Title

Pediatric therapists' perspectives on occupation-based practice

Document Type

Article

Publication Title

Scandinavian Journal of Occupational Therapy

ISSN

1103-8128

Volume

19

Issue

1

First Page

17

25

Publication Date

1-2012

Abstract

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.

Publication Information

Estes J, Pierce D. Pediatric therapists' perspectives on occupation-based practice. Scandinavian Journal Of Occupational Therapy [serial online]. January 2012;19(1):17-25