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Assessing the quality of clinical occupational therapy records kept at schools for learners with special educational needs in the Western CapeRischmuller, Renee Antoinette 08 May 2009 (has links)
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Abstract
This research report compares what occupational therapists working at schools for
learners with special educational needs (LSEN) think is important to record with what is
recorded in the learners' occupational therapy files. Six clinical occupational therapists
completed a questionnaire by grading items according to their level of importance in
maintaining occupational therapy records. The researcher did an audit on 76 learners'
occupational therapy files at four LSEN schools. The results indicated a vast
discrepancy between what the occupational therapist viewed as important and what
was actually recorded in the learners' files. The occupational therapists viewed most
items as being very important to record (84.2%), yet the items were seldom recorded in
the learners' files (33.3%). The researcher used the results to develop an adjusted
checklist that could be used by occupational therapists at LSEN schools to audit their
own records and as a guideline for record keeping.
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