Client-Centred Practice: The True Impact

1993 ◽  
Vol 60 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Thelma Sumsion

1993 marks the tenth anniversary of the release of the Guidelines for the Client-Centred Practice of Occupational Therapy which are now central to many clinical programmes and evaluation tools. This discussion paper presents some questions about how the model of client-centred practice is being applied by occupational therapists, and asks whether or not therapists clearly understand the implications of the model. The advantages of this model, such as the ability for the diverse definition of the term “client”, its applicability to community practice, and the presentation of therapeutic challenges, are discussed. The author also provides her opinion about how the truly client-centred process should be applied.

2021 ◽  
pp. 000841742199437
Author(s):  
Alexandra Lecours ◽  
Nancy Baril ◽  
Marie-Josée Drolet

Background. Professionalism has been given different definitions over time. These are, commonly theoretical and difficult to operationalize. Purpose. This study aimed to provide an operational definition of the concept of professionalism in occupational therapy. Method. Based on a concept analysis design, a meta-narrative review was conducted to extract information from 30 occupational therapy manuscripts. Findings. Professionalism is a complex competence defined by the manifestation of distinct attitudes and behaviours that support excellence in the occupational therapy practice. In addition, professionalism is forged and evolves according to personal and environmental characteristics. The manifestation of professionalism can lead to positive consequences for occupational therapists, clients, and the discipline, notably contributing to a positive and strong professional identity. Moreover, professionalism is also subject to cultural influences, which leads to variations in its development, manifestations, and consequences. Implications. This study offers a contemporary operational definition of professionalism and levers to promote its development and maintenance.


1996 ◽  
Vol 59 (5) ◽  
pp. 237-242 ◽  
Author(s):  
Greg Kelly

The term ‘hermeneutic’ has recently been appearing in the occupational therapy literature related to clinical reasoning but without an adequate definition of its meaning. The purpose of this article, therefore, is to offer a simple introduction to the term and discuss how it applies to clinical reasoning, thus providing occupational therapists with some of the language they will need to understand this relatively new concept fully. Drawing on literature from nursing, physiotherapy, psychology and occupational therapy, this article examines a hermeneutic approach to occupational therapy research and practice and, indeed, to an understanding of the concept of occupational therapy itself.


1988 ◽  
Vol 51 (1) ◽  
pp. 4-7 ◽  
Author(s):  
George Mocellin

This paper presents a concise definition of occupational therapy incorporating a theoretical concept which, it is suggested, provides the essential underpinning for the profession. It is further suggested that occupational therapists should become more disciplined in dealing with the health problems of patients. General guidelines considered necessary for effective practice are also outlined.


1994 ◽  
Vol 61 (2) ◽  
pp. 72-77 ◽  
Author(s):  
Mary Ann Mccoll

Holism is an idea that occupational therapists use frequently to describe and characterize their practice. And yet, there seems to be some controversy about what it means and what it implies? This paper explores the historical and contemporary meaning of holism, and attempts to project implications for occupational therapy of adopting a strict definition of the holistic practitioner. Implications are explored according to four principles of holistic health care: that the individual is an integrated being, with the capacity to maintain equilibrium; that the goal of health care is the experience of health, not merely the absence of observable signs of illness; that evaluation of health should be a synthesis of understanding of the individual in his or her environment, not an analysis of the individual; and finally, that illness is a normal experience and an opportunity to achieve a higher level of self-awareness and integration with the environment. Each of these principles is explored relative to perceived current practices in the areas of service, research and education in occupational therapy. The paper concludes with a summary of the changes that would be required of the discipline of occupational therapy, if it were to adhere strictly to this definition.


2018 ◽  
Vol 39 (4) ◽  
pp. 197-203 ◽  
Author(s):  
Anna Misiorek ◽  
Edyta Janus

Occupational therapy practitioners consider spirituality to be significant in affecting the process and outcome of occupational therapy; however, many therapists voice confusion and concern about its application within their practice. This study aimed to describe the personal definition of spirituality of young occupational therapy practitioners and their perspectives on its application to their practice. Thirty-five young occupational therapists, engaged in a postprofessional master’s degree, were interviewed using a self-prepared questionnaire, which included open and close-ended questions. The data was analysed using qualitative and quantitative methods. Most participants defined spirituality as a driving force, which shapes many aspects of life. More than half of the participants considered spirituality as crucial in forming therapeutic relationships. The findings suggest that inclusion of spirituality within occupational therapy education warrants further research.


1995 ◽  
Vol 62 (3) ◽  
pp. 154-161 ◽  
Author(s):  
Stanley Paul

In the increasingly multicultural society of north America, occupational therapists have a responsibility to develop awareness and knowledge concerning different cultural groups. By accepting and understanding clients' customs, values and beliefs, clinicians have a better chance of assessing and producing more effective outcomes. Since occupational therapy has incorporated western middle-class values into its theory and practice, many evaluation tools used are based on norrns developed for a white middle-class population. Using these evaluations with minority groups brings the danger of improper interpretation of test results. Consequently, increasing emphasis is being placed on the importance of culture fairness and the development of culture-fair evaluation tools for usage across different cultural groups. This paper will present a discussion concerning the importance, advantages and disadvantages of both culture-fair and culture-specific tests and evaluation tools.


2016 ◽  
Vol 84 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Karen R. Whalley Hammell

Background. Occupational justice is cited throughout the occupational science and occupational therapy literatures despite little scholarly attention either to its definition or to how situations of occupational justice are identifiable. Purpose. This paper aims to contribute a critique of occupational justice, explore the concepts of justice and (occupational) rights, and support a capabilities approach to inform rights-based occupational therapy practices. Key Issues. No clear definition of occupational justice or differentiation from social justice exists despite the longevity of the concept, and theorists frequently confuse the concepts of justice and rights. A rights-based focus provides an unambiguous mandate for occupational therapists, with the capabilities approach offering a cross-disciplinary framework to inform rights-based practices. Implications. The concept of occupational rights is consistent with the rights-based focus advocated by the disabled people’s movement, articulated by the United Nations’ Convention on the Rights of Persons With Disabilities, and affirmed by the World Federation of Occupational Therapists’ position on the centrality of occupation to health, well-being, and human rights.


2006 ◽  
Vol 69 (5) ◽  
pp. 202-208 ◽  
Author(s):  
Jennifer Creek

A standard terminology is the authorised system of words and phrases used in a definite sense within a science or subject. The need for a standard terminology for occupational therapy in the United Kingdom was identified in relation to three projects: the Garner Project (College of Occupational Therapists 1999), the Systematised Nomenclature of Human and Veterinary Medicine — Clinical Terms (SNOMED-CT) and Occupational Therapy Defined as a Complex Intervention (Creek 2003). In May 2004, the College of Occupational Therapists commissioned the development of a standard terminology for occupational therapy, to include definitions of between 5 and 12 key terms plus the term occupational therapy. Two sources of data were used: occupational therapy literature and a panel of expert practitioners. The primary literature sources were the College of Occupational Therapists' publications, the European Network of Occupational Therapists in Higher Education's website and the World Federation of Occupational Therapists' website. A Delphi approach was chosen as an appropriate method for obtaining consensus on the definitions among 42 expert occupational therapists. It was found that the Delphi approach, whilst appropriate for producing a set of six definitions of key terms, failed to produce a single definition of occupational therapy. Instead of the number of possible definitions decreasing in each round, it expanded as panel members struggled to find a way of capturing the complexity of occupational therapy within a short definition.


1979 ◽  
Vol 46 (5) ◽  
pp. 201-205 ◽  
Author(s):  
Emily Etcheverry

The main objective of this paper is to present methods by which community related education can be integrated into occupational therapy educational programs. Reasons why community roles are necessary for occupational therapists are discussed. This is followed by a definition of the term community occupational therapy, and by a description of the skills and knowledge required of the community occupational therapist. These elements of skill and knowledge are then related to academic and field work components of curricula in occupational therapy.


2018 ◽  
Vol 85 (4) ◽  
pp. 318-329
Author(s):  
Elize Janse van Rensburg

Background. Community practice in occupational therapy is becoming increasingly relevant worldwide. Moreover, a social-change approach focusing on occupational enablement is pertinent in community practice as occupational therapists endeavour to promote health, well-being, and occupational justice in communities. Purpose. Drawing on theory from the fields of community development, community engagement, and occupational enablement, and based on the findings of a previous empirical, qualitative study, a framework for occupational enablement in community practice was developed. Key Issues. This article presents the background to the development of the framework, after which the framework is introduced and discussed in terms of the composition, relevance, and application of its components. The framework details outcomes and objectives that may be targeted and activities that may be utilized successfully during occupational therapy community practice engagements. It further illuminates facilitators of enablement related to contextual factors, stakeholders, and strategies that enhance the potential for enabling community practice engagements. Implications. This framework can provide a strategic management guideline for occupational therapists and students who engage with communities in endeavours such as community development and service learning.


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