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Definition of occupation is a person is usual or principal work or business,especially as means of earning a living. Occupation to an occupationaltherapist (OT), however, is something quite different; the wordencompasses so much more. It's defined as activities that people engagein throughout their daily lives to fulfill their time and give life meaning".
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In its simplest terms,occupational therapistshelp people across the
lifespan participate in thethings they want and needto do through the
therapeuticuse of everyday activities(occupations).
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Unfortunately, due to the occupational therapyconsider new in the West Bank generally and in
Jenin in particularly.
Despite of occupational therapy services are still
not widely spread all over the countrys differentregions in Palestine. But there are several privaterehabilitation centers that provide occupationaltherapy services and a few public hospitals. This
may be because occupational therapy is still not well recognized by the public or by the health teammembers themselves. For that there is a lack ofrecognition to the importance of occupationaltherapy services.
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Literature review
There have been many studies conducted to examine physicians'knowledge about OT:
1.Sidney Licht, (1995) he showed that most physicians believe thatthe occupational therapy is treat a patients by suchunprofessional activities as arts, crafts and workaday skills ,and they ignore an area of treatment which can be useful andimportant to their patient.
2.Rawan Alheresh & Christos K. (2010): This study showed thathealthcare team members in the rehabilitation settings of threemajor Jordanian hospitals have a fair knowledge about the role
and definition of OT.
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3.Hashem S., Khawlah A.& Amjad Kh. (2011): this study was todetermine if Jordanian health professionals have adequateunderstanding of occupational therapy, Results showed thatphysical therapists were more informed about occupationaltherapy than physicians and nurses, although the level ofknowledge of occupational therapy was limited for all threegroups.
4. Terri G.& Corrie J. (1999):The purpose of this study was to examinethe relationships between knowledge about occupational therapyand referral patterns, she came out with result of lack ofcorrelation between perceived effectiveness of OT and referral. 5.Ellie F. (2001) he identified the opportunities for enhancinginterdisciplinary teamwork, and his conclusion showedsignificance of occupation for health and wellbeing needs to be
better understood within the health field, and wider community.
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This study is based on aquantitative quasi experimental method; this is used togather information from a wide number of health
professionals and to quantify knowledge about theoccupational therapy profession and is selectedto measure the physician's knowledge and
awareness of occupational therapy.
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The study was carried out by the physicians, in ourattempt to prevent any discomfort thing to the participants. The instructionswere clearly explained to participants before starting any procedure and theyhad the chance to ask any question about the procedure and the
questionnaire, it was a commitment for the participant to protect his/ herprivacy and their identity. Before the study we asked the participant to signconsent form stating they are willing to take part in the study.
The participants of this study include:
practicing physician in Jinen city. The numbers of participants are 29 fromprivate hospital, governmental hospital and special center of health careprofession; there are 24 males and 5 females were requested to fill
.questionnaire
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The questionnaire is a combination of
questions;Its include five section the first one is
demographic data including age, present educationallevel, prior education, and gender and the second oneparticipant's knowledge about OT the third is the role ofOT fourth is the current state of occupational therapy andthe last one referral for occupational therapy
The selection of a methodfor collecting data and information in this study isquestionnaire method that define as a group of questions
that people respond to verbally or writing here in ourstudy we use a writing questionnaire that include closedquestions with Likert scale
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the procedure divided in to four steps: in stepone putting a specific questionnaire for our study, In steptwo: we went to hospitals (Al-Hokomy,Al-Razy , and Al-Aml
hospital), and clinics(Al-Mojammaa Al-Sehhy, MujammaaZaitonah) in Jenin ,and we met with physicians in theirbreak time, doctors received an explanation of theprocedure and purpose of the study that will be conductedand what is the research about After we collect thequestionnaire and the data from all physicians , we went toa statistical in Jenin and we gave him the questionnaire thatwe collect, statistical gave us the results of the work , It'swas in step three, In step four, which is the last step weanalyzed all information we get from each of questionnaireand all information was needed for our research is becomemore clearly and clarified.
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Data analysis began with determine the percentages ofparticipants(physicians) who had heard about occupational therapy, thosewho had adequate knowledge about occupational
Statistical analysis was performed using the SPSS (asoftware package used for statistical analysis, According to statisticalanalysis we use: Chi-Square test, Mann-Whitney test and T-test.
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A questionnaire was the method which used to collect data,questionnaires were distributed to participants(physicians),then Data were entered into SPSS.
In order to explore and report a correlation analysis we use :
- person Chi-Square test.
- Mann-Whitney test (U -test).
- T-test.
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*Chi square test showed: the correlation between therespondents who heard before about occupational therapy, and
whose are worked with occupational therapists.
Value Asymp. Sig.(2-sided)
Pearson Chi-Square
1.974 .160
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T-test showed: the correlation between those whoworked regularly with an OT and respondents
feeling about the significance of OT.
t-test for Equality of Means
t df Sig. (2-
tailed)Current state ofOccupational therapy
2.122 27 .043
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T-test showed: the correlation between those whoworked regularly with an OT and respondents feeling
about their knowledge about OT.
t-test for Equality of
Means
T Df Sig. (2-tailed)
knowledgeable aboutoccupational therapy
3.866 27 .001
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Mann-Whitney test ( -test) showed: the correlationbetween a current state of occupational therapy and
those who worked with OT.
Current state ofOccupational
therapy
Mann-Whitney U 28.000
Z -2.252
Asymp. Sig. (2-tailed) .024
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Chi-square test showed: the correlation between age
of physicians and knowledgeable about occupationaltherapy, Current state of Occupational therapy, and rate of
referring the patient to occupational therapy. Age
knowledgeable about
occupationaltherapy
Current state
ofOccupational
therapy
If you have
referred patientto occupational
therapy
Age
Pearson Correlation 1 -.064 -.085 -.528 *
Sig. (2-tailed) .740 .659 .043
N 29 29 29 15
knowledgeable aboutoccupational therapy
Pearson Correlation -.064 1 .300 .030Sig. (2-tailed) .740 .113 .915
N 29 29 29 15
Current state ofOccupational therapy
Pearson Correlation -.085 .300 1 .235
Sig. (2-tailed) .659 .113 .400
N 29 29 29 15
If you have referred
patient to occupationaltherapy
Pearson Correlation -.528 * .030 .235 1
Sig. (2-tailed).043 .915 .400
N 15 15 15 15
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Chi-square test showed:the correlation between yearsof experience in current position and knowledgeable
about occupational therapy, Current state ofOccupational therapy, and rate of referring the patient
to occupational therapy.
Years of
experience incurrent
position
If you havereferred patientto occupational
therapy
knowledgeableabout
occupationaltherapy
Current stateof
Occupationaltherapy
Years of experience in current position
PearsonCorrelation
1 -.238 -.154 -.042
Sig. (2-tailed) .394 .424 .830
N 29 15 29 29
If you have referred patient tooccupational therapy
Pearson
Correlation
-.238 1 .030 .235
Sig. (2-tailed) .394 .915 .400
N 15 15 15 15
knowledgeable about occupationaltherapy
PearsonCorrelation
-.154 .030 1 .300
Sig. (2-tailed) .424 .915 .113
N 29 15 29 29
Current state of Occupational therapy
Pearson
Correlation
-.042 .235 .300 1
Sig. (2-tailed) .830 .400 .113
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Discussion of result: The specific purpose of this study was to explore the knowledg
physicians about occupational therapy in Jenin. 29 Study sample aged 25-58physicians.
The physicians awareness about occupational therapy in Jenin is very low, due to mareasons:(1) relationship and the communication
(2) no education (3) academic level did not give them sufficient knowledge.
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There is no sufficient knowledge and recognition aboutoccupational therapy between physicians just know superficiallythis might be the factor that the physicians do not know deeply
what is the O.T.The role of occupational therapy in the field is not satisfied
because there is lack of programs to clarifying the role ofoccupational ,and the nature and what they work in.
Th i h l i b h l f O T i
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There is no enough explanation about the role of O.T inhealth care profession in all stage of the work. O.T depend onphysicians as a primary source of referral, yet the services andfunctions of O.T may not be clearly understood by members
of the medical profession.*While the age of physicians were lower, the awareness about
O.T was more.
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The years of experience of the physicians dont affect their knowledgeabout occupational therapy. *If the physicians referring morepatients to occupational therapy, this mean that there is moreunderstanding about Occupational therapy and when .*if Theparticipant's years of experience increased , this doesn't mean the rateof referring to occupational therapy will be increase. *The mean
rating of physicians satisfaction was 4.46, this indicate that themajority of these refer to OT were satisfied
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Limitation Although our research had reached its aims, they were some unavoidable limitations:
* Because of the research Small sample size the result ,cannotbe generalized.* Only one profession was included in the research, which do
not represent all health professionals in Jenin * The closed-ended questions on the questionnaire. * In section three of questionnaire, the content of the
checklist mainly focused on services and responsibilitiesrelated to occupational therapy. Thus the list tested onlysubject s knowledge of occupational therapy that fell under
he umbrella
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Recommendations:*A future research should include a larger, random sample in order to
collect more information and allow generalization to the population* increase the opportunity for a physicians of different geographicallyrepresentative sample and to see if the results of the current research
are representative of a broader population.* determine what other health professionals know about OT, anddetermine whether associated with making increased referrals.* To learn the role of O.T through university curriculum becausethere are greater deal of overlap the O.T with other professions, theremay be a blurring of roles or a lack of understanding about thefunctions of OT.