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Pediatric therapists' perspectives on occupation-based practice
1Department of Occupational Therapy, Xavier University, Cincinnati, Ohio, USA. estesj@xavier.edu
Aims:
The aim of this study was to describe the perspectives on occupation-based practice of 22 pediatric occupational therapists in a medical facility in the Midwestern United States.
Methods:
The study used a grounded theory approach to analyze the individual, semi-structured interviews of 22 pediatric occupational therapists. Transcripts were initially coded using Ethnograph™ 5.0 software and analysis continued using constant comparison techniques and memo writing to produce emergent themes of meaning.
Findings:
The doing of occupation-based practice was based in personal identity and influenced by professional education. Occupation-based practice was more satisfying and rewarding for therapists, and they found it more effective and individualized. Patients and families were perceived by therapists to find occupation-based practice more motivating, understandable, valuable, and easily generalized to everyday life. However, occupation-based practice was seen as more difficult in a medical-based facility because pragmatic factors and contextual forces exerted strong influences.
Conclusions:
Therapists used specific creative strategies to negotiate between competing paradigms to maximize occupation-based practice within constraints.
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