Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/11919
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dc.contributor.authorKolehmainen, Niinaen_UK
dc.contributor.authorDuncan, Edwarden_UK
dc.contributor.authorFrancis, Jillen_UK
dc.date.accessioned2014-09-15T08:05:22Z-
dc.date.available2014-09-15T08:05:22Zen_UK
dc.date.issued2013-03en_UK
dc.identifier.urihttp://hdl.handle.net/1893/11919-
dc.description.abstractPurpose: Clinicians' actions impact the patient care process and pathway. This study identified clinicians' actions associated with successful care processes in one community healthcare setting, children's occupational therapy. Method: A secondary analysis in a form of a quantitative content analysis was conducted of 47 interview transcripts, describing outcomes and therapists' (n = 25) self-reported actions in 25 "successful" and 22 "unsuccessful" care processes. The successful processes were those with positive outcomes (clear and coherent process with easy discharge; achieved patient goals and positive patient-clinician relationships). The transcripts were coded for presence of therapists' actions and non-actions using content analysis; and actions associated with success of the process were identified by Pearson Chi-square test. Results: In total 207 actions were identified. These clustered around six areas: assessment, setting goals and planning actions, treatment, review, discharging, and managing processes and relationships. The key actions associated with successful processes were: gather perspectives from others at assessment (χ2 = 6.65, p less than 0.01); identify therapy goals (13.16, p less than 0.01); agree/communicate plans, roles and responsibilities (9.10, p less than 0.01); involve the child and parents in treatment (6.36, p = 0.01); adapt physical environment (6.01, p = 0.01) and make comparisons between the baseline, current and target levels when reviewing progress (6.36, p = 0.01). Conclusions: The actions identified are congruent with literatures about patient involvement and goal achievement. Specific hypotheses about the mechanisms by which the identified actions may relate to care process are presented.en_UK
dc.language.isoenen_UK
dc.publisherInforma Healthcareen_UK
dc.relationKolehmainen N, Duncan E & Francis J (2013) Clinicians' actions associated with the successful patient care process: a content analysis of interviews with paediatric occupational therapists. Disability and Rehabilitation, 35 (5), pp. 388-396. https://doi.org/10.3109/09638288.2012.694960en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectCare pathwayen_UK
dc.subjectchildrenen_UK
dc.subjectgoal settingen_UK
dc.subjectoccupational therapistsen_UK
dc.subjectprofessionals' practiceen_UK
dc.subjectquality of careen_UK
dc.subjectOccupational therapy for childrenen_UK
dc.titleClinicians' actions associated with the successful patient care process: a content analysis of interviews with paediatric occupational therapistsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate3000-01-01en_UK
dc.rights.embargoreason[clinicains actions.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.3109/09638288.2012.694960en_UK
dc.citation.jtitleDisability and Rehabilitationen_UK
dc.citation.issn1464-5165en_UK
dc.citation.issn0963-8288en_UK
dc.citation.volume35en_UK
dc.citation.issue5en_UK
dc.citation.spage388en_UK
dc.citation.epage396en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailedward.duncan@stir.ac.uken_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.identifier.isiWOS:000314148700006en_UK
dc.identifier.wtid716150en_UK
dc.contributor.orcid0000-0002-3400-905Xen_UK
dcterms.dateAccepted2013-03-31en_UK
dc.date.filedepositdate2013-04-15en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorKolehmainen, Niina|en_UK
local.rioxx.authorDuncan, Edward|0000-0002-3400-905Xen_UK
local.rioxx.authorFrancis, Jill|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate3000-01-01en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameclinicains actions.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0963-8288en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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