Frameworks Flashcards
What are the four quality areas of the National Guidelines?
- Family
- Inclusion
- Teamwork
- Universal principles
What is involved in quality area 1: Family?
- Family centred practice and strengths based practice
- Culturally responsive practice
What are the six guiding principles for FCP?
- Families have the ultimate responsibility for care of their family.
- Family members treated with respect.
- Family needs are met.
- Family expertise of the child.
- Families determine the level of involvement in decision making.
- The involvement of all family members encouraged.
What can an organisation do to ensure FCP?
- Welcoming environment
- Explain what FCP is
- Professional scheduling of appointments that suits their availabilities.
- Networking with other families for support
- Educate about other community supports
Define strengths-based practice
A shift in thinking from impairments to strengths
What can a family’s culture impact on?
- Child-rearing practices
- Expectations for child development
- Health practices
- Meanings of disability
- Values placed on particular occupational roles
What is involved in quality area 2: Inclusion
- Inclusive participatory practice
- Engaging the child in natural environment
What is involved in quality area 3: Teamwork
- Collaborative teamwork practice
- Capacity-building practice
What is involved in quality area 4: Universal principles
- Evidence base, standards, accountability and practice
- Outcome-based approach
What are some benefits of inclusion (quality area 2)?
- Removes sole focus from person and also considers environment and occupational factors.
- Occupational participation is enhanced
Describe the top-down approach
Focuses on occupational roles first (top of the pyramid), then onto the tasks involved with those roles, then onto the underlying skills (bottom of the pyramid).
What are two benefits of having a routine?
- Repeatable and predictable ways of acting
- Organise daily life
Define coaching in paediatrics
Coaching helps people to reflect on their current situations and performance and then problem solve to develop a plan so they can succeed in future..
It must be non-directive, goal-directed and solutions-focused.
What is the aim of coaching in paediatrics?
To facilitate the family/educators to identify new strategies of working with a child, not teaching the child directly (we are NOT the learning environment).
What are the five characteristics of coaching?
- Joint planning
- Observation
- Action/practice
- Reflection
- Feedback
Describe joint planning (in coaching)
It is collaboration between the caregiver and therapist to make goals and a plan moving forward.
How often should joint planning occur?
Twice each session.
Once at the end of a session to plan what needs to be done between now and the following session.
And once at the beginning of the next session to review the strategies discussed in the previous session.
Describe observation (in coaching)
Observation of the child in a natural environment and/or observation of the parent/teacher.
Describe action/practice (in coaching)
Action: The OT models strategies to the parent/teacher
Practice: Parents/teachers practice new skills during and between sessions.
Describe reflection (in coaching)
The coach asks questions to assist the parent/teacher to reflect on their performance and the occupational issue (eg what went well, what didn’t, what we could try differently). Reflective questions can be based around awareness, analysis, alternatives and action.
Describe feedback (in coaching)
Sharing information and resources that build on a parent’s current knowledge base.
What are the two main rules of coaching?
- Always reflect after the action/practice stage.
2. Reflect before and after feedback.
What are some challenges to coaching?
- Therapists might feel like their expertise and control is redundant - they may try to direct an intervention.
- It can be time consuming.
- Parents may have difficulty taking on a coaching approach if they have witnessed a traditional approach.
Describe what is involved in evidence base, standards, accountability and practice within quality area 4.
- Services are timely and accessible to all who require them
- Legislation and safeguarding
- Use of frameworks and evidence
