Problem Solving in Occupational Therapy

Robertson, Linda; Griffiths, Siân Lowri

doi:10.1002/9781118702833.ch1

Cited by 10 publications

(18 citation statements)

References 13 publications

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“…The latter is the somewhat more intrinsic aspect of creativity and was the main focus of our research. This intrinsic understanding of creativity in occupational therapy has also been suggested by Robertson and Griffiths (). In their opinion, occupational therapy is a discipline that helps individuals solve problems; hence, occupational therapist can be characterized as “problem‐solvers.” The profession's focus on problem‐solving of the client's specific challenges and the lack of research on the subject make the need for more studies of the concept of creativity even more timely (Robertson & Griffiths, ).…”

Section: Creativity As a Therapeutic Tool Vs Intrinsic Creativitysupporting

confidence: 59%

Section: Creative Therapeutic Relations and Interventionsmentioning

confidence: 81%

“…In their opinion, occupational therapy is a discipline that helps individuals solve problems; hence, occupational therapist can be characterized as "problem-solvers." The profession's focus on problem-solving of the client's specific challenges and the lack of research on the subject make the need for more studies of the concept of creativity even more timely (Robertson & Griffiths, 2012).…”

Section: Creative Therapeutic Relations and Interventionsmentioning

confidence: 99%

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Creative Occupational Therapist: It's About the Client Using Focus Groups to Explore Creativity in Occupational Therapy

Oven

Lobe

2018

Journal of Creative Behavior

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Although creativity is an important aspect of occupational therapy theory and practice, there have been few studies that would explore this concept in the context of the occupational therapy process. This was the first qualitative study of creativity in occupational therapy in Slovenia. It was conducted as part of a larger mixed‐methods study and included 22 experienced occupational therapists who participated in four focus groups. The focus of the study was on the exploration of different factors that could contribute to creativity and creative strategies in occupational therapy, in either a positive or a negative way. Since occupational therapy promotes a client‐centered therapy approach, the role of the client as the motivating factor was of particular interest to our study. Six factors that can influence the creativity of occupational therapists emerged from the qualitative analysis (Strauss & Corbin, 1990). While the client was identified as the key factor, the potential of other factors was also recognized. This qualitative study increased the understanding of the concept of creativity and creative behavior in occupational therapy, and also provided empirical material that formed the basis for the development of a questionnaire on creativity in occupational therapy.

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Section: Creativity As a Therapeutic Tool Vs Intrinsic Creativitysupporting

confidence: 59%

Section: Creative Therapeutic Relations and Interventionsmentioning

confidence: 81%

Section: Creative Therapeutic Relations and Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Creative Occupational Therapist: It's About the Client Using Focus Groups to Explore Creativity in Occupational Therapy

Oven

Lobe

2018

Journal of Creative Behavior

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“…The clinical reasoning process is dependent upon critical thinking and is influenced by a person's attitude, philosophical perspective and preconceptions [40][41][42][43]. The participants considered having feedback from the client, or the clients' families, and used valid tools for gathering data as important factors in decreasing errors in clinical reasoning.…”

Section: Discussionmentioning

confidence: 99%

Occupational Therapists' Clinical Reasoning: A Qualitative Study

Shafaroodi

Kamali

Parvizi

et al. 2017

IRJ

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Objectives:Clinical reasoning is at the heart of clinical work; it is affected by different field factors. A clear understanding of the reasoning process could solve practitioners' problems on how to make their underlying theories, assumptions and values more explicit. The aim of this research is to understand how clinical reasoning process is formed in the context of occupational therapists working in different clinical settings in Iran. Methods:A purposeful and theoretical sampling of 15 occupational therapists working in clinical settings was performed through semi-structured interviews. All the data were recorded, transcribed, and analyzed using Strauss and Corbin's (2008) grounded theory approach and constant comparative analyses. Results:Conceptual model was developed to explain the relationships among the main categories extracted through the grounded theory. Achieve an observable change emerged as the core category. Other important categories linked to the core category were, performing the continuum of clinical reasoning, context of clinical reasoning, and effective factors in clinical reasoning.Discussion: Findings showed that achieving an observable change in the client was the main consequence of the action/interaction strategies. Some facilitating factors related to the therapist, helped to process reasoning with a holistic and client-centered view, while also helping to develop the self-belief and professional identity. The dominance of medical views and a lack of health insurance were two intervening factors that constrained the dynamics of clinical reasoning within the context of practice.

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“…Chapparo and Ranka (2008) proposed that diagnostic and procedural reasoning are forms of scientific reasoning in occupational therapy, though these problem solving processes are evident in most tracks of reasoning described in occupational therapy literature (Robertson &Griffiths, 2012). For example, cue acquisition is evident when using each of the procedural, interactive and conditional reasoning tracks but what differs between these tracks is the type of cues occupational therapists attend to, therefore providing some evidence of a common underlying problem solving process.…”

Section: Cognitive Processes Of Reasoning and Decision-makingmentioning

confidence: 99%

Understanding and supporting occupational therapists clinical decision-making for the management of upper limb post stoke sensory impairment

Doyle¹

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BackgroundStroke survivors form the largest client group seen by occupational therapists and a large proportion of these stroke survivors experience upper limb post-stroke sensory impairments (ULPSSI) which impact upper limb function and participation. This thesis addresses the clinical decision-making (CDM) of occupational therapists when managing ULPSSI. No appraised and synthesised summary of the research evidence related to the effectiveness of interventions for ULPSSI is available to support therapists' CDM.Information on occupational therapists' practice choices and decisions about managing ULPSSI and the survivors' perspective on ULPSSI is scant. This information could support occupational therapists CDM when addressing ULPSSI and potentially improve stroke survivors' outcomes. Thesis AimsThis thesis aims to:1. Synthesise the effectiveness of interventions for ULPSSI; 2. Explore how occupational therapists make and manage decisions regarding ULPSSI management; 3. Describe practice choices occupational therapists commonly make when managing ULPSSI and the sources of information they use to make these decisions; 4. Compare current assessment choices and intervention practices with recommendations from the research evidence and clinical practice guidelines; 5. Describe the stroke survivors' perspective with regard to ULPSSI; and 6. Design and pilot an evidence-based, theory-driven educational intervention to support occupational therapists' CDM when addressing ULPSSI. Thesis MethodsFive distinct studies addressed the above aims. A Cochrane systematic review evaluated the evidence for the effectiveness of ULPSSI interventions.iii  Twelve occupational therapists participated in a qualitative descriptive study exploring therapists' practice choices and CDM related to ULPSSI. Based on the qualitative study, a survey of 187 occupational therapists described therapists' current practice choices regarding ULPSSI management and factors impacting CDM. A qualitative descriptive study using semi-structured interviews with 15 stroke survivors explored their experience of ULPSSI and the associated rehabilitation encounter. Finally, based on the need for training expressed by the survey participants, a one group pre-and post-test design, feasibility study evaluated the effect of a one day, theory-based educational intervention on 19 occupational therapists' knowledge, perceived behavioural control, attitudes and intended behaviour regarding ULPSSI management, research utilisation, and shared decision-making. Workshop content incorporated information from the prior research studies forming this thesis. ResultsA Cochrane systematic review located 13 randomised controlled trials (RCTs) addressing ULPSSI interventions, with benefit shown from individual RCTs evaluating mirror therapy, a graded thermal stimulation, and intermittent pneumatic compression. Other single RCTs reporting statistically significant results for repetitive peripheral magnetic stimulation, early intensive task-orientated training and graded...

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Problem Solving in Occupational Therapy

Cited by 10 publications

References 13 publications

Creative Occupational Therapist: It's About the Client Using Focus Groups to Explore Creativity in Occupational Therapy

Creative Occupational Therapist: It's About the Client Using Focus Groups to Explore Creativity in Occupational Therapy

Occupational Therapists' Clinical Reasoning: A Qualitative Study

Understanding and supporting occupational therapists clinical decision-making for the management of upper limb post stoke sensory impairment

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