Piškur Barbara, Zalmstra Annerie, Jakobs Marluuke, Daniëls Ramon
Faculty of Health, Centre of Research Autonomy and Participation for Persons with a Chronic Illness , Heerlen , The Netherlands.
Scand J Occup Ther. 2015 Jul;22(4):325-6. doi: 10.3109/11038128.2015.1015604. Epub 2015 Apr 1.
The Canadian Enabling Occupation II guidelines contain theory and examples of how to apply client-centredness in occupation-based practice. Little information is available about the feasibility of the guidelines in other contexts. For 18 months, nine Dutch occupational therapists participated in a community of practice to explore, together with three researchers, their experiences with the application of the Enabling Occupation II guidelines.
To understand the experiences of Dutch occupational therapists with the application of the Enabling Occupation II guidelines.
A qualitative study using four focus group discussions and content analysis.
Four themes emerged: (1) an indication that the guidelines of Enabling Occupation II are in line with values and norms of Dutch occupational therapists, (2) the meaningfulness of an intensive process of studying, discussing, applying and reflecting, (3) the struggles faced by the occupational therapists with translating English and getting a grip on concepts and (4) the challenges to implementing the guidelines in practice.
Findings indicate that Enabling Occupation II embody values and norms of Dutch occupational therapists. They experience many benefits in their doing, thinking and being when applying the guidelines in practice. Struggles with reading English, getting a grip on concepts and theories, and difficulties in handling obstacles indicate that the application of the guidelines takes effort. An understanding of the philosophy, application, and reflection on professional identity may be prerequisites for appraising the feasibility of adoption of client-centred guidelines cross-culturally.
《加拿大促进职业发展 II 指南》包含了在基于职业的实践中应用以客户为中心理念的理论和示例。关于该指南在其他背景下的可行性，现有信息较少。在 18 个月的时间里，九名荷兰职业治疗师与三名研究人员共同参与了一个实践社区，以探讨他们应用《促进职业发展 II 指南》的经验。
了解荷兰职业治疗师应用《促进职业发展 II 指南》的经验。
采用四项焦点小组讨论和内容分析的定性研究。
出现了四个主题：（1）表明《促进职业发展 II 指南》与荷兰职业治疗师的价值观和规范相符；（2）深入学习、讨论、应用和反思过程的意义；（3）职业治疗师在翻译英文和理解概念方面面临的困难；（4）在实践中实施该指南所面临的挑战。
研究结果表明，《促进职业发展 II 指南》体现了荷兰职业治疗师的价值观和规范。他们在实践中应用该指南时，在行为、思维和自身方面都体验到了诸多益处。在阅读英文、理解概念和理论方面的困难以及应对障碍的困难表明，应用该指南需要付出努力。理解哲学、应用以及对职业身份的反思可能是以跨文化方式评估采用以客户为中心的指南的可行性的先决条件。
