Advertisement

Perspective of Clients and Healthcare Professionals About Occupational Therapy Intervention in Vocational Rehabilitation: A Descriptive-Exploratory Study at a Professional Rehabilitation Centre in Portugal

  • Jaime Ribeiro
  • Andreia Inácio
  • Liliana Teixeira
  • Inês Pereira
  • Inês Lopes
  • Iolanda Gonçalves
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 621)

Abstract

Vocational rehabilitation (VR) allows individuals to enter, return and/or maintain employment. After literature review, no evidence of VR in individuals with acquired injuries, in Portugal was found. This paper aims to explore and describe the Occupational Therapy (OT) approach in VR and the client’s and the healthcare professionals’ perspectives, at Centro de Reabilitação Profissional de Gaia. A case study research was carried out with individuals aged 18 to 65 years old, with physical and neurological injuries, and receiving OT intervention; Occupational Therapists and other healthcare professionals working with those clients. To collect and analyse the data, a semi structured interview, focus group and subsequent content analysis by Bardin method were done. Participants’ perspectives were that OT promotes autonomy in occupations, assesses and recommends assistive products and performs functional assessments. Comparing results with literature, the clients and health professionals’ perspective of the OT intervention was consistent with the Occupational Therapist skills and intervention in VR.

Keywords

Vocational rehabilitation Occupational Therapy Employment Acquired injury Occupation 

Notes

Acknowledgments

This paper is the result of a research work that involved students and professors of the Bachelor’s Degree in Occupational Therapy of the School of Health Sciences of the Polytechnic of Leiria – Portugal - academic year 2015-2016. The authors acknowledge the collaboration of the Centro de Reabilitação Profissional de Gaia, in particular it’s Occupational Therapists.

References

  1. 1.
    American Occupational Therapy Association: Occupational Therapy practice framework: Domain & process, 3rd edn. American Journal of Occupational Therapy, 2nd edn., vol. 68 (2014)Google Scholar
  2. 2.
    Ross, J.: Occupational Therapy and Vocational Rehabilitation. John Wiley & Sons Ltd., West Sussex (2007)CrossRefGoogle Scholar
  3. 3.
    Verhoef, J., Roebroeck, M., van Schaardenburgh, N., Floothuis, M., Miedema, H.: Improved occupational performance of young adults with a physical disability after a vocational rehabilitation intervention. J. Occup. Rehabil. 24(1), 42–51 (2014)CrossRefGoogle Scholar
  4. 4.
    Söderback, I. (ed.): International Handbook of Occupational Therapy Interventions. Springer, London (2009)Google Scholar
  5. 5.
    Desiron, H., de Rijk, A., Van Hoof, E., Donceel, P.: Occupational therapy and return to work: a systematic literature review. BMC Public Health 11(1), 615 (2011)CrossRefGoogle Scholar
  6. 6.
    Escorpizo, R., Brage, S., Homa, D., Stucki, G.: Handbook of Vocational Rehabilitation and Disability Evaluation: Application and Implementation of the ICF. Springer, New York (2014)Google Scholar
  7. 7.
    Foy, C.: Long term efficacy of an integrated neurological and vocational rehabilitation programme for young adults with acquired brain injury. J. Occup. Rehabil. 24(3), 533–542 (2014)CrossRefGoogle Scholar
  8. 8.
    Godinho, F., Santos, C., Coutinho, A., Trigueiros, P.: Tecnologias de informação sem barreiras no local de trabalho. UTAD, Vila Real (2004)Google Scholar
  9. 9.
    Direção Geral do Património Cultural: Acessibilidades. http://www.patrimoniocultural.pt/pt/publicos/visitantes-com-acessibilidade-reduzida/
  10. 10.
    Junça, M., Ferreira, I.: Superar barreiras nos postos de trabalho: O impacto das tecnologias de apoio no desempenho ocupacional. Escola Superior de Saúde do Alcoitão (2006)Google Scholar
  11. 11.
    Barreto, M., Alves, M., Vasconcelos de Morais, G.: A Acessibilidade nas Empresas: Percepção dos Portadores de Deficiência Visual Inseridos no Mercado de Trabalho (2012)Google Scholar
  12. 12.
    Brennan, B., Corcoran, O., Irudayaraj, B., Kearney, S., Kelley, V., Lyons, E.: Handbook for Occupational Therapists - Vocational Rehabilitation for Clients with Chronic Pain and Musculoskeletal Disorders in Ireland. Association of Occupational Therapists of Ireland, Dublin (2012)Google Scholar
  13. 13.
    Department for Work and Pensions: Building capacity for work: a UK framework for vocational rehabilitation. Department for Work and Pensions (2004)Google Scholar
  14. 14.
    Decreto-Lei n.o 93/2009: Diário Da República, 1a Série de 16 Abril, 1(74), 2275–2277 (2009)Google Scholar
  15. 15.
    Cook, A., Polgar, J., Hussey, S.: Hussey’s Assistive Technologies: Principles and Practice. Mosby Elsevier (2008)Google Scholar
  16. 16.
    Arango-soler, J., Santander, J.: Programa de orientación vocacional laboral para personas con discapacidad de la fundación de adaptación laboral. Rev. Salud Publica 14(5), 842–851 (2012)Google Scholar
  17. 17.
    World Federation of Occupational Therapists: Position Statements - Vocational Rehabilitation. http://www.wfot.org/aboutus/positionstatements.aspx
  18. 18.
    Arikawa, M., Goto, H., Mineno, K.: Job support by occupational therapists for people with developmental disabilities: two case studies. Work 45, 245–251 (2013)Google Scholar
  19. 19.
    Main, L., Haig, J.: Occupational therapy and vocational rehabilitation: an audit of an outclient occupational therapy service. Br. J. Occup. Ther. 69(6), 288–292 (2006)CrossRefGoogle Scholar
  20. 20.
    Waddell, G., Burton, K., Kendall, N.: Vocational Rehabilitation - What works, for whom, and when? Department of Work and Pensions (2013)Google Scholar
  21. 21.
    Sandqvist, J., Gullberg, M., Henriksson, C., Gerdle, B.: Content validity and utility of the assessment of work performance (AWP). Work J. Prev. Assess. Rehabil. 30(4), 441–450 (2008)Google Scholar
  22. 22.
    Centro de Reabilitação Profissional de Gaia CRPG. http://www.crpg.pt/Paginas/home.aspx
  23. 23.
    Bassora, J., Campos, C.: Metodologia clínico-qualitativa na produção científica no campo da saúde e ciências humanas: uma revisão integrativa. Revista Eletrônica de Enfermagem 12(4), 753–760 (2010)CrossRefGoogle Scholar
  24. 24.
    Serapioni, M.: Métodos qualitativos e quantitativos na pesquisa social em saúde: algumas estratégias para a integração. Ciência & Saúde Coletiva 5(1), 87–192 (2000)CrossRefGoogle Scholar
  25. 25.
    Gerhardt, T., Silveira, D.: Métodos de Pesquisa. Universidade Federal do Rio Grande do Sul, Porto Alegre (2009)Google Scholar
  26. 26.
    Gil, A.: Como Elaborar Projetos de Pesquisa, 4th edn. Atlas, São Paulo (2007)Google Scholar
  27. 27.
    Yin, R.: Estudo de Caso: Planejamento e Métodos. Bookman editora, Porto Alegre (2015)Google Scholar
  28. 28.
    Chizzotti, A.: Pesquisa Qualitativa Em Ciências Humanas e Sociais. Vozes, Petrópolis (2006)Google Scholar
  29. 29.
    Stake, R.: A arte da investigação com estudos de caso. Fundação Calouste Gulbenkian, Lisboa (2007)Google Scholar
  30. 30.
    Stanley, M.: Qualitative Descriptive: A Very Good Place to Start. Qualitative Research Methodologies for Occupational Science and Therapy, pp. 21–36. Routledge, Abingdon (2015)Google Scholar
  31. 31.
    Turato, E.: Métodos qualitativos e quantitativos na área da saúde: definições, diferenças e seus objetos de pesquisa. Revista de Saúde Pública 39(3), 507–514 (2005)CrossRefGoogle Scholar
  32. 32.
    Coutinho, C.: Metodologias de Investigação em Ciências Humanas. Almedina, Coimbra (2011)Google Scholar
  33. 33.
    Duarte, R.: Interviews in qualitative research, pp. 213–225. Educar (2004)Google Scholar
  34. 34.
    Freitas, H., Moscarola, J.: Da observação à decisão: métodos de pesquisa e de análise quantitativa e qualitativa de dados. RAE-Eletrônica 1(1), 30 (2002)CrossRefGoogle Scholar
  35. 35.
    Gondim, S., Bendassolli, P.: The use of the qualitative content analysis in psychology: a critical review. Psicologia Em Estudo 19(2), 191–199 (2014)CrossRefGoogle Scholar
  36. 36.
    Silva, A., Moura, G., Cunha, D., Gaspary, E.: Análise de conteúdo: fazemos o que dizemos? Um levantamento de estudos que dizem adotar a técnica. IV Encontro de Ensino E Pesquisa Em Administração E Contabilidade, pp. 1–14 (2013)Google Scholar
  37. 37.
    Bardin, L.: Análise de conteúdo. Edições 70, Lisboa (2015)Google Scholar
  38. 38.
    Booth, J., Hewison, A.: Role overlap between occupational therapy and physiotherapy during in-client stroke rehabilitation: an exploratory study. J. Interprof. Care 16(1), 31–40 (2002)CrossRefGoogle Scholar
  39. 39.
    Jardim, T., Afonso, V., Pires, I.: A terapia ocupacional na Estratégia de Saúde da Família - evidências de um estudo de caso no município de São Paulo. Rev. Ter. Ocup. Univ. São Paulo 19(3), 167–175 (2008)Google Scholar
  40. 40.
    Pedretti, L., Pendleton, H., Schultz-Krohn, W.: Pedretti’s Occupational Therapy: Practice Skills for Physical Dysfunction, 7th edn. Mosby Elsevier (2012)Google Scholar
  41. 41.
    Schwanke, C.: Atualizações em geriatria e gerontologia IV: aspectos demográficos, biopsicossociais e clínicos do envelhecimento, 4th edn. Edipucrs, Porto Alegre (2012)Google Scholar
  42. 42.
    Yeng, L., Stump P., Hideko, H., Kaziyama, S., Teixeira, M., Imamura, M., Greve, A.: Medicina física e reabilitação em doentes com dor crônica. Rev. Med. (São Paulo) 80(2), 245–255 (2001)Google Scholar
  43. 43.
    Carlo, M., Bartalotti, C.: Terapia ocupacional no Brasil: fundamentos e perspectivas. Plexus (2001)Google Scholar
  44. 44.
    Ribeiro, S., Guimarães, E., Maria, A., Novais, V., Aspectos, M.: Aspectos relacionados ao processo de retorno ao trabalho de indivíduos com desordens musculoesqueléticos do membro superior: uma bibliografia comentada. Revista de Terapia Ocupacional Da Universidade de São Paulo 18(1), 38–43 (2007)Google Scholar
  45. 45.
    Loureiro, A., Lima, A., All, E.: Reabilitação cognitiva em idosos institucionalizados: um estudo piloto. Revista de Terapia Ocupacional da Universidade de São Paulo 22(2), 136–144 (2011)CrossRefGoogle Scholar
  46. 46.
    Emiliani, P.L., Burzagli, L., Como, A., Gabbanini, F., Salminen, A.L. (eds.): Association for the Advancement of Assistive Technology in Europe: Assistive technology from adapted equipment to inclusive environments: AAATE 2009. IOS Press (2009)Google Scholar
  47. 47.
    American Occupational Therapy Association: Specialized Knowledge and Skills in Technology and Environmental Interventions for Occupational Therapy Practice. Am. J. Occup. Ther. 64(6Suppl.), S44–S56 (2010)Google Scholar
  48. 48.
    Lindôso, Z., Ferreira, E., Schwanke, C.: A importância da terapia ocupacional na reabilitação das atividades de vida diária e instrumentais do idoso. In: Schwanke, C. (ed.) Atualizações em geriatria e gerontologia IV: aspectos demográficos, biopsicossociais e clínicos do envelhecimento, p. 437. Edipucrs (2012)Google Scholar
  49. 49.
    Lancman, S., Ghirardi, M.: Pensando novas práticas em terapia ocupacional, saúde e trabalho. Rev. Ter. Ocup. Univ. São Paulo 13(2), 44–50 (2002)Google Scholar
  50. 50.
    Jurdi, S., Brunello, B., Honda, M.: Terapia ocupacional e propostas de intervenção na rede pública de ensino Occupational therapy and a proposal intervention in a public school. Rev. Ter. Ocup. Univ. São Paulo 15(1), 26–32 (2004)Google Scholar
  51. 51.
    Malfitano, A.: Campos e núcleos de intervenção na terapia ocupacional social. Revista de Terapia Ocupacional Da Universidade de São Paulo 16(1), 1–8 (2005)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.School of Health SciencesPolytechnic of LeiriaLeiriaPortugal
  2. 2.Health Research Unit (UIS)Polytechnic of LeiriaLeiriaPortugal
  3. 3.Inclusion and Accessibility in Action Research Unit (IACT)Polytechnic of LeiriaLeiriaPortugal
  4. 4.Research Centre Didactics and Technology in Teacher Education—CIDTFFUniversity of AveiroAveiroPortugal

Personalised recommendations