This weeks OTalk Research is being hosted by Dr. Malabika Ghosh, Principal O.T for Cognition & Clinical Academic Fellow – Lancashire Teaching Hospitals, NHS Foundation Trust. Senior Lecturer, Institute of Health, University of Cumbria here is what they had to say………
Person-centred practice is a commonly used term across occupational therapy education as well as clinical practice. Person-centred or client-centred practice is advocated as the core of occupational therapy practice (Hammel, 2013). As a profession we pride ourselves in using meaningful occupation to ensure our practice is occupation-focussed and person-centred.
Today, there is an increasing acceptance of placing the patient’s needs, wishes and preferences at the heart of any clinical decision-making process. A paper by the King’s Fund ‘no decision about me without me’ remains a prime example of the emphasis on shared decision-making which advocates supporting patients so they can articulate their wishes and needs regarding the management of their condition (Coulter and Collins, 2011). Do occupational therapists use shared decision making a way of providing person-centred care?
In the current healthcare landscape where hospital lengths of stay are getting shorter, services are shrinking and occupational therapists are having to innovate their practice and their practice settings, it is perhaps time to ask, how feasible is person-centred, occupation-based care. What do we do in everyday practice to enhance it, and can occupational therapists as a profession, which puts person-centred practice at its core, lead the way in an increasingly multidisciplinary led service provision.
Questions:
- How are occupational therapists providing person-centred care. Is it a struggle in the current healthcare climate?
- Can you share examples of how you have provided person-centred care recently?
- Are occupational therapists good at articulating the value of their ability to provide person-centred care? How can we better communicate this to the teams and services we work within?
- Do you think that current research in occupational therapy focusses enough on person-centred care? How can we enhance this further?
REFERENCES:
Coulter, A. and Collins, A. (2011) Making Shared Decision Making a Reality. No Decision about Me, without Me. Kings Fund, 1-56.
http://www.kingsfund.org.uk/publications/nhs_decisionmaking.html
Hammell KRW. (2013) Client-centred practice in occupational therapy: critical reflections. Scand J Occup Ther.; 20(3):174-181. https://doi.org/10 .3109/11038128.2012.752032
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Host: Dr. Malabika Ghosh @MalabikaDr
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