Occupational therapists' perceptions of implementing a client-centered intervention in close collaboration with researchers: A mixed methods study
Occupational therapists' perceptions of implementing a client-centered intervention in close collaboration with researchers: A mixed methods study
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DOI：
10.1080/11038128.2019.1573917
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发表时间：
2019-03-12
影响因子：
1.9
通讯作者：
Guidetti, Susanne
中科院分区：
文献类型：
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作者：
Eriksson, Christina;Eriksson, Gunilla;Guidetti, Susanne
背景：在卫生保健中整合基于研究的知识是具有挑战性的。职业治疗师（OTs）需要在临床实践中实施新的基于研究的干预措施。因此，必须认识和理解影响执行进程的具体障碍和促进因素。目的：在复杂干预措施的实施过程中，确定对OT重要的关键因素。材料与方法：采用混合方法设计，结合定性和定量数据进行横断面研究。来自瑞典三个郡议会的41名OT和23名管理人员在OT参加研讨会一年后回答了一份问卷，以准备实施以客户为中心的中风患者日常生活干预活动。结果如下：超过70%的OT受益于阅读和讨论研讨会中的文章; 60%的人对干预措施有信心; 69%的人报告了干预措施的可用性。据报告，管理人员的支持程度很高，但团队成员的支持程度较低。治疗师的互动、对自身努力的认知和情境影响影响了实施过程。结论：研讨会的背景下，促进和获得证据，支持组织和团队，与研究人员充分的互动和满意的自我形象是成功的关键因素时，参与研究。
Background: Integration of research-based knowledge in health care is challenging. Occupational therapists (OTs) need to implement new research-based interventions in clinical practice. Therefore it is crucial to recognize and understand the factors of specific barriers and facilitators affecting the implementation process. Aim: To identify the key factors important for OTs during the implementation process of a complex intervention. Materials and methods: A cross-sectional study with a combination of qualitative and quantitative data in a mixed method design. Forty-one OTs and 23 managers from three county councils in Sweden, responded to a questionnaire one year after the OTs participation in a workshop to prepare for implementation of a client-centered activity of daily living intervention for persons with stroke. Results: Over 70% of the OTs benefitted from reading and discussing articles in the workshop; 60% had faith in the intervention; 69% reported usability of the intervention. High level of support from managers was reported, but less from team members. The therapists' interaction, perceptions of own efforts and contextual influence affected the implementation process. Conclusion: The workshop context with facilitation and access to evidence, supportive organizations and teams, sufficient interaction with researchers and satisfying self-image were successful key factors when involved in research.