Journal
BRITISH JOURNAL OF OCCUPATIONAL THERAPY
Volume 75, Issue 12, Pages 563-569Publisher
SAGE PUBLICATIONS LTD
DOI: 10.4276/030802212X13548955545576
Keywords
Home care; bathing; skill mix; support personnel; straightforward cases
Categories
Funding
- Eastern Townships Health and Social Services Agency
- Canadian Institutes of Health Research
- Fonds de recherche en sante du Quebec
- Institut de recherche Robert-Sauve en sante et securite du travail
- Universite de Montreal
- Ordre des ergotherapeutes du Quebec
- Canadian Foundation of Occupational Therapy
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Introduction: The general consensus is that an occupational therapist should carry out the assessment for recommending home bathing equipment. Nevertheless, in response to a shortage of human resources, home-care occupational therapists in Quebec, Canada, frequently transfer the clinical task of recommending bathing equipment to support personnel in 'straightforward cases'. However, there is no consensus on what constitutes such cases, and clinicians lack information on how to define a straightforward case. Objective: To characterise 'straightforward cases' when recommending bathing equipment in home-care occupational therapy. Design: The RAND/UCLA Appropriateness Method, combining a literature review with a three-round survey and one focus group meeting of nine occupational therapists. Results: Eight characteristics required for describing straightforward cases for bathing equipment recommendations were identified. They cover the three dimensions of the Canadian Model of Occupational Performance and Engagement: the occupation, the person, and the person's home environment. Conclusion: The literature review and collective opinion of experienced occupational therapists made it possible to agree on a common language to describe straightforward cases for bathing equipment. The characteristics identified will, it is hoped, support the critical thinking of clinicians deciding whether or not to transfer the task of recommending bathing equipment to support personnel.
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