Occupational Therapy and Arts Therapies
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25
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Item The Model of Human Occupation(Lippencott Williams and Wilkens, Baltimore., 2013-03) Forsyth, Kirsty; Taylor, R. R.; Kramer, J.; Prior, Susan; Ritchie, L.; Whitehead, Jacqueline; Owen, Christine; Melton, J.; Cohn, E. S.; Gillen, G.; Scaffa, M.; Schell, BAItem Observational Assessments(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Cahill, S. M.; Forsyth, Kirsty; de las Heras, C.; Melton, J.; Raber, C.; Prior, SusanItem Using theory in practice(Elsevier, 2008) Melton, J.; Forsyth, Kirsty; Freeth, D.; Duncan, EdwardItem The Individual Practice Development Theory: An individually focused practice development theory that helps target practice development resources(Wiley, 2012-06) Melton, J.; Forsyth, Kirsty; Freeth, D.Background Research indicates that multifaceted practice development (PD) interventions are more effective than single strategies. However, models of education in health care need to consider cost-effectiveness. Objectives This paper presents a research-based, PD theory called the Individual Practice Development Theory. It argues that programmes that use the Individual Practice Development Theory to tailor PD support to the learning needs of practitioners will result in more engagement in PD and will target PD resources efficiently. Methods The in-depth qualitative, multi-method realistic evaluation was of a multifaceted, organization-wide PD programme in one National Health Service Mental Health and Learning Disabilities Trust. Semi-structured interviews, practice observation and documentation audit were used to gather data from occupational therapists. Findings Results indicated that environmental contexts, particularly the support of the immediate team, and the participant's personal circumstances affected PD behaviour change. Six mechanisms acted as catalysts. These were: Building Confidence, Finding Flow, Accumulating Reward, Conferring with Others, Constructing Knowledge Know-how and Channelling Time. Four stages of PD characterized as: 'In the Hangar', 'On the Runway', 'Take-off' and 'In the Air' were identified. The research also illustrated the interconnectivity between outcome levels, contextual circumstances and activating mechanisms. Discussion The findings suggested that PD interventions need to be more individually tailored to achieve optimum learning outcomes. The identification of four discernable stages permits rapid understanding of PD support needs in order to focus PD support. Conclusion With a systematic and individualized approach to PD in health care, more target PD supports can be put in place. 2011 Blackwell Publishing Ltd.Item Inclusive communication: A tool for service innovation(2012-01) Shute, R.; Davies, G.; Clee, S.; Coupland, T.; Melton, J.; Forsyth, KirstyThere is global acknowledgement of the need to improve services for those experiencing mental illness, with learning disabilities or those who abuse substances (WHO, 2010). Government policy in the UK also outlines the importance of using resources efficiently, improving access to services and driving up quality (Darzi, 2009). Organisational transformation of this nature can create uncertainty, not only for those working within the service but those accessing services and wider stakeholder. This paper proposes that effective communication is a crucial ingredient of successful change and a tool that can be used in to support transitional change and those that may be affected but it. The paper describes the underpinning communication theories used by an NHS Foundation Trust in the United Kingdom to develop an effective, inclusive communication strategy to support a service delivery innovation.Item The Model of Human Occupation In Crepeau(Lippincott Williams & Wilkins, 2008) Kielhofner, G.; Forsyth, Kirsty; Kramer, Jessica; Melton, J.; Dobson, E.; Boyt Schel, B.; Cohn, E.; Crepeau, E.