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Using Theory to Underpin an Integrated Occupational Therapy Service through the Canadian Model of Occupational Performance

机译:通过加拿大职业绩效模型,运用理论为综合职业治疗服务提供基础

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The aim of this action research study was to embed the theoretical tenets of the Canadian Model of Occupational Performance and its structures in a way that was appropriate to, and would be used by, all staff within an integrated health and social care setting. The action research involved 10 phases of reflection and action, with data analysis occurring between the cycles.The findings showed the importance of taking time to embed theory before implementing model structures in order to prevent those structures, and particularly the paperwork, becoming superficial. In addition, the importance of using theoretical structures (models) flexibly and adapting them to particular services was identified.A more generally applicable finding was that occupational therapists can and should demonstrate their theory through their practice and that this can be done by using a model to illustrate their clinical and, more specifically, their conditional clinical reasoning (Mattingly and Fleming 1994). In addition, the demonstration of clinical reasoning proved vital in making the client-centred and occupational beliefs of the model overt.It was concluded that implementing theory and using occupation-based literature (Williams and Bannigan 2008) in this way can take a long time but is worthwhile because it provides a sound and strong base for the profession's identity.
机译:这项行动研究的目的在于以适合健康综合和社会护理环境中的所有员工并将使用的方式,嵌入加拿大职业绩效模型及其结构的理论宗旨。行动研究涉及反思和行动的10个阶段,每个周期之间进行数据分析。研究结果表明,在实施模型结构之前花一些时间来嵌入理论很重要,以防止这些结构(尤其是文书工作)变得肤浅。此外,还确定了灵活使用理论结构(模型)并使之适应特定服务的重要性。一个更普遍适用的发现是,职业治疗师可以并且应该通过实践证明其理论,并且可以通过使用模型来完成来说明他们的临床,更具体地说是他们的条件临床推理(Mattingly and Fleming 1994)。此外,临床推理的证明对于使该模型的以客户为中心和职业信念更加重要至关重要。结论是,以这种方式实施理论和使用基于职业的文献可能会花费很长时间(Williams and Bannigan 2008)。但值得,因为它为该行业的身份提供了良好的基础。

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