Occupational therapist’s involvement in social prescribing: A qualitative interview study

IF 1.3 4区 医学 Q3 REHABILITATION
Gemma Bradley, Beth Atkin, Helen Atkin, Jason Scott
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Abstract

Introduction:Social prescribing is a process of helping people to access non-medical activities to promote well-being. For occupational therapists, this is not new, although the social prescribing agenda is creating new roles around these approaches. This study aimed to explore how occupational therapists were involved in social prescribing in the United Kingdom and how they would like to contribute to future developments.Method:Semistructured interviews were carried out with 19 occupational therapists who identified they were involved in social prescribing activities.Findings:Thematic analysis led to two over-arching themes: (1) position and identity; and (2) making it work.Conclusion:Participants perceived similarity with social prescribing, leading to difficulty in positioning occupational therapy alongside this role, emotional responses and identity challenge. Points of distinction between the roles were articulated, including occupational therapy being more medical, having oversight of more complex needs and having more senior roles within teams. To manage workflow, occupational therapists delegate to social prescribing workers, although there is a lack of clarity about competence and varying involvement in supervision. Part of desired future involvement included clearer workflow, occupational therapy involvement in supervision and service development and creating legitimacy for both roles to address social determinants of health.
职业治疗师参与社会处方:定性访谈研究
导言:社会处方是一个帮助人们参加非医疗活动以促进身心健康的过程。对于职业治疗师来说,这并不是什么新鲜事,尽管社会处方议程正在围绕这些方法创造新的角色。本研究旨在探讨职业治疗师如何参与英国的社会处方工作,以及他们希望如何为未来的发展做出贡献。研究方法:我们对 19 名职业治疗师进行了半结构式访谈,这些职业治疗师均表示他们参与了社会处方活动。研究结果:主题分析得出了两个首要主题:(1)定位和身份;(2)使其发挥作用。结论:参与者认为社会处方与职业治疗有相似之处,这导致他们难以将职业治疗与这一角色、情绪反应和身份挑战结合起来。与会者阐明了两种角色之间的区别点,包括职业疗法更偏重于医疗,负责监督更复杂的需求,以及在团队中担任更高级的角色。为了管理工作流程,职业治疗师将工作委托给社会处方工作者,尽管他们的能力不够明确,参与监督的情况也不尽相同。未来希望参与的部分工作包括更清晰的工作流程、职业治疗参与监督和服务发展,以及为这两种角色创造合法性,以解决健康的社会决定因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
15.40%
发文量
81
审稿时长
6-12 weeks
期刊介绍: British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.
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