Clinical reasoning of Brazilian expert occupational therapists: a constructivist grounded theory study.
Introduction: Practice-based models or theories are relevant elements for understanding deliberate thinking processes in individualizing care for a specific client in occupational therapists' practice. The Dynamic Occupational Therapy Method (DOTM) is an ongoing conceptual-methodological framework d...
| Published in: | Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional Vol. 32; pp. 1 - 23 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
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Cadernos de Terapia Ocupacional da UFSCar
2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182230762&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182230762 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25268910 L4GL jtl: Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional issn: 25268910 maglogo: N pubinfo: dt: 2024 vid: 32 pid: 68082 pub: Cadernos de Terapia Ocupacional da UFSCar artinfo: ui: 182230762 182230762 182230762 10.1590/2526-8910.ctoAO288837502 182230762 ppf: 1 ppct: 22 formats: fmt: @attributes: type: P tig: atl: Clinical reasoning of Brazilian expert occupational therapists: a constructivist grounded theory study. aug: au: da Silva Araujo, Angélica Kinsella, Elizabeth Anne Carreira de Mello, Ana Carolina Quevedo Marcolino, Taís affil: Universidade Federal de São Carlos -- UFSCar, São Carlos, SP, Brasil sug: subj: Expert Clinicians Occupational Therapists Psychosocial Factors Clinical Reasoning Grounded Theory Critical Thinking Human Male Female Professional Practice, Evidence-Based Conceptual Framework Purposive Sample Convenience Sample Semi-Structured Interview Descriptive Statistics Data Analysis Software Trust Funding Source Male Female ab: Introduction: Practice-based models or theories are relevant elements for understanding deliberate thinking processes in individualizing care for a specific client in occupational therapists' practice. The Dynamic Occupational Therapy Method (DOTM) is an ongoing conceptual-methodological framework developed in Brazil since the 1970s. Objective: To examine the clinical reasoning processes of expert occupational therapists employing the DOTM. Method: A constructivist grounded theory approach guided this study. Data were collected and analyzed simultaneously through Constant Comparative Analysis. Individual and in-group interviews, and a reflective journal, comprised the data collection instruments. Participants were ten expert occupational therapists with: minimum of 10 years of practice experience, minimum of five years since completion of the DOTM clinical training, employing the DOTM as the main framework in practice, and considered by peers as experts. Results: Two major categories emerged from data analysis: (1) the DOTM reasoning processes -- construction of the situational diagnosis, establishment and management of the triadic relationship, and dialogical assessment of the therapeutic process/associative paths; (2) thinking ethicalaesthetically, associatively, and dynamically. Conclusion: This research advances knowledge about the reasoning processes of expert therapists, demonstrating the importance of theoretical and methodological knowledge to inform clinical reasoning. A theory on the clinical reasoning of expert occupational therapists employing the DOTM was developed, detailing how this conceptual-methodological framework underpins reasoning by providing valuable operational concepts to support a dynamic practice centered on the clients' uniqueness and situated context. Introdução: Modelos ou teorias baseadas na prática são elementos relevantes para a compreensão dos processos de pensamento deliberado na individualização do cuidado a um cliente específico na prática do terapeuta ocupacional. O Método de Terapia Ocupacional Dinâmica (MTDO) é um arcabouço conceitualmetodológico em andamento desenvolvido no Brasil desde a década de 1970. Objetivo: Examinar os processos de raciocínio clínico de terapeutas ocupacionais experts que utilizam o MTDO. Método: Uma abordagem construtivista da teoria fundamentada em dados norteou este estudo. Os dados foram coletados e analisados simultaneamente através da Análise Comparativa Constante. Entrevistas individuais e em grupo e um diário reflexivo compuseram os instrumentos de coleta de dados. Os participantes foram 10 terapeutas ocupacionais experts com: mínimo de 10 anos de experiência prática, mínimo de cinco anos desde a conclusão do treinamento clínico do MTDO, que empregam o MDTO como estrutura principal em sua prática, e considerados experts por seus colegas. Resultados: Duas categorias principais emergiram da análise dos dados: (1) processos de raciocínio do MDTO -- construção diagnóstica situacional, estabelecimento e gestão de relações triádicas e avaliação dialógica do processo terapêutico/percursos associativos; (2) pensar ético-esteticamente, associativa e dinamicamente. Conclusão: Esta pesquisa avança no conhecimento sobre os processos de raciocínio de terapeutas ocupacionais experts, demonstrando a importância do conhecimento teórico e metodológico para informar o raciocínio clínico. Foi desenvolvida uma teoria sobre o raciocínio clínico de terapeutas ocupacionais experts que empregam o MDTO, detalhando como esse referencial conceitual-metodológico sustenta o raciocínio, fornecendo conceitos operacionais valiosos para apoiar uma prática dinâmica centrada na singularidade dos clientes e no contexto situado. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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