Development of Algo, a clinical algorithm for non–occupational therapists selecting bathing equipment

Abstract

Background. In Quebec, occupational therapy guidelines allow non–occupational therapists, such as home health aides, to select bathing equipment for “straightforward” cases of clients living at home as long as the aides use a decision-making tool. Purpose. Our aim was to develop a tool that met the common needs of Quebec’s health and social services centres (HSSCs), which involve home health aides in selecting bathing equipment for home-dwelling clients. Method. We followed an ongoing iterative process involving a literature review as well as (a) a synthesis of 40 in-house tools, (b) feedback from 10 occupational therapists (two questionnaires and one focus group), (c) pretests, and (d) translation. Findings. Algo is a clinical algorithm constituting a visual map of the logical steps to follow when selecting bathing equipment for straightforward cases. Algo is a series of yes/no questions dealing with occupation, person, and environment. Implications. Algo, rooted in evidence and regulatory board guidelines, is available to HSSCs involving non-occupational therapists in selecting bathing equipment.