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The Experience of Burnout of Rehabilitation Therapists in Long-Term Care Settings: A Qualitative Exploration
Get PDFBackground: Burnout among health care workers is growing among long-term care staff, with various repercussions. Research about how rehabilitation therapists (occupational, physical, and speech) perceive and experience burnout in such settings is limited. Understanding these experiences with burnout in long-term care is necessary to address burnout. This study investigated rehabilitation therapists\u27 perceptions of and experiences with burnout while working in long-term care.
Method: The researcher used a qualitative interpretive approach to guide audio-recorded and transcribed interviews. The data were analyzed through coding and then themes were developed.
Results: Six themes emerged: causes of stress and burnout, individual ways of managing stress and burnout, systemic changes for managing stress and burnout, COVID-19 and mental health, the definition of burnout, and change over time in work experience.
Discussion: Rehabilitation therapists should feel empowered to advocate for policies that reduce burnout in the workplace. One policy all of the participants acknowledged was that productivity expectations were unrealistic. Future research, advocacy, and policy should address systemic and organizational factors related to burnout to relieve the related consequences
Review of Brigitte Buettner, The Mineral and the Visual: Precious Stones in Medieval Secular Culture
No full textPreparation and Use of Physical Agent Modalities Among U.S. Occupational Therapists: A Mixed-Methods, Exploratory-Descriptive Study
Get PDFBackground: Physical agent modalities (PAMs) are used by occupational therapists to prepare for or facilitate participation in purposeful activities. However, little has been published in the last quarter century regarding how U.S. occupational therapists use and are prepared to use of PAMs in contemporary clinical practice. In this study, U.S.-based occupational therapists were surveyed regarding their use of PAMs, preparation for use, and perceptions of that preparation.
Methods: Survey data was collected from a purposive sample of 141 U.S.-based occupational therapists and occupational therapy assistants as part of this exploratory-descriptive, mixed-methods study. Thematic and descriptive statistical analyses were completed using quantitative and qualitative data.
Results: Quantitative data provided a current profile of types, frequency, and settings in which PAMs are used, along with sources and perceptions of training. Qualitative data yielded three themes, including (a) benefit of experiential learning, (b) benefit of continuing education, and (c) relative adequacy of entry-level training.
Conclusions: Findings from this study serve as an initial step in understanding contemporary use of PAMs in clinical occupational therapy practice. Further study is needed to expand the knowledge base in the profession and support an evidence-informed approach to care
Primary Care Occupational Therapy: Diagnoses, Outcomes, Reimbursement, and Team Satisfaction
Get PDFBackground: Literature supports including occupational therapists on primary care teams. Few occupational therapists practice in this setting. The health care community needs more information regarding the benefits of occupational therapists on the team.
Method: We completed an 18-month pilot integrating an occupational therapist in a primary care team, tracking conditions treated by the occupational therapist, visit duration, reimbursement, and level of primary care providers’ (PCP) satisfaction. We then evaluated outcomes via a retrospective chart review.
Results: Visits were brief, averaging 35 min. Longer visits did not improve outcomes. Occupational therapists were reimbursed by Medicare (47%), commercial (47%), both (6%). PCPs referred numerous conditions, and \u3e 50% related to musculoskeletal pain. Most of the patients, 84%, reported partial (30%) or complete (54%) improvement; 60% required one-time treatment; and 40% were referred for further treatment on-site or outside the department for additional or specialty treatment. After the pilot, most of the PCPs felt an occupational therapist on the team was absolutely essential (n = 14; 61%), or very important (n = 7; 30%).
Conclusion: Embedded occupational therapy treatment resulted in symptom improvement in 84% of patients across a variety of conditions, and brief visits were effective. Occupational therapist services were reimbursed across insurance plans. After working with an occupational therapist, 91% of the PCPs viewed the occupational therapist as a very important or essential team member
Reimagining Comfort: Designing for Climate Resilience
Get PDFIn a world undergoing constant transformation, driven by factors like extensive CO2 emissions since the Industrial Revolution, the impacts of greenhouse gases are irreversible, necessitating innovative solutions to confront global warming. Adapting to a progressively warmer planet presents unforeseen challenges, from shifting ecosystems to heightened vulnerability to natural disasters, and rising global temperatures.
The solution lies in the creation of a harmonious structure that fuses nature and technology, fostering self-sufficiency and compassion for the climate crisis. This structure aspires to be a paragon of eco-consciousness, adorned with entirely recyclable materials and integrated green systems, promoting sustainability. In a departure from traditional construction practices, this design aims to coexist with nature, providing a nurturing habitat for vegetation.
By employing passive design strategies, the structure seeks to maximize energy conservation, fulfilling not only our physical but also our psychological and social needs. Leveraging thermal massing, it strives to seamlessly merge with its natural surroundings. As global warming looms, there arises a pressing need for structures that offer stable temperatures for comfort, a cohesive design for mental well-being, and the capability to significantly reduce energy consumption. This concept represents a proactive response to the evolving demands of our changing world
Critical Media Literacy: Taking Steps to Understand and Implement (in First-Year Composition Courses)
Get PDFThis article considers ways to advance critical media literacy (CML) in English language arts spaces, particularly first-year composition. Due to the growing need for critical media literacy, authors outline two steps — first, taking steps toward understanding CML and second, sharing resources to help educators integrate more critical media literacy into the field of English language arts. The authors created and share a Media Text Complexity Rationale (https://bit.ly/MediaTextComplexityRationale) that can guide educators in text selection, along with three other related resources to help teachers understand and implement CML during instructional design
Emotionally Responsive Design: Shaping Spaces + Engaging Senses
Get PDFThis research project delves into the intricate and symbiotic relationship between the human body and the built environment, with a particular emphasis on the transformative influence exerted by a nuanced integration of various textures. The primary focus revolves around the profound impact that these textures have on shaping sensory experiences and spatial perceptions within interior spaces.
The study employs a comprehensive exploration of tactile, visual, and auditory sensations, seeking to unravel the intricate ways in which intentional textural choices contribute to the overall design of architectural spaces. Beyond a superficial understanding, the research takes a deep dive into the collective influence of fundamental factors such as body schema, spatial perception, and the architectural form itself, demonstrating the reciprocal interaction between these elements and the textural components within the designed environment.
This investigation aims to offer valuable insights into the multifaceted ways in which the human body’s sensory responses actively engage with and respond to the diverse textures present in architectural design. By elucidating the intricate interplay between these elements, the research contributes significantly to our understanding of how deliberate textural integration enriches the overall perception and emotional connection individuals establish with their surroundings.
In essence, this research project not only seeks to advance our theoretical understanding of the interrelationship between human experiences and architectural textures but also provides practical implications for designers and architects. The findings are anticipated to contribute to a broader discourse on the importance of thoughtful textural design, ultimately enhancing the ability to create immersive, emotionally resonant, and aesthetically compelling built environments
EduScape Shaping Tomorrow’s Leaders through the Lens of Neuroarchitectural Design
Get PDFInterior spaces hold undeniable significance; hence, the project advocates for a design rooted in well-being. The “EduScape” project seeks to redefine the design of K-8 schools by integrating an applied approach that prioritizes student well-being, safety, and the seamless blending of indoor and outdoor spaces. In an era where there is a heightened awareness of comprehensive wellness the physical environment cannot be ignored as it significantly influences a child’s emotional, mental, and physical development. Because the physical environment plays a pivotal role in shaping a child’s emotional, mental, and physical development, it is necessary to transform the landscape of educational spaces. By incorporating strategies to mitigate the impact of school shootings, addressing sick building syndrome, and embracing principles of environmental psychology, neuroarchitecture, salutogenesis, and accessibility, learning spaces can be created that have a profound impact on the lives of young students. This research explores the principles of psychoneuroimmunology and the interplay between environmental factors, the neuroendocrine system, and the immune system. By designing spaces that enhance emotional well-being and offer respite from stressors, the aim is to balance neuroendocrine responses, ultimately bolstering immunity among students