Addressing client spirituality in occupational therapy practice: A qualitative study
Notice bibliographique
Résumé
INTRODUCTION: Aspects of spirituality are commonly brought up by clients during times of sickness, disability, and impending death. However, much of the research on how to address spirituality in Australian health care has been conducted by professionals outside of occupational therapy. In this context, this study aimed to examine how Australian occupational therapists address spirituality in their clinical practice. METHODS: This study undertook an interpretive phenomenological qualitative approach to thematically analyse 23 individual interviews of Australian occupational therapists from multiple practice settings. CONSUMER AND COMMUNITY INVOLVEMENT: As the target participants were occupational therapists, consumers and the community were not involved in the design of the research. FINDINGS: The three themes that emerged from this study were the following: (i) participants employed flexible approaches when asking about clients' spirituality; (ii) clients raised a diverse range of spiritual topics; and (iii) occupational therapists provided varied responses to address client spirituality. CONCLUSION: The findings suggest that spirituality is a rich and varied part of occupational therapy practice. Many participants had developed creative ways to integrate spirituality into their practice, often without formal training. Therapists' preferred methods for asking clients about their spirituality were generally informal and flexible in nature. Additionally, clients introduced a range of positive and challenging topics, whereas some did not bring up spirituality at all. Therefore, occupational therapists may benefit from using open questions that encourage exploration. The varied responses to client spirituality offer an opportunity for therapists to reflect on how best to support it. This may involve increasing self-awareness of their personal beliefs, establishing referral pathways to spiritual experts, and creating guidelines for self-disclosure and participation in spiritual practices. Improving professional resources on addressing spirituality could further assist occupational therapists in asking about and responding to the spirituality of their clients. PLAIN LANGUAGE SUMMARY: Most research on spirituality in Australian health care has come from other professions, not occupational therapy. This study looked at how Australian occupational therapists talk about and respond to clients' spiritual needs in their work. Researchers interviewed 23 occupational therapists. They found three main things: (1) therapists used flexible ways to ask about spirituality, (2) clients talked about many different spiritual topics, and (3) therapists responded in many different ways. These therapists came up with their own creative ways to support clients' spirituality. The profession could benefit from more tools and guidance on how to talk about and respond to spirituality in practice.
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Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,016 | 0,018 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,002 | 0,003 |
| Études des sciences et des technologies | 0,012 | 0,008 |
| Communication savante | 0,005 | 0,004 |
| Science ouverte | 0,002 | 0,006 |
| Intégrité de la recherche | 0,003 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».