Biomedical subjects

Marlène Falardeau

Publications and source records attributed to Marlène Falardeau.

4 recordsLinked to original sources

PubMed2005

The values underlying team decision-making in work rehabilitation for musculoskeletal disorders.

PURPOSE: This paper presents the results of a qualitative study on the values underlying the decision-making process of an interdisciplinary team working in a work rehabilitation facility of a Québec teaching hospital. METHODS: In order to document the values underlying the decision-making process, a single case observational study was conducted. Interdisciplinary team weekly discussions on ongoing cases of 22 workers absent from work due to musculoskeletal disorders were videotaped. All discourses were transcribed and analyzed following an inductive and iterative approach. The values identified were validated by feedback from team members. RESULTS: Ten common decision values emerged from the data: (1) team unity and credibility, (2) collaboration with stakeholders, (3) worker's internal motivation, (4) worker's adherence to the program, (5) worker's reactivation, (6) single message, (7) reassurance, (8) graded intervention, (9) pain management and (10) return to work as a therapy. The analysis of these values led to the design of a model describing interrelations between them. CONCLUSIONS: This study throws light on some mechanisms underlying the decisions made by the team and determining its action. This improves understanding of the actions taken by an interdisciplinary team in work rehabilitation and may facilitate knowledge transfer in the training of other teams.

Decision Making↗

PubMed2005

Interorganizational collaboration in occupational rehabilitation: perceptions of an interdisciplinary rehabilitation team.

INTRODUCTION: Various obstacles to and facilitators of collaboration between an interdisciplinary work rehabilitation team and the stakeholders (workers, insurers, physicians, and employers) exist, but are not well characterized. METHODS: An observational study was conducted, using videotapes of interdisciplinary team discussions of ongoing cases involving 22 workers absent from work due to musculoskeletal disorders. The actions taken and strategies adopted by the team in an effort to overcome the obstacles to collaboration were studied. RESULTS: Various factors influence collaboration between the rehabilitation team and the stakeholders. In general, stakeholder endorsement of the team's therapeutic principles and confidence in their approach emerged as particularly important factors. Diverse strategies, most often, education and awareness-raising, were used by the team to foster collaboration among the parties. CONCLUSIONS: This study provides greater insight into the factors affecting collaboration among a rehabilitation team, an injured worker and other stakeholders. The results may improve understanding of the actions taken by rehabilitation teams and help to optimize their practices.

Decision Making↗

PubMed2003

[When graduate education is interested in renewal of rehabilitation practices: study of needs].

BACKGROUND AND PURPOSE: In order to meet the new challenges facing the professional practice in rehabilitation, a study of practitioners in the rehabilitation field in Québec was undertaken to evaluate their needs in terms of continuing education in graduate level studies. METHOD: A total of 99 participants were involved in focus groups and phone interviews. An analysis of the content of the discussions was performed. RESULTS: According to this analysis, the participants wished to develop skills that could be divided into two main categories of competencies: the development of the "self as a tool", that is improving the practitioner's ability to show insight into his professional practice, and the "self as a service provider", that is developing knowledge in the cognitive area associated with the improvement in the quality of service. In addition, the participants favored different teaching methods, such as intensive teaching preferably on week-ends as well as short term training programs (9 to 15 credits). PRACTICE IMPLICATIONS: This study succeeded in identifying the special needs of practitioners in order to face the changes in health services. The need to create a graduate program in rehabilitation was highlighted and the participants were enthusiastic at the thought of the creation of such a program.

Curriculum↗

PubMed2002

Negotiation-centred versus client-centred: which approach should be used?

For nearly 20 years, Canadian occupational therapists have attached great importance to the client-centred approach within their practice. Professionals have agreed to define this approach through a philosophy built around the concepts of respect, power and partnership. But no reported work has really clarified what is meant by these three fundamental concepts. This article attempts to define the concepts of respect and power in the therapist-client relationship through a review of occupational therapy and related health and social sciences literature. It raises the question: "In the professional-client relationship, should the power reside with the client or is a more balanced approach needed?" This paper also proposes using the term negotiation instead of partnership, since negotiation seems to offer more applications for occupational therapy practice. The objective of the authors who advocate for greater negotiation between client and therapist is to stimulate analysis.

Canada↗