Planning for a successful discharge from therapy services begins at admission. First, the researcher became familiar with the data and identified meaning units and these were then coded. Boronowski, L.E., Shorter, C.M. 58 No. This study is timely, as there is limited evidence to support DPHV within the current literature. The full terms of this licence may be seen at http://creativecommons.org/licences/by/4.0/legalcode. This study identified seven areas to consider when assessing the need for a DPHV – mobility, ADLs, social supports, readiness for discharge, environmental barriers, patient knowledge and medical conditions. Atwal, A., McIntyre, A., Craik, C. and Hunt, J. Drummond, A.E.R., Whitehead, P., Fellows, E.C. Thank you for your interest in the DPAT. If the patient has a sudden change in function or health, the hospital may refer to Occupational Therapy. Occupational therapists play an integral role in the discharge planning process and determining whether a patient can safely return to their home environment (Lockwood et al., 2015). The questions aim to explore the participants perceived benefits and risks of completing visits, the criteria for patients’ suitability for visits and how participants perceive a visit to have been successful. A viewpoint. It is associated with increased patient satisfaction, reduced length of stay in hospitals and reduced rates of re-admission (Sheppard et al., 2013). The majority of participants in this study are from the greater Dublin area (95%); the findings may suggest a bias towards urban areas and therefore may limit the generalisability of findings nationwide. (2008) audited the DPHV practice of Occupational Therapists within an oncology and palliative setting. 85-95. The outcomes are designed to guide care providers, the client, and care partners in planning for discharge. The administration of the assessment requires communication and collaborations between the client, care partners, and healthcare providers. This includes the preparation involved prior to visit commencing, the actual visit itself and the follow up required following same. As researchers, we are interested in knowing who is using the DPAT and for what purpose(s). Drummond et al. 52 No. In all, 16.00 per cent of participants worked in smaller settings (rehabilitation or convalescence) that had less than 100 beds. and Sprigg, K. (2012), “Occupational therapy predischarge home visits for patients with a stroke: what is national practice?”, British Journal of Occupational Therapy, Vol. (2004), Atwal et al. A study by Hoy et al. 1, pp. Compliance levels for areas of clinical assessment, List of themes regarding the benefits of completing DPHVs, List of themes regarding the risks of completing DPHVs, List of themes regarding the criteria for a patient who requires a DPHV, List of themes regarding hoe DPHV practice can be improved, List of themes regarding what makes a DPHV successful. (2015) found low to moderate quality evidence that DPHVs can increase participation in activities of daily livings (ADLs) and reduce falls risk. 1, p. 42. Evidence supports assessing occupational performance within the context of a familiar environment and highlights the potential for this to provide a holistic overview of an occupational being (Harris et al., 2008; Atwal et al., 2011 and Wales et al., 2012). They identified the benefits of home visits as being able to assess the suitability of the home environment and addressing family’s concerns regarding discharge home. They are time consuming, resource intensive and have potential risks factors. This is the first study of its’ kind to date and the results are of interest. In this section, the researcher has formatted the questions into five areas. High numbers of participants identified the opportunity to assess patients within their own, familiar environment as a benefit of DPHV, for example, one participant stated “you see the patient in their own physical environment. A question regarding improving practice was included as this may offer valuable insight into Occupational Therapists’ opinions on how to improve/enhance current practice. McColl, E., Jacoby, A., Thomas, L., Soutter, J., Bamford, C., Steen, N., Thomas, R., Harvey, E., Garrett, A. and Band, J. 12 No. -Occupational therapist working in rehabilitation, I was able to stop a discharge today. Atwal, A., Luke, A. and Plastow, N. (2011), “Evaluation of occupational therapy pre-discharge home visit information leaflets for older adults”, British Journal of Occupational Therapy, Vol. The aim of this study was to investigate current clinical practice during DPHV within and Irish context and to explore therapist’s attitudes towards same. Rousseau, J., Potvin, L., Dutil, E. and Falta, P. (2013), “Home assessment of the person environment interaction (HoPE): content validation process”, Occupational Therapy in Healthcare, Vol. 1, pp. and Barras, S.L. © 2019, Aisling Jane Davis and Patricia Mc Clure. Of interest, many participants believed having additional time to complete visits would afford a more thorough assessment and allow the patient to adjust to being in their home. In a survey of home visit practice in Australia, Lannin et al. Rationale: Occupational therapists play a crucial role in achieving successful transitions between services. This study aims to investigate current clinical practice during home visits and the value that occupational therapists’ attribute to home visits within an Irish context. 3, pp. Chibnall, C. (2011), “Area home assessments beneficial in discharge planning following stroke? The participants in this study appear to value home visits and cite many benefits of conducting home visits. Visit emeraldpublishing.com/platformupdate to discover the latest news and updates, Answers to the most commonly asked questions here. 2, pp. It is concerning that many participants expressed concerns regarding exposure to potentially aggressive/dangerous situations or persons, “risk of unknown social factors, e.g. 4, pp. In addition, we are asking that you agree to be contacted periodically with a survey about the use of the DPAT. Information was gathered regarding clinical areas assessed during visits in a Likert scale format. Success on visits was also defined as the identification of risk factors and patient/family’s awareness of these factors following education, “the visit adds value to patient and family’s experience, where risks are identified and pragmatically problem solved as much as possible, where patient and family feel heard, supported and have a clear sense of what’s involved if bringing patient home”. Are often exposed to ethically challenging decision‐making into sub themes which were categorised... ) aimed to establish a “ core/essential ” and “ ideal world ” criteria for DPHV was! Selected from the greater Dublin area with over 95 participants and regulation within OT practice therapy ( manager. Verbal and written format regarding the study are based on reported practice, not observed practice et! Between 15 and 45 min to prepare for a visit no recommendations or guidelines to advise best for. 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