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Informing the Development of a Framework to Support Occupational Therapists' Clinical Reasoning Processes Regarding Pre-Discharge Home Visits
Conference poster   Peer reviewed

Informing the Development of a Framework to Support Occupational Therapists' Clinical Reasoning Processes Regarding Pre-Discharge Home Visits

Maureen Godfrey, Petrea Cornwell, Sally Eames, Tara Thomas, Sarah Shand, Dane Robinson, Leanne O'Brien, Ellen Grant and Ailsa Gillen
Australian occupational therapy journal, Vol.60(Supplement 1), p.139
Occupational Therapy Australia National Conference, 25th (Adelaide, Australia, 24-Jul-2013–26-Jul-2013)
Wiley-Blackwell Publishing Asia
2013
DOI: https://doi.org/10.1111/1440-1630.12062
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https://doi.org/10.1111/1440-1630.12062View
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Abstract

Clinical Sciences Public Health and Health Services occupational therapy services
Introduction: Pre-discharge home visits are routinely conducted. There is variation in practice and limited evidence to support their efficacy. Aims: This study explored the perceptions of key stakeholders: therapists, clients and carers, and multidisciplinary care-providers. Information gained will be used to develop a clinical reasoning framework in a later phase of the overallproject. Method: A qualitative descriptive methodology, utilizing six focus groups, each with six to eight participants, was used. Focus groups consisted of: occupational therapists from a metropolitan health service with (i) less than two years experience; (ii) more than two years experience; (iii) occupational therapy managers; (iv) clients and carers with a subacute admission who had a pre-discharge home visit; (v) clients who have not had a home visit; (vi) multidisciplinary stakeholders. Purposive sampling was employed for broad representation. The semi-structured focus groups were audio-taped and led by a moderator, with a note-taker present. Data will be analysed using suitable software, coding of categories and themes, peer review and triangulation across focus groups. Results: Preliminary themes support the usefulness of a matrix-style clinical reasoning framework addressing the goals and timing of home visits. Data suggest it may incorporate practice domains and align with the ICF framework. Conclusion: Data will contribute to the current knowledge base regarding pre-discharge home visits. A later clinical reasoning framework will support decision-making and guide evidence-based occupational therapy practice.

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