Neistadt M E
Occupational Therapy Department, University of New Hampshire, Durham 03824, USA.
Am J Occup Ther. 1995 May;49(5):428-36. doi: 10.5014/ajot.49.5.428.
Recent clinical reasoning literature has identified a collaborative model of treatment--one that responds to clients' perceptions of their illness and disability experiences--as central to occupational therapy practice. Assessing clients' priorities on admission is essential to that model.
Surveys from of a convenience sample of 269 occupational therapy directors in adult physical rehabilitation facilities throughout the United States (70.2% response rate) were analyzed to see whether occupational therapists in those settings are assessing clients' priorities on admission, and if so, how.
The majority of occupational therapists are using informal interview to determine clients' priorities on admission. Client goals obtained from these interviews are vague and do not specify meaningful occupations; this finding suggests that therapists are setting treatment goals without specific input from clients about their valued activities.
Occupational therapists have not yet successfully translated their values about client-therapist collaboration into a formal set of procedures for practice.
近期临床推理文献已确定一种协作治疗模式——一种响应客户对其疾病和残疾经历认知的模式——是职业治疗实践的核心。评估客户入院时的优先事项对该模式至关重要。
对美国各地成人物理康复设施中269名职业治疗主任的便利样本进行调查（回复率70.2%），以分析这些机构中的职业治疗师是否在评估客户入院时的优先事项，若如此，是如何评估的。
大多数职业治疗师使用非正式访谈来确定客户入院时的优先事项。从这些访谈中获得的客户目标模糊，未明确有意义的活动；这一发现表明治疗师在设定治疗目标时未从客户那里获得关于其重视活动的具体信息。
职业治疗师尚未成功地将他们关于客户 - 治疗师协作的价值观转化为一套正式的实践程序。
