Occupational Therapy

guruge s., hunter j.a., barker k., mcnally m.j. & magalhães l. (2010) Immigrant women’s experiences of receiving care in a mobile health clinic. Journal of Advanced Nursing 66(2), 350–359.guruge s., hunter j.a., barker k., mcnally m.j. & magalhães l. (2010) Immigrant women’s experiences of receiving care in a mobile health clinic. Journal of Advanced Nursing 66(2), 350–359.AbstractTitle. Immigrant women’s experiences of receiving care in a mobile health clinic.Aim.  This paper is a report of a study of the experiences of Portuguese-speaking immigrant women who used a mobile health clinic for their reproductive health care.Background.  Upon arrival in Canada, immigrant women often are in better health than their Canadian-born counterparts; however, this health status tends to deteriorate over time. One reason for this change is limited access to services.Method.  Data collection during 2004 and 2005 involved individual interviews with seven Portuguese-speaking women who received care in a mobile health clinic in Toronto, Canada, and with four clinic care providers. Non-participant observation of the interaction between clients and care providers was also conducted. Interviews conducted in Portuguese were translated into English and transcribed, along with those conducted in English. Interview transcripts were read and re-read in the context of observational notes to develop codes. Emerging codes were grouped together to develop subcategories and categories.Findings.  Participants’ experiences of accessing and receiving care in the mobile health clinic were shaped by their perceptions of health, which included physical, mental, social and spiritual aspects, and their pre- and postmigration care experiences. As an alternative model of care delivery, the mobile health clinic was perceived by participants to address their care needs and to help overcome postmigration barriers by providing accessible, holistic, and linguistically and culturally appropriate care.Conclusion.  Mobile health clinics should be considered as an alternative care delivery model for immigrant women who may be at a disadvantage because of their socio-economic, cultural, and racialized statuses.Title. Immigrant women’s experiences of receiving care in a mobile health clinic.Aim.  This paper is a report of a study of the experiences of Portuguese-speaking immigrant women who used a mobile health clinic for their reproductive health care.Background.  Upon arrival in Canada, immigrant women often are in better health than their Canadian-born counterparts; however, this health status tends to deteriorate over time. One reason for this change is limited access to services.Method.  Data collection during 2004 and 2005 involved individual interviews with seven Portuguese-speaking women who received care in a mobile health clinic in Toronto, Canada, and with four clinic care providers. Non-participant observation of the interaction between clients and care providers was also conducted. Interviews conducted in Portuguese were translated into English and transcribed, along with those conducted in English. Interview transcripts were read and re-read in the context of observational notes to develop codes. Emerging codes were grouped together to develop subcategories and categories.Findings.  Participants’ experiences of accessing and receiving care in the mobile health clinic were shaped by their perceptions of health, which included physical, mental, social and spiritual aspects, and their pre- and postmigration care experiences. As an alternative model of care delivery, the mobile health clinic was perceived by participants to address their care needs and to help overcome postmigration barriers by providing accessible, holistic, and linguistically and culturally appropriate care.Conclusion.  Mobile health clinics should be considered as an alternative care delivery model for immigrant women who may be at a disadvantage because of their socio-economic, cultural, and racialized statuses.

This article argues that visual research methodologies have potential to contribute to the study of occupation. The use of visual research methodologies is quickly growing in a number of disciplines and can help researchers to access information and reasoning not accessible through interview, log or survey. The reflexive, reflective, engaged process of creating and analysing visual materials allows for rich representations on behalf of participants, and immersion in the data on the part of researchers. This paper explores photovoice, body mapping and textual analysis of visual materials to understand how they can contribute to occupational science research. These methods were chosen because they represent the current methods being used by researchers in visually-based research literature. It is argued that when used appropriately, the addition of visual research methodologies to occupational science research will help researchers access rich and authentic information, and that visuals can represent many layers of meaning that may otherwise be lost in a conversation, log, or piece of historical literature.

Objective. The question addressed in this paper is: “Are activities that are classified as ‘addictions’ and ‘impulse-control disorders’ occupations?” Background. Current conceptualisations of occupation focus on positive contributions to health and well-being. We suggest that occupations are neither inherently healthy nor unhealthy but are associated with positive and/or negative consequences. Methods. Integrative and interpretative literature syntheses were undertaken. Findings. Findings demonstrated that activities classified as addictions and impulse-control disorders meet the criteria of occupation, in that they give meaning to life; are important determinants of health, well-being and justice; organize behaviour; develop and change over a lifetime; shape and are shaped by environments and have therapeutic potential. Conclusion. The findings have implications for the conceptualisation of occupations, including the relationship between occupation and health, the potential risk for negative consequences through occupational engagement, a deeper exploration of occupational patterns and performance and the influence of context. Finally, a potential role for occupational science in the field of addictions and impulse-control disorders is proposed.

RESUMO | Introdução: O crescimento dos agravos relacionados ao trabalho vem preocupando pesquisadores ao redor do mundo. Isso porque a intensificação do trabalho e as relações trabalhador-ambiente de trabalho-adoecimento, entre outras, lideram o debate quando o assunto é saúde e trabalho. Nesse cenário, a ginástica laboral (GL) é uma alternativa na prevenção dos adoe-cimentos relacionados ao trabalho. Objetivo: Descrever e sintetizar as formas pelas quais a literatura brasileira tem abordado a GL. Métodos: Uma revisão panorâmica (scooping review) foi realizada a partir de buscas nas principais bases de artigos cientí-ficos disponíveis no país, por meio dos descritores " ginástica laboral " , " labor gymnastics " , " ginástica do trabalho " , " exercícios labo-rais " e " cinesioterapia laboral ". Foram incluídos estudos empíricos que tratavam do contexto brasileiro e que foram publicados nos últimos 10 anos. Resultados: Nos 44 artigos analisados foi evidenciado que diversas metodologias têm sido aplicadas à GL, majoritariamente as quantitativas. Os estudos têm sido conduzidos principalmente por educadores físicos e fisioterapeutas. A GL é executada tanto em empresas privadas quanto em órgãos públicos, com trabalhadores das mais variadas funções. Seis categorias associadas à GL emergiram: manejo da dor; estilo de vida; componentes relacionados à saúde mental; componentes do movi-mento humano; qualidade de vida; e indicadores antropométricos e de sinais vitais. Conclusão: A GL vem sendo investigada a partir de metodologias e formas de aplicação diversas. Estudos qualitativos e multimétodos, que são escassos, certamente garan-tiriam maior alcance e potencial à GL. Palavras-chave | literatura de revisão como assunto; prevenção primária; trabalho; ginástica. ABSTRACT | Background: The increase in work-related health problems is a cause of concern for researchers worldwide. Intensification of work and the worker-work environment-illness relationship are some of the leading topics in debates on health and work. Facing this scenario, workplace physical activity (WPA) represents an option for prevention of work-related diseases. Aim: To describe and summarize how the Brazilian literature has addressed WPA. Methods: A scoping review was performed based on a search on the main databases of scientific articles available in Brazil using keywords " ginástica laboral " (workplace physical activity), " labor gymnastics " , " ginástica do trabalho " (workplace physical activity), " exercícios laborais " (workplace physical exercise) e " cinesioterapia laboral (workplace kinesiotherapy) ". Empirical studies conducted in Brazil and published along the past 10 years were included. Results: The 44 analyzed articles applied variable, mainly quantitative methods to the study of WPA. The studies were most frequently conducted by physical educators and physical therapists. WPA was performed in both private companies and public organizations with employees who performed a wide range of functions. Six categories were detected for WPA: pain management; lifestyle behaviors; mental health components; components of human movement; quality of life; and anthropometric indicators and vital signs. Conclusion: WPA has been investigated through many different methods and involving variable modalities of application. While still scarce, qualitative and multi-method studies could certainly increase the reach and potential of WPA.

Shows how a new role, professional practice leader (PPL), developed as a health care organization shifted from department‐based hierarchical management to team‐based management. The work of PPLs in this organization is to provide leadership within a shared decision making, outcome‐focused environment. PPLs play an integral role in developing and supporting clinical decision‐making structures. They provide corporate leadership in setting guidelines for professional practice and in promoting quality practice in budget and strategic planning. In an evolving organization, they maintain focus on clarifying and understanding professional and organizational accountability. PPLs support and facilitate professional development and clinical education. They provide external links with other health care organizations, educational institutions and community partners. This role is relationship‐oriented and involves both doing and teaching the skills of facilitating, mentoring and coaching. Develo...