An Exploration into Occupation-Centered Practice in Skilled Nursing Facilities

Vanessa D. Jewell, Noralyn D. Pickens, Gayle Hersch, Gail Jensen

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Aims: The aims of this pilot study were to identify occupational therapy interventions provided to short-Term rehabilitation clients at skilled nursing facilities and to determine if therapists engaged clients in interventions with an occupation-centered approach. Methods: This study utilized a prospective mixed methods design with in-depth observations of two occupational therapists and three clients. Field notes, schematic drawings, and the Occupation-Centered Intervention Assessment documented and captured 57 interventions. Results: Provision of interventions occurred primarily in the clinic (36/57), with exercise and rote practice as the most common intervention approach (26/57), and interventions that utilized occupation were rated higher on the OCIA indicating a more occupation-centered approach. Conclusions: More than half of the interventions did not involve the use or focus on occupation, indicating a gap between theoretical frameworks and interventions taught in professional school and what actually occurs in practice.

Original languageEnglish
Pages (from-to)43-56
Number of pages14
JournalPhysical and Occupational Therapy in Geriatrics
Volume34
Issue number1
DOIs
StatePublished - Jan 2 2016

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Skilled Nursing Facilities
Occupations
Occupational Therapy
Rehabilitation
Exercise

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology
  • Rehabilitation
  • Gerontology
  • Occupational Therapy

Cite this

An Exploration into Occupation-Centered Practice in Skilled Nursing Facilities. / Jewell, Vanessa D.; Pickens, Noralyn D.; Hersch, Gayle; Jensen, Gail.

In: Physical and Occupational Therapy in Geriatrics, Vol. 34, No. 1, 02.01.2016, p. 43-56.

Research output: Contribution to journalArticle

Jewell, Vanessa D. ; Pickens, Noralyn D. ; Hersch, Gayle ; Jensen, Gail. / An Exploration into Occupation-Centered Practice in Skilled Nursing Facilities. In: Physical and Occupational Therapy in Geriatrics. 2016 ; Vol. 34, No. 1. pp. 43-56.
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