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Published on: February 16, 2011
Community occupational therapists' clinical reasoning: identifying tacit knowledge
Annie Carrier1, Mélanie Levasseur, Denis Bédard
1School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 1036 rue Belvédère Sud, Sherbrooke, Québec, Canada. annie.carrier@usherbrooke.ca
Australian Occupational Therapy Journal
|November 25, 2010
Summary
Community occupational therapists
Area of Science:
- Occupational therapy
- Clinical reasoning
- Community health
Background:
- Community occupational therapy is vital for enabling clients to live at home.
- Interventions focus on maximizing client safety and autonomy.
- Understanding clinical reasoning is key to improving intervention effectiveness.
Purpose of the Study:
- To synthesize current knowledge on clinical reasoning in community occupational therapy.
- To explore factors influencing community occupational therapists' decision-making.
Main Methods:
- A scoping study of existing literature was conducted.
- Reviewed 15 textbooks and 25 articles, with 6 specifically on the topic.
- Synthesized findings on the nature and influences of clinical reasoning.
Main Results:
- Community occupational therapists' clinical reasoning is shaped by internal factors (experience, expertise) and external factors (practice context).
- Practice context, including organizational and physical factors, significantly influences reasoning.
- The precise impact of various personal, organizational, legal, and resource-related factors remains unclear.
Conclusions:
- Further research is required to fully understand the interplay of internal and external factors.
- A deeper understanding of these influences can enhance the quality of occupational therapy services provided to community-dwelling clients.
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