Introduction: Burnout is a familiar term for today’s health care professionals with emotional, psychological, physical, and social consequences for those who experience it. It leads to job dissatisfaction, low organizational commitment, absenteeism, as well as inter personal conflict in teams and patient care. Objectives: This mixed methods study has 3 objectives: 1. To determine the levels of burnout being experienced by a sample of occupational therapists practicing in Ontario. 2. To describe the practice issues faced by participants in their day-to-day work and 3. To describe the coping strategies participants employ to maintain their practice. Methods: A concurrent embedded mixed methods research design was used. The mixed methods design collected quantitative and qualitative data. In the first phase, 63 participants completed a survey, which collected demographic information, responses on Maslach Burnout Inventory-General Survey and Areas of Worklife Survey, and their use of coping strategies. In the second phase, focus groups and interviews with 7 occupational therapists were conducted to learn about practice issues, and coping strategies used to address the identified demands. Results: 34.8% of the participants reported high levels of emotional exhaustion, 43.5% of the participants reported high levels of cynicism and 24.6 % report low professional efficacy. Unmanageable workload predicted 29.9% of the variance in emotional exhaustion. Rewards predict 15.5% of the variance in professional efficacy. Demands on time, lack of autonomy, lack of respect and conflict were identified as practice issues participants grapple with on a daily basis. Spending time with spouse/partner/family, maintaining balance between professional and personal lives, maintaining sense of control over work responsibilities and maintaining sense of humor were rated highly by participants as coping strategies they utilize to maintain their practice. Maintaining self awareness / self monitoring, focusing on satisfying aspects of work, importance of workplace/home community and boundaries emerged as additional coping strategies from the focus groups and interviews. Conclusion: This study contributes to understanding the practice challenges for occupational therapists in the contemporary healthcare arena. It provides valuable insights into factors that contribute to therapist burnout and strategies they employ to maintain competent practice. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2010-09-22 12:12:20.009

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Örebro Universitet Institutionen för hälsovetenskap och medicin           Arbetsterapi Arbetes art: Uppsatsarbete omfattande 15 högskolepoäng, inom ämnet arbetsterapi. Svensk Titel: En jämförelse mellan Bobathmetoden och andra interventionsmetoder för behandling av strokepatienter Engelsk titel: A comparison between the Bobath method and other interventions for stroke patients Författare: Maryam Tondkar Mogadam Handledare: Marie Holmefur Datum: 2012-05-03   Sammanfattning Bakgrund: Bobath behandlingsmetod utvecklades i England på 1940-talet för patienter med hjärnskador. I denna behandlingsmetod ska patienter lära sig att kontrollera sina onormala rörelser och muskelspasticitet. Syfte: Syftet med denna studie är att jämföra Bobathmetoden med andra interventionsmetoder för att kunna se vilken behandlingsmetod som har bättre effekt för strokepatienter. Metod: Systematisk litteraturstudie gjordes i databasen AMED, PubMed och Cinahl för att ta fram aktuell forskning inom detta område. Artiklarna som kom fram är kvantitativa och Randomiserade Kontrollerade studier. Resultat: Resultatet av studierna visar att Bobathmetoden har positiv effekt för att klara aktiviteter i dagliga livet. Bobathmetoden visar förbättring från akuta fasen till efter behandling i ADL aktiviteter. Studierna visar att Motor Relearning Programme, Arm Basis training och Balance Performance Monitor träning har bättre effekt än Bobathmetoden i ADL aktiviteter. Arm Basis training, Motor Relearning Programme och Bobathmetoden förbättrade handfunktionen över tiden. Transcutan Electric Nerve Stimulation visade att det har förbättrat handrörelsen och handfunktionen förbättrades men i Bobathmetoden visade det bara förbättring av handfunktionen. Patienter som har tränat med Bobathmetoden kunde lättare sträcka ut sina muskler och hade förbättrat sin rörelseförmåga. Bobathmetoden har bättre effekt i rörelseförmågan än Orthopaedic Approach och Moment Science metoden. Antal ord: 4738 Sökord: Bobath, Behandlingsresultat, Stroke, Aktiviteter i det dagliga livet (ADL)och Arbetsterapi

<p> Health and wellness is essential to each individual's quality of life. The importance of health and wellness is not only of an individual concern but also a population-based societal concern. Currently there is growing epidemic or obesity as 65% of American adults are either overweight or obese. The work setting is an ideal location to foster healthy behaviors as most adults spend the majority of their day there. The need for health-related activities is supported in many different types of workplaces, especially in higher education settings. This study aimed to explore the relationship of a health promotion program using pedometers on the health-related indicators of the SF-36v2 and vital functioning of the participants in a college setting. The association of participant's health promotion level to changes in health-related indicators and vital functioning was also explored.</p><p> A pre-test post-test experimental design was conducted with a convenience sample of 29 participants. All 29 participants completed the pre-test, the 6 week health promotion program using pedometers, and the first post-test (post-test 1). Only 15 individuals completed the second post-test (post-test 2) which was administered six months after the completion of the health promotion program. Paired sample t tests analyzed the difference in scores of each participant from pre-test (baseline) to post-test 1. The paired sample t tests reported a significant improvement in the component summary and subtests of the SF 36v2 such as the mental health component summary (<i>p</i> = .013), physical functioning (<i>p</i> = .015), vitality (<i>p</i> = .033), and mental health (<i>p</i> = .005). The linear regression analysis revealed mental health component summary scores were a highly significant predictor of vitality (&beta; = 1.075, <i>p</i> = .001), accounting for 50.5% of the variance in vitality. Vitality is unique to each individual. This construct can affects one's ability to activity engage in their roles and occupations.</p><p> Health and wellness support role performance. The roles of most adults consist of worker, friend, and family member. Fulfillment of roles and meaningful activities supports balance and quality of life. Having the physical and mental capability to perform one's roles in a variety of contexts leads to engagement and satisfaction. Sustenance of a healthy lifestyle via physical activity is also an integral component of wellness. Utilizing technology and support within the social, virtual, and physical environments have all been shown by this study to improve quality of life indicators. Improvements were noted to statistically support the use of pedometers, points of decision prompts, and email correspondence to increase physical activity levels as well as stages of health promotion.</p>

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Thesis (MHlthSc(OccTh))--University of South Australia, 1998

Thesis (MAppSc)--University of South Australia, 1998

Thesis (MAppSc)--University of South Australia, 1998