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dc.contributor.authorBurley, Samantha
dc.contributor.authorCox, Ruth
dc.contributor.authorDi Tommaso, Amelia
dc.contributor.authorMolineux, Matthew
dc.date.accessioned2019-06-14T01:34:02Z
dc.date.available2019-06-14T01:34:02Z
dc.date.issued2018
dc.identifier.issn0045-0766
dc.identifier.doi10.1111/1440-1630.12507
dc.identifier.urihttp://hdl.handle.net/10072/382606
dc.description.abstractBackground/aim: Primary contact models of care are an emerging area of occupational therapy practice that aim to respond to the changing health‐care landscape. There is a dearth of literature exploring an occupational perspective in primary contact roles, and literature in the broader scope of hand therapy has recognised that occupational therapists’ practice often aligns with the biomedical worldview. Therefore, this study aimed to explore the practice of occupational therapists within Primary Contact Occupational Therapy Hand (PCOTH) Clinics from an occupational perspective. Method: This ethnographic study gathered in‐depth data through observations of primary contact hand therapy sessions, review of progress notes and interviews with occupational therapists. Qualitative data analysis was conducted using a three‐stage process first at the item level, then pattern level and finally at the structural level. The research team collaboratively discussed all codes and then themes. Results: The push of the biomedical culture and the pull of an occupational perspective was conceptualised as an overarching theme shaping occupational therapists’ practice in the primary contact clinics. Five themes emerged: bottom‐up approach to an occupational perspective, an occupational perspective via informal discussion, occupational therapists’ expectations of patients, occupational perspective on autopilot and blurred professional identity. Conclusion: Occupational therapists working in primary contact roles were pushed by the biomedical culture of the setting. Despite this, there was still a pull towards an occupational perspective. This research provides an initial exploration of primary contact clinics, and highlighted the added bonus of an occupational perspective. The findings present a timely opportunity for occupational therapists to critically reflect on practice in PCOTH clinics.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing Asia
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom533
dc.relation.ispartofpageto543
dc.relation.ispartofissue6
dc.relation.ispartofjournalAustralian Occupational Therapy Journal
dc.relation.ispartofvolume65
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchOccupational therapy
dc.subject.fieldofresearchAllied health and rehabilitation science
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode320299
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode420104
dc.subject.fieldofresearchcode4201
dc.titlePrimary Contact Occupational Therapy Hand Clinics: The pull of an occupational perspective
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Allied Health Sciences
gro.hasfulltextNo Full Text
gro.griffith.authorMolineux, Matthew
gro.griffith.authorDi Tommaso, Amelia


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