职业治疗师参与社会处方:一项定性访谈研究。
Occupational therapist's involvement in social prescribing: A qualitative interview study.
作者信息
Bradley Gemma, Atkin Beth, Atkin Helen, Scott Jason
机构信息
Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle-Upon-Tyne, UK.
出版信息
Br J Occup Ther. 2025 Jan;88(1):25-34. doi: 10.1177/03080226241270520. Epub 2024 Aug 19.
INTRODUCTION
Social prescribing is a process of helping people to access non-medical activities to promote well-being. For occupational therapists, this is not new, although the social prescribing agenda is creating new roles around these approaches. This study aimed to explore how occupational therapists were involved in social prescribing in the United Kingdom and how they would like to contribute to future developments.
METHOD
Semistructured interviews were carried out with 19 occupational therapists who identified they were involved in social prescribing activities.
FINDINGS
Thematic analysis led to two over-arching themes: (1) position and identity; and (2) making it work.
CONCLUSION
Participants perceived similarity with social prescribing, leading to difficulty in positioning occupational therapy alongside this role, emotional responses and identity challenge. Points of distinction between the roles were articulated, including occupational therapy being more medical, having oversight of more complex needs and having more senior roles within teams. To manage workflow, occupational therapists delegate to social prescribing workers, although there is a lack of clarity about competence and varying involvement in supervision. Part of desired future involvement included clearer workflow, occupational therapy involvement in supervision and service development and creating legitimacy for both roles to address social determinants of health.
引言
社会处方是一个帮助人们参与非医疗活动以促进健康的过程。对于职业治疗师来说,这并非新鲜事,尽管社会处方议程正在围绕这些方法创造新的角色。本研究旨在探讨职业治疗师在英国如何参与社会处方,以及他们希望如何为未来的发展做出贡献。
方法
对19名确定参与社会处方活动的职业治疗师进行了半结构化访谈。
结果
主题分析得出两个总体主题:(1)地位和身份;(2)使其发挥作用。
结论
参与者认为与社会处方有相似之处,导致职业治疗在这一角色中的定位困难、产生情感反应和身份挑战。明确了角色之间的区别,包括职业治疗更具医学性、对更复杂的需求进行监督以及在团队中担任更高级的角色。为了管理工作流程,职业治疗师将工作委托给社会处方工作人员,尽管在能力方面缺乏明确性,且在监督方面的参与程度各不相同。未来期望的参与部分包括更清晰的工作流程、职业治疗参与监督和服务发展,以及为两个角色创造合法性以解决健康的社会决定因素。