Abstract:
BACKGROUND: Occupational therapy interventions in the community, a fast expanding practice setting, are central to an important social priority, the ability to live at home. These interventions generally involve only a small number of home visits, which aim at maximising the safety and autonomy of community-dwelling clients. Knowing how community occupational therapists determine their interventions, i.e. their clinical reasoning, can improve intervention efficacy. However, occupational therapists are often uninformed about and neglect the importance of clinical reasoning, which could underoptimise their interventions. AIM: To synthesise current knowledge about community occupational therapists' clinical reasoning. METHOD: A scoping study of the literature on community occupational therapists' clinical reasoning was undertaken. RESULTS: Fifteen textbooks and 25 articles, including six focussing on community occupational therapists' clinical reasoning, were reviewed. Community occupational therapists' clinical reasoning is influenced by internal and external factors. Internal factors include past experiences, expertise and perceived complexity of a problem. One of the external factors, practice context (e.g. organisational or cultural imperatives, physical location of intervention), particularly shapes community occupational therapists' clinical reasoning, which is interactive, complex and multidimensional. However, the exact influence of many factors (personal context, organisational and legal aspects of health care, lack of resources and increased number of referrals) remains unclear. CONCLUSION: Further studies are needed to understand better the influence of internal and external factors. The extent to which these factors mould the way community occupational therapists think and act could have a direct influence on the services they provide to their clients.
journal_name
Aust Occup Ther Jjournal_title
Australian occupational therapy journalauthors
Carrier A,Levasseur M,Bédard D,Desrosiers Jdoi
10.1111/j.1440-1630.2010.00875.xsubject
Has Abstractpub_date
2010-12-01 00:00:00pages
356-65issue
6eissn
0045-0766issn
1440-1630journal_volume
57pub_type
杂志文章,评审abstract:BACKGROUND/AIM:Traditional developmental models assume that the underlying capacities of children contribute to their participation. In this framework, preschoolers who are referred for occupational therapy services usually undergo an assessment intended to identify capacities in certain domains. Contrary to this, newe...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12041
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND/AIM:Occupational therapists consider the impact of autism spectrum disorder on occupational performance at school. Occupational therapists work with teachers to support student participation. Atypical sensory processing is common in children with autism. Therefore, collaborating with teachers to enable stude...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12381
更新日期:2018-02-01 00:00:00
abstract:AIM:Normative adult handwriting speed data were last collected in Australia in 1982 using the Jebsen writing speed test. Updated norms are required by clinicians who measure and retrain handwriting. This study aimed to obtain and describe the range of normative scores for handwriting speed in healthy adults aged 60-99 ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00955.x
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION:Individuals with Intellectual and Developmental Disabilities (IDD) experience broad impairments that affect their functional performance and consequently result in the need for supervision and assistance on a daily basis. The literature contains effectiveness studies of functional interventions provided to...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/1440-1630.12577
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND: The physical demands of work have a substantial impact on the incidence of work-related musculoskeletal disorders. Depression is often associated with work-related injuries and may influence a person's success or otherwise return to work. There is pressure for occupational rehabilitation providers to produ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/j.1440-1630.2006.00624.x
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:One method of evaluating the construct validity of instruments is the Rasch Measurement Model (RMM), an increasingly popular method used for test construction and validation. AIM:The aim was to examine the construct validity of the Developmental Test of Visual-Motor Integration 5th Edition (VMI) by applying...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2009.00811.x
更新日期:2009-12-01 00:00:00
abstract:AIMS:Up to 50% of children with attention deficit hyperactivity disorder (ADHD) also present with difficulties with motor proficiency. Several assessments of motor proficiency are available for occupational therapists, though the validity of these measures in an ADHD population requires further exploration. The aim of ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12641
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND/AIM:Occupational therapists involved in volunteer programmes do so as either a volunteer or as a professional working with volunteers. This study outlines two such programmes: one in regional Queensland, with refugees settling into a life in Australia, and one in Bhutan, with an organisation assisting famili...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12104
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND/AIM:Grip strength is useful in clinical practice for the assessment of disease and/or rehabilitation progression. Brief maximal gripping is seldom required in everyday occupations, with repeated or sustained gripping at sub-maximal power more commonly involved. It has been proposed that assessment of both ma...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2010.00888.x
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND/AIM:The development of list serves has enabled occupational therapists working in a range of practice settings and geographical locations to share information and provide each other with professional support. The aim of this study was to gain insight into the nature of communications occurring on the Paediat...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2007.00716.x
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND/AIM:Knowledge and understanding of deficits in executive functions has expanded in recent years and its relevance to occupational therapy has been established. The purpose of this review was to identify, analyse, synthesise and describe the updated occupational therapy scientific literature that addresses th...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12525
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Barriers to the use of evidence-based practice extend beyond the individual clinician and often include organisational barriers. Adoption of systematic organisational support for evidence-based practice in health care is integral to its use. This study aimed to explore the perceptions of occupational therapy...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12260
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND/AIM:There is a need for culturally appropriate assessments for Australian Indigenous children. This article reports the selection of culturally appropriate and gender-neutral play materials, and changes in administration identified to develop further the Indigenous Child-Initiated Pretend Play Assessment (I-...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2010.00905.x
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND/AIM:Life roles are integral to occupational therapy practice. Goal setting is a method of establishing priorities to measure outcomes. While acquired brain injury can impact a person's ability to fulfil meaningful life roles, the alignment of goals set in rehabilitation to life roles, is unclear. This study ...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12492
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The transition from work to retirement is a complex process and unique experience with a relationship existing between work and retirement with implications for health in later life. This review explored the relationship between pre-retirement job and participation in the work-to-retirement transition proces...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12452
更新日期:2018-08-01 00:00:00
abstract:AIM:This article explores factors that contribute to clients' chronic pain management from an occupational therapy perspective. METHOD:Nine occupational therapists from Australia and New Zealand who worked in this practice area were interviewed. Qualitative method of narrative inquiry was used to analyse the therapist...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12011
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND/AIM:Engagement in meaningful occupation, including paid work is considered an important determinant of health, impacted by injury or illness. Dementia is one neurodegenerative syndrome with potential to compromise capacity for remaining engaged in paid employment. In response to 'ageing' populations globally...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12535
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:While legitimate practice tools have been the subject of debate within the profession, little attention has been paid to psychological frames of reference (PFsOR). Hence, this article explores the ways psychological theories and therapies shape occupation-based practice in mental health settings. METHODOLOG...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12302
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND/AIM:Occupational therapists and physiotherapists have established roles in work-related practice. However, there is limited information about the attributes required by these professions for competent practice in this field. The aim of this systematic review was to evaluate the research literature to determi...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章,评审
doi:10.1111/1440-1630.12006
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND/AIM:In Australia, all stroke survivors should not drive for four weeks and transient ischaemic attack (TIA) survivors should not drive for two weeks. This study investigates the provision of return-to-driving education in the acute hospital setting and the use of this education by a cohort of Australian pati...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12359
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND/AIM:While internationally educated occupational therapists (IEOTs) may assist Western countries in addressing workforce shortages, their transition to practice can be difficult. Provincial and national levels of government in Canada have funded initiatives to address the barriers experienced by IEOTs. The pu...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12541
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND/AIM:There is a growing body of research to support the role of occupational therapy in dementia care. However, little is known about the extent to which this research is translated into occupational therapy practice. This study addresses this gap by considering current occupational therapy practice in the fi...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12081
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND/AIM:Home visits, used by occupational therapists to facilitate independence and enhance safety, are effective but costly and time consuming. This research aims to establish the level of agreement in equipment prescribed by occupational therapists using: digital photographs only, and using home visits and dig...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12121
更新日期:2015-04-01 00:00:00
abstract:AIM:To investigate the interrater, intra-rater and internal consistency reliability of the Theory Application Assessment Instrument, a tool for testing competency in combining multiple theoretical conceptual practice models in client evaluation and treatment planning. METHODS:The assessment was administered to 27 grad...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2009.00837.x
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Dementia residential facilities can be described as traditional or non-traditional facilities. Non-traditional facilities aim to utilise principles of environmental design to create a milieu that supports persons experiencing cognitive decline. This study aimed to compare these two environments in rural Aust...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12243
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:Maintaining a continuum of care is vital to ensure adequate health among older adults, particularly during periods of care transitions, when they are vulnerable and at risk of poor health outcomes. The Transition Care Program in Australia is designed to support older adults following the conclusion of a ho...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12667
更新日期:2020-12-01 00:00:00
abstract:AIM:This study aimed to investigate the perception of graduate students on their preparation for practice, at 7 months post graduation. METHOD:Using an anonymous postal questionnaire, 18 respondents (58% response rate) provided data on the nature of current employment, the experience as a graduate therapist, and perce...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2008.00751.x
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND/AIM:The Tree Theme Method(®) is an intervention based on creative activities and occupational storytelling. The Tree Theme Method(®) implies that the clients draw and paint trees symbolising various periods in their life. The pictures are then used as a starting point to tell their life story to enhance thei...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/1440-1630.12034
更新日期:2013-06-01 00:00:00
abstract:AIM:To examine, using a retrospective narrative study, the factors influencing four older people's decision to plan for the activities they would undertake once retired, the planning process undertaken and their subsequent experience of retirement. METHOD:Semi-structured interviews were conducted to examine the factor...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2009.00820.x
更新日期:2010-02-01 00:00:00
abstract:INTRODUCTION:Research has been conducted over several years to develop a new off-road assessment battery referred to as the Occupational Therapy - Driver Off-Road Assessment Battery. This article documents the development of the Battery, and provides preliminary research evidence to support its content and predictive v...
journal_title:Australian occupational therapy journal
pub_type: 杂志文章
doi:10.1111/j.1440-1630.2011.00979.x
更新日期:2012-02-01 00:00:00