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The development of an assessment which provides a practical application of the concept of the dark side of occupation for practitioners and students
Published in Rebecca Twinley, Illuminating the Dark Side of Occupation, 2020
Further conceptualising the need for translational science in occupational therapy to the dark side of occupation, the theoretical concept of the dark side of occupation must be brought to the attention of occupational therapy practitioners in a tangible way, in order to secure its inclusion in the field of occupational therapy (Aldrich, Rudman, & Dickie, 2017; Townsend & Wilcock, 2004). Thus, an evidence-based assessment, which includes many of the occupations considered to be currently “in the dark”, is necessary for occupational therapy practitioners. The Activity Card Sort-Advancing Inclusive Participation, a version of the evidence-based Activity Card Sort (Baum & Edwards, 2008), translates the dark side of occupation into a practical tool for clinicians looking to holistically evaluate their clients.
Governance of community health
Published in Gerard Magill, Lawrence Prybil, Governance Ethics in Healthcare Organizations, 2020
Gerard Magill, Lawrence Prybil
To understand partnership performance as a hallmark of governance ethics, it is helpful to recognize the need for best practices. That is, collaborations for community health must relate to established best practices. The Community Health Report and the Leadership Report urged that partnership performance should be reviewed using evidence-based assessment. Successful coalitions must regularly monitor and measure outcomes in relation to their organizational goals and objectives using reliable metrics with a timeline for achievement. This should be a recurring process whereby progress reports are provided to the partners, community and key stakeholders. These reports should have accompanying actions that contribute to assessing partnership performance.68 Recurring assessments should be based on the best science available to review the following: community health measures to be addressed, objectives and targets to be achieved, and metrics and tools to monitor progress.69
Dignity and privacy
Published in Barbara Smith, Linda Field, Nursing Care, 2019
The most effective way of identifying and preventing abuse is through thorough assessment. Nurses are obliged to act without delay if they believe there is a risk to a person or to their safety (Nursing and Midwifery Council, 2015). The use of an evidence-based assessment framework such as the Single Assessment (Department of Health, 2001) or the National Service Framework for the Assessment of Children in Need and their Families (Department of Health, 2000b) will help the nurse to identify who is most at risk of being abused (see also Chapter 1). Nurses must work within the legal frameworks and local policies in relation to the protection of vulnerable adults and children. They need to be able to recognise and respond appropriately when people are vulnerable or at risk or in need of protection or support (Nursing and Midwifery Council, 2018).
Assessments of Functional Cognition Used with Patients following Traumatic Brain Injury in Acute Care: A Survey of Australian Occupational Therapists
Published in Occupational Therapy In Health Care, 2023
Katherine Goodchild, Jennifer Fleming, Jodie A. Copley
Another influence on assessment choice raised by respondents was the need for support from the occupational therapy department. International surveys investigating occupational therapy assessment had similar findings to the current survey. Pragmatic factors such as assessment availability dominated decision-making as well as implicit shared beliefs and values in a workplace, impacted assessment popularity amongst coworkers (Alotaibi et al., 2009; Manee et al., 2020). While survey responses suggest that clinicians are subject to a number of contextual influences that constrain their assessment choices, it can be argued that clinicians must ultimately rely on their own clinical reasoning processes to choose an appropriate assessment in acute care with TBI patients. It may be important that clinicians are aware of potential influences such as popularity of an assessment in their workplace, in order to improve evidence-based assessment practice. For example, one study investigating clinician perspectives of occupation-centred assessments across Japan and Sweden highlighted the importance of individual occupational therapists’ ability to persevere and overcome limitations on practice due to constraints such as lack of time (Asaba et al., 2017).
Efficacy of a knowledge translation approach in changing allied health practitioner use of evidence-based practices with children with cerebral palsy: a before and after longitudinal study
Published in Disability and Rehabilitation, 2021
Christine Imms, Claire Kerr, Steven J. Bowe, Petra Karlsson, Iona Novak, Nora Shields, Dinah Reddihough
Introducing routine evidence-based assessment requires a co-ordinated approach to overcome practitioner knowledge barriers and systemic organisational barriers. Knowledge translation intervention approaches need to be tailored for stakeholders to overcome self-identified, site-specific implementation barriers [8]. Multifaceted approaches that target several barriers to organisational change (e.g., lack of resources, knowledge, and processes) are recommended because they deliver larger positive change than single strategy interventions (e.g., providing information at the point of decision making only) [9]. The rationale behind multifaceted interventions is that health professionals respond differently to varying types of interventions, and by using a range of strategies simultaneously more end-users are likely to have their needs met [9]. Key strategies recommended for constructing and implementing effective multifaceted interventions include: (a) face-to-face exchanges and meetings between clinicians and researchers; (b) interactive, multidisciplinary, education sessions; (c) communities of practice among study sites; (d) capacity building at study sites by supporting knowledge brokers; (e) web-based decision-making tools; and (f) a steering committee with representation from each study site [10]. When designing the intervention for our study, we sought to employ these strategies and address the individual, social and organisational barriers as per the recommendations for tailored strategies in a Cochrane Review [11].
Steering towards collaborative assessment: a qualitative study of parents’ experiences of evidence-based assessment practices for their child with cerebral palsy
Published in Disability and Rehabilitation, 2021
Bridget O’Connor, Claire Kerr, Nora Shields, Brooke Adair, Christine Imms
The number and availability of psychometrically robust assessment tools has increased markedly in cerebral palsy research and practice [1,2]. Information from appropriately selected tools can guide allied health practitioners, children and families with goal setting, planning interventions, predicting resource needs and provide objective evaluation for interventions [3–5]. Assessment tools are defined as evidence-based when there are published instructions on how to administer, score and interpret the assessment, and acceptable levels of reliability and validity when used with the population of interest, in this case children with cerebral palsy [3]. Including psychometrically robust assessments (hence forth referred to as evidence-based assessment tools) in practice is widely advocated, as health professionals strive to strengthen their evidence-base for practice, and consumers and funders seek greater accountability from service providers [6,7]. The term “evidence-based assessment” will be used in relation to the overall assessment process i.e., the procedures, actions and interactions involved with using evidence-based assessment tools. Evidence-based assessment is considered both the use of research to guide which assessment tool to use and an assessment process that integrates the use of psychometrically robust assessment tools, when available, with family preferences, and clinician expertise.