Outline

Overview

Knowing how to locate, understand and use evidence in occupational therapy (OT) practice is an essential skill for all OTs. It is also essential for OTs to take their place as responsible members of local, national, international and professional communities of practice. In this unit of study, students will learn how to search for, appraise and summarise research evidence relevant to occupational therapy practice. Students will have the opportunity to explore diverse areas of OT practice by critically examining the research and considering the application of that research in practice.

Details

Academic unit	Participation Sciences
Unit code	OCCP5207
Unit name	Assessing Evidence for OT Practice
Session, year ?	Semester 1, 2022
Attendance mode	Normal day
Location	Remote
Credit points	6

Enrolment rules

Prohibitions ?	None
Prerequisites ?	None
Corequisites ?	OCCP5237
Assumed knowledge ?	Research Methods
Available to study abroad and exchange students	No

Teaching staff and contact details

Coordinator	Anne Cusick, anne.cusick@sydney.edu.au
Lecturer(s)	Anne Therese Cusick , anne.cusick@sydney.edu.au
Administrative staff	Queries should be directed to Sydney School of Health Sciences learning and teaching administrative unit at: shs.ltadmin@sydney.edu.au

Type	Description	Weight	Due	Length
Final exam (Take-home extended release)	Take home exam - 30% Take home exam - 24 hour release	30%	Formal exam period	24 hours
Outcomes assessed:
Assignment	Clinical case study Part 1 - 25% Clinical case study using short answers in question template	25%	Week 06 Due date: 01 Apr 2022 at 23:59 Closing date: 01 Apr 2022	1000 words
Outcomes assessed:
Creative assessment / demonstration	Clinical Case Study Part 2 - 15% Video OT journal-club presentation based on CAP with OT recommendations	15%	Week 09 Due date: 26 Apr 2022 at 23:59 Closing date: 26 Apr 2022	15 Minutes
Outcomes assessed:
Assignment	Clinical Case Study Part 3 - 30% Clinical case study using short answers in question template & CPD plan	30%	Week 13 Due date: 27 May 2022 at 23:59 Closing date: 27 May 2022	2000 words
Outcomes assessed:
Participation	Tutorial participation - 0% - pass/fail Participation in minimum 10 tutorials by mode indicated in weekly schedule	0%	Weekly Due date: 25 Feb 2022 at 23:59 Closing date: 27 May 2022	2 hours per week
Outcomes assessed:
= hurdle task ? = Type E final exam ?

Attendance: Attend a minimum of 10 tutorials by mode indicated in weekly schedule. Pass/Fail
Clinical case study in three parts: Part One responses in proforma; Part Two skills based assessment in the form of a simulated journal club presentation; Part Three responses in proforma.
Final Exam: Take home exam using short answer questions.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name	Mark range	Description
High distinction	85 - 100	Exceptional – see indivdual assignment marking rubrics
Distinction	75 - 84	Very high standard – see indivdual assignment marking rubrics
Credit	65 - 74	Good standard – see indivdual assignment marking rubrics
Pass	50 - 64	Acceptable standard – see indivdual assignment marking rubrics
Fail	0 - 49	When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

Deduction of 5% of the maximum mark for each calendar day after the due date.
After ten calendar days late, a mark of zero will be awarded.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

Usual university policies apply

Special consideration

If you experience short-term circumstances beyond your control, such as illness, injury or misadventure or if you have essential commitments which impact your preparation or performance in an assessment, you may be eligible for special consideration or special arrangements.

Academic integrity

The Current Student website provides information on academic honesty, academic dishonesty, and the resources available to all students.

The University expects students and staff to act ethically and honestly and will treat all allegations of academic dishonesty or plagiarism seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic dishonesty. If such matches indicate evidence of plagiarism or other forms of dishonesty, your teacher is required to report your work for further investigation.

Weekly schedule

WK	Topic	Learning activity
Week 01	What is evidence and why do we have to use it to provide safe and ethical occupational therapy. Module 1 Online lecture and self-study	Online class (1 hr)
Week 01	Types of evidence OTs use in their practice. Is expertise and experience 'evidence'? Module 1 online self-study tutorial	Online class (2 hr)
Week 02	OT practice context information in therapeutic decision-making. Module 2 online lecture and self-study	Online class (1 hr)
Week 02	Understanding classifications and EBP terminology used in OT practice contexts. Module 2 online self-study tutorial	Online class (2 hr)
Week 03	Person-centred evidence in OT practice decision-making. Module 3 online lecture and self-study	Online class (1 hr)
Week 03	Research evidence in OT practice decision-making; what OT practice questions can be answered by research. Module 3 online in-person tutorial	Tutorial (2 hr)
Week 04	Finding information that will answer your OT practice questions - types of research and sources. Module 4 online lecture and self-study	Online class (1 hr)
Week 04	Finding, reading and referencing research evidence relevant to your OT practice question. Module 4 online in-person tutorial	Tutorial (2 hr)
Week 05	Judging the quality of research evidence before you use it to answer OT practice questions. - introducing common designs in OT research and how OTs appraise study reports. Module 5 online lecture and self study	Online class (1 hr)
Week 05	Critical reading of OT research papers, appraisal of general quality and design strength. Module 5 online in-person tutorial	Tutorial (2 hr)
Week 06	Appraising the methodological quality of OT research studies - why and how. Module 6 online lecture and self-study	Online class (1 hr)
Week 06	Appraising OT research that asked whether or not a treatment worked using an RCT design. Module 6 online in-person tutorial	Tutorial (2 hr)
Week 07	Using evidence that summarises and appraises research for you - resources for OTs and types of reviews. Module 7 online lecture and self-study	Online class (1 hr)
Week 07	Pre-appraised research types for OTs et al - CAPs, CATs, Corners, data bases and the 6S guide. Module 7 online in-person tutorial.	Online class (2 hr)
Week 08	Using research-informed recommendations for OT action in Clinical Practice Guidelines. Module 8 online lecture	Online class (1 hr)
Week 08	Appraising Clinical Practice Guidelines relevant to OT practice. Module 8 on-line self-study tutorial [Public Holiday]	Tutorial (2 hr)
Week 09	Answering OT practice questions about intervention effectiveness using systematic and scoping reviews Module 9 online lecture and self-study	Online class (1 hr)
Week 09	Critical appraisal of OT systematic reviews and re-visiting the concepts of design strength and OT practice relevance Module 9 online in-person tutorial	Tutorial (2 hr)
Week 10	Answering OT prevalence and diagnosis practice questions using research evidence - observational studies. Module 10 online lecture and self-study	Online class (1 hr)
Week 10	Appraising cohort and cross-sectional studies, and consider how this evidence can be used for OT practice decisions. Module 10 online in-person tutorial	Tutorial (2 hr)
Week 11	Understanding the person's perspective - evidence from OT qualitative research. Module 11 online lecture and self-study	Online class (1 hr)
Week 11	Evaluating the quality of OT qualitative research evidence - general and methodological appraisal Module 11 online in-person tutorial	Tutorial (2 hr)
Week 12	Applying evidence in practice - knowledge translation in OT practice decisions. Module 12 online lecture and self study	Online class (1 hr)
Week 12	KT in OT practice - journal clubs and team assessment, progress and discharge planning meetings. Module 12 online in-person tutorial	Tutorial (2 hr)
Week 13	Practising OT ethically and safely through continuous critical use of evidence in practice and documentation of the EB OT process. Module 13 online lecture and self study	Online class (1 hr)
Week 13	OT EBP and CPD - demonstrating competence, developing capacity, maintaining OT registration to practise. Module 13 self-study tutorial	Tutorial (2 hr)

Attendance and class requirements

Attendance: To meet minimum requirements students must complete all components of the course. Attendance at 10 of the 13 classes using the mode specified in the weekly topic guide is required.

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

Atchison, B. & Diane Dirette, D. (2016). Conditions in Occupational Therapy: Effect on Occupational Performance 6th Edition. Philadelphia: Wolters Kluwer Health, ISBN: 9781975153854 (Various chapters depending on the clinical case – new edition released February 2022 but that is after we have started class)

Brown, T., Bourke-Taylor, H.M., Isbel, S., Cordier, R. & Gustafsson, L. (Eds). (2021). Occupational therapy in Australia: professional and practice issues. Second Edition. Routledge, New York. ISBN 978-1-760-87744-6 (paperback) or ISBN 978-1-003-15073-2 (e-book). Various chapters – 5 Scope of practice, 14 Research in occupational therapy, 15 Evidence based practice in occupational therapy, 16 – Clinical reasoning in occupational therapy practice, 25 Occupational therapy assessment.

Cusick, A. & McCluskey, A. (2001). Becoming an evidence-based practitioner through professional development. Australian Occupational Therapy Journal, 47(4) 159-170. doi: 10.1046/j.1440-1630.2000.00241.x

Hoffmann., T., Bennett, S. & Del Mar, S. (2017). Evidence-based practice across the health professions (3rd Ed.). Sydney: Elsevier. [This is the Unit Textbook]

Joanna Briggs Institute (2021). JBI EBP Resources, [website] https://jbi.global/ebp

McKinstry,C., Brown, T. & Gustafsson, L. (2014). Scoping reviews in occupational therapy: the what , why and how to. Australian Journal of Occupational Therapy, 1: 58-66. doi: 10.1111/1440-1630.12080

OT Australia (2019). Evidence-based practice position statement. OT Australia. Available at: https://otaus.com.au/publicassets/90977488-f433-e911-a2c2-b75c2fd918c5/ebppositionstatsement.pdf

Oxford Centre for Evidence-based Medicine (2022). Resources: EBM guides and practice how to’s for researchers, clinicians, students and teachers, OCEBM. [website] https://www.cebm.ox.ac.uk/resources

Taylor, R. (2017). Critically appraising and classifying published and presented research. Chapter 5 in Kielhofner’s research in occupational therapy: methods of inquiry for enhancing practice. Editor R.R. Taylor, Philadelphia: FA David Company. pp.47-58

Taylor, R. (2017). Occupational therapy as an evidence-based practice profession. Chapter 1 in Kielhofner’s research in occupational therapy: methods of inquiry for enhancing practice. Editor R.R. Taylor, Philadelphia: FA David Company. pp.1-10

In addition there will be prescribed readings for topics and assessments (see modules)

Learning outcomes

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University’s graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

LO1. Define and explain the process of evidence-based (occupational therapy) practice
LO2. Formulate clear clinical questions based on problems commonly encountered in occupational therapy practice
LO3. Search the literature for relevant evidence using electronic search strategies, keywords, relevant databases, journals, web, and print-based materials
LO4. Use bibliographic referencing software to manage information collected so that evidence is accessible, manageable, and useful to support current and future practice decisions
LO5. Describe the importance of acknowledging and referencing sources of information in written documents, and use relevant referencing conventions
LO6. (critically) appraise evidence for its validity and usefulness, by selecting and using appraisal tools relevant to the type of study designs being appraised
LO7. Understand the strengths and weaknesses of different types of evidence (qualitative and quantitative) including systematic reviews, randomised controlled trials, descriptive studies, expert opinion, and unpublished information
LO8. Describe the process of applying evidence in practice (implementation)
LO9. Reflect on the value and relevance of EBP knowledge and skills, as a foundation for professional OT practice.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1	Depth of disciplinary expertise Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.
GQ2	Critical thinking and problem solving Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.
GQ3	Oral and written communication Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.
GQ4	Information and digital literacy Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.
GQ5	Inventiveness Generating novel ideas and solutions.
GQ6	Cultural competence Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.
GQ7	Interdisciplinary effectiveness Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.
GQ8	Integrated professional, ethical, and personal identity An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.
GQ9	Influence Engaging others in a process, idea or vision.

Outcome map

Learning outcomes	Graduate qualities
Learning outcomes

Alignment with Competency standards

Outcomes	Competency standards
	Australian occupational therapy competency standards 2018 - 1.1. Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct 1.10. Practises within limits of her/his own level of competence and expertise 1.11. Maintains professional competence and adapts to change in practice contexts 1.13. Manages resources, time and workload accountably and effectively 1.2. Adheres to legislation relevant to practice 1.9. Identifies and manages the influence of her/his values and culture on practice 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.5. Maintains current knowledge for cultural responsiveness to all groups in the practice setting 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.8. Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice 3.7. Reflects on practice to inform and communicate professional reasoning and decision-making 3.8. Identifies and uses practice guidelines and protocols suitable to the practice setting or work environment 4.1. Communicates openly, respectfully and effectively 4.11. Identifies and articulates the rationale for practice to clients and relevant others. 4.2. Adapts written, verbal and non-verbal communication appropriate to the client and practice context
	Australian occupational therapy competency standards 2018 - 1.1. Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct 1.11. Maintains professional competence and adapts to change in practice contexts 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.8. Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice 3.7. Reflects on practice to inform and communicate professional reasoning and decision-making 4.1. Communicates openly, respectfully and effectively
	Australian occupational therapy competency standards 2018 - 1.1. Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct 1.11. Maintains professional competence and adapts to change in practice contexts 1.13. Manages resources, time and workload accountably and effectively 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.10. Maintains digital literacy for practice. 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.9. Maintains knowledge of relevant resources and technologies, and 4.10. Seeks and responds to feedback, modifying communication and/or practice accordingly, and
	Australian occupational therapy competency standards 2018 - 1.13. Manages resources, time and workload accountably and effectively 2.10. Maintains digital literacy for practice. 2.9. Maintains knowledge of relevant resources and technologies, and 4.10. Seeks and responds to feedback, modifying communication and/or practice accordingly, and
	Australian occupational therapy competency standards 2018 - 1.1. Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct 1.13. Manages resources, time and workload accountably and effectively 1.2. Adheres to legislation relevant to practice 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.9. Maintains knowledge of relevant resources and technologies, and 4.1. Communicates openly, respectfully and effectively
	Australian occupational therapy competency standards 2018 - 1.11. Maintains professional competence and adapts to change in practice contexts 1.13. Manages resources, time and workload accountably and effectively 1.16. Contributes to education and professional practice development of peers and students, and 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.10. Maintains digital literacy for practice. 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.9. Maintains knowledge of relevant resources and technologies, and 4.1. Communicates openly, respectfully and effectively 4.11. Identifies and articulates the rationale for practice to clients and relevant others.
	Australian occupational therapy competency standards 2018 - 1.11. Maintains professional competence and adapts to change in practice contexts 1.9. Identifies and manages the influence of her/his values and culture on practice 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.5. Maintains current knowledge for cultural responsiveness to all groups in the practice setting 2.8. Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice 4.11. Identifies and articulates the rationale for practice to clients and relevant others.
	Australian occupational therapy competency standards 2018 - 1.1. Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct 1.10. Practises within limits of her/his own level of competence and expertise 1.11. Maintains professional competence and adapts to change in practice contexts 1.13. Manages resources, time and workload accountably and effectively 1.2. Adheres to legislation relevant to practice 1.7. Collaborates and consults ethically and responsibly for effective client-centred and interprofessional practice 1.9. Identifies and manages the influence of her/his values and culture on practice 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.10. Maintains digital literacy for practice. 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.5. Maintains current knowledge for cultural responsiveness to all groups in the practice setting 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.7. Implements a specific learning and development plan when moving to a new area of practice or returning to practice 2.8. Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice 2.9. Maintains knowledge of relevant resources and technologies, and 3.7. Reflects on practice to inform and communicate professional reasoning and decision-making 3.8. Identifies and uses practice guidelines and protocols suitable to the practice setting or work environment 4.1. Communicates openly, respectfully and effectively 4.10. Seeks and responds to feedback, modifying communication and/or practice accordingly, and 4.11. Identifies and articulates the rationale for practice to clients and relevant others. 4.2. Adapts written, verbal and non-verbal communication appropriate to the client and practice context
	Australian occupational therapy competency standards 2018 - 1.1. Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct 1.10. Practises within limits of her/his own level of competence and expertise 1.11. Maintains professional competence and adapts to change in practice contexts 1.2. Adheres to legislation relevant to practice 1.9. Identifies and manages the influence of her/his values and culture on practice 2.1. Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 2.10. Maintains digital literacy for practice. 2.3. Identifies and applies best available evidence in professional practice and decision-making 2.5. Maintains current knowledge for cultural responsiveness to all groups in the practice setting 2.6. Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development 2.7. Implements a specific learning and development plan when moving to a new area of practice or returning to practice 2.8. Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice 2.9. Maintains knowledge of relevant resources and technologies, and 3.7. Reflects on practice to inform and communicate professional reasoning and decision-making 3.8. Identifies and uses practice guidelines and protocols suitable to the practice setting or work environment 4.1. Communicates openly, respectfully and effectively 4.10. Seeks and responds to feedback, modifying communication and/or practice accordingly, and 4.11. Identifies and articulates the rationale for practice to clients and relevant others. 4.2. Adapts written, verbal and non-verbal communication appropriate to the client and practice context

Australian occupational therapy competency standards 2018 -

Competency code	Taught, Practiced or Assessed	Competency standard
1.1		Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct
1.10		Practises within limits of her/his own level of competence and expertise
1.11		Maintains professional competence and adapts to change in practice contexts
1.13		Manages resources, time and workload accountably and effectively
1.16		Contributes to education and professional practice development of peers and students, and
1.2		Adheres to legislation relevant to practice
1.9		Identifies and manages the influence of her/his values and culture on practice
2.1		Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice
2.10		Maintains digital literacy for practice.
2.2		Applies theory and frameworks of occupation to professional practice and decision-making
2.3		Identifies and applies best available evidence in professional practice and decision-making
2.5		Maintains current knowledge for cultural responsiveness to all groups in the practice setting
2.6		Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development
2.7		Implements a specific learning and development plan when moving to a new area of practice or returning to practice
2.8		Reflects on practice to inform current and future reasoning and decision-making and the integration of theory and evidence into practice
2.9		Maintains knowledge of relevant resources and technologies, and
3.7		Reflects on practice to inform and communicate professional reasoning and decision-making
3.8		Identifies and uses practice guidelines and protocols suitable to the practice setting or work environment
4.1		Communicates openly, respectfully and effectively
4.10		Seeks and responds to feedback, modifying communication and/or practice accordingly, and
4.11		Identifies and articulates the rationale for practice to clients and relevant others.
4.2		Adapts written, verbal and non-verbal communication appropriate to the client and practice context
4.4		Uses culturally responsive, safe and relevant communication tools and strategies

Closing the loop

Students liked having variety in clinical examples in classes whilst they had the same patient throughout the semester. Students liked the online lectures and self-study activities especially if they had not studied health research before. They wanted more in-person online classes so I have started these from Week 3. They said there was a lot of reading and it was important to let new students know they had to keep 'on top of it' each week. Students liked the assessment templates and preferred a take-home exam to a timed exam.

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Current students

Overview

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Closing the loop

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

OCCP5207: Assessing Evidence for OT Practice

Overview

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Closing the loop

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect