4.2 Article

Pediatric therapists' perspectives on occupation-based practice

Journal

SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY
Volume 19, Issue 1, Pages 17-25

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.3109/11038128.2010.547598

Keywords

grounded theory; occupation-based practice; pediatric practice; qualitative

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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 (TM) 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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