Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice

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dc.contributor.authorBuchanan, Helen
dc.contributor.authorJelsma, Jennifer
dc.contributor.authorSiegfried, Nandi
dc.date.accessioned2019-07-04T07:03:43Z
dc.date.available2019-07-04T07:03:43Z
dc.date.issued2016-04
dc.description.abstractBackground: Occupational therapy patient records are required for legal purposes, but may also be used to produce evidence for practice. Our aim was to establish how comprehensively occupational therapists documented patient records. Methodology: We conducted a descriptive cross-sectional study of occupational therapists at public health facilities in a South African province. Trained raters audited five randomly-drawn records per participant using a checklist developed for the study. The maximum possible score was nine and the lowest was zero. Audits were checked for consistency. Results: Forty-nine occupational therapists participated and 240 records were audited. Records contained information on intervention (96%) and changes occurring at impairment (82%) and activity and participation levels (64%). Documentation of baseline assessment (impairment level: 20%; activity and participation level: 10.4%) and re-assessment (impairment level: 7%; activity and participation level: 0.0%) was limited. Audit scores were significantly better in the work practice area (H=16.10, p=0.003) and among therapists in urban areas (U=24.50, p<0.001).There was a significant negative correlation between audit score and number of clients seen per month (rs=-0.46, p<0.001). Conclusion: The low audit scores suggest that the records did not contain sufficient information to produce robust evidence. Manageable ways of documenting occupational therapy practice need to be devised.en_US
dc.identifier.apacitationBuchanan, H., Jelsma, J., & Siegfried, N. (2016). Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice. <i>South African Journal of Occupational Therapy</i>, 46(1), 65-73. http://hdl.handle.net/11427/30311en_ZA
dc.identifier.chicagocitationBuchanan, Helen, Jennifer Jelsma, and Nandi Siegfried "Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice." <i>South African Journal of Occupational Therapy</i> 46, 1. (2016): 65-73. http://hdl.handle.net/11427/30311en_ZA
dc.identifier.citationBuchanan, H., Jelsma, J., Siegfried, N. 2016-04. Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice. South African Journal of Occupational Therapy. 46; 1; 65-73.en_ZA
dc.identifier.ris TY - Journal Article AU - Buchanan, Helen AU - Jelsma, Jennifer AU - Siegfried, Nandi AB - Background: Occupational therapy patient records are required for legal purposes, but may also be used to produce evidence for practice. Our aim was to establish how comprehensively occupational therapists documented patient records. Methodology: We conducted a descriptive cross-sectional study of occupational therapists at public health facilities in a South African province. Trained raters audited five randomly-drawn records per participant using a checklist developed for the study. The maximum possible score was nine and the lowest was zero. Audits were checked for consistency. Results: Forty-nine occupational therapists participated and 240 records were audited. Records contained information on intervention (96%) and changes occurring at impairment (82%) and activity and participation levels (64%). Documentation of baseline assessment (impairment level: 20%; activity and participation level: 10.4%) and re-assessment (impairment level: 7%; activity and participation level: 0.0%) was limited. Audit scores were significantly better in the work practice area (H=16.10, p=0.003) and among therapists in urban areas (U=24.50, p<0.001).There was a significant negative correlation between audit score and number of clients seen per month (rs=-0.46, p<0.001). Conclusion: The low audit scores suggest that the records did not contain sufficient information to produce robust evidence. Manageable ways of documenting occupational therapy practice need to be devised. DA - 2016-04 DB - OpenUCT DO - 10.17159/2310-3833/2016/v46n1a13 DP - University of Cape Town IS - 1 J1 - South African Journal of Occupational Therapy KW - audit KW - documentation KW - evidence-based practice KW - occupational therapy KW - patient records KW - practice-based evidence KW - quality of records LK - https://open.uct.ac.za PY - 2016 T1 - Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice TI - Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice UR - http://hdl.handle.net/11427/30311 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.17159/2310-3833/2016/v46n1a13
dc.identifier.urihttp://hdl.handle.net/11427/30311
dc.identifier.vancouvercitationBuchanan H, Jelsma J, Siegfried N. Practice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practice. South African Journal of Occupational Therapy. 2016;46(1):65-73. http://hdl.handle.net/11427/30311.en_ZA
dc.language.isoenen_US
dc.publisher.departmentDepartment of Health and Rehabilitation Sciencesen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.sourceSouth African Journal of Occupational Therapyen_US
dc.source.journalissue1en_US
dc.source.journalvolume46en_US
dc.source.pagination65-73en_US
dc.source.urihttp://www.sajot.co.za/index.php/sajot
dc.subjectauditen_US
dc.subjectdocumentationen_US
dc.subjectevidence-based practiceen_US
dc.subjectoccupational therapyen_US
dc.subjectpatient recordsen_US
dc.subjectpractice-based evidenceen_US
dc.subjectquality of recordsen_US
dc.titlePractice-based evidence: evaluating the quality of occupational therapy patient records as evidence for practiceen_US
dc.typeJournal Articleen_US
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