+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Pre-discharge home visits: A qualitative exploration of the experience of occupational therapists and multidisciplinary stakeholders

Pre-discharge home visits: A qualitative exploration of the experience of occupational therapists and multidisciplinary stakeholders

Australian Occupational Therapy Journal 2019

The evidence base surrounding occupational therapy pre-discharge home visits discusses current practices, potential beneficial outcomes and limitations. However, research is limited, regarding how clinical teams determine which patients receive this service. This study aims to explore perceptions of occupational therapists and multidisciplinary stakeholders concerning pre-discharge home visits through their experiences and current practice in the Australian context. A qualitative descriptive approach, using thematic analysis, was employed. Four focus groups were included, comprising 27 health professionals: novice occupational therapists (n = 6), experienced occupational therapists (n = 8), occupational therapy managers (n = 5), and multidisciplinary team members (n = 8). Three key themes relating to pre-discharge home visits in clinical practice emerged. The first theme of 'Recognition of Clinical Factors' reflected that aspects of the person's occupational performance, environmental and care needs, were prime indicators considered for a pre-discharge home visit. Secondly, 'Contextual and Pragmatic Influences', described clinical setting realities as being significant considerations and strongly mediating practice. A third theme of 'Perceptions of Value' showed awareness of the utility of pre-discharge home visits, while also recognising need to enhance ongoing practice. This qualitative study provides information on factors influencing decision-making regarding pre-discharge home visits from the hospital setting. Clinical factors were presented as key considerations, but clinicians' experiences and perceptions of contextual influences suggest an explanatory factor for practice variation. While multidisciplinary stakeholders' broadly demonstrated similar rationales for pre-discharge home visits as those of occupational therapists, therapists' decision-making processes for pre-discharge home visits were shaped by their experience level. Clinicians' experience finds pre-discharge home visits to have value and in the absence of clear evidence-based criteria for whom this element of practice should be provided, participants supported the development of a decision-making support tool to assist in decision-making.

(PDF emailed within 0-6 h: $19.90)

Accession: 066477758

Download citation: RISBibTeXText

PMID: 30740713

DOI: 10.1111/1440-1630.12561

Related references

Pre-discharge home visits by occupational therapists completed for patients following hip fracture. Australian Occupational Therapy Journal 64(1): 41-48, 2016

Why Do Hospital-Based Occupational Therapists Carry Out Post-Discharge Home Visits with Elderly People?. British Journal of Occupational Therapy 56(9): 325-329, 1993

A Review of Home Visits by Occupational Therapists in a Geriatric Assessment Unit. British Journal of Occupational Therapy 49(11): 365-366, 1986

Home Quick - Occupational Therapy Home Visits Using mHealth, to Facilitate Discharge from Acute Admission Back to the Community. International Journal of Telerehabilitation 9(1): 47-54, 2017

Role perceptions and clinical reasoning of community health occupational therapists undertaking home visits. Australian Occupational Therapy Journal 51(1): 13-24, 2004

Survey of current pre-discharge home visiting practices of occupational therapists. Australian Occupational Therapy Journal 58(3): 172-177, 2011

Comparison of equipment prescriptions in the toilet/bathroom by occupational therapists using home visits and digital photos, for patients in rehabilitation. Australian Occupational Therapy Journal 62(2): 132-140, 2016

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study. Bmj Quality and Safety 2018, 2018

Who should have a predischarge home assessment visit after a stroke? A qualitative study of occupational therapists' views. British Journal of Occupational Therapy 77(8): 384-391, 2014

Feasibility and results of a randomised pilot-study of pre-discharge occupational therapy home visits. Bmc Health Services Research 7: 42, 2007

Occupational therapists' views on using a virtual reality interior design application within the pre-discharge home visit process. Journal of Medical Internet Research 16(12): E283, 2015

Effectiveness of pre-discharge occupational therapy home visits has yet to be evaluated; a definitive trial is feasible and warranted. Australian Occupational Therapy Journal 60(5): 374-375, 2014

Older adults and carers' perceptions of pre-discharge occupational therapy home visits in acute care. Age and Ageing 37(1): 72-76, 2007

Comparison of Older Adults' and Occupational Therapists' Awareness of Functional Abilities at Discharge from Rehabilitation with Actual Performance in the Home. Physical & Occupational Therapy in Geriatrics 27(3): 229-244, 2009

An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS). British Journal of Occupational Therapy 77(7): 330-335, 2014