ORCID Profile
0000-0002-4243-9367
Current Organisation
University of South Australia
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Publisher: Informa UK Limited
Date: 14-11-2022
Publisher: SAGE Publications
Date: 20-07-2015
Abstract: Information about challenges for occupational therapists is typically provided in small-scale studies from different perspectives. The purpose of this meta-synthesis was to synthesise and report about challenges in occupational therapy practice that appear to penetrate across the profession. Databases searched were Ovid Medline, EMBASE, AMED and CINAHL. Search terms were selected after gaining understanding of the topic: occupational therap* AND Exp burnout / OR Exp morals / OR retention OR clinical reasoning OR new graduate OR novice OR transition-to-practice. Studies were critically appraised using the criteria of credibility, transferability, confirmability and dependability. Findings, along with direct quotes, were extracted and data compared and contrasted through first, second and third order analysis. Twenty-four studies were included in the meta-synthesis and three constructs were identified: ‘challenges in context’ ‘personal challenges’ and ‘social and cultural challenges’. These findings inform knowledge about constraining factors on clinical reasoning and the alignment of practice with the occupational therapy philosophy, and give insight into satisfaction with practice, ethical and professional behaviours. These findings could inform provision of professional support, education for students and enhance agency to reform practice. More research is needed about professional socialisation, clinical reasoning and ethical issues.
Publisher: Informa UK Limited
Date: 11-2023
DOI: 10.1080/10669817.2022.2132346
Abstract: Teaching hypothetico-deductive clinical reasoning (CR) should be an essential part of the physiotherapy education system, but currently there are very few learning tools for teachers in the musculoskeletal discipline. The aim of this article was to describe and present the rules of a new game-based and structured didactic tool that can be used by teachers for 'players' (students and licensed clinicians) to learn systematic CR in musculoskeletal physiotherapy.Our tool is based on the 'Happy Families' card game, and we propose to use it as part of a classic musculoskeletal subjective examination-based hypothesis category framework and the International Classification of Functioning, Disability and Health model. It allows players to dynamically formulate hypotheses from clinical case studies. Each 'Family' of cards represents a hypothesis category. The game highlights the missing information and trains players to consider it in their CR.This game should efficiently structure all components of CR and is an interesting resource for all teachers. Its greatest strength is that it can be used with other category frameworks. Further studies are needed to assess the efficacy and efficiency of such a tool and to measure students' actual progress in learning the CR.
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Informa UK Limited
Date: 06-2012
Publisher: Informa UK Limited
Date: 06-2012
Publisher: Elsevier
Date: 2018
Publisher: Informa UK Limited
Date: 14-03-2014
Publisher: Elsevier
Date: 2019
Publisher: Elsevier
Date: 2018
Publisher: SAGE Publications
Date: 22-09-2011
Abstract: In this article, the author explores the eschatological development in Dietrich Bonhoeffer's theology, from his earliest lectures in 1932, to his final fragmentary writings in the Tegel prison cell. It will be shown that Bonhoeffer's eschatological interpretation of the Book of Genesis ( Schöpfung und Fall) returns in his later work as an interpretive key to understanding his concept of “religionless Christianity.” Finally, the article attempts to show how a similarly eschatological commitment may assist the contemporary church to witness to Christ in a “world come of age,” and what such a witness may look like.
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Oxford University Press (OUP)
Date: 03-2014
DOI: 10.1111/PME.12306
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2019
Publisher: MDPI AG
Date: 20-04-2021
DOI: 10.3390/S21082888
Abstract: Current clinical practice lacks consistent evidence in the management of scapular dyskinesis. This study aims to determine the short- and long-term effects of a scapular-focused exercise protocol facilitated by real-time electromyographic biofeedback (EMGBF) on pain and function, in in iduals with rotator cuff related pain syndrome (RCS) and anterior shoulder instability (ASI). One-hundred and eighty-three patients were ided into two groups (n = 117 RCS and n = 66 ASI) and guided through a structured exercise protocol, focusing on scapular dynamic control. Values of pain and function (shoulder pain and disability index (SPADI) questionnaire, complemented by the numeric pain rating scale (NPRS) and disabilities of the arm, shoulder, and hand (DASH) questionnaire) were assessed at the initial, 4-week, and 2-year follow-up and compared within and between. There were significant differences in pain and function improvement between the initial and 4-week assessments. There were no differences in the values of DASH 1st part and SPADI between the 4-week and 2-year follow-up. There were no differences between groups at the baseline and long-term, except for DASH 1st part and SPADI (p 0.05). Only 29 patients (15.8%) had a recurrence episode at follow-up. These results provide valuable information on the positive results of the protocol in the short- and long-term.
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier BV
Date: 04-2015
Publisher: Elsevier BV
Date: 10-2019
Publisher: BMJ
Date: 28-10-2016
DOI: 10.1136/BJSPORTS-2014-094339
Abstract: To explore the ability of a physiotherapist, using a standardised musculoskeletal physiotherapy assessment protocol, to accurately identify the structures potentially responsible for shoulder symptoms against a standardised arthroscopic shoulder diagnostic assessment, and to determine the physiotherapists' ability to influence post-test diagnostic accuracy. Consecutive case-based cohort study. All participants were selected by two orthopaedic surgeons for arthroscopic investigation during a 6-month period. Private orthopaedic clinic. All consenting participants selected for arthroscopic investigation were examined by the physiotherapist prior to arthroscopy. Presence and priority of impairments/diagnoses were recorded on a standardised form. Inter and intra-rater reliability and diagnostic accuracy were tabulated. Proportional agreement on diagnostic incidence (broad) and priority (strict) using 2×2 contingency tables for sensitivity, specificity, positive and negative predictive value and positive and negative likelihood ratios were calculated. Post-test probabilities were analysed to determine the influence of a positive or a negative finding. 211 participants, aged 14-79 years were included. Overall prevalence of subacromial pathology was (77%) and, disorders of the passive restraints (29%). For both negative and positive findings, post-test probabilities were not notably altered although positive findings yielded greater value in the decision-making modelling. The physiotherapist's ability to identify in idual pathology (eg, tendon rupture vs tendinopathy, capsular vs labral) was lower than recognition of pathology within the broader diagnostic category. The physiotherapist's ability to diagnose in idual pathologies was inconsistent. Indirectly, this raises the issue of whether signs and symptoms identified under arthroscopic surgery are reflective of a lesion athology reflective of a specific tissue.
Publisher: Elsevier BV
Date: 09-2020
Publisher: Informa UK Limited
Date: 10-03-2021
DOI: 10.1080/09593985.2021.1898066
Abstract: This paper explores the decision-making processes involved in giving physiotherapy students responsibility on clinical placement and the impact on their developing professional autonomy. The qualitative study, using semi-structured interviews, involved physiotherapy students and clinical educators (CEs) from two higher education institutions, one in Australia, and the other in the United Kingdom (UK). Findings led to the development of a heuristic framework of 'graduated supervision,' a process of progressively less direct observation and monitoring of students as clinical proficiency improved. By focusing on the measured exposure of students to increasing complexity and inverse levels of supervision, the framework captures tacit practices, and consistent, yet varied facilitation strategies adopted across specialties, and evident in clinical education settings in both countries. The framework formalizes, for the first time, assumptions and expectations previously unacknowledged. Factors identified as affecting students' progress toward autonomy include the student/CE relationship, the development of mutual trust through ongoing dialogue, and the importance of formal discussions at the commencement of a clinical placement to establish learning goals, preferred supervision styles and learner responsibilities. Insights have significance for the CE community, and students who at times have to second-guess what is required of them and how they might excel on clinical placement.
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: SAGE Publications
Date: 12-2021
DOI: 10.1177/23259671211064645
Abstract: Shoulder and elbow overuse injuries are the most common problems in baseball players. No scoping review has compared the findings from different types of evidence. To map the broad evidence from 3 types of evidence (epidemiological, biomechanical, and narrative) on potential risk factors for shoulder and elbow injuries in baseball and identify gaps in the existing literature to guide future research. Scoping review. Eight electronic databases were searched from inception to May 14, 2020. Any peer-reviewed papers that investigated or discussed potential risk factors for shoulder and elbow injuries in baseball were included. A total of 302 studies (107 epidemiological studies, 85 biomechanical studies, and 110 narrative reviews) were included. Risk factors were categorized into 9 domains: sports profiles, physical characteristics/functions, pitching mechanics, performance, behavioral, psychosocial, biological and developmental, injury/sports profiles, and environmental factors. Studies were consistent in supporting limited shoulder range of motion (ROM) and player positions (pitchers or catchers) as risk factors for shoulder injuries. For elbow injuries, the majority of the included studies suggested that being pitchers or catchers and working with higher ball velocity can be risk factors. Findings were consistent in some risk factors, such as limited shoulder ROM and positions. However, findings were inconsistent or limited for most factors, and substantial research gaps were identified. Research assessing those factors with inconsistent or limited evidence in the current literature were recognized to be priorities for future studies.
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2011
Publisher: Elsevier
Date: 2018
Publisher: SAGE Publications
Date: 09-10-2020
Abstract: Early career occupational therapists experience considerable learning. This research sought to develop a theory of how they learn once practising. The research employed a constructivist grounded theory methodology. Interviews were conducted with 20 participants who were either experienced ( n = 8), early career occupational therapists ( n = 10) or in supporting roles for early career occupational therapists ( n = 2). Participants were asked their views about what early career occupational therapists find troublesome and how they respond. Data were collected and analysed concurrently. Open, focused and theoretical coding were used to develop a theory. The theory of learning-to-practise occupational therapy included four learning thresholds: consolidating professional reasoning navigating into the workplace building competence and confidence and developing a personal theory and practise style. There were 11 strategies identified that early career occupational therapists use to cross the learning thresholds. Early career occupational therapists’ understanding and value of knowledge shifted, which culminated in them ‘realising’ their personal theory and practice style. They refined their values and beliefs and learned to be more deliberate and reflective in their thinking and actions. Early career occupational therapists were challenged, which promoted learning. This research extends understanding of the learning needs, thinking and actions taken by early career occupational therapists to cross learning thresholds and to develop their personal theory and practice style.
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2018
Publisher: Elsevier
Date: 2019
Publisher: Elsevier BV
Date: 2023
No related grants have been discovered for Mark Jones.