#OTalk 18th December 2018 – OT and Self Disclosure

This weeks #OTalk is on the topic of “self disclosure” and will be hosted by Solei Naisbett Jones @soleinj_.

Here is what Solei had to say…

Hi I’m Solei! I am a newly qualified occupational therapist currently working in neurology. After qualifying in 2017, I pursued postgraduate studies and completed my master’s degree in Advanced Professional Practice at the University of Plymouth. My research dissertation for my MSc explored therapist self-disclosure by occupational therapists. I am excited to host an #OTalk surrounding this topic area to share the findings of my research and hear about your experiences of self-disclosing to clients in the therapeutic relationship.

Therapist self-disclosure by occupational therapists has not yet been explored in depth within the profession. It can be defined as “non-immediate exposure of personal information regarding the therapist’s life outside the therapeutic encounter, such as emotional struggles, health status, past experiences, personal beliefs, values, or life circumstances” (Audet and Everall, 2010). It has been debated that therapist self-disclosure can impede therapy, creating role confusion, client uncertainty and therapist fear of client judgment (Moore and Jenkins, 2012). Despite this, it is also suggested that self-disclosure can bring therapeutic benefits by facilitating rapport through showing trust, genuineness and honesty on the therapist’s part (Audet and Everall, 2010).

As a person-centred profession which honours the importance of emotional sharing, rapport building, collaboration and partnership (Taylor, 2008), therapists’ interaction and communication with their clients is highly valued within occupational therapy (Boyt-Schell, Scaffa and Cohn, 2014). As occupational therapists, one of our core skills is our therapeutic use of self, a valuable tool in which we make a conscious effort to control our responses to enable client comfort and reassurance (Taylor, 2008). Arguably, therapist self-disclosure is a key component of the therapeutic use of self. As occupational therapists, we have a responsibility to maintain professional boundaries of the therapeutic relationship (Royal College of Occupational Therapists (RCOT, 2015). However, the Health and Care Professions Council (HCPC, 2017) also indicate that as occupational therapists, we are required to work in partnership with clients, adopting an approach which motivates, involves and centres on the client. Ultimately, this #OTalk will explore and discuss the potential enhancing or damaging effect of self-disclosure by occupational therapists on the therapeutic relationship.

Questions:

  1. What do you consider to be “self-disclosure with a patient/client”?
  2. What leads you to share personal experiences with patients/clients? Do you disclose to patients/clients often?
  3. What do you consider the main benefits and potential issues to be when disclosing information to patients/clients?
  4. What conversations/discussions have you had with colleagues about self-disclosing to a patient/client in practice?
  5. Do you think guidance surrounding therapist disclosure of personal information to patients/clients would be helpful for occupational therapists? What should the guidance address/include?

References:

Audet, C, D. and Everall, R, D. (2010). ‘Therapist self-disclosure and the therapeutic relationship: a phenomenological study from the client perspective’. British Journal of Guidance and Counselling.38(3), pp. 327-342.

Boyt-Schell, B, A., Scaffa, M, E., Gillen, G., and Cohn,, E, S. (2014). ‘Contemporary Occupational Therapy Practice’ in Boyt-Schell, B, A., Scaffa, M, E., Gillen, G., and Cohn, E, S. Willard and Spackman’s Occupational Therapy Twelfth Edition. Philadelphia: Lippincott Williams and Wilkins, pp. 47-58.

Health and Care Professions Council (2017). Standards of conduct, performance and Ethics. London: HCPC.

Moore, J. and Jenkins, P. (2012). ”Coming out’ in therapy? Perceived risks and benefits of self-disclosure of sexual orientation by gay and lesbian therapists to straight clients’. Counselling and Psychotherapy Research. 12(4), pp. 308-315.

Royal College of Occupational Therapists. (2015). Code of Ethics and Professional Conduct.London: RCOT.

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#OTalk 4th December 2018 – Making Better Use of Systematic Reviews.

This month’s #OTalk Research topic is ‘making better use of systematic reviews’ and will be hosted by @KatrinaBannigan, Associate Professor of Occupational Therapy at the University of Plymouth.

Here’s what Katrina had to say:

Earlier this year I was invited by the Joanna Briggs Institute (JBI) Database of Systematic Reviews and Implementation Reports to write an editorial (Bannigan 2018). I chose to focus on the role of systematic reviews in developing a complex intervention. The reason for this was systematic reviews have been on the receiving end of criticism; it has been suggested that systematic reviewing has almost become a self-perpetuating industry. Systematic reviews have come to be regarded as an end in themselves which, if we do not make best use of them, they are. As with all research—and systematic reviews are research—their findings are redundant if they are not used. This is why this month’s research #OTalk Research is focussing on making better use of systematic reviews. So whether you are a student, practitioner, researcher, manager, commissioner or policy maker please join in the discussion to share your experience and/ or learn about making better use of systematic reviews.

You can read my editorial here: https://bit.ly/2LFan9s

In the #OTalk meeting we will use the following questions to structure to the discussion but please feel free to join in with other questions and perspectives:

  1. What is your experience of using systematic reviews to date?
  1. How can/should systematic reviews be used in clinical practice?
  1. How can/should systematic reviews be used in research?
  1. What are your top tips for using systematic reviews?

Reference

Bannigan K (2018) Systematic review: the first step in developing a complex intervention JBI Database of Systematic Reviews and Implementation Reports: May 2018 – Volume 16 – Issue 5 – p 1079–1080 doi: 10.11124/JBISRIR-2017-003788

Post Chat

Host: @KatrinaBannigan

On the Otalk research support: @hooper_ek

Online transcript

#OTalk Healthcare Social Media Transcript December 4th 2018

1.229M Impressions
371 Tweets
35 Participants
297 Avg Tweets/Hour
11 Avg Tweets/Participant

#OTalk Participants

#OTalk 27th November 2018 – Occupation Focused Goal Setting Tools for Children and Young People 

This weeks #OTalk is on the topic of “Goal Setting Tools for Children and Young People” and will be hosted by Emma Laird (@EmmalairdOT).

Here is what Emma had to say…

Occupational therapy offers a unique perspective known as an occupation-centred approach (Fisher, 2013) to promote engagement and participation within occupations which supports health and well-being.  When identifying therapeutic goals for children and young people, this has previously been influenced by what the parents/family consider to be the main concerns and priorities (Pollock et al, 2014; Rodger and Kennedy-Behr, 2017).  However, it is recognised that children need to be active in setting goals where possible to enhance engagement and participation in interventions to improve outcomes.  For intervention to be client-centred, a collaborative goal setting approach involving the child and their family is essential to identifying what the priorities are whilst being meaningful and important to the child (Bamm and Rosenbaum, 2008).  

There has been a professional shift towards occupation-centred practice (Rodger and Keen, 2010) and the need for tools to help facilitate children to self-report their goals.  This has been area of practice whereby new tools have been published to help the therapist in empowering the child and family to identify occupation-based goals (Rodger and Kennedy-Behr, 2017) which is in line with government policies.  

Within my practice, goal setting helps inform our clinical practice by delivering effective intervention that is client-centred and evidenced based (Costa, Brauchie and Kennedy-Behr, 2017).  However, with the development of new self-reporting tools and professional changes whereby we focus on occupation this has made me ask questions and look at the evidence to support my clinical practice.

Questions:-

  1. What goal setting tools are being used across different specialist areas of paediatrics and why?
  2. How can we measure the impact of goal setting with children, young people and families?
  3. How can we use goal setting tools as an outcome measure?
  4. How can we support collaborative working within the goal setting process and improve functional outcomes?
  5. What are the gaps in research and how can this be addressed/
  6. What are the opportunities and challenges of introducing a new goal setting tool into the service 

POST CHAT

Host: @EmmalairdOT

OTalk Support: @OT_rach

#OTalk Healthcare Social Media Transcript November 27th 2018

Online transcript

The Numbers

714.205K Impressions
229 Tweets
22 Participants
183 Avg Tweets/Hour
10 Avg Tweets/Participant

#OTalk Participants

 

 

#OTalkonTour is hitting the road again! Come and find the #OTalk Team at this years @TheOTshow.

As you may know, the Team often travel around, not just promoting #OTalk but also talking about the benefits and implications of using social media. We also give talks and facilitate workshops on technology, Continuing Professional Development, as well as the safe and effective use of social media within occupational therapy practice.

On the 21st and 22nd of November we hit the road again and take #OTalkonTour, this time heading to The OT Show in Birmingham.  The Team have a stand and will also be presenting on the use of Tweetchats for Continuing professional Development.

So why visit the #OTalk on Stand J66?

-Stop by and get your social media questions answered.

-Learn more about the opportunities and barriers in using Twitter for social media by viewing our posters or picking up a copy of the latest research to share with your colleagues.

-Grab yourself a free Twitter profile picture taken by our professional photographer, Anthony.

-Take a fun photo with our #OTalkonTour selfie frame and props. For those of you at this years RCOT conference you will know this was a big hit.

-Say hello to the team! We love meeting members of the #OTalk community in person and putting a face to your Twitter handle.

-And of course, nab a sweet or two!

If you are attending the OT Show be sure to stop by Theatre 1 at 13:50 on Wednesday to hear the teams presentation. 

You can also follow the goings on over the two days by following us on Instagram Here or via the Twitter hashtag #OTalkonTour.

You can find out more about The OT Show and sign up Here

#OTalk 20th November 2018 – Tweeting at Events, Conferences and Training.

This weeks #OTalk is about tweeting at conferences and other events and will be hosted by the OTalk Team.

Tweeting at real time events has many benefits; it gives promotion to the event, cause or Profession, allows you to share your views, it offers those not in attendance a chance to gain insight into the event and share in the learning opportunity and it can also be used as a reflective tool.

This chat aims to give you some hints and tips by finding out how those in the community share via Twitter, discuss what they feel helps their learning and highlight some common pitfalls and hurdles.

Some questions to consider;

Do you Tweet at events and why? If not, why not?

What are the positives? Whats your preferred way to share at events? What have you found most useful?

Are there any negatives? Perhaps you feel live tweeting detracts from the event? How do we overcome the barriers?

What are your “top tips”? Ours is don’t forget the hash tag!

Is there anything else that would encourage you to share more, to engage or to share differently?

If you are new to Tweeting, at conferences or in general, why not give it ago at this weeks OT Show? If you get stuck or have any questions you can stop by the #OTalk stand (we are J66) and we will be happy to support you! 

POST CHAT

HOST: @OTalk_

SUPPORT FROM OTalk: @gilliancrossley

#OTalk Healthcare Social Media Transcript November 20th 2018

Online transcript

The Numbers

2.155M Impressions
396 Tweets
79 Participants
16 Avg Tweets/Hour
Avg Tweets/Participant

#OTalk Participants

#OTalk 13th November 2018 – Maintaining an occupational focus with generic mental health roles

This weeks #Otalk is on the topic of “generic roles within mental health” and will be hosted by Abigail Matthews (@Abi21643842).

Here is what Abi had to say…

It is not uncommon for occupational therapists to find themselves within a generic health role, as therapists with a broad range of transferable skills therapists are ideally placed within this role.  The first occupational therapists to work in mental health provided meaningful occupations for injured soldiers during the First world war. Making use of arts, crafts and basket weaving activities (Pettigrew at al., 2017). In recent times the healthcare sector has developed additional roles for occupational therapists within generic roles, often community based (Lloyd at al., 2007). However, there are many challenges with the blurring of roles and professional boundaries. Evidence suggests that occupational therapists can find it difficult to maintain their occupation focussed within this type of role (Crawford at al., 2000). This OT talk will help explore practitioners experiences and understanding of how best to support professional development within a generic mental health setting.

  1. What are the benefits and challenges of working as an OT in a general mental health setting
  2. What mental health specific skills are necessary in this type of role?
  3. What resources and tools can support practitioners to remain occupation centred?
  4. What extra learning/ work based training has supported your practice?

References

Brown, B. , Crawford, P. and Darongkamas, J. (2000), Blurred roles and permeable boundaries: the experience of multidisciplinary working in community mental health. Health & Social Care in the Community, 8: 425-435. doi:10.1046/j.1365-2524.2000.00268.x

Lloyd, C., King, R. and Ryan, L., 2007. The challenge of working in mental health settings: Perceptions of newly graduated occupational therapists. British Journal of Occupational Therapy, 70(11), pp.460-470.

Pettigrew, J., Robinson, K. and Moloney, S., 2017. The bluebirds: World War I soldiers’ experiences of occupational therapy. American Journal of Occupational Therapy, 71(1), pp.7101100010p1-7101100010p9.

POST CHAT

Chat host: Abigail Matthews @Abi21643842

#OTalk Support: @gilliancrossley

#OTalk Healthcare Social Media Transcript November 13th 2018

Online Transcript

The Numbers

1.275M Impressions
277 Tweets
31 Participants
222 Avg Tweets/Hour
Avg Tweets/Participant

OTalk Participants

#OTalk 6th November 2018 – Apps and Smart Technology in Research.

This week’s #OTalk Research is on the topic of “Apps and smart technology in research” and will be hosted by Leisle Ezekiel (@lezeki).

Here is what Leisle had to say………

Apps, smartphones, smartwatches and tablets are now part of everyday life for many people in the UK. Over 90% of people aged between 16 and 55 own a smartphone (Statista 2018) and whilst in the over 65s that percentage drops to 40%, it is increasing dramatically year on year (Ofcom 2018). 

As a novice occupational therapy researcher and an early adopter of technology, I was convinced by the potential of apps both in research and in occupational therapy practice. 

Apps and smartphones enable self tracking of a wide range of  behaviours and experiences  and are potentially less intrusive than more traditional methods. As well as capturing “in the moment experiences”, apps could deliver “in the moment interventions” and be of benefit to therapists in their assessment and intervention planning.  It is unsurprising then that there is an increasing interest in the use of apps within research, both as a method of collecting data and as a way of delivering interventions. 

For occupational therapists and the wider health arena, the use of apps and associated technology is a new landscape where health research overlaps with the world of app development. My personal experience of using apps in research has highlighted benefits as well as developing understanding of the potential ethical and practical challenges which can present, above and beyond those of more traditional research methods.

This week’s #OTalk will consider the following questions:

  1. What role do you think apps and smart technology can play in occupational therapy research?
  2. What do you consider to be the benefits of using apps and smart technology in occupational therapy research?
  3. What do you consider the barriers or risks of using apps and smart technology in research?
  4. What ethical considerations do we need to be aware of and overcome to use this technology in research?
  5. How can we improve and/or advance the use of apps and technology in occupational therapy research?

References.

Ofcom (2017) Rise of social seniors revealed. Accessed on 15.10.18 at https://www.ofcom.org.uk/about-ofcom/latest/media/media-releases/2017/rise-social-seniors

Statista (2018) UK: smartphone ownership by age from 2012-2018. Accessed on 15.10.18 at https://www.statista.com/statistics/271851/smartphone-owners-in-the-united-kingdom-uk-by-age/

POST CHAT

Host: Leisle Ezekiel @lezeki

OTalk Support: @NikkiDanielsOT

Online Transcript #OTalk Healthcare Social Media Transcript November 6th 2018

#OTalk Healthcare Social Media Transcript November 6th 2018

The Numbers

1.215M Impressions
276 Tweets
29 Participants
221 Avg Tweets/Hour
10 Avg Tweets/Participant
#OTalk Participants