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The consequence associated with Perioperative Blood Transfusion upon Long-Term Tactical Outcomes After Surgical procedure for Pancreatic Ductal Adenocarcinoma: A planned out Evaluation.
IMPORTANCE Fieldwork educators receive little or no formal training for student supervision and have sought inexpensive, flexible, online options for role-specific continuing education. OBJECTIVE To investigate the use of online journal clubs to enhance fieldwork educator role competency. DESIGN Mixed-methods study with a prospective cohort design; 5-wk intervention with 6-mo follow-up. SETTING Online asynchronous message board system distributed to fieldwork educators affiliated with two occupational therapy programs. PARTICIPANTS Academic fieldwork coordinators from two universities facilitated online journal clubs for fieldwork educators. Fourteen fieldwork educators participated in the 5-wk journal club, which included reading an article, engaging in online discussion, and creating a personal application plan. RESULTS Participants demonstrated strong engagement in the online journal club. Postsurvey results revealed strong and positive feedback related to ease of use, relevance of learning, and satisfaction with the experience. At the 6-mo follow-up, 11 of the 14 participants reported implementing a new strategy to support the fieldwork education process, and all reported that the strategy had been helpful. CONCLUSIONS AND RELEVANCE The use of an online journal club was effective as a method for sharing evidence about the fieldwork educator role and supporting knowledge translation. WHAT THIS ARTICLE ADDS Online journal clubs can be an effective tool for providing role-specific training in diverse practice settings and parts of the country. Copyright © 2020 by the American Occupational Therapy Association, Inc.IMPORTANCE Despite the growing literature on the association of functional, physical, and quality-of-life (QOL) deficits with poor postoperative outcomes, there is a gap in the literature identifying women's occupational performance needs after ovarian cancer surgery. OBJECTIVE To describe the experiences of women hospitalized after ovarian cancer surgery to identify potential areas for intervention. Goals were to (1) identify functional needs and limitations at time of discharge as measured by the typical acute care occupational therapy evaluation and semistructured interview and (2) understand the women's perspectives of their needs for occupational therapy and a safe return to home. DESIGN Single-arm, cross-sectional descriptive study. Mixed-methods data collection and analysis. SETTING Academic cancer center. PARTICIPANTS Women with ovarian cancer (N = 11) who had completed surgery. this website INTERVENTION Semistructured interviews and patient-reported outcome measures (PROMs) completed postsurgery. OUTCOMES AND MEAdy suggests that occupational therapy evaluation and intervention are needed to decrease distress and improve QOL of women upon discharge after ovarian cancer surgery. Copyright © 2020 by the American Occupational Therapy Association, Inc.IMPORTANCE Before introducing strategy training into a cross-cultural (Chinese) context, it is necessary to evaluate its feasibility. OBJECTIVE To examine the feasibility of applying strategy training to improve participation outcomes of rehabilitation patients in Taiwan and evaluate the potential intervention effects. DESIGN A single-group, repeated-measures study. SETTING Rehabilitation outpatient settings. PARTICIPANTS A convenience sample of adults (N = 20) with a primary diagnosis of acquired brain injury (ABI) and with cognitive impairment received the intervention and were assessed before and after it. INTERVENTION The participation-focused strategy training intervention, a modified version of the strategy training intervention, was provided to participants in 1-2 sessions weekly for a total of 10-20 intervention sessions. OUTCOMES AND MEASURES Feasibility indicators, Participation Measure-3 Domains, 4 Dimensions (PM-3D4D), and Canadian Occupational Performance Measure (COPM). RESULTS Eighteen participegy training is quite different from traditional rehabilitation delivered in Taiwan, additional instructions and discussion among the therapist, client, and caregiver may be needed before the intervention is provided. Copyright © 2020 by the American Occupational Therapy Association, Inc.IMPORTANCE According to the Intentional Relationship Model, six therapeutic modes characterize client-therapist interactions in occupational therapy advocating, collaborating, empathizing, encouraging, instructing, and problem solving. However, whether these modes hold across cultural contexts is not clear. OBJECTIVE To compare therapeutic mode use in occupational therapy interactions in the United States and Singapore. DESIGN Cross-sectional observational study; questionnaires were collected and compared from two convenience samples of occupational therapists from the United States and Singapore, and results were analyzed using t  tests and general linear modeling. SETTING Large tertiary hospitals. PARTICIPANTS Occupational therapists were recruited if they had at least 6 mo experience in their clinical specialty. Adult client participants were recruited if they had or planned to have at least three occupational therapy sessions. OUTCOMES AND MEASURES The therapist version of the Clinical Assessment of Modes (CAM-T) was used to assess occupational therapists' therapeutic mode use in interactions with specific clients. RESULTS A total of 74 U.S. and 39 Singaporean client-therapist interactions were assessed. U.S. therapists were more likely to use the upper end of the response scale; after we corrected for this, the pattern of mode use was similar in both cultural contexts, with instructing mode used the most. In absolute terms, U.S. therapists used the instructing mode more frequently than Singaporean therapists. CONCLUSION AND RELEVANCE Further research should be done to examine the sociocultural factors that affect responses on the CAM-T and mode use. WHAT THIS ARTICLE ADDS This study is the first to compare therapeutic mode use in different cultural settings. With the globalization of occupational therapy practice, it is important to consider the generalizability of occupational therapy concepts across cultures. Copyright © 2020 by the American Occupational Therapy Association, Inc.
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