Involvement of Adult Rehabilitation Patients in Setting Occupational Therapy Goals.

Objective. This preliminary) study was designed to determine whether occupational therapists involve patients and their families in a goal-setting process and, if so, to identify the methods used. Method. Thirty registered occupational therapists practicing in adult physical rehabilitation settings...

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Publicado en:American Journal of Occupational Therapy Vol. 49; no. 3; pp. 214 - 221
Autores principales: Northen, Jena G., Rust, Diane M., Nelson, Craig E., Watts, Janet H.
Formato: research Journal Article
Publicado: American Occupational Therapy Association Mar1995
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar1995
      vid: 49
      iid: 3
      pid: 6680
      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Involvement of Adult Rehabilitation Patients in Setting Occupational Therapy Goals.
      aug:
        au:
          Northen, Jena G.
          Rust, Diane M.
          Nelson, Craig E.
          Watts, Janet H.
        affil: Staff Occupational Therapist, Acute Care/Outpatient Division, Medical College of Virginia Hospitals, Box 980419, MCV Station, Richmond, Virginia 23298
      sug:
        subj:
          Goal-Setting
          Consumer Participation
          Occupational Therapy Methods
          Patient Assessment
          Patient Education
          Occupational Therapists Evaluation
          Audiorecording
          Nonprobability Sample
          Convenience Sample
          Descriptive Research
          Descriptive Statistics
          Triangulation
          Professional-Family Relations
          Rehabilitation Centers
          Double-Blind Studies
          Age Factors
          Patient Centered Care
          Adult
          Human
          Adult: 19-44 years
      ab: Objective. This preliminary) study was designed to determine whether occupational therapists involve patients and their families in a goal-setting process and, if so, to identify the methods used. Method. Thirty registered occupational therapists practicing in adult physical rehabilitation settings were audiotaped during an initial evaluation. Researchers reviewed corresponding documentation and interviewed each subject. Twenty-three patient and family involvement criteria were generated from standards developed by accreditation commissions and health care professions. Results. Data revealed that although subjects did involve patients and families in a goal-setting process, a number of criteria were not attempted, thus much potential for involvement was unrealized. Subjects with scores above and below one standard deviation from the mean were identified to determine which patient participation criteria had the highest discrepancies. Discrepancies included (a) verbal preparation of the patient and family for initial and ongoing treatment, purposes and procedures of evaluation and treatment, and potential outcomes of treatment, (b) attempts to elicit the patient's concerns, and (c) collaboration with the patient to establish treatment goals. Conclusion. Factors that might have influenced subjects' use of a patient participation approach included the application of a specific theory or technique, time constraints, patient's age, and assumptions about the patient's cognitive status.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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