Client Knowledge Research Articles

Assessment of Client's Knowledge, Attitude and Health Seeking Behavior Towards Tuberculosis at Serrekunda Health Center and Brikama District Hospital.

Assessment of Client's Knowledge, Attitude and Health Seeking Behavior Towards Tuberculosis at Serrekunda Health Center and Brikama District Hospital.

Psychoeducation of Adolescent Mental Health at SMP P Malang City

SMP P is one of the schools fostered by the Pandanwangi Health Center. Clients are students and teachers at SMP P, totaling 23 people. Based on the results of interview assessments, observations, and the depression, anxiety, and stress scale 42 (DASS 42). Based on the interview results, it is known that students and teachers at SMP P do not have knowledge related to mental health and how to deal with individuals with complaints of being stressed. The results of the DASS 42 scale screening given to 52 class VIII students showed that there were 23 students indicated to be experiencing depression, anxiety, and stress. Psychoeducation is provided in the form of delivery of material, case roleplay, relaxation exercises, discussion, and question and answer accompanied by pre-test and post-test questionnaires to measure client knowledge after and before being given psychoeducation. The purpose of providing this intervention is to increase client knowledge related to mental health in adolescents and mental health promotion. The result of the intervention was an increase in the client's knowledge about mental health before and after the intervention with a significance value of .000 (p 0.05).

Fundamental knowledge taught in compulsory education for effective genetic counseling: a qualitative study of descriptions in textbooks.

In genetic counseling, information must be provided in ways that the client and general public can understand to ensure that decisions are made autonomously. To realize this, we must assess the extent of knowledge held by the general public regarding genetics. To identify the client's original knowledge before genetic counseling, we explored the fundamental knowledge related to genetic counseling that is taught in Japanese compulsory education. A qualitative study was conducted. We selected 50 textbooks for compulsory education (Japanese, social studies, science, health and physical education, technology and home economics, morality, and life) that had been used in more than half of the districts in Japan. The text data were analyzed using qualitative content analysis, and quantitative data were analyzed for methodological triangulation. Codes, subcategories, and categories were generated from the contexts that met the following criteria: the contents included in the official textbook for clinical geneticists, contents derived from such descriptions that were related to genetic counseling, and contents clearly related to genetics. Among the 50 textbooks, 33 textbooks contained fundamental knowledge regarding genetic counseling. A qualitative content analysis identified four major categories: (1) basics of genetics, (2) understanding and control of diseases, (3) efforts and barriers to the realization of a harmonious society, and (4) technology and humans. We found that fundamental knowledge related to genetic counseling is directly or indirectly taught in compulsory education. Our results are an important resource for understanding the client's knowledge baseline and will be helpful for effective genetic counseling.

Pandangan Islam Mengenai Surat Kuasa Profesi Advokat dengan Al-Wakalah Ditinjau dari Ayat-Ayat Al-Qur’an dan Hadis

Indonesia as a state of law based on Pancasila and the constitution of the Republic of Indonesia year 1945, Indonesia is a country with a majority Muslim population, which makes Islam dominant in governing its people in every line of life It includes the teachings of truth, honesty, and justice that a person of law enforcement in Indonesia must possess. Advocate is one of the professions of law enforcement in Indonesia that have dedicated itself to the interests of the community and have contributed to the establishment of justice and truth. so the advocate profession has been called the “Officium Nobile" profession. In Islam, everything has been arranged in such a way that the welfare of Muslims is realized. This includes the matter of deputy representation in an affair (al-wakalah). n carrying out their duties as advocates, clients often represent themselves to advocates in litigating in court (legal Representation, due to matters that cannot be abandoned by the client or lack sufficient legal knowledge in litigation in court or because of the statutory requirements due to the threat of more than five years of confinement. So a power of attorney is issued that makes the basis for an advocate to have a case representing his client in court. In article 1792 KuhPer it is explained that a power of attorney is an agreement by which a person gives to another person who receives it on his behalf conducting an affair. The method used is normative juridical writing type, Research library data collection techniques (libraries) that emphasize sources of information from legal books, journals, papers, and opinions that have a relevant relationship to the problem under study. The result of this paper is a description of the harmony of the concept of power of attorney in Islam with a review of the verses of the Qur'an and Hadith. Keywords : Verses of the Qur'an, Hadith, Power of attorney, and al-Wakalah.
 Keywords: Verses of the Qur'an, Hadith, Power of attorney, and al-Wakalah.

STUDI KASUS: PENTINGNYA ASUHAN KEBIDANAN KOMPREHENSIF UNTUK MENCEGAH NYERI DAN INFEKSI PERINEUM PADA IBU POSTPARTUM

Perineal rupture is a tear that occurs in the perineum during labour. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. The occurrence of perineal rupture is caused by maternal factors (parity, birth spacing and baby's weight), improper delivery leadership, history of delivery. Forceps extraction, vacuum extraction, device trauma and episiotomy. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. This case study describes how perineal rupture occurs and its healing process in Mrs. M, a 21 year old primipara. Efforts to handle or treat perineal wounds in this case are carried out by teaching how to do proper wound care, maintaining personal hygiene and providing education to increase client knowledge. Midwifery care provided can help clients accelerate the healing of perineal wounds. Comprehensive midwifery care regarding postpartum care needs to be carried out from the time of pregnancy until later in the puerperium. Thus, the client can prevent and deal with problems that occur independently so that there are no infections or complications during the puerperium.

Peningkatkan Pengetahuan Ibu Tunanetra tentang Kesehatan Kehamilan melalui Buku Suluh Bina Netra Sehat Reproduksi Berhuruf Braille

Blind women often experience discrimination in obtaining public services, such as securing access to health services. Most healthcare facilities they visit during pregnancy do not have information media they can read at home, such as the MCH book for pregnant women who do not have vision problems. In 2020, the service team developed reproductive health education media for blind mothers in Braille. Therefore, the solution we offer to partners is to provide health education using the book Suluh Bina Netra Healthy Reproductive Braille, which we have developed to increase mothers' knowledge about pregnancy check-ups. The methods used in this community service include the lecture method, question and answer, and discussion and practice. The aim is to provide health education to increase the understanding of blind women. The activity was carried out from July 31 to August 15, 2021, with 14 blind mothers. There was an increase in the score on the post-test after the client was given education about pregnancy checks using books, from an average of 3.14 to 5.43. Blind mothers were also satisfied with the activities carried out with an average score for material quality, namely 4.78, media 4.64, and activity benefits 4.78. The output of this activity is an increase in client knowledge after receiving education: the average post-test score increases, the intellectual property rights registration number EC00202185546 on October 14, 2021, and this book has also been launched directly by the Mayor of Padang on December 2, 2021, with a news link https://m.facebook.com/story.php?story_fbid=270755855084449&id=100064501097230&sfnsn=wiwspwa

Provider–client rapport in pre-exposure prophylaxis delivery: a qualitative analysis of provider and client experiences of an implementation science project in Kenya

Daily oral pre-exposure prophylaxis (PrEP) is being incorporated into services frequented by adolescent girls and young women (AGYW) in sub-Saharan Africa who are at a significant risk of HIV. In non-PrEP studies, positive provider–client rapport has been shown to improve patient decision-making and use of medication in clinical care. We examined AGYW and healthcare provider (HCP) perspectives on the value of and strategies for building positive provider–client rapport. We conducted in-depth interviews from January 2018 to December 2019 with 38 AGYW and 15 HCPs from two family planning clinics in Kisumu, Kenya where PrEP was being delivered to AGYW as part of the Prevention Options for Women Evaluation Research (POWER) study. We used semi-structured interview guides and audio-recorded interviews with participant consent. Verbatim transcripts were analysed using thematic content analysis. HCPs and AGYW emphasised the importance of positive provider–client rapport to meet AGYW support needs in PrEP service delivery. HCPs described how they employed rapport-building strategies that strengthened AGYW PrEP uptake and continuation, including: (1) using friendly and non-judgmental tones; (2) maintaining client confidentiality (to build client trust); (3) adopting a conversational approach (to enable accurate risk assessment); (4) actively listening and tailoring counselling (to promote client knowledge, skills, and self-efficacy); and (5) supporting client agency. Positive provider–client relationships and negative experiences identified in this analysis have the potential to facilitate/deter AGYW from using PrEP while at risk. The strategies to enhance provider–client rapport identified in this study could be integrated into PrEP provider training and delivery practices.

How do speech-language pathologists assess and treat spoken discourse after TBI? A survey of clinical practice.

Spoken discourse is commonly affected after traumatic brain injury (TBI). Although guidelines recommend prioritizing discourse-level skills in cognitive communication management, previous literature has highlighted challenges in managing discourse clinically. Little is known about how speech-language pathologists (SLPs) assess and treat discourse after TBI. To investigate current SLP practice to determine the alignment of clinical practice with research evidence and recommendations. This online survey consisted of 30 questions on SLPs' practice with discourse assessment, analysis and treatment processes, including the materials and methods used and rationales for decision-making. Participants were recruited through national and international SLP professional bodies, TBI-specific or SLP special-interest groups and social media. Survey responses were analysed using descriptive statistics, with free text included to support individual responses. There were 70 participants, from Australia, the United States, UK and New Zealand. Nearly half the participants had over 11 years of experience working with adults with TBI and a quarter had over 20 years of experience. Participants reported that they regularly evaluated the discourse ability of people with TBI, most commonly during spontaneous conversation or with a personal narrative task. Discourse intervention approaches mostly targeted client self-monitoring ability, social skills or conversational interactions. Practice varied dependent on setting, with more SLPs in community or outpatient services undertaking discourse assessment and treatment than in hospital settings. Overall, survey respondents' management of spoken discourse aligned with recommendations in the research literature, incorporating an individualized, goal-based approach. Factors affecting the use of discourse in practice included client-specific factors and needs, availability of time for transcription and analysis, and SLPs' knowledge level and confidence with discourse. Increased knowledge of discourse methods and treatment approaches could help inform decision-making for SLPs working in TBI. What is already known on this subject Spoken discourse is one of the most affected areas of communication for people with TBI. Although recent research has provided guidance on assessment and treatment options for TBI discourse, it is unknown how SLPs manage spoken discourse clinically. What this paper adds to existing knowledge This research adds to the limited research on how SLPs across clinical settings and regions manage discourse assessment and treatment. Respondents' practice was generally aligned with recommendations, featuring individualized, goal-based practice. Potential barriers to discourse implementation included client factors and SLP knowledge, training, and service delivery factors. What are the potential or actual clinical implications of this work? This survey provides evidence that clinical translation is starting to occur in this field, but there remains a need for increased knowledge of assessment and treatment methods, training, and TBI-specific resources to better support SLP practice, particularly relating to transcription. Core reporting outcomes in research on TBI discourse management would assist with translation of the findings to practice.

To what extent have street-level bureaucrats used their discretionary powers during the COVID-19 pandemic in Indonesia?

PurposeThe objective of this research is to analyze the extent to which street-level bureaucrats (SLBs) have exercised discretion (low, medium and high) and the contributing factors involved (i.e. the influence of personal, work environment and demographic factors on the exercise of discretion).Design/methodology/approachThe mixed-methods research uses the embedded design approach. Data were collected during the COVID-19 pandemic through a survey of 2,867 Official Certifier of Title Deeds (Pejabat Pembuat Akta Tanah/PPAT) as SLBs spread across fifty regencies/cities in ten provinces in Indonesia.FindingsThis field study found a significant and positive correlation between SLBs' economic motive and the client's knowledge of land issues with the exercise of discretion. In addition, the study found a significant correlation between the age and gender of SLBs and their practice of discretion.Practical implicationsThis study provides insights into that new policies should not further complicate the system but reduce face-to-face interactions between SLBs and their clients by allowing digital technology.Originality/valueThe novelty of this research is the paradox of SLB service during the COVID-19 pandemic differed from the paradoxes identified in earlier studies. SLBs commonly cope with service paradox by limiting their services or focusing solely on the most profitable clientele. However, this study shows that some SLBs actively reach out to clients using a “friendly” service model.

Selecting control strategies in projects of intangible outputs: empirical evidence from architectural and engineering design projects

PurposeProject managers rely on control strategies to deliver excellent outputs. However, little is known about how clients' project managers select control strategies in projects which are knowledge-intensive and have intangible outputs. This study aims to examine how clients' project managers select project control strategies in professional service projects.Design/methodology/approachA questionnaire survey of 360 architectural and engineering (A/E) design projects was adopted. Data were analyzed through the hierarchical regression.FindingsBoth clients' knowledge of measuring outcomes and process uncertainty give rise to their project managers setting up behavior and social controls. Level of process uncertainty positively moderates the impact of client's knowledge of measuring outcomes on outcome control.Research limitations/implicationsThis study mainly examined the client's knowledge of measuring outcomes and process uncertainties. Future studies could be conducted to expand the scope by including other contextual factors, for instance market and regulatory factors.Practical implicationsFrom the client side, if they want to simultaneously adopt outcome, behavior and social controls, they would need to increase their knowledge of measuring outcomes by adopting established assessment tools or appointing a third party to assist in design outcome evaluation.Originality/valueThis study contributes to the body of knowledge by showing that the level of intangibility of project outputs influences the types of control system which project managers adopt.

Healthcare workers’ perspectives on access to sexual and reproductive health services in the public, private and private not-for-profit sectors: insights from Kenya, Tanzania, Uganda and Zambia

BackgroundAccess to sexual and reproductive health services remains a challenge for many in Kenya, Tanzania, Uganda and Zambia. Health service delivery in the four countries is decentralised and provided by the public, private and private not-for-profit sectors. When accessing sexual and reproductive health services, clients encounter numerous challenges, which might differ per sector. Healthcare workers have first-hand insight into what impediments to access exist at their health facility. The aim of this study was to identify differences and commonalities in barriers to access to sexual and reproductive health services across the public, private and private not-for-profit sectors.MethodsA cross-sectional survey was conducted among healthcare workers working in health facilities offering sexual and reproductive health services in Kenya (n = 212), Tanzania (n = 371), Uganda (n = 145) and Zambia (n = 243). Data were collected in July 2019. Descriptive statistics were used to describe the data, while binary logistic regression analyses were used to test for significant differences in access barriers and recommendations between sectors.ResultsAccording to healthcare workers, the most common barrier to accessing sexual and reproductive health services was poor patient knowledge (37.1%). Following, issues with supply of commodities (42.5%) and frequent stockouts (36.0%) were most often raised in the public sector; in the other sectors these were also raised as an issue. Patient costs were a more significant barrier in the private (33.3%) and private not-for-profit sectors (21.1%) compared to the public sector (4.6%), and religious beliefs were a significant barrier in the private not-for-profit sector compared to the public sector (odds ratio = 2.46, 95% confidence interval = 1.69–3.56). In all sectors delays in the delivery of supplies (37.4-63.9%) was given as main stockout cause. Healthcare workers further believed that it was common that clients were reluctant to access sexual and reproductive health services, due to fear of stigmatisation, their lack of knowledge, myths/superstitions, religious beliefs, and fear of side effects. Healthcare workers recommended client education to tackle this.ConclusionsDemand and supply side barriers were manifold across the public, private and private not-for-profit sectors, with some sector-specific, but mostly cross-cutting barriers. To improve access to sexual and reproductive health services, a multi-pronged approach is needed, targeting client knowledge, the weak supply chain system, high costs in the private and private not-for-profit sectors, and religious beliefs.

Development of a Nudge Program at One Alaska Food Pantry.

Food pantry clients experience many health disparities, including elevated incidence of diabetes, heart disease, and other nutrition-related conditions. Nutrition education interventions in the form of a nudge can be an effective method to increase nutrition knowledge and healthy pantry food selection. Currently there is no nutrition education program at the largest food pantry in Alaska. The goal of this project was to develop a nutrition intervention in the form of a nudge to increase the selection of nutritious foods by pantry clients. Methods included the development of nudges, or environmental cues, within the pantry as well as client education handouts and recipes for clients to take home. Implications for practice include the potential to increase staff and client knowledge and nutrition education, as well as for impacting the overall health and food security of the clients and their families. Additional implications include the availability of the program and resources for other food pantries across the state to customize for use in their facilities. After the program has been implemented, it can be evaluated across each site and its efficacy determined to implement into policy.

IMPACT of Artificial Intelligence on E-Banking and Financial Technology Development

Artificial intelligence has a significant impact on financial technologies. Machine learning is an important field of artificial intelligence. Machine learning is a subset of artificial intelligence. According to client knowledge gathered by machine learning, data structures may be more easily comprehended and changed. Machine learning, although still being employed in the IT business, has its own set of benefits. They are used by computer program to explain or solve a typical issue because they are a set of well-written instructions. Data inputs for factual research may be prepared by computers using master learning algorithms that can deliver results within a certain range. Computers are used to model test data, and frameworks are used to make automated decisions based on input data. Banks and financial institutions may benefit from the use of machine learning. This article discusses applications of machine learning in banking and finance sector.

Investigating the Relationship Between Perception and Attitude With Responsibility for Elderly Care in Nurses of Emergency Wards of Ardabil Hospitals in 2020.

Nurses’ knowledge, attitudes, and their professional responsibility regarding elderly people are vital determinants in delivery of quality care for older people. Thus, this study aimed to identify the perception and attitude of nurses toward elderly care and their correlation with professional responsibility in nurses working in emergency departments. This descriptive-correlational study was conducted on 252 nurses working in the emergency departments of five general hospitals located in the province of Ardabil, Iran. Data was collected a demographic questionnaire and standard questionnaire of nursing care for the elderly of Persoon et al. The majority of nurses reported a positive knowledge and attitude towards elderly care. Only half of the nurses had a desirable professional responsibility towards elderly care. Based on the results of multivariate regression model, the variables of knowledge, attitude, age, work experience, and previous care of older client had a significant relationship with nurses ‘professional responsibility for elderly care (p < 0.01). Knowledge, attitude, age, and previous history of elderly care are significant determinants for professional responsibility towards elderly care; therefore, periodical evaluation of elderly care and its related factors can help the hospital managers to construct the basics of healthcare delivery for older people in emergency departments.

Maternal satisfaction on child immunization services of rural health extension workers in Dawie Harewa district, Northeast Ethiopia: A community based cross-sectional study

The Ethiopian health extension program was established to enhance rural poor access and equity to health interventions, such as immunization programs. Client satisfaction with child immunization services is a clear measure of service quality and plays a vital role in improving immunization coverage and quality. Thus, the goal of this study was to analyze client satisfaction with rural health extension workers' child vaccination services and associated characteristics in Dawie Harewa District, North East Ethiopia. A cross-sectional survey was conducted among mothers and caregivers of children who received immunization services from March 5–20, 2016. The data was collected from 722 mothers through a structured interviewer-administered questionnaire. Epi.info version 7 was used to enter the data, and SPSS version 20.0 was used to analyze it. To identify factors that influence mothers' satisfaction with immunization services, logistic regression analyses were employed. The degree of relationship between the independent and dependent variables was determined using an odds ratio with a 95 percent confidence interval, with a P-value of 0.05 considered statistically significant. The majority of mothers (84.68%) were happy with the child immunization services provided by health extension workers (HEWs). Mothers with good knowledge (AOR=3.31; 95% CI: 1.67–6.56), a positive attitude (AOR=7.56; 95% CI: 3.12–16.90), and whose homes were visited by HEWs (AOR=2.98; 95%CI: 1.83–4.85) were more likely than their counterparts to be satisfied with child immunization services. Majority of the respondents were satisfied with the services provided by HEWs. The level of knowledge and attitude of mothers, as well as the health extension workers' habit of visiting clients at home, were found to be the most important factors in determining client satisfaction with the vaccination program. Improved client knowledge, ongoing follow-up, and increased HEW home visits are all essential elements in boosting customer satisfaction.

SAFE - Home Opioid Management Education (SAFE-HOME) in older adults: a naloxone awareness program for home health workers.

BackgroundOlder adults (≥65 years) have seen significant increases in opioid overdose deaths. Diversion of older adults’ opioid medication is also a contributor to opioid misuse. Naloxone, an opioid antagonist, saves lives when used for an opioid overdose, yet education on opioid overdose and naloxone access and training for older adults is limited.MethodsA prospective, interventional training program was created to educate home health workers and their older adult clients on opioid overdose and naloxone utility. The SAFE – Home Opioid Management Education (SAFE-HOME) naloxone awareness program was created to include in-person training with educational handouts around opioid risks and on the importance of naloxone. Home health workers, who provide in-home care and care coordination to older adults in rural Illinois, were trained to educate their clients with the SAFE-HOME program. Older adults were included if they were prescribed an opioid for any indication. Outcomes included change in knowledge of opioids and naloxone, home health worker perception of client knowledge level and naloxone obtainment rates following the educational intervention.ResultsThirty-five clients completed the SAFE-HOME program. The average knowledge assessment score increased from a baseline of 39.4% (SD 26.8) to 90.6% (SD 12.6, p<0.01). Most home health workers agreed their older adult clients had poor baseline knowledge of naloxone. No clients obtained naloxone due to lack of perceived need and cost barriers.ConclusionAn educational approach utilizing home health workers as client educators resulted in increased knowledge of opioid risks and naloxone utility amongst older adults.

Project‐based work in times of COVID‐19: A dynamic framework for knowledge exchange

Knowledge exchange is the key to help knowledge‐intensive firms (KIFs) innovate and communicate with their clients. However, during the COVID‐19 pandemic, many assumptions have been challenged, and as a consequence, this study aims to investigate the effect of the pandemic on knowledge exchange processes in KIFs and how firms responded to the pressing challenges that consequently emerged. This study illustrates how KIFs managed to navigate through the pandemic and exchanged knowledge with their clients in a new dynamic landscape despite the challenges that affected their client base and knowledge workers alike. Using multiple data sources, including 27 interviews, observation, informal conversations, and virtual guided tours, the article provides a three‐phase framework with the assistance of a simplified process lens. The framework phases (disharmony, normalisation, and harmony) illustrate how KIFs responded to the challenges, developed capabilities, and provided support.

Comprehensive occupational health services for healthcare workers in Zimbabwe during the SARS-CoV-2 pandemic.

Healthcare workers are disproportionately affected by COVID-19. In low- and middle- income countries, they may be particularly impacted by underfunded health systems, lack of personal protective equipment, challenging working conditions and barriers in accessing personal healthcare. In this cross-sectional study, occupational health screening was implemented at the largest public sector medical centre in Harare, Zimbabwe, during the "first wave" of the country's COVID-19 epidemic. Clients were voluntarily screened for symptoms of COVID-19, and if present, offered a SARS-CoV-2 nucleic acid detection assay. In addition, measurement of height, weight, blood pressure and HbA1c, HIV and TB testing, and mental health screening using the Shona Symptom Questionnaire (SSQ-14) were offered. An interviewer-administered questionnaire ascertained client knowledge and experiences related to COVID-19. Between 27th July and 30th October 2020, 951 healthcare workers accessed the service; 210 (22%) were tested for SARS-CoV-2, of whom 12 (5.7%) tested positive. Clients reported high levels of concern about COVID-19 which declined with time, and faced barriers including lack of resources for infection prevention and control. There was a high prevalence of largely undiagnosed non-communicable disease: 61% were overweight or obese, 34% had a blood pressure of 140/90mmHg or above, 10% had an HbA1c diagnostic of diabetes, and 7% had an SSQ-14 score consistent with a common mental disorder. Overall 8% were HIV-positive, with 97% previously diagnosed and on treatment. Cases of SARS-CoV-2 in healthcare workers mirrored the national epidemic curve. Implementation of comprehensive occupational health services during a pandemic was feasible, and uptake was high. Other comorbidities were highly prevalent, which may be risk factors for severe COVID-19 but are also important independent causes of morbidity and mortality. Healthcare workers are critical to combatting COVID-19; it is essential to support their physical and psychological wellbeing during the pandemic and beyond.

Does the Length of the Cooling-Off Period Affect Audit Quality?

SUMMARYThis paper examines the association between the length of the cooling-off period and audit quality: (1) when partners rotate back and (2) during the cooling-off period, ahead of an extension to the minimum cooling-off period requirement in Australia. Using multiple measures of audit quality, we find some evidence of a positive association between the cooling-off period length and audit quality when partners rotate back, yet evidence of a negative association between the two, during the cooling-off period. We also find that auditor and client characteristics—such as partner busyness, client knowledge, geographic proximity, and client importance—play important roles in determining the cooling-off period length and whether a partner rotates back onto a client. Overall, we provide timely evidence that extending the cooling-off period only marginally enhances audit quality when a partner rotates back onto a client, and evidence of an unintended consequence of this policy during the cooling-off period.Data Availability: Data are publicly available.JEL Classifications: M42.

A feasibility study of the Canadian Occupational Performance Measure (COPM) in the burn cohort in an acute tertiary facility

BackgroundRetrospective auditing identified the need to implement a client centered tool to measure occupational performance and re engagement in activities after burn injury. The Canadian Occupational Performance Measure (COPM) was chosen as it has a broad focus on occupational performance across the lifespan. However, given the time constraints that acute care clinicians work within in a tertiary teaching hospital, a feasibility study was warranted to identify the time to complete the COPM and any potential barriers which may arise in order to evaluate the appropriateness of using this tool. MethodsThis project was a prospective cohort study. All patients presenting to the ward and the Specialist Burns Outpatient Clinic were consecutively enrolled in this study. Information was collected regarding administration of the COPM including administration time, number of interruptions and reasons for non-completion of the outcome measure e.g. wound dressing procedures, surgery, scheduling conflicts. A survey method was used to explore the perceptions of Occupational Therapy clinicians regarding use of the COPM in clinical practice. ResultsOver the course of the study period 70 COPM’s were administered. The average time for administration across both settings was 9 min. Individually the average time taken for administration of the COPM with inpatients was 11.21 min, in the outpatient setting 7.85 min. The Survey Monkey questionnaire was emailed to 58 occupational therapy clinicians working at the facility associated with the study. The response rate was 41.4% (24). DiscussionPatient reported outcome measures are central to patient centred care which is a core element of health care provision. Results from this study found that the COPM took approximately 9 min to administer, which is suitable within the time constraints of an acute tertiary environment and would be feasible in our setting. Fifty one percent of the participants identified return to work as the activity of daily living most impacted by their burn injury. As burn injuries impact all domains of daily life the use of patient reported outcome measures to direct goal orientated care is imperative. ConclusionThis study found that the time to administer the COPM is feasible within the acute tertiary setting. Perceived barriers identified can be overcome with increased knowledge of client centred practice and the importance of goal directed care. The use of patient reported outcome measures in clinical practice empowers consumers to identify what goals they would like to achieve.