Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice

Detalhes bibliográficos
Autor(a) principal: Kessner, Karen
Data de Publicação: 2022
Outros Autores: Hitch, Danielle
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos Brasileiros de Terapia Ocupacional
Texto Completo: https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3117
Resumo: Introduction: Death is inevitable, yet hospitals and health services continue to focus on life-sustaining practices despite clients presenting with clear decline related to life-limiting illness. Social and occupational injustice is common for clients receiving palliative or end-of-life care, as they experience increased occupational disengagement and disempowerment. A gap was identified in the Occupational Therapy department of a metropolitan Australian hospital regarding clinician skills, knowledge and confidence in working with these clients. Objective: To describe the development of an evidence informed education package designed to support occupational therapists to provide the best possible quality of care and promote occupational justice for clients receiving palliative or end-of-life care. Method: Consultation with key stakeholders and a review of existing resources including a skills audit, was conducted to identify current practice. A review of professional and grey literature was completed, and benchmarking with similar organisations provided a wider perspective on current Australian practice. Review of widely available educational resources were evaluated. Results: Baseline data collection confirmed that promoting occupational and social justice for people requiring palliative or end-of-life care was under-recognised across the health service. Benchmarking identified significant variation in educational practices across similar Australian health services. The structure and content of a face-to-face clinical education session was formulated using evidence from the literature review and relevant available resources. There are plans to transfer this education package to an e-learning platform with evaluation built into the package to allow content to remain up to date. Conclusion: Occupational Therapy clinicians are well placed to promote occupational and social justice for people requiring palliative or endof-life care but require additional occupationally focused education to optimise their practice in this area.
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spelling Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justiceDesenvolvimento de uma proposta de educação informada por evidências para terapeutas ocupacionais para cuidados paliativos e cuidado no fim de vida: promovendo a justiça ocupacionalIntroduction: Death is inevitable, yet hospitals and health services continue to focus on life-sustaining practices despite clients presenting with clear decline related to life-limiting illness. Social and occupational injustice is common for clients receiving palliative or end-of-life care, as they experience increased occupational disengagement and disempowerment. A gap was identified in the Occupational Therapy department of a metropolitan Australian hospital regarding clinician skills, knowledge and confidence in working with these clients. Objective: To describe the development of an evidence informed education package designed to support occupational therapists to provide the best possible quality of care and promote occupational justice for clients receiving palliative or end-of-life care. Method: Consultation with key stakeholders and a review of existing resources including a skills audit, was conducted to identify current practice. A review of professional and grey literature was completed, and benchmarking with similar organisations provided a wider perspective on current Australian practice. Review of widely available educational resources were evaluated. Results: Baseline data collection confirmed that promoting occupational and social justice for people requiring palliative or end-of-life care was under-recognised across the health service. Benchmarking identified significant variation in educational practices across similar Australian health services. The structure and content of a face-to-face clinical education session was formulated using evidence from the literature review and relevant available resources. There are plans to transfer this education package to an e-learning platform with evaluation built into the package to allow content to remain up to date. Conclusion: Occupational Therapy clinicians are well placed to promote occupational and social justice for people requiring palliative or endof-life care but require additional occupationally focused education to optimise their practice in this area.Introdução: A morte é inevitável, mas os hospitais e serviços de saúde continuam concentrados na manutenção da vida, apesar das pessoas apresentarem declínios relacionados a doenças limitantes da vida. A injustiça social e ocupacional são comuns para as pessoas que recebem cuidados paliativos ou estão no fim de vida, pois experimentam um aumento do desengajamento e desempoderamento ocupacional. Foi identificada uma lacuna em um hospital metropolitano australiano, no departamento de terapia ocupacional, em relação às habilidades clínicas, conhecimento e confiança no trabalho. Objetivo: Descrever o desenvolvimento de uma proposta de educação informada por evidências, projetada para apoiar terapeutas ocupacionais para fornecer a melhor qualidade possível de atendimento e promover a justiça ocupacional em cuidados paliativos ou no fim da vida. Método: Consulta com pessoas chave e uma revisão dos recursos existentes, incluindo uma auditoria de habilidades, para identificar a prática atual. Uma revisão da literatura profissional e cinzenta foi concluída, e uma avaliação comparativa com organizações semelhantes forneceu uma perspectiva mais ampla sobre a prática australiana atual. Foi também avaliada uma revisão de recursos educacionais disponíveis. Resultados: A coleta de dados confirmou que a promoção da justiça ocupacional em cuidados paliativos ou cuidados no fim de vida era pouco reconhecida no serviço de saúde. A avaliação comparativa identificou uma variação significativa nas práticas educacionais em serviços de saúde australianos. A estrutura e o conteúdo de uma sessão de educação clínica presencial foram formulados usando evidências da revisão da literatura e recursos relevantes disponíveis. Há planos de transferir esta proposta educacional para uma plataforma de e-learning com avaliação integrada, permitindo que o conteúdo permaneça atualizado. Conclusão: Os terapeutas ocupacionais podem promover justiça ocupacional e social para pessoas que necessitam de cuidados paliativos ou cuidado no fim de vida, mas requerem formação adicional focada na ocupação para otimizar sua prática nesta área.Brazilian Journal of Occupational TherapyCuadernos Brasilenos de Terapia OcupacionalCadernos Brasileiros de Terapia Ocupacional2022-06-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3117Brazilian Journal of Occupational Therapy; Vol. 30 No. spe; e3117Cuadernos Brasilenos de Terapia Ocupacional; Vol. 30 Núm. spe; e3117Cadernos Brasileiros de Terapia Ocupacional; v. 30 n. spe; e31172526-8910reponame:Cadernos Brasileiros de Terapia Ocupacionalinstname:Universidade Federal de São Carlos (UFSCAR-DTO)instacron:UFSCARenghttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3117/3639Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacionalhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessKessner, KarenHitch, Danielle2022-06-21T21:06:12Zoai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3117Revistahttp://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/indexPUBhttps://old.scielo.br/oai/scielo-oai.phpcadto@ufscar.br||cadto@ufscar.br2526-89102526-8910opendoar:2022-06-21T21:06:12Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)false
dc.title.none.fl_str_mv Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
Desenvolvimento de uma proposta de educação informada por evidências para terapeutas ocupacionais para cuidados paliativos e cuidado no fim de vida: promovendo a justiça ocupacional
title Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
spellingShingle Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
Kessner, Karen
title_short Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
title_full Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
title_fullStr Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
title_full_unstemmed Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
title_sort Development of an evidence-informed education package for occupational therapists for palliative and end of life care: promoting occupational justice
author Kessner, Karen
author_facet Kessner, Karen
Hitch, Danielle
author_role author
author2 Hitch, Danielle
author2_role author
dc.contributor.author.fl_str_mv Kessner, Karen
Hitch, Danielle
description Introduction: Death is inevitable, yet hospitals and health services continue to focus on life-sustaining practices despite clients presenting with clear decline related to life-limiting illness. Social and occupational injustice is common for clients receiving palliative or end-of-life care, as they experience increased occupational disengagement and disempowerment. A gap was identified in the Occupational Therapy department of a metropolitan Australian hospital regarding clinician skills, knowledge and confidence in working with these clients. Objective: To describe the development of an evidence informed education package designed to support occupational therapists to provide the best possible quality of care and promote occupational justice for clients receiving palliative or end-of-life care. Method: Consultation with key stakeholders and a review of existing resources including a skills audit, was conducted to identify current practice. A review of professional and grey literature was completed, and benchmarking with similar organisations provided a wider perspective on current Australian practice. Review of widely available educational resources were evaluated. Results: Baseline data collection confirmed that promoting occupational and social justice for people requiring palliative or end-of-life care was under-recognised across the health service. Benchmarking identified significant variation in educational practices across similar Australian health services. The structure and content of a face-to-face clinical education session was formulated using evidence from the literature review and relevant available resources. There are plans to transfer this education package to an e-learning platform with evaluation built into the package to allow content to remain up to date. Conclusion: Occupational Therapy clinicians are well placed to promote occupational and social justice for people requiring palliative or endof-life care but require additional occupationally focused education to optimise their practice in this area.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3117
url https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3117
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3117/3639
dc.rights.driver.fl_str_mv Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacional
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Cadernos Brasileiros de Terapia Ocupacional
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Brazilian Journal of Occupational Therapy
Cuadernos Brasilenos de Terapia Ocupacional
Cadernos Brasileiros de Terapia Ocupacional
publisher.none.fl_str_mv Brazilian Journal of Occupational Therapy
Cuadernos Brasilenos de Terapia Ocupacional
Cadernos Brasileiros de Terapia Ocupacional
dc.source.none.fl_str_mv Brazilian Journal of Occupational Therapy; Vol. 30 No. spe; e3117
Cuadernos Brasilenos de Terapia Ocupacional; Vol. 30 Núm. spe; e3117
Cadernos Brasileiros de Terapia Ocupacional; v. 30 n. spe; e3117
2526-8910
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instname_str Universidade Federal de São Carlos (UFSCAR-DTO)
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reponame_str Cadernos Brasileiros de Terapia Ocupacional
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repository.name.fl_str_mv Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)
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