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Research Published
Action Learning:
Developing a Learning Culture in a
Interdisciplinary Rehabilitation
Team
Faull, K., Hartley, L & Kalliath,
T. (2005). Action learning: Developing a learning culture in an
interdisciplinary rehabiltitation team. Organisation
Development Journal, 23, 3,
24-38.
ABSTRACT
Action learning is a
process, involving small groups, solving real problems while at the
same time focusing on what they are learning and how learning can
enhance members' personal and professional development, extend team
performance and benefit the organization as a whole.
We present in this
paper a case study of a rehabilitation team's use of action learning
methodology to provide a focus for a model of practice, evaluate
performance and ultimately increase practice effectiveness. We present a model of action
learning used in our research, and describe what occurred within
each action learning cycle and then discuss the impact of the
reflective-action learning cycle on intervention goals, team
performance, stress, job satisfaction, client outcomes and the
organization as a whole.
Investigation of Health Perspectives
of those with Physical
Disabilities:
The Role of Spirituality as a
Determinant of Health
Faull, K., Hills, M. D.,
Cochrane, G., Hunt, M., McKenzie, C. & Winter, L. (2004) The
role of spirituality as a determinant of health for those with
musculoskeltal disabilities. Disability and rehabilitaion,
26, 3, 129-144
ABSTRACT
Purpose: To identify key determinants of
health and the process of health attainment for people with
musculoskeletal disabilities.
Method: Focus groups of people with
musculoskeletal disorders, including 30 members and their five
trained facilitators, provided data. Discussed were 'What is
health for you?' and 'What has helped, or would help you achieve
this health?' Delphi-structured analysis identified health themes
and a health process model was developed with the facilitators
comprising the expert panel.
Results: Health was perceived as centred on
relationships that required a spiritual awareness for a strong and
resilient identity. The
Self Attributes Model developed portrays the processes perceived to
be required for health.
Conclusions: Although physical, social and
psychological interventions are essential aspects of health
intervention, by themselves they are not sufficient. Also required for health is
a strong resilient self resulting from interaction and connection
with other people and the natural world. Moreover, development of
such an identity requires a spiritual world-view comprising an
acknowledgement of the essence of self and focus upon the nature of
the connection of this essence with all other aspects of life. Further research is required
to advance understanding of the process by which this occurs for
people with chronic disorders.
Organizational
Culture:
The Dynamics of
Culture on Organizational
Change within a
Rehabilitation Centre
Faull, K., Kalliath, T. & Smith, D. L. G.
(2003) Organisatrional Culture: the dynamics of culture
on organisatioal change with a rehabilitation centre.
Organisation Development Journal, 22, 1,
22-40
ABSTRACT
The study
compared present day culture of a New Zealand rehabilitation
organization with the culture developed 60 years ago. Theme
comparison of the original culture and the two present day cultures
identified commonalities and differences between present day and
original cultures. The results indicated that the underlying
beliefs, values and worldviews of the organization seem to have been
resistant to change, specifically to the emergence of behaviours not
congruent with these. The authors conclude that to move forward, the
leaders of the organization need to acknowledge and understand the
present day cultures operating within the organization and identify
ways in which cultural integration can be fostered.
The Role
of the Spiritual Dimension of the Self as the Prime Determinant of
Health
Faull, K. & Hills,
M.d. (2006). The role of the spiritual dimension of self as the
prime determionant of health. Disability and
Rehabilitation, 28, 11: 729-740.
ABSTRACT
Purpose:
To present a
clinical commentary on the relationship of spirituality to
healthcare for those with chronic physical
conditions.
Method: A
spiritually-based theory of self-identity was presented, based on
selected literature to identify the process of health attainment for
those with chronic conditions.
The resultant Health Change Process Theory was then discussed
in relation to relevant empirical research and the implications for
rehabilitation practice were outlined.
Results:
The
development of a resilient, intrinsic, spiritually based concept of
self was found to be pivotal to health outcomes in
rehabilitation. This
was then incorporated within a Health Change Process Theory to
explain and predict the course followed by people with chronic
disorders to achieve health.
Conclusion: The Health
Change Process Theory provides an inclusive framework within which
acute and chronic rehabilitation healthcare can be merged to
maximise health outcomes.
Nevertheless, a need remains to develop a quantitative
measure of individual holistic health, based on this theory, to
facilitate its use in rehabilitation practice.
A
Pilot Study of the Comparative Effectiveness of two Water-based
Treatments for Fibromyalgia Syndrome: Watsu and Aix
Massage
Faull,
K. (2005). A pilot study of the comparative effectiveness ot
two water-based treatments for fibromyalgia syndrome: Watsu and Aix
massage. Journal of Bodywork and Movement Therapies, 9,
202-210.
ABSTRACT
Objective:
To evaluate the effectiveness on health outcomes of a proposed
holistic therapy (Watsu) as a possible intervention for people with
Fibromyalgia Syndrome (FMS) by comparing its effectiveness with the
present water-based therapy, Aix Massage.
Methods:
Thirteen females diagnosed with FMS completed Watsu and Aix
treatments.
Short-Form-36 General Health Survey (SF-36) data was
collected at the start and completion of treatment in a
two-conditions, within-subjects, reverse order counterbalanced
design. Each SF-36 subscale was tested with a two-way, repeated
measures ANOVA.
Results:
Significant change in treatment and interaction effects were found
for Watsu on the SF-36 subscales of physical function, bodily pain,
vitality and social function but not for Aix treatment.
Conclusions:
Watsu was supported as an effective holistic intervention compared
to Aix Massage.
Variables, other than Watsu, may have caused the significant
result. A study with a
larger sample and a control group is required before it can be
inferred that change is due to the therapy.
A
spiritually based measure of holistic health for those with
disabilities: development, preliminary reliability and validity
assessment
A
spirituality based measure of holistic health for those with
disabilities: development, preliminary reliability and validity
assessment. Disability and Rehabilitation. (In
Print).
ABSTRACT
Purpose:
To
develop and test a spiritually based measure of holistic health for
those with chronic physical conditions.
Method:
Two
studies are reported.
Study One used 69 ex-patients with chronic physical
conditions to develop a spiritually based holistic measure of
health. An open-ended
questionnaire, the Participant Health Questionnaire used the echo
technique to obtain statements about the nature of health. These were assembled
to form the Rating of Health Statements Questionnaire, which was
completed by 59 participants.
Reliability and validity analysis yielded a 38-item Health
Attitude Scale, the HAS:1, to which the responses of 48 participants
produced the 40-item HAS:2, which included an Intent subscale. Wording the HAS:2 in the
past tense then created a behavioural measure, the QE Health Scale
(QEHS). Study Two used
233 participants from the same population with chronic conditions to
assess the reliability of the HAS:2 and QEHS, and their validity
against the STAI and the SOC-13
Results: The QEHS proved
reliable (Cronbach's alpha = 0.92) and valid in that it correlated
with the SOC-13 (r=0.32,
p<.01), the STAI
(State) (r=0.-39, p<.01), the STAI (Trait)
(r=0.-.35, p<.01), the HAS:2
(Importance) (r=0.61, p<.01) and the HAS:2
(Intent) (r=0.61, p<.01)
Conclusion:
The QEHS
possessed sufficient reliability and validity as a spiritually based
holistic measure of health to warrant further investigation
The QE Health Scale (QEHS): assessment of the clinical
reliability and validity of a spiritually based holistic health
measure
Faull, K. & Hills, M.
(2006). The QE Health Scale (QEHS): Assessment of the clinical
reliabilty and validityof a spiritually based holistic health
measure. Disability and Rehabilitation. (In
Print)
Purpose: To
assess the clinical reliability and validity of a holistic health
measure, the QE Health Scale (QEHS), for use with people with
physical disabilities.
Method: A test-retest design saw
the QEHS administered and compared with established measures of
health at admission and discharge from three-week inpatient
rehabilitation programmes.
Data was analysed by factor and correlation analysis. Clinician-reported credibility and usefulness of the
theoretical basis of the QEHS, the QEHS itself, and Patient Profiles
derived from the QEHS were also used to evaluate clinical
validity.
Results: The
QEHS was judged to possess satisfactory reliability and
validity.
Conclusion: The QEHS is a clinically
reliable, valid, credible and useful holistic health instrument to
facilitate client-centred therapeutic interventions, inform
decision-making and evaluate outcomes for people with physical
disabilities.
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