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Evaluating a Novel Extended Scope of Occupational Therapy Service Aimed at Hospital Avoidance in Tasmania, Australia, from the Perspective of Stakeholders

Citation

Van Dam, PJ and Reid, L and Elliott, S and Dwyer, M, Evaluating a Novel Extended Scope of Occupational Therapy Service Aimed at Hospital Avoidance in Tasmania, Australia, from the Perspective of Stakeholders, University of Tasmania's Cradle Coast Academic Community of Practice (CCACoP) Conference 2022, 11 November 2022, Devonport, Australia (2022) [Conference Extract]


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Abstract

Background: The Australian state of Tasmania has seen a spike in Emergency Department presentations in recent years, particularly among the elderly. A novel extended scope occupational therapy (ESOT) service was implemented by the Tasmanian Health Service, aimed at supporting hospital avoidance. Clients were referred to the ESOT service by other services after being assessed as having a high risk of imminent hospital presentation. Occupational Therapists provided short-term interventions related to falls, mobility, nutrition, and initiated onward referrals to other services.

Methods: A convergent parallel mixed methods design was used to evaluate the ESOT service. Quantitative data from routinely collected administrative records and a purposebuilt survey of referring clinicians were used alongside qualitative data from semistructured interviews with clients/carers, to enable the triangulation of data. Quantitative data were analysed using descriptive statistics, while qualitative data collected in interviews were thematically analysed.

Findings: A total of 104 extended scope interventions were provided to 100 clients. Most clients were able to stay at home. Qualitative data revealed that mobility, support, and facilitating access to support services were factors which added value to the client and carer experience.

Conclusion: In conclusion, the ESOT program contributed to potentially avoiding hospital admissions and to improving the quality of life of participating clients.

Item Details

Item Type:Conference Extract
Keywords:extended scope of practice, occupational therapy, hospital Avoidance
Research Division:Health Sciences
Research Group:Allied health and rehabilitation science
Research Field:Occupational therapy
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Allied health therapies (excl. mental health services)
UTAS Author:Van Dam, PJ (Dr Pieter Van Dam)
UTAS Author:Dwyer, M (Dr Mitchell Dwyer)
ID Code:154277
Year Published:2022
Deposited By:Nursing
Deposited On:2022-11-18
Last Modified:2022-11-21
Downloads:0

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