OT admin chap 2,4,5 midterm Flashcards
Purpose of management?
To provide structure and directions to groups in the workplace
Modern management functions are?
controlling, coordinating planning and organizing
Specific skills to managers 7?
Fiscal and strategic planning Conflict/dispute resolution Annual performance assessment/disciplinary action Group mission and goals Resource allocation Policy management/implementation Staff development
What takes into account context and human factors, and other possible factors that can affect performance.
Dynamic systems theory
Management theories/practices evolved over time from?
more hierarchical model to a “bottom up” model that can adapt to complexities and constant changes in modern times.
Chaos theory?
Complexity theory?
“butterfly effect” small changes can have large consequences.
includes chaos theory – multiple variables combine to affect a system
Principles of DSN 9?
Sensitivity to initial conditions: impact of initial conditions
Co-effects and interrelationships: how systems affect each other
Self organizing: continual process to get back to equilibrium after change
Perturbations and bifurcations: problems and pathways/choices
Fractals: blending in changes to the system
Boundaries between 2 systems
Transforming feedback loops: communication between systems
Holism: seeing the big picture – PEO, MOHO?
Development of Adaptive systems: ability to adapt
Use of Complexity science
Behaviors in the DSN approach 7?
Consulting Encouraging Monitoring Planning Recognizing Risking – in DSN, results are less predictable Supporting
(a) what people do in their lives
(b) what motivates them, and
(c) how their personal characteristics combine with situations in which occupations
Are principles of what?
Principles of occupations based practice
Respect for clients and their choices
Recognition that clients are ultimately accountable for their decisions regarding services
Communication with clients using a person-centered approach
Client involvement in all aspects of services
Flexible and individualized services
Empowerment of clients to solve problems and
Focus of services on the dynamic interaction among the person, environment, and the person’s preferred occupations.
Are principles of what?
Client-cntered, person-centered or family centerd practice
What is client centered intervention?
The hallmark of occupation-based practice
OTs use an intervention continuum approach to determine whether the methods, activities, and interventions facilitate the client’s engagement in occupation
Range of OT intervention + preparatory methods + purposeful activity + occupation-based ➣ Intervention continuum
6 factors critical in Analyzing Occupational Therapy Services?
Identify the demographic and clinical characteristics the practice setting and client population (e.g., acute care, school, etc.)
Identify typical problem areas of the client population (refer to practice framework)
Identify example interventions typically used to address the problem areas of the client population
Categorize the interventions using the intervention continuum
Identify intervention options across the intervention continuum that could be used to address the problem areas of the client population
Identify the circumstances and conditions that support occupation-based practice and those that limit occupation-based practice
Occupation-Based Practice 7 Considerations one word answers?
People - (journal club, educating others about the profession, holding departmental mtg to have discussions or forums about recent journal articles reviewed, create an evidence based library relevant to your practice area).
Space- The clinic space both inside and outside should simulate “real world” settings
Materials- The OT departmental staff should be creative in obtaining the equipment and supplies necessary to provide occupation-based services
Administration
Temporal factors
Processes- Caseload assignments, productivity standards, documentation, reimbursement and clinical protocols
Culture- Customs, beliefs, activity patterns, behavior standards and expectations accepted by the society of which the person is a member (AOTA, 1994, p.1054)
OT managers should do 9 things?
Respect staff & their work choices
Recognize that staff are ultimately accountable for their work decisions
Communicate with staff using a person-centered approach
Facilitate staff involvement in all aspects of department management
Provide flexible and individualized management
Empower staff to solve problems
Focus management on the dynamic interaction among the staff member, his or her work environment, and his or her preferred and required work occupations
Not only do OT practitioners need to provide occupation-based services, but they also need to provide pragmatic evidence that supports the effectiveness of occupation-based practice.
Literature should be gathered from all available electronic resources (e.g., OT Search, Medline, Cochrane Database) using keywords such as occupation-based interventions, occupation, purposeful activity, and added purpose.
