Qualitative research aims to address questions concerned with developing an understanding of the meaning and experience dimensions of humans' lives and social worlds. Central to good qualitative research is whether the research participants' subjective meanings, actions and social contexts, as understood by them, are illuminated. This paper aims to provide beginning researchers, and those unfamiliar with qualitative research, with an orientation to the principles that inform the evaluation of the design, conduct, findings and interpretation of qualitative research. It orients the reader to two philosophical perspectives, the interpretive and critical research paradigms, which underpin both the qualitative research methodologies most often used in mental health research, and how qualitative research is evaluated. Criteria for evaluating quality are interconnected with standards for ethics in qualitative research. They include principles for good practice in the conduct of qualitative research, and for trustworthiness in the interpretation of qualitative data. The paper reviews these criteria, and discusses how they may be used to evaluate qualitative research presented in research reports. These principles also offer some guidance about the conduct of sound qualitative research for the beginner qualitative researcher.
Qualitative research provides a valuable source of evidence to enhance occupational therapy practice. Occupational therapists need to consider the issue of trustworthiness prior to deciding whether the findings of qualitative research have relevance to their day-to-day work. By trustworthiness we mean the extent to which the findings are an authentic reflection of the personal or lived experiences of the phenomenon under investigation. In this article we provide guidance to enable occupational therapists to competently determine the trustworthiness of a qualitative research project. We do this by explaining, and illustrating with examples, six considerations that should be taken into account when determining whether the method, findings and interpretation of a qualitative research have been conducted in a trustworthy manner. These considerations are evidence of thick description, triangulation strategies, member-checking, collaboration between the researcher and the researched, transferability and reflexivity. Once the trustworthiness of a qualitative research has been determined, occupational therapists are in a better position to consider how the research findings may impact on their practice.
The PNCQ shows acceptable feasibility, reliability and validity, adding to the range of assessment tools available for epidemiological and health services research.
Workplace accommodations appear to be important to support employees with mental illness, but more accessible information about how disability discrimination legislation applies to this population is needed. Future research should address the implementation and effectiveness of mental health-related workplace accommodations.
Time use provides one means to study the lifestyles and community participation of people with disabilities. Previous clinical studies suggest that people with a mental illness experience difficulty in using their time meaningfully. This study examines the time use of 229 adults diagnosed with schizophrenia from an epidemiological survey in London, England. Twenty-four hour time budgets were collected and time use was calculated for 10 major categories of occupations. Few of the participants were engaged in work, active leisure, education or volunteer occupations, their predominant occupations being sleeping, personal care and passive leisure. The women spent significantly more time in domestic occupations and less time in passive leisure occupations than the men. The younger participants spent significantly more time in social occupations than the other age-groups. The older participants, and those attending day centres, spent most time in passive leisure. These findings indicate that many people diagnosed with schizophrenia are not engaged in occupations that support active lifestyles or social inclusion, highlighting the need to improve their opportunities to participate in mainstream social, active and productive occupations. Occupational therapists must work with service users and agencies beyond the mental health system to enable service users' participation in such occupations. Barriers to participation also require further exploration to address these occupational needs better.
This is a scoping review of literature on human resource management (HRM) and management practice that impacts on workers with physical, mental health and intellectual disabilities, employed or entering paid employment. The aim is to illuminate the use of HRM practices, managerial attitudes and employee outcomes in the disability literature. The methodological research framework commenced with seven databases and was supported with evidenced‐based literature to find three main themes. Themes highlight the management and employer support for workers with disabilities, discrimination and attitudes towards employment of this cohort of workers, and performance and employment outcomes. As governments around the world seek to reduce welfare costs and increase the employment of people with disabilities this paper is timely. Overall, the paper contributes to a dearth of literature on the management of people with disabilities at the workplace to unpack the key barriers, challenges and trends, and develop a comprehensive research agenda.
This scoping review indicates occupational engagement is an important dimension of the recovery process: recovering is experienced through engaging in occupations, which, in turn, fosters personal recovery. Employment and volunteering have received most attention in studies of occupation and recovery. A broader view of the experiences and factors involved in the processes of 'occupational recovery' warrants further exploration to advance theory and inform recovery-oriented occupational therapy practice.
Institutional environments are challenging settings in which to provide rehabilitation. This study describes the time use of a group of inpatients, the majority diagnosed with schizophrenia, in a secure forensic psychiatric unit in Australia. Time diaries, interviews and fieldnotes were collected over 5 weeks. Eight participants completed time diaries for two consecutive days, of whom five were also interviewed using the Occupational Performance History Interview II.
The participants' time use was dominated by personal care and leisure occupations. In general, the participants were dissatisfied with their time use, describing themselves as ‘bored’ or ‘killing time’. Many perceived that the environment created barriers to their participation in valued occupations, yet some also found occupations that provided solace, challenge or a connection with the outside world.
The findings indicate the importance of understanding individuals' unique occupational histories, interests and skills in order to create opportunities to engage them in relevant occupations that use personal resources, as part of forensic rehabilitation programmes, and the utility of the Occupational Performance History Interview II in this context. Further research exploring patient and staff perspectives on the challenges of occupational programming in forensic settings and the longitudinal impact of such programming on inpatients' occupational functioning, health and wellbeing is recommended.
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