[article] 
inThe British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.234 - p.242

Titre :	Clinical reasoning used by occupational therapists to determine the nature of spiritual occupations in relation to psychiatric pathology
Type de document :	texte imprimé
Auteurs :	Ka Yan HESS, Auteur ; Elelwani RAMUGONDO, Auteur
Année de publication :	2014
Article en page(s) :	p.234 - p.242
Langues :	Anglais (eng)
Mots-clés :	spirituality  spiritual occupations  clinical reasoning  client-centredness
Résumé :	Introduction In this exploratory study, the clinical reasoning process followed by occupational therapists in determining wether their clients'spiritual occupations were health promoting or manifestations of a psychiatric illness is described. There has been limited investigation in this regard in existing literature. Method A qualitative multiple case study design was used. Five occupational therapists working in different mental health care settings were interviewed using semi-structured interviews. review of relevant documents and field-notes also provided imporant data sources. Findings Three themes emerged from thematic analysis namely'Clinical Reasoning: complex, dynamic and multi-layered'; Multiple resources: poeple as key'; and' Rewarding and challenging experience'. 'Underground practice' emerged as a strategy that helped praticipants to navigate around contextual barriers in ordre to ensure client-centredness when addressing spiritual occupational needs within a mental healthcare setting. Conclusion Spiritual occupational engagements should be examined in conjunction with individual clients' own process of meaning-making, implications for health to the client and others within the healthcare setting, and by taking the broader occupational narrative of the person, as well as relevant cultural norms and expectations, into consideration.
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[article] Clinical reasoning used by occupational therapists to determine the nature of spiritual occupations in relation to psychiatric pathology [texte imprimé] / Ka Yan HESS, Auteur ; Elelwani RAMUGONDO, Auteur . - 2014 . - p.234 - p.242.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.234 - p.242

Mots-clés :	spirituality  spiritual occupations  clinical reasoning  client-centredness
Résumé :	Introduction In this exploratory study, the clinical reasoning process followed by occupational therapists in determining wether their clients'spiritual occupations were health promoting or manifestations of a psychiatric illness is described. There has been limited investigation in this regard in existing literature. Method A qualitative multiple case study design was used. Five occupational therapists working in different mental health care settings were interviewed using semi-structured interviews. review of relevant documents and field-notes also provided imporant data sources. Findings Three themes emerged from thematic analysis namely'Clinical Reasoning: complex, dynamic and multi-layered'; Multiple resources: poeple as key'; and' Rewarding and challenging experience'. 'Underground practice' emerged as a strategy that helped praticipants to navigate around contextual barriers in ordre to ensure client-centredness when addressing spiritual occupational needs within a mental healthcare setting. Conclusion Spiritual occupational engagements should be examined in conjunction with individual clients' own process of meaning-making, implications for health to the client and others within the healthcare setting, and by taking the broader occupational narrative of the person, as well as relevant cultural norms and expectations, into consideration.
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