Occupation and occupational therapy: Knowledge paradigms and everyday practice

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This article presents some preliminary findings from an action research study into the everyday practice of a group of occupational therapists working in a large metropolitan hospital delivering a range of acute services.Methods and Findings: Narrative data gathered from 10 individual interviews was analysed through numerous iterative cycles to reveal salient themes. These include: epistemological tensions associated with working in a hospital environment; antagonistic reasoning processes; over-inclusive descriptions of practice; and communication challenges.Conclusions: The findings suggest that occupational therapists in acute settings may experience challenges in describing occupational therapy and engaging in occupation-based practice. This is due to a range of factors, including, but not limited to, the paradigmatic conflict that arises between a profession informed by occupation and a predominantly biomedical setting. However, through in-depth, reflective processes undertaken collectively within a supportive community of practice milieu, significant changes in everyday practices can be activated.
Original languageEnglish
Pages (from-to)185-193
Number of pages9
JournalAustralian Occupational Therapy Journal
Issue number3
Publication statusPublished - 2007

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