Bolt Brianny, Lalor Aislinn, Barclay Linda, Brown Sarah, Growse Lauren
Department of Occupational Therapy, Monash University, Frankston, VIC, Australia.
Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, VIC, Australia.
Br J Occup Ther. 2022 Aug;85(8):595-602. doi: 10.1177/03080226211058368. Epub 2022 Feb 28.
Facilitating engagement in meaningful occupations underpins occupational therapy intervention. Occupation-based practice, while linked to improved professional identity and job satisfaction for occupational therapists, is challenging to implement, particularly in hospital settings. This study aimed to explore occupational therapists' perceptions of their role, and facilitators and challenges to implementing occupation-based practice in neurology.
This qualitative descriptive study included semi-structured interviews with seven occupational therapists working in Australian acute/sub-acute neurology settings.
Three themes identified: Conceptualisation versus implementation of occupation-based practice; Use of occupation-based practice impacts role satisfaction; Promoting the profession. Participants described using occupations in their practice as important, however, reported that the challenges of the neurology environment hindered their ability to carry out occupation-based practice.
This study provides insights into occupational therapist's perceptions regarding occupation-based practice in neurology settings, finding there is a need for occupational therapists to promote their role and use of occupations in neurology settings, and that occupation-based practice impacts job satisfaction. The study highlights occupational therapists working in neurology settings would benefit from a number of approaches including student interprofessional activities, potential buddy system for new graduates and experienced clinicians, and increased support by the profession to maintain their identity as occupation-based specialists.
促进参与有意义的活动是职业治疗干预的基础。基于活动的实践虽然与职业治疗师提升职业认同感和工作满意度相关，但实施起来具有挑战性，尤其是在医院环境中。本研究旨在探讨职业治疗师对其角色的看法，以及在神经科实施基于活动的实践的促进因素和挑战。
这项定性描述性研究包括对在澳大利亚急性/亚急性神经科环境中工作的七名职业治疗师进行半结构化访谈。
确定了三个主题：基于活动的实践的概念化与实施；基于活动的实践的使用对角色满意度的影响；推广该职业。参与者描述了在实践中运用活动很重要，但报告称神经科环境的挑战阻碍了他们开展基于活动的实践的能力。
本研究深入了解了职业治疗师对神经科环境中基于活动的实践的看法，发现职业治疗师需要在神经科环境中推广他们的角色和活动的使用，并且基于活动的实践会影响工作满意度。该研究强调，在神经科环境中工作的职业治疗师将从多种方法中受益，包括学生跨专业活动、为新毕业生和经验丰富的临床医生建立潜在的伙伴制度，以及该职业增加支持以维持他们作为基于活动的专家的身份。
