Scielo RSS <![CDATA[South African Journal of Occupational Therapy]]> http://www.scielo.org.za/rss.php?pid=2310-383320110002&lang=es vol. 41 num. 2 lang. es <![CDATA[SciELO Logo]]> http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za <![CDATA[<b>Editorial comment</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200001&lng=es&nrm=iso&tlng=es <![CDATA[<b>An audit of attendance at occupational therapy by long-term psychiatric in-patients at Weskoppies Hospital</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200002&lng=es&nrm=iso&tlng=es OBJECTIVES: Although the value of occupational therapy (OT) in psychiatric rehabilitation is indisputable, little is known about the range of OT interventions attended by long-term in-patient populations. The aim of this study was to gather baseline information on which of the various OT interventions were attended the most frequently. METHODS: This study presents an audit of OT offered to 264 long-term in-patients at Weskoppies Hospital over eight months. The inpatients' attendance at various OT interventions was used to identify their patterns and frequency of participation. RESULTS: The most frequently attended OT interventions were (descending): Group OT in the OT department (high-functioning women); industrial therapy (men); woodwork-and-upholstery (men); group OT in the wards (low-functioning men); and clerical therapy (high-functioning patients). On the whole, attendance at OT was low. CONCLUSIONS: The current OT profile favours high-functioning and male patients. Low-functioning-female patients are neglected. Future OT efforts should focus on low-functioning long-term in-patients, particularly low-functioning-female patients. <![CDATA[<b>Doing, being and becoming a first year occupational therapy student</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200003&lng=es&nrm=iso&tlng=es This paper explores the experiences of three occupational therapy students from middle-class backgrounds who encountered academic challenges during their first year. In contrast to notions of academic risk being linked to constructs of working class status or being first generation university entrants, the three students in the case study came from middle class backgrounds, had parents and siblings who held tertiary qualifications and had attended 'good' schools. This study forms part of a larger, longitudinal research project that explores students' learning by tracing their progress over the course of the undergraduate years. Bourdieu's analytical constructs of habitus, field and capital were used to analyse data obtained from individual interviews, a focus group interview, questionnaires and examples of students' written work. The challenges experienced are reported in three themes -challenges in academic literacy; in balancing social life with academic demands; and in negotiating diversity and complexity in a new social world. <![CDATA[<b>A pilot study on sexuality in rehabilitation of the spinal cord injured: Exploring the woman's perspective</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200004&lng=es&nrm=iso&tlng=es This qualitative study was aimed at gaining an understanding of spinal cord injured women's subjective views and perceptions regarding the inclusion of sexuality in their rehabilitation. A focus group comprising four women with complete spinal cord injuries who had received their injury not less than 2 years previously and who had been through a rehabilitation programme in the past 5 years confirmed the significance of the dialectical relationship between sexuality and self esteem. Self esteem had a great impact on the participants' ability to resume their lives as sexual beings and their receptiveness to sexuality being addressed in rehabilitation. Further, the participants' ability to resume their lives as sexual beings was impacted on by personal, partners and societal attitudes. It was also equated with their ability to engage in the physical acts of sex. This supports the theoretical constructs of occupational science which recognises the relationship between doing, being and becoming. One of the significant shortcomings of rehabilitation was the failure to provide individualised and client-centred intervention when including sexuality. Therapists need to adjust the time and manner in which sexuality is addressed and consider the use of peer counselling, group discussion and access to detailed information and resources. <![CDATA[<b>How much do beverage employees of a South African beverage manufacturer know about occupational health and safety regulations?</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200005&lng=es&nrm=iso&tlng=es INTRODUCTION: The Allied Health Professionals (AHPs) form an integral part of the occupational healthcare system in South Africa and can improve the health and safety of employees and promote productivity. An analysis of the occupation health and safety knowledge of employees will assist in the development and implementation of effective training programmes by identifying gaps in existing health and safety practice and demonstrate the need for more AHPs to be involved in the occupational health specialty. The purpose of this study was to determine how much beverage employees at a South African beverage manufacturer know about occupational health and safety regulations. METHOD: A descriptive, cross-sectional survey design with anonymous return mailing was used. A questionnaire was used as the measuring instrument to capture information about employees' health and safety knowledge. RESULTS: Two hundred and eighty two employees returned their questionnaires and 83.5% of these were viable for analysis. One hundred and forty employees (51.3%) were unable to list correctly any of the general health and safety rules applicable to this company. Employees felt that more health and safety workshops and in-service training should be implemented, more occupational healthcare professionals employed and specialised safety courses should be introduced to keep them up to date with safety practices. CONCLUSION: It is concluded that the knowledge of the health and safety regulations of employees can be used to inform a more specialised training programme. This specialised training can be provided by AHPs in collaboration with the company's existing medical department, to encourage a more dynamic and proactive attitude towards preventing injuries in the workplace. <![CDATA[<b>Development of a scissors skills programme for grade 0 children in South Africa - A pilot study</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200006&lng=es&nrm=iso&tlng=es The need for a scissors skills programme was identified due to the varying levels of these skills found in Grade 0 children in South Africa. Essential elements for the development of the programme were identified using activity analysis and by evaluating five commercially available programmes in terms of programme length, grading of practice and picture components, type and thickness of lines and the use of a skills checklist. A South African Scissors Skills Programme (SASSP) was compiled based on the skill level of Grade 0 children. Content validity was assessed through expert opinion of the programme and construct validity was assessed in a pilot study carried out on 10 Grade 0 children. Changes made to increase the validity of the programme included picture selection as well as the grading and type of lines used. The teacher instructions for presenting the programme were altered to be easily understandable. The programme was finalised for implementation in further research. <![CDATA[<b>Re-conceptualising vocational rehabilitation services towards an inter-sectoral model</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200007&lng=es&nrm=iso&tlng=es This paper reports on a process that was undertaken by a group of occupational therapists, to re-conceptualise vocational rehabilitation in the Western Cape Province. A critical action research inquiry method was used to review the role and positioning of the vocational rehabilitation services. The traditional vocational services, situated within the Department of Health, were found to be limited in a number of ways. The positioning of vocational rehabilitation as predominantly a health concern created a barrier that limited the scope of service delivery, thus hindering the outcome of employment. An alternate inter-sectoral approach was conceptualised; such an approach could have significant implications for the application of vocational rehabilitation. The implementation of the model that is proposed in this article will depend on the identified key stakeholders' acceptance thereof and their efforts to collaborate. <![CDATA[<b>Practical Sensory Programmes for Students with Autism Spectrum Disorder and Other Special Needs</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200008&lng=es&nrm=iso&tlng=es This paper reports on a process that was undertaken by a group of occupational therapists, to re-conceptualise vocational rehabilitation in the Western Cape Province. A critical action research inquiry method was used to review the role and positioning of the vocational rehabilitation services. The traditional vocational services, situated within the Department of Health, were found to be limited in a number of ways. The positioning of vocational rehabilitation as predominantly a health concern created a barrier that limited the scope of service delivery, thus hindering the outcome of employment. An alternate inter-sectoral approach was conceptualised; such an approach could have significant implications for the application of vocational rehabilitation. The implementation of the model that is proposed in this article will depend on the identified key stakeholders' acceptance thereof and their efforts to collaborate. <![CDATA[<b>Clinical and Professional Reasoning in Occupational Therapy</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332011000200009&lng=es&nrm=iso&tlng=es This paper reports on a process that was undertaken by a group of occupational therapists, to re-conceptualise vocational rehabilitation in the Western Cape Province. A critical action research inquiry method was used to review the role and positioning of the vocational rehabilitation services. The traditional vocational services, situated within the Department of Health, were found to be limited in a number of ways. The positioning of vocational rehabilitation as predominantly a health concern created a barrier that limited the scope of service delivery, thus hindering the outcome of employment. An alternate inter-sectoral approach was conceptualised; such an approach could have significant implications for the application of vocational rehabilitation. The implementation of the model that is proposed in this article will depend on the identified key stakeholders' acceptance thereof and their efforts to collaborate.