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'Beyond the cushion' : a study of occupational therapists' perceptions of their role and clinical decisions in pressure care

ROSE A; MACKENZIE DA
DISABIL REHABIL , 2010, vol. 32, n° 13, p. 1099-1108
Doc n°: 151251
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638280903410748
Descripteurs : KB1 - TECHNIQUES D'ERGOTHERAPIE, HF - PROFESSIONNELS DE SANTE

Occupational therapists are frequently involved in pressure care
management in rehabilitation and community settings. The purpose of this study
was to investigate the perceptions of occupational therapists about their role
within pressure care and the influences on clinical decisions in this area.
A grounded theory approach was used and semi-structured interviews were
conducted with nine occupational therapists who had provided pressure care to
clients within the Hunter Region of Australia. Data were analysed using the
constant comparative method. RESULTS: The occupational therapy (OT) role in
pressure care is diverse and shaped by contextual factors in the workplace.
Informants perceived uncertainty surrounding some aspects of their role in
pressure care, and with perceptions of other health professionals about their
role. OT clinical decisions in pressure care are influenced by intrinsic and
extrinsic factors including OT knowledge and experience, client centred
approaches and the availability of resources. Relationships between study themes
were summarised in a diagram to articulate the factors contributing to the
perceptions of OT's about their role in pressure care. CONCLUSIONS: There is a
need for further investigation into the role and clinical decision making of
therapists involved in pressure care. Occupational therapists need to promote
their role in pressure care to other health professionals.

Langue : ANGLAIS

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