Professional thinking in Individual Plan processes

This article explores the kind of critical and reflective thinking taht influences the social and health care professionals in the Individual Plan process. An inter-professional group of six healthcare and social researchers collected the data, which consisted of indepth interviews with 12 service providers who were the clients´ coordinators and one day centre leader. By focusing on reflective thinking in a critical perspective, it is concluded that coordinators are guided by different philosophical and theoretical perspectives in this process; a mixture of reasoning strategies, caring as a relational concept and a mixture of philosophical frameworks. To improve critical thinking in Individual Plan processes, coordinators need to be conscious about their way of thinking in action

A survey of research involvement and priorities among occupational therapists in Norway

Background: Involvement in research and shared priorities among occupational therapists (OTs) can enhance the quality of occupational therapy practice. Aims: To explore the research involvement and research priorities of OTs in Norway. Materials and methods: An online survey comprising 14 open-ended and closed questions was made available to participants at the Seventh Norwegian Congress in Occupational Therapy to fill out. Results: Out of 633 congress participants, 307 (49%) OTs completed the survey. Among the respondents, ∼40% were involved in research. The most commonly reported area of research was rehabilitation. Research involvement was associated with employment in education or specialist healthcare services and with greater work experience and post-bachelor’s degree education. The most frequently prioritized research question addressed the effect of occupational therapy. Unmet needs and factors conducive to increasing OT’s involvement in research were identified. Conclusions and significance: The survey revealed that a considerable, but uneven, distribution of OTs were involved in research. To encourage greater participation in research, researchers, decision-makers, and employee associations should take steps to make research more appealing to OTs. The research priorities highlighted by Norwegian OTs align with those stated by OTs in other countries.publishedVersio

Temporomandibular joint pain and associated magnetic resonance findings: a retrospective study with a control group

Background To better understand and evaluate clinical usefulness of magnetic resonance imaging (MRI) in diagnosis and treatment of temporomandibular disorders (TMD), parameters for the evaluation are useful. Purpose To assess a clinically suitable staging system for evaluation of MRI of the temporomandibular joint (TMJ) and correlate the findings with age and some clinical symptoms of the TMJ. Material and Methods Retrospective analysis of 79 consecutive patients with clinical temporomandibular disorder or diagnosed inflammatory arthritis. Twenty-six healthy volunteers were included as controls. Existing data included TMJ pain, limited mouth opening (<30 mm) and corresponding MRI evaluations of the TMJs. Results The patients with clinical TMD complaints had statistically significantly more anterior disc displacement (ADD), disc deformation, caput flattening, surface destructions, osteophytes, and caput edema diagnosed by MRI compared to the controls. Among the arthritis patients, ADD, effusion, caput flattening, surface destructions, osteophytes, and caput edema were significantly more prevalent compared to the healthy volunteers. In the control group, disc deformation and presence of osteophytes significantly increased with age, and a borderline significance was found for ADD and surface destructions on the condylar head. No statistically significant associations were found between investigated clinical and MRI parameters. Conclusion This study presents a clinically suitable staging system for comparable MRI findings in the TMJs. Our results indicate that some findings are due to age-related degenerative changes rather than pathological changes. Results also show that clinical findings such as pain and limited mouth opening may not be related to changes diagnosed by MRI.publishedVersio

Individual Plan in rehabilitation processes: a tool for flexible collaboration?

This article explores how different collaborative strategies between clients and service providers mediate with the quality of individual plan processes in Norway. The main question concerns how clients and service providers interact and perform their roles during their collaboration. An inter-professional group of six health and social researchers collected the data, which consisted of in-depth interviews with 13 clients and 13 service providers. Three interactional discourses emerged from the data: collaboration led by the client, collaboration led by interaction, and restrictive interaction. A complex relationship between the three interactional discourses challenges the service providers’ role behaviour in practice. The service provider must accept each client as a unique individual and develop a role performance that takes into account the individual’s desired level of participation. This requirement complicates the client–service provider collaboratio

Individual Plan in rehabilitation processes: a tool for flexible collaboration?

This article explores how different collaborative strategies between clients and service providers mediate with the quality of individual plan processes in Norway. The main question concerns how clients and service providers interact and perform their roles during their collaboration. An inter-professional group of six health and social researchers collected the data, which consisted of in-depth interviews with 13 clients and 13 service providers. Three interactional discourses emerged from the data: collaboration led by the client, collaboration led by interaction, and restrictive interaction. A complex relationship between the three interactional discourses challenges the service providers’ role behaviour in practice. The service provider must accept each client as a unique individual and develop a role performance that takes into account the individual’s desired level of participation. This requirement complicates the client–service provider collaboratio

Professional thinking in Individual Plan processes

This article explores the kind of critical and reflective thinking taht influences the social and health care professionals in the Individual Plan process. An inter-professional group of six healthcare and social researchers collected the data, which consisted of indepth interviews with 12 service providers who were the clients´ coordinators and one day centre leader. By focusing on reflective thinking in a critical perspective, it is concluded that coordinators are guided by different philosophical and theoretical perspectives in this process; a mixture of reasoning strategies, caring as a relational concept and a mixture of philosophical frameworks. To improve critical thinking in Individual Plan processes, coordinators need to be conscious about their way of thinking in action

Temporomandibular joint pain and associated magnetic resonance findings: a retrospective study with a control group

Background To better understand and evaluate clinical usefulness of magnetic resonance imaging (MRI) in diagnosis and treatment of temporomandibular disorders (TMD), parameters for the evaluation are useful. Purpose To assess a clinically suitable staging system for evaluation of MRI of the temporomandibular joint (TMJ) and correlate the findings with age and some clinical symptoms of the TMJ. Material and Methods Retrospective analysis of 79 consecutive patients with clinical temporomandibular disorder or diagnosed inflammatory arthritis. Twenty-six healthy volunteers were included as controls. Existing data included TMJ pain, limited mouth opening (<30 mm) and corresponding MRI evaluations of the TMJs. Results The patients with clinical TMD complaints had statistically significantly more anterior disc displacement (ADD), disc deformation, caput flattening, surface destructions, osteophytes, and caput edema diagnosed by MRI compared to the controls. Among the arthritis patients, ADD, effusion, caput flattening, surface destructions, osteophytes, and caput edema were significantly more prevalent compared to the healthy volunteers. In the control group, disc deformation and presence of osteophytes significantly increased with age, and a borderline significance was found for ADD and surface destructions on the condylar head. No statistically significant associations were found between investigated clinical and MRI parameters. Conclusion This study presents a clinically suitable staging system for comparable MRI findings in the TMJs. Our results indicate that some findings are due to age-related degenerative changes rather than pathological changes. Results also show that clinical findings such as pain and limited mouth opening may not be related to changes diagnosed by MRI