Theory related to OT practice 2015

Jun 26, 2015Download as PPT, PDF5 likes1,658 views

This document discusses theory and contemporary occupational therapy practice. It begins by defining theory and explaining its importance in occupational therapy. Examples of contemporary OT practice settings in the UK include acute hospital care, outpatient rehabilitation, and reablement services. The document also presents a framework showing how academic and non-academic theories at different levels can directly impact OT practice. It concludes by restating the questions about theory, contemporary practice examples, and how theory and practice co-exist in competitive healthcare environments.

Theory related to contemporary or
emerging Occupational Therapy
practice
Dr Blaine Robin
April 2015

Introduction
A. What is a theory and why is it
important in Occupational Therapy?
B. What are examples of contemporary
occupational therapy practice?
C. How does both theory and
contemporary OT practice co exist in a
competitive business environment?

A. What is a theory and why is it
important in Occupational Therapy?

Definition of a theory
‘ A supposition or a system of ideas intended to
explain something, especially one based on
general principles independent of the thing to be
explained: ‘Model of Human Occupation’
http://www.oxforddictionaries.com/definit
ion/english/theory

3 core components of the theoretical
structure within Occupational Therapy

B. What are examples of
contemporary occupational therapy
practice?

Definition of Contemporary
‘Living or occurring at the same time’: the event
was recorded by a contemporary historian
http://www.oxforddictionaries.com/definit
ion/english/contemporary

C. How do both theory and
contemporary OT practice co exist in
a competitive business
environment?

Contemporary Practice Settings in the UK [2015]
Acute Hospital Care
- Surgical
-Orthopaedic
-Medical
- Renal, Endocrinology,
Respiratory Care,
Intensive Care,
Coronary Care
-Rheumatology
-Medicine for the elderly
-Cancer Care
-Paediatrics
-Neurology
-Accident and Emergency
- OTs in A&E
-Hospital Discharge Teams
- OTs in Virtual Wards
-Outpatient rehabilitation (e.g.
walking clinic, pain management,
hand therapy, stroke school).

Contemporary Theory Framework
Category Type Papers & Organisations Purpose of Occupational Therapists Drivers and Developers
Level 5 Consumer
theory
Consumer Ethics (e.g. Francis
Report)
National Institute For Clinical
Excellence Guidelines
The Care Act(2014)
Guidelines to uphold standards & support best practice
Guidelines to support patient safety and minimize risk
Consumers, Legislators &
regulators (e.g. College of
Occupational Therapists &
Health Care Professions
Council)
Level 4 Technological
theory
Use of Assistive Technology –
specifically the use of Applied
Research including Equipment
and Adaptations
Use Product Design Innovation combined with Applied OT
Research – as adjunct interventions that enable
1. Maintenance of Meaningful occupation
2. Grade the task/environment
3. Educate the patient on how to do the activity
4. Provide help if the patient needs any
Entrepreneurs, Occupational
Therapists
Level 3 Practice
Innovation
theory
Use of ceiling track hoists to
facilitate single handed care.
Evidence Based Practice and
Record Keeping
Rationalise through zero based review the cost of care to
an ageing populations of service users on behalf of the
employing organisation
Clinicians in industry
Level 2
Policy
Initiative
theory
Implementing Reablement
services
Utilise core constructs of the contemporary paradigm
occupational nature of humans
occupational problems/challenges
occupational based practice
Fulfill empirical outcome measures
Central & local government
Level 1 Academic
Theory
OT frames of reference:
Occupational Science,
Client-Centred Practice and
Spirituality,
Model of Human Occupation
To fulfil requirements, through a course of training, as
laid down in the competency framework of the
national governing body and World Federation of
Occupational Therapists
Fulfil Research Excellence Framework requirements and
make a contribution to knowledge through
postgraduate research
Universities

Academic & Non Academic Theories
that directly impact on OT practice

Conclusion
A. What is a theory and why is it important
in Occupational Therapy?
B. What are examples of contemporary
occupational therapy practice?
C. How does both theory and
contemporary OT practice co exist in a
competitive business environment?

Occupational therapy uses models and frames of reference to guide practice. Models provide overarching perspectives on health, well-being, and participation in occupations. Frames of reference are founded on models and focus on specific elements of occupational performance to guide the evaluation and treatment process. Occupational therapy practitioners use models and frames of reference together to plan and implement client-centered interventions.

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8410 Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project Note: Have an APA Level 1 header for Each Area Noted below in Blue (a level 1 header is centered, bolded, using upper and lower case letters—see APA manual area 3.03) Grading Area Points Possible Points Earned Potential areas for earning points: Header: Summary of Practice Issue Summary of practice issue. (Note: The issue you select must be suitable for completing the entire EBP Project in 8410.) 2 Header: Exploration of Research Literature Exploration of the research literature on this issue. 3 High level of scholarship commensurate with doctoral level evident 1 Potential areas for losing points: Grammar, Spelling, and APA errors Up to 2 pt. deduction Went Over Page Limit (2 pages max) Up to 2 pt. deduction *Improper credit & citation issue 1-6 pt. deduction Late Submission (posted X.XX.20XX, due X.XX.20XX ) 20% deduction (1.2 pts) per day late (per syllabus) 6 Total Points possible ? Total Points Earned Running head: EBP Project 1 EBP Project 4 Evidence-based Practice Project: PIICOT Statement Student’s Name Institution Date Evidence-based Practice Project: PIICOT Statement Delayed patient transfers from the intensive care unit (ICU) is a significant practice problem that affects the quality and safety of healthcare delivery as well as the costs and efficiency of service delivery in a healthcare institution. It is nurses’ role to identify issues and develop strategies for quality improvement (Stillwell, Fineout-Overholt, Melnyk & Williamson, 2012). The following PIICOT Statements seeks to develop an intervention to reduce the rates of delayed transfers to enhance patient experiences and outcomes. PIICOT Statement In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients? P: Adult patients I: in extended intensive care within an urban acute care facility I: increased mobilization of the patients C: minimal mobilization of the patients O: early transfers of the patients from intensive care T: 6 months Salient Elements that Inform the Research Question The research question above has been developed based on observations in clinical practice of patients in intensive care, who overstay their admission in the ICU. Past research shows that delayed transfers of patients from the ICU to non-intensive care wards or the community settings have a negative effect on patient experiences and the patient outcomes. Some of the common negative effects of delayed patient transfers that have been identified by past researchers include an increased risk .

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Theory related to OT practice 2015

1. Theory related to contemporary or emerging Occupational Therapy practice Dr Blaine Robin April 2015

2. Introduction A. What is a theory and why is it important in Occupational Therapy? B. What are examples of contemporary occupational therapy practice? C. How does both theory and contemporary OT practice co exist in a competitive business environment?

3. A. What is a theory and why is it important in Occupational Therapy?

4. Examples of Theories

5. Definition of a theory ‘ A supposition or a system of ideas intended to explain something, especially one based on general principles independent of the thing to be explained: ‘Model of Human Occupation’ http://www.oxforddictionaries.com/definit ion/english/theory

6. 3 core components of the theoretical structure within Occupational Therapy

7. How do they work together?

8. B. What are examples of contemporary occupational therapy practice?

9. Definition of Contemporary ‘Living or occurring at the same time’: the event was recorded by a contemporary historian http://www.oxforddictionaries.com/definit ion/english/contemporary

10. C. How do both theory and contemporary OT practice co exist in a competitive business environment?

11. Contemporary Practice Settings in the UK [2015] Acute Hospital Care - Surgical -Orthopaedic -Medical - Renal, Endocrinology, Respiratory Care, Intensive Care, Coronary Care -Rheumatology -Medicine for the elderly -Cancer Care -Paediatrics -Neurology -Accident and Emergency - OTs in A&E -Hospital Discharge Teams - OTs in Virtual Wards -Outpatient rehabilitation (e.g. walking clinic, pain management, hand therapy, stroke school).

12. Contemporary Theory Framework Category Type Papers & Organisations Purpose of Occupational Therapists Drivers and Developers Level 5 Consumer theory Consumer Ethics (e.g. Francis Report) National Institute For Clinical Excellence Guidelines The Care Act(2014) Guidelines to uphold standards & support best practice Guidelines to support patient safety and minimize risk Consumers, Legislators & regulators (e.g. College of Occupational Therapists & Health Care Professions Council) Level 4 Technological theory Use of Assistive Technology – specifically the use of Applied Research including Equipment and Adaptations Use Product Design Innovation combined with Applied OT Research – as adjunct interventions that enable 1. Maintenance of Meaningful occupation 2. Grade the task/environment 3. Educate the patient on how to do the activity 4. Provide help if the patient needs any Entrepreneurs, Occupational Therapists Level 3 Practice Innovation theory Use of ceiling track hoists to facilitate single handed care. Evidence Based Practice and Record Keeping Rationalise through zero based review the cost of care to an ageing populations of service users on behalf of the employing organisation Clinicians in industry Level 2 Policy Initiative theory Implementing Reablement services Utilise core constructs of the contemporary paradigm occupational nature of humans occupational problems/challenges occupational based practice Fulfill empirical outcome measures Central & local government Level 1 Academic Theory OT frames of reference: Occupational Science, Client-Centred Practice and Spirituality, Model of Human Occupation To fulfil requirements, through a course of training, as laid down in the competency framework of the national governing body and World Federation of Occupational Therapists Fulfil Research Excellence Framework requirements and make a contribution to knowledge through postgraduate research Universities

13. Academic & Non Academic Theories that directly impact on OT practice

14. Conclusion A. What is a theory and why is it important in Occupational Therapy? B. What are examples of contemporary occupational therapy practice? C. How does both theory and contemporary OT practice co exist in a competitive business environment?

15. Thank you Questions Please

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