2020, Vol.28, No.3

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

pISSN : 1226-0134 / eISSN : 2671-4450
https://journal.kci.go.kr/kjot

Objective: This study aims to analyze the trends, item contents, and scoring system of a home safety assessmentby systematically reviewing published articles on using home safety assessment tools. Methods: Articles on the home safety assessment of the elderly in the community published from January 2000 toDecember 2019 were searched using Embase, NDSL, and PubMed databases. Based on the selection criteria andexclusion criteria of the 394 articles, a total of 11 articles were finally selected and analyzed. Results: As a result, seven (63.6%) articles of the one group pre-and post-group studies of evidence level IIIwere the most common. A total of 10 home environment assessment tools were used in 11 studies, and the SafetyAssessment of Function and the Environment for Rehabilitation (SAFER-HOME) was the most commonly applied(23.1%). Occupational therapists (81.8%) were the most frequently asked to assess the home environment. Mostof the home environment assessment tools analyzed in this study aimed to assess the risk factors of the home andthe outside environment and to promote a safe occupational performance. Conclusion: A total of 10 home safety assessments were analyzed among 11 articles. They generally consist ofitems related to falls, safety, disaster plans, and medication environments. A home safety assessment byoccupational therapists includes factors regarding occupational performance within the surrounding environment aswell as the physical environment. The items in a home safety assessment reflected the house and lifestyle ofwestern culture, and thus it will be necessary to develop our own culture-based home assessment in the future.

Objective: This study analyzes the relationship between an occupational therapist’s work environment, job satisfaction,and empowerment in a hospital-level medical institution. Basic data on the mediating effect of empowerment on therelationship between work environment and job satisfaction are established. Methods: The study period was from November 10 to December 28, 2018, and the subjects were 205 occupationaltherapists working in a hospital in G metropolitan city. The correlations between work environment, job satisfaction,and empowerment were analyzed using a Pearson’s correlation. The mediating effects of the work environment, jobsatisfaction, and empowerment were verified using model 4 of the PROCESS macro. The significance of the indirecteffects was verified through a non-parametric resampling method, which is also known as bootstrapping. Results: There is a statistically significant correlation between work environment, empowerment, and job satisfactionof the occupational therapists, and the work environment had both direct and indirect effects on job satisfaction withempowerment as a mediator. Conclusion: High-quality occupational therapy services can only be expected in an environment in which horizontal,supportive, and flexible relationships that are not characterized by an order and delivery system are combinedwith empowerment to guarantee both autonomy and authority.

Objective: The purpose of this study is to develop competency indicators for school-based occupational therapists(SBOT). Identification of core competencies which includes knowledge, skills, and characteristics is required forsuccessful performance of school-based occupational therapy. Method: A delphi study was conducted in two parts with eight occupational therapists with SBOT background. Fivetherapists with more than 10 years of clinical experience with pediatric to adolescent population were selectedfrom the Delphi responses. Competency indicators for SBOT in Korea were developed through collection andmodification of the final Delphi data. Result: A total of 36 indicators were developed as competency indicators for SBOT. Three competency clusters—expertise knowledge, job skills, and personal characteristics—each consisting of 14, 11, and 11 competencyindicators were identified. Conclusion: This study demonstrates the competencies needed as SBOT on expertise knowledge and job skills, aswell as personal characteristics needed to communicate with professionals from other disciplines. The competencyindicators for school-based occupational therapists developed in this study derives from socio-educational model,not medical model. Thus, this indicators are expected to provide basic foundation for the development ofschool-based occupational therapy school curriculum.