Nordholm L A, Adamson B J, Heard R
Department of Rehabilitation, Gothenburg, Sweden.
J Allied Health. 1995 Fall;24(4):267-82.
The extent to which physiotherapists and occupational therapists endorse a humanistic, holistic approach to health care was addressed in a survey of attitudes of practicing occupational therapists (N = 378) and physiotherapists (N = 558). A 22-item questionnaire including aspects of therapist's knowledge and techniques, holistic approach, client characteristics, client/therapist relationship, and approaches to professional practice was employed. The findings indicate that the professional practices reflecting the new public health model prevailed. This model emphasizes client/therapist interaction, the client's own ability to change and improve, and holistic attitudes towards health care, along with the therapist's knowledge and skills. However, comparative analyses of the two therapy groups reveal that although both groups support a humanistic approach to client care, occupational therapists promote the client's resources and coping skills to a greater extent, place more emphasis on the client in terms of the client's capacity for recovery and coping abilities, were more involved with the social, personal, and psychological problems of the client, and place less emphasis on treatment methods and techniques than physiotherapists. Demographic variables including gender, age, and workplace setting (public/private) were found to be significantly related to views of professional practice. Recommendations for the training of therapists and the implications for practitioners are made and suggestions for further research are given.
一项针对在职职业治疗师(N = 378)和物理治疗师(N = 558)态度的调查,探讨了物理治疗师和职业治疗师在多大程度上认可人文主义的整体医疗保健方法。采用了一份包含治疗师知识和技术、整体方法、客户特征、客户/治疗师关系以及专业实践方法等方面的22项问卷。研究结果表明,反映新公共卫生模式的专业实践占主导地位。该模式强调客户/治疗师互动、客户自身改变和改善的能力、对医疗保健的整体态度,以及治疗师的知识和技能。然而,对两个治疗组的比较分析显示,尽管两组都支持对客户护理采取人文主义方法,但职业治疗师在更大程度上促进客户的资源和应对技能,在客户的康复能力和应对能力方面更强调客户,更多地参与客户的社会、个人和心理问题,并且比物理治疗师更少强调治疗方法和技术。发现包括性别、年龄和工作场所设置(公立/私立)在内的人口统计学变量与专业实践观点显著相关。针对治疗师培训提出了建议以及对从业者的启示,并给出了进一步研究的建议。