The University of Sydney, Discipline of Occupational Therapy, Cumberland Campus, Lidcombe, Sydney, Australia.
Disabil Rehabil. 2010;32(13):1099-108. doi: 10.3109/09638280903410748.
Occupational therapists are frequently involved in pressure care management in rehabilitation and community settings. The purpose of this study was to investigate the perceptions of occupational therapists about their role within pressure care and the influences on clinical decisions in this area.
A grounded theory approach was used and semi-structured interviews were conducted with nine occupational therapists who had provided pressure care to clients within the Hunter Region of Australia. Data were analysed using the constant comparative method.
The occupational therapy (OT) role in pressure care is diverse and shaped by contextual factors in the workplace. Informants perceived uncertainty surrounding some aspects of their role in pressure care, and with perceptions of other health professionals about their role. OT clinical decisions in pressure care are influenced by intrinsic and extrinsic factors including OT knowledge and experience, client centred approaches and the availability of resources. Relationships between study themes were summarised in a diagram to articulate the factors contributing to the perceptions of OT's about their role in pressure care.
There is a need for further investigation into the role and clinical decision making of therapists involved in pressure care. Occupational therapists need to promote their role in pressure care to other health professionals.
作业治疗师经常参与康复和社区环境中的压力护理管理。本研究旨在调查作业治疗师对其在压力护理中的角色的看法，以及对该领域临床决策的影响。
采用扎根理论方法，对在澳大利亚亨特地区为客户提供压力护理的 9 名作业治疗师进行了半结构化访谈。使用恒定比较法对数据进行分析。
作业治疗（OT）在压力护理中的角色是多样化的，并受到工作场所中环境因素的影响。受访者对其在压力护理方面的某些角色存在不确定性，并且对其他卫生专业人员对其角色的看法也存在不确定性。OT 在压力护理中的临床决策受到内在和外在因素的影响，包括 OT 知识和经验、以客户为中心的方法以及资源的可用性。研究主题之间的关系用图表进行了总结，阐明了促成 OT 对其在压力护理中的角色的看法的因素。
需要进一步研究参与压力护理的治疗师的角色和临床决策。作业治疗师需要向其他卫生专业人员宣传其在压力护理中的角色。
