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Occupational therapists' descriptions of their work with persons suffering from cognitive impairment following acquired brain injury
Örebro University, School of Health and Medical Sciences.
Örebro University, School of Health and Medical Sciences.
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0001-9885-4204
2009 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 16, no 1, 13-24 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to investigate how Swedish occupational therapists’ describe their work with persons suffering from cognitive impairment following acquired brain injury. A qualitative descriptive approach was used and interviews were conducted with 12 occupational therapists working in community and county council care. Qualitative content analysis was used and revealed three main themes: 1) “To make the invisible visible”, 2) “To collaborate- a prerequisite for success” and 3) “Dilemmas to handle”. The findings showed a complex scenario where the occupational therapists worked to make the cognitive impairments visible to themselves, the clients, and persons close to the client. Collaboration was perceived as a key factor. The dilemmas concerned different aspects in the rehabilitation process, which affected the occupational therapists’ work with the clients. Identified areas in need of improvement are prioritisations and additional education regarding both intervention methods and theory. A reluctance to use standardised assessments was expressed and research that identifies and overcomes those hindrances in clinical practice is needed. Therapeutic use of self was described as important. To understand and illuminate the occupational therapists’ comprehension of the concept further research is required.  

Place, publisher, year, edition, pages
London, UK: Informa Healthcare, 2009. Vol. 16, no 1, 13-24 p.
Keyword [en]
brain injury, cognition, occupational therapy, qualitative content analysis, rehabilitation, stroke
National Category
Nursing Occupational Therapy
Research subject
Nursing Science; Nursing Science w. Occupational Therapy Focus
Identifiers
URN: urn:nbn:se:oru:diva-7995DOI: 10.1080/11038120802123520ISI: 000264692800002PubMedID: 18609240Scopus ID: 2-s2.0-61549101770OAI: oai:DiVA.org:oru-7995DiVA: diva2:236496
Available from: 2009-09-23 Created: 2009-09-23 Last updated: 2017-10-18Bibliographically approved
In thesis
1. Occupational therapy practice for clients with cognitive impairments following aquired brain injury: occupational therapists' perspective
Open this publication in new window or tab >>Occupational therapy practice for clients with cognitive impairments following aquired brain injury: occupational therapists' perspective
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to describe occupational therapy practice for clients with cognitive impairment following acquired brain injury (CIABI) from the perspective of practicing occupational therapists (OTs).

To fulfill this aim, qualitative and quantitative approaches were used including interviews (Study I) and questionnaires (Studies II -IV). Based on the qualitative descriptions generated in Study I, a questionnaire was developed and evaluated for content validity and test-rest validity (Study II). The questionnaire was then used in a survey (Study III). The reactive Delphi technique was used to empirically define the aspects that OTs found to be consistent with the concept of therapeutic use of self (Study IV).

The results showed that a predominant practice pattern was the use of ADL activities for intervention regardless of whether limitations in occupational performance or cognitive function were assessed, or whether the approach to therapy was remedial or compensatory. General ADL-instruments were used more than instruments focused on impairment level. Therapies covering a wide range of cognitive impairments, and abilities important to organizing and executing occupational performance were commonly targeted. Therapies targeting clients’ activity limitations were prioritized before remediating impairment. Therapeutic use of self was regarded as being important and the results identified clientspecific aims not earlier described in relation to therapeutic use of self. Another prominent practice pattern was the collaborative approach toward clients, relatives, and other staff. Theories used to support practice were primarily general. Occupational therapy practice for clients with CIABI was found to be complex, and the practice patterns were affected by circumstances such as the ‘hidden’ nature of the cognitive impairments, perceived lack of knowledge, and organizational issues. The results of this thesis can be used as a foundation for further research on practice patterns or the specific therapies used. It can facilitate discussions on strengths and weaknesses witcurrent practice, the need for development, and research utilization.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2012. 89 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 41
Keyword
occupational therapy, cognition, rehabilitation, practice, acquired brain injury, stroke, TBI, assessment, intervention
National Category
Occupational Therapy Other Health Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-26007 (URN)978-91-7668-903-5 (ISBN)
Public defence
2012-12-07, Örebro universitet, Prismahuset, hörsal HSP2, Fakultetsgatan 1, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2012-09-25 Created: 2012-09-25 Last updated: 2017-10-17Bibliographically approved

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Holmqvist, KajsaKamwendo, KittyIvarsson, Ann-Britt

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