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Relation thérapeute-patient (RSS)
BACKGROUND : No studies investigate work-related injuries experienced by Canadian occupational therapists. PURPOSE : To identify the nature and prevalence of work-related injuries, impact of practice context, cultural and structural factors that influence response to these injuries, and strategies used to manage return-to-work after injury. METHODS : Members of the Canadian Association of Occupational Therapists were sent an electronic survey in June 2009. FINDINGS: Over half of the 600 respondents reported at least one injury episode. Patient-handling and equipment-related incidents accounted...
Côté, Daniel (2012). Intercultural communication in health care: challenges and solutions in work rehabilitation practices and training: a comprehensive review. Disability & Rehabilitation (sous presse, disponible en ligne) Purpose: The purpose of this comprehensive literature review it to explore cross-cultural issues in occupational rehabilitation and work disability prevention. Method: A literature review on cross-cultural issues was performed in medicine, health sciences, and social sciences databases (PubMed, Ingenta, Canadian Centre for Occupational Health and Safety, Ergonomics...
Steenstra, Ivan et coll. (2012). Factors affecting RTW following acute low-back pain. Institute for Work & Health (IWH) Sommaire d'une recension des écrits sur les déterminants du retour au travail chez les personnes souffrant de lombalgies aigues. Although most workers with acute low-back pain (i.e. pain for up to six weeks) return to work following a relatively straightforward path, anywhere from one-fifth to one-third go on to suffer chronic low-back pain (i.e. pain for longer than three months). This results in potentially lengthy absences from work. This systematic review...
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
Williams (2011). Communication style: help or hindrance in facilitating return to work? Occupational Medicine , 61 (6): 380-382. (Éditorial) Extraits: Bandura's theory states that ‘Perceived self-efficacy refers to beliefs in one's capabilities to organise and execute the courses of action required to produce given attainments. It is a useful concept that has attracted significant attention with regard to unemployed people but its application to return from sick leave has been little researched (...) It is known that the longer people who have chronic health problems are absent...
Stååhl, Christian et al. (2011). Swedish rehabilitation professionals' perspectives on work ability assessments in a changing sickness insurance system. Disability & Rehabilitation , 33 (15-16): 1373-1382. Purpose . Changes in the Swedish sickness insurance system shifts focus from return-to-work to labour market reintegration. This article analyses Swedish rehabilitation professionals' perspectives on how the changed regulations affect practice, with a special focus on work ability assessments. Methods . Two groups of representatives (( n == 15)) from organizations...
Van Rijssen, H. J. et al. (2011). A Typology of Sick-Listed Claimants to Improve Communication Skills for Social Insurance Physicians during Medical Disability Assessment Interviews. Journal of Occupational Rehabilitation, 21 (1): 66-75. Introduction Role play with standardised simulated patients is often included in communication training. However, regarding physician-patient encounters in medical disability assessment interviews it is unclear what should be included in the scenarios for actors. The first objective of this study was to determine which types of medical disability claimants can...
Eleanor L. Wray et Patricia A. Mortenson (2011). Cultural competence in occupational therapists working in early intervention therapy programs. Canadian Journal of Occupational Therapy , 78(3): Description. La compétence culturelle favorise l’atteinte de résultats équitables en matière de soins de santé et permet de veiller à ce que les ergothérapeutes aident leurs clients à réaliser des activités quotidiennes adaptées à leur culture. Toutefois, on ne sait pas vraiment dans quelle mesure les ergothérapeutes...
Hoedeman, Rob et al. (2010). Sick-listed employees with severe medically unexplained physical symptoms: burden or routine for the occupational health physician? A cross sectional study. BioMedCentral, 10 (305) (article en libre accès) The two primary objectives of this study were to the assess consultation load of occupational health physicians (OHPs), and their difficulties and needs with regard to their sickness certification tasks in sick-listed employees with severe medical unexplained physical symptoms (MUPS). Third objective was to determine which disease-, patient-, doctor- and practice...
Chronic pain causes great suffering for those affected and treating it is one of the most common assignments in the health service. The aim of the study was to investigate the meaning of the experiences of persons with chronic pain in their encounters with health service staff. The study had a descriptive design with a phenomenological approach based on the perspective of caring science. Interviews were carried out with eight patients. The study showed that patients experienced a positive approach and that the staff had understood the serious nature of the situation. A positive approach can communicate...
Occupational therapy interventions in the community, a fast expanding practice setting, are central to an important social priority, the ability to live at home. These interventions generally involve only a small number of home visits, which aim at maximising the safety and autonomy of community-dwelling clients. Knowing how community occupational therapists determine their interventions, i.e. their clinical reasoning, can improve intervention efficacy. However, occupational therapists are often uninformed about and neglect the importance of clinical reasoning, which could underoptimise their interventions...
Many foreign patients attending our pain clinic are unable to understand one of the four Swiss national languages and are also unable to speak English. Therefore, communication with these patients can be very difficult or even impossible. Consequently, diagnosis and treatment may also prove difficult. Recognizing that language barriers can have deleterious effects, the use of an interpreter is at times the only way to communicate, however, the financial responsibility becomes that of the health care provider. Many foreign patients attending our pain clinic are unable to understand one of the four...
Purpose .To describe experiences and perceptions of work ability and how it can be assessed among Swedish physicians. Method .We interviewed eight men and six women in the fields of general practice, occupational health, rehabilitation and orthopaedic surgery. Qualitative content analysis was applied to the data. Results .The approach striving to support the patient in mutual confidence was what primarily affected how work ability was understood and how it could be assessed. Two main categories, with sub categories were settled: familiar but vague, with subcategories conflicting expectations and...
Introduction Role play with standardised simulated patients is often included in communication training. However, regarding physician-patient encounters in medical disability assessment interviews it is unclear what should be included in the scenarios for actors. The first objective of this study was to determine which types of medical disability claimants can be distinguished based on behavioural determinants. The second objective was to determine if these types of claimants differed in their perception of communication behaviour and their satisfaction with the communication with physicians. Methods...
Objective: To explore which factors led to drop-out in patients of Turkish and Moroccan origin with chronic non-specific low back pain who participated in a rehabilitation programme. Subjects: Patients of Turkish or Moroccan origin with chronic non-specific low back pain (n = 23) from 2 rehabilitation centres and 4 rehabilitation departments of general hospitals in the Netherlands. Methods: In-depth semi-structured interviews were conducted with patients of Turkish and Moroccan origin (n = 23), rehabilitation physicians (n = 8) and rehabilitation therapists...
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