Volume 15, Issue 3 (September 2017)                   Iranian Rehabilitation Journal 2017, 15(3): 277-286 | Back to browse issues page

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Shafaroodi N, Kamali M, Parvizi S, Hassani Mehraban A. Occupational Therapists' Clinical Reasoning: A Qualitative Study . Iranian Rehabilitation Journal 2017; 15 (3) :277-286
URL: http://irj.uswr.ac.ir/article-1-695-en.html
Occupational Therapists' Clinical Reasoning: A Qualitative Study
Narges Shafaroodi1 , Mohamad Kamali * 2, Soroor Parvizi3 , Afsoon Hassani Mehraban1
1- Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Rehabilitation Management, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (7337 Views)

Objectives: Clinical reasoning is at the heart of clinical work; it is affected by different field factors. A clear understanding of the reasoning process could solve practitioners' problems on how to make their underlying theories, assumptions and values more explicit. The aim of this research is to understand how clinical reasoning process is formed in the context of occupational therapists working in different clinical settings in Iran.
Methods: A purposeful and theoretical sampling of 15 occupational therapists working in clinical settings was performed through semi-structured interviews. All the data were recorded, transcribed, and analyzed using Strauss and Corbin’s (2008) grounded theory approach and constant comparative analyses.
Results: Conceptual model was developed to explain the relationships among the main categories extracted through the grounded theory. Achieve an observable change emerged as the core category. Other important categories linked to the core category were, performing the continuum of clinical reasoning, context of clinical reasoning, and effective factors in clinical reasoning.
Discussion: Findings showed that achieving an observable change in the client was the main consequence of the action/interaction strategies. Some facilitating factors related to the therapist, helped to process reasoning with a holistic and client-centered view, while also helping to develop the self-belief and professional identity. The dominance of medical views and a lack of health insurance were two intervening factors that constrained the dynamics of clinical reasoning within the context of practice.

Keywords: Context, Observable change, Social identity, Medical view, Holistic view, Professional identity, Grounded theory, Occupational therapist
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Article type: Original Research Articles | Subject: Occupational therapy
Received: 2017/04/23 | Accepted: 2017/08/1 | Published: 2017/10/2
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