Background: Previous studies into leisure have employed methodologies that may understate the significance of experiential components. This exploratory study investigated the leisure experiences of retired Australians over 65 years of age. Methods: Five semistructured interviews were used to explore the leisure experience of older people from metropolitan Adelaide. Data were coded and analysed thematically. Results: Relaxation and engrossment emerged as commonly expressed experiences, yet were found to emerge as a result of engagement in occupations predefined as leisure. Experiences of freedom from both necessary duties and a sense of obligation were discussed as potential determinants of leisure consciousness. Practice implications: This study highlights a need for therapists to actively access clients' subjective leisure experiences to enable engagement in personally meaningful leisure occupations.
Objective: To capture qualitative research about the perspectives and reasoning of allied health professionals about variability in the use of clinical guidelines in stroke rehabilitation. Data sources: Ovid Medline, Psychinfo, Cochrane, Ovid Emcare, Scopus and Web of Science. Method: The review protocol followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. Qualitative or mixed methods research that provided qualitative data about use of clinical guidelines delivered by allied health professionals in stroke rehabilitation was included. Clinical guidelines included any evidence-based documents that guided allied health stroke rehabilitation practice. All studies were screened in duplicate at title and abstract and then at full text. Included studies were appraised using the McMaster Critical Appraisal Tool. Results: Data from 850 allied health professionals in 22 qualitative research studies from seven different countries were analysed and synthesised. Four themes were developed including: context necessitates strategy, all clients are different, systemic changes are needed and need a good reason to change something. The findings aligned with the four arms of evidence-base practice. Allied health professionals use clinical guidelines when they align with their reasoning and match the ‘sweet spot’ for client goals and circumstance. Clinical guideline use is attributed to sufficient resourcing, time and motivation and a strong research culture within health systems. Conclusions: Variabilities in clinical guideline use by allied health professionals are due to their clinical reasoning, contextual factors, client characteristics and enabling health systems.
Introduction: Sustainable development is used to tackle environmental crises affecting human survival. Many sectors endorse sustainable development as a guiding principle but the health sector is yet to incorporate it in an effective and coordinated manner. To support occupational therapy engagement, the World Federation of Occupational Therapy developed a policy outlining their position on sustainable development. Method: The policy analysis method developed by Carol Bacchi (the 'What's the problem represented to be?' approach) and elite interviewing of three members of the policy writing committee were used to explore how sustainable development is represented by the World Federation of Occupational Therapy and the effects of this representation. Results: Analysis revealed that the World Federation of Occupational Therapy understands sustainable development as a set of principles and practices that demand cultural change. The policy links 'Western' cultural values and environmental crises and obliges occupational therapists, as ethical subjects, to take on new personal and professional values concerning knowledge, evidence and ethics. Conclusion: Presently, occupational therapists adopting sustainable development principles may appear to be challenging unsustainable occupational therapy practices and expanding the parameters of professional ethics. Further research into the concept of the ethical subject and requirements necessary for the adoption of sustainable cultural values is suggested.
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