P Vermeulen, P Lavoie, E Moreau, A Rochette
University of Montreal, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Canada.
OTJR (Thorofare N J). 2024 Dec 24:15394492241300604. doi: 10.1177/15394492241300604.
This scoping review aimed to map the various facets of intuition in occupational therapy (OT), from its definitions, theoretical frameworks, epistemological paradigms to practical applications, highlighting its role in decision-making. Following the Joanna Briggs Institute methodology, a systematic search of five databases from 1990 to August 2023 identified 337 records related to OT and intuition. After removing duplicates and applying eligibility criteria, 22 studies were included. Two independent reviewers conducted the title/abstract and full-text screening. Thematic analysis synthesized descriptions of intuitive reasoning, and the studies' epistemologies were interpreted based on stated methodologies and knowledge conceptions. Key themes depicted OT's intuition as personalized knowledge developed through practice. Constructivist paradigms recognizing subjective meaning-making predominated (63.6%), while postpositivists related to self-reported intuition to decision outcomes quantitatively (22.7%). Despite increasing interdisciplinary attention, occupational therapists' intuition remains understudied. Integrating analytical and intuitive practice through reflection is crucial for client-centered expertise.
本综述旨在梳理职业治疗（OT）中直觉的各个方面，从其定义、理论框架、认识论范式到实际应用，突出其在决策中的作用。遵循乔安娜·布里格斯研究所的方法，对1990年至2023年8月期间的五个数据库进行系统检索，共识别出337条与职业治疗和直觉相关的记录。在去除重复记录并应用纳入标准后，纳入了22项研究。两名独立评审员进行了标题/摘要和全文筛选。主题分析综合了直觉推理的描述，并根据既定方法和知识概念对研究的认识论进行了解释。关键主题将职业治疗中的直觉描述为通过实践发展起来的个性化知识。认可主观意义建构的建构主义范式占主导地位（63.6%），而后实证主义者则将自我报告的直觉与决策结果进行了定量关联（22.7%）。尽管跨学科关注度不断提高，但职业治疗师的直觉仍未得到充分研究。通过反思整合分析性和直觉性实践对于以客户为中心的专业能力至关重要。
