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Pediatric therapists' perspectives on occupation-based practice.
1Department of Occupational Therapy, Xavier University, Cincinnati, Ohio, USA. estesj@xavier.edu
Pediatric occupational therapists find occupation-based practice rewarding and effective, despite challenges in medical settings. Therapists creatively adapt strategies to integrate this patient-centered approach.
Area of Science:
- Pediatric Occupational Therapy
- Evidence-Based Practice
- Healthcare Delivery
Background:
- Occupation-based practice is a cornerstone of pediatric occupational therapy.
- Understanding therapists' perspectives is crucial for effective implementation in clinical settings.
- Medical facilities present unique contextual factors influencing practice.
Purpose of the Study:
- To explore the perspectives of pediatric occupational therapists on occupation-based practice.
- To identify facilitators and barriers to implementing occupation-based practice in a medical setting.
- To understand how therapists navigate competing demands in their practice.
Main Methods:
- Grounded theory approach utilized for qualitative data analysis.
- Individual, semi-structured interviews conducted with 22 pediatric occupational therapists.
- Constant comparison techniques and memo writing employed to identify emergent themes.
Main Results:
- Occupation-based practice is linked to therapist identity and professional education.
- Therapists perceive occupation-based practice as more satisfying, effective, and individualized.
- Patients and families reportedly find occupation-based practice more motivating and generalizable.
- Pragmatic factors and contextual forces in medical facilities pose challenges to implementation.
Conclusions:
- Therapists employ creative strategies to overcome practice constraints.
- Negotiating between competing paradigms is essential for maximizing occupation-based practice.
- Personal and professional factors significantly influence the adoption of occupation-based practice.