Moats Gillian
Rehab and Geriatrics Program, Deer Lodge Centre, Winnipeg, MB, Canada.
Can J Occup Ther. 2007 Apr;74(2):91-101. doi: 10.1177/000841740707400203.
Occupational therapists working in hospitals are confronted with increasingly complex discharge decisions. However, the relationship of discharge-planning strategies to the professional concepts of client-centred practice and enabling occupations has been unclear.
This study explored the relationship between the models of decision-making used by occupational therapists, and the professional issues of enabling occupation and client-centred practice.
Qualitative interviews were conducted with 10 occupational therapists. Data were analyzed for the presence and emergence of themes.
Therapists try to balance the sometimes competing issues of safety and autonomy. Therapists often engage in negotiated decision-making. However, clients are sometimes excluded, despite therapists' commitment to client-centred processes. Consideration of occupations is often neglected.
Client-defined models of decision-making are insufficient for frail, cognitively- impaired people. A new, client-centred Negotiated Model of Decision-Making is proposed, which facilitates decisions to enable older people with their occupations.
在医院工作的职业治疗师面临着日益复杂的出院决策。然而，出院计划策略与以客户为中心的实践和促进职业参与的专业概念之间的关系尚不清楚。
本研究探讨了职业治疗师使用的决策模型与促进职业参与和以客户为中心的实践等专业问题之间的关系。
对10名职业治疗师进行了定性访谈。对数据进行主题的存在和出现情况分析。
治疗师试图平衡安全和自主性这些有时相互冲突的问题。治疗师经常参与协商决策。然而，尽管治疗师致力于以客户为中心的流程，但客户有时会被排除在外。对职业的考虑常常被忽视。
以客户定义的决策模型对于体弱、认知受损的人来说是不够的。提出了一种新的、以客户为中心的协商决策模型，该模型有助于做出使老年人能够参与其职业活动的决策。
