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00979.x
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:International literature seems consistent in reporting that occupational therapists value their methods. However, little empirical evidence has been generated supporting the basic system of belief for occupational therapy. Few studies have explored the nature of the occupational therapists' experiences and t...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2007.00714.x
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND/AIM:Pinch and grip strength assessment is commonly performed in occupational therapy practice. However, the typically utilised methods are limited to pinch or grip dynamometers and do not readily translate to handling everyday objects. With the advent of consumer-grade 3D printing and low-cost sensor systems...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12494
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND/AIM:Hands are commonly involved in burn trauma. Occupational therapy in the acute phase aims to reduce the risk of deformities and facilitate return to usual occupations. This study aimed to describe usual occupational therapy care at a major adult burns service, and measure recovery from hand burns in the f...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12538
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND/AIM:Traditional developmental models assume that the underlying capacities of children contribute to their participation. In this framework, preschoolers who are referred for occupational therapy services usually undergo an assessment intended to identify capacities in certain domains. Contrary to this, newe...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12041
更新日期:2013-12-01 00:00:00
abstract::At present many of the activities of daily living indices used in Australia lack essential characteristics of an index yielding desirable results. This study argues that the Barthel Index as modified by Shah, Vanclay and Cooper (1989a) is robust and has the required biometric and psychometric qualities. It presents ev...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.1992.tb01729.x
更新日期:1992-03-01 00:00:00
abstract:BACKGROUND/AIM:Few studies have examined graphomotor skills in children with prenatal alcohol exposure (PAE) or fetal alcohol spectrum disorder (FASD). METHODS:Graphomotor skills were assessed in 108 predominantly Australian Aboriginal children aged 7.5-9.6 years in remote Western Australia using clinical observations...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12326
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND/AIM:Australian mental health services are transitioning from inpatient to community settings. The role of occupational therapy within the inpatient context is undergoing change, and uncertainties about the role may exist for other health professionals. This study aimed to explore the perceptions of Australia...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00944.x
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND/AIM:Previously developed cut-off scores for off-road assessments, DriveSafe and DriveAware, were applied to data from a new sample. Our aim was to determine whether results from previous research are replicable in a different population, to further investigate the psychometric properties of the tools. METHO...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,多中心研究
doi:10.1111/1440-1630.12112
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Dementia residential facilities can be described as traditional or non-traditional facilities. Non-traditional facilities aim to utilise principles of environmental design to create a milieu that supports persons experiencing cognitive decline. This study aimed to compare these two environments in rural Aust...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12243
更新日期:2015-12-01 00:00:00
abstract:AIM:A recent systematic review suggests that more comparative research is required on the effectiveness of clinical placement models. This study explored perspectives of clinical educators and students who had participated in both the 1:1 (one student supervised by one clinical educator) and 2:1 (two students supervise...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2012.01025.x
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND: The physical demands of work have a substantial impact on the incidence of work-related musculoskeletal disorders. Depression is often associated with work-related injuries and may influence a person's success or otherwise return to work. There is pressure for occupational rehabilitation providers to produ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/j.1440-1630.2006.00624.x
更新日期:2008-03-01 00:00:00
abstract:AIM:To investigate the interrater, intra-rater and internal consistency reliability of the Theory Application Assessment Instrument, a tool for testing competency in combining multiple theoretical conceptual practice models in client evaluation and treatment planning. METHODS:The assessment was administered to 27 grad...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2009.00837.x
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND/AIM:There is a growing body of research to support the role of occupational therapy in dementia care. However, little is known about the extent to which this research is translated into occupational therapy practice. This study addresses this gap by considering current occupational therapy practice in the fi...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12081
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND/AIM:While internationally educated occupational therapists (IEOTs) may assist Western countries in addressing workforce shortages, their transition to practice can be difficult. Provincial and national levels of government in Canada have funded initiatives to address the barriers experienced by IEOTs. The pu...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12541
更新日期:2019-06-01 00:00:00
abstract:AIM:Normative adult handwriting speed data were last collected in Australia in 1982 using the Jebsen writing speed test. Updated norms are required by clinicians who measure and retrain handwriting. This study aimed to obtain and describe the range of normative scores for handwriting speed in healthy adults aged 60-99 ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00955.x
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND/AIM:Occupational therapists and physiotherapists have established roles in work-related practice. However, there is limited information about the attributes required by these professions for competent practice in this field. The aim of this systematic review was to evaluate the research literature to determi...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/1440-1630.12006
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Health-care expenditure is rapidly increasing in Australia with increasing pressure on health-care services to review processes, improve efficiency and ensure equity in service delivery. The nursing profession have improved efficiency and patient care by investigating time-use to describe current practice an...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12466
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND/AIM:The Action Research Arm Test (ARAT) measures upper limb activity limitations in people with acquired brain injuries. Evidence relating to the use of this test in neurorehabilitation is scattered. This review identifies, rates and synthesises evidence on the original 1981 ARAT use within neurorehabilitati...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12527
更新日期:2018-10-01 00:00:00