The influence of the contextual framing on physio- and occupational therapists' clinical reasoning in sensory rooms with patients admitted to psychiatry - a qualitative case study.

IF 1.5 4区 医学 Q3 PSYCHIATRY Nordic Journal of Psychiatry Pub Date : 2024-10-26 DOI:10.1080/08039488.2024.2415307
Christina Enemark Obarzanek, Merethe Lønne Kjær, Kim Lee, Jeanette Præstegaard, Siv-Therese Bogevik Bjørkedal
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Abstract

Aim: To investigate the influence of contextual framing on physio- and occupational therapists' clinical reasoning in sensory rooms for patients admitted to psychiatric units.

Material and method: Physiotherapists and occupational therapists from acute and intensive care units with sensory rooms were invited to participate in the study. The therapists were interviewed following sessions with patients in sensory rooms, using a semi-structured interview guide. These therapists also participated in a focus group interview. All interviews were transcribed and analysed based on the thematic analysis by Braun and Clarke.

Results: Twenty individual interviews and one focus group interview were conducted with seven physio- and occupational therapists. Three themes with accompanying subthemes emerged: (i) The contextual influence: Therapists' perceptions of the use of sensory rooms, The dominance of the medical paradigm). (ii) The therapeutic alliance: The therapists' relational skills, The importance of a good therapeutic patient relation, and Physio- and occupational therapy in a psychiatric setting.: (iii) The therapeutic diagnosis, Therapeutic sensory room interventions, and Holistic approach in a limited timeframe.

Conclusion: The clinical reasoning of physio- and occupational therapists in sensory-modulating sessions for patients admitted to psychiatric units is influenced by a primarily medically dominated paradigm; legally, economically, and politically. Occupational therapists mainly focus on everyday skills and being in the present, whereas physiotherapists focused on activities with bodily anchoring and awareness.

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理疗师和职业治疗师在感官室对精神病科住院病人进行临床推理时,情境框架对其临床推理的影响--定性案例研究。
目的:研究情境框架对物理治疗师和职业治疗师在感官室为精神科住院病人进行临床推理的影响:邀请设有感官室的急诊室和重症监护室的物理治疗师和职业治疗师参与研究。采用半结构化访谈指南,在感官室对患者进行治疗后对治疗师进行访谈。这些治疗师还参加了焦点小组访谈。所有访谈均根据布劳恩和克拉克的主题分析法进行了誊写和分析:对七位理疗师和职业治疗师进行了二十次个别访谈和一次焦点小组访谈。出现了三个主题及相应的次主题:(i) 背景影响:治疗师对使用感官室的看法、医学范式的主导地位)。(ii) 治疗联盟:(ii) 治疗联盟:治疗师的关系技巧、良好的病人治疗关系的重要性、精神病院中的物理和职业治疗:(iii) 治疗诊断、治疗性的感官室干预措施、有限时间内的整体方法:结论:理疗师和职业治疗师在为入住精神病院的患者进行感官调节治疗时,其临床推理主要受到以医学为主导的范式的影响;在法律、经济和政治上都是如此。职业治疗师主要侧重于日常技能和 "当下",而物理治疗师则侧重于有身体锚定和意识的活动。
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来源期刊
Nordic Journal of Psychiatry
Nordic Journal of Psychiatry 医学-精神病学
CiteScore
3.60
自引率
5.60%
发文量
86
审稿时长
12 months
期刊介绍: Nordic Journal of Psychiatry publishes international research on all areas of psychiatry. Nordic Journal of Psychiatry is the official journal for the eight psychiatry associations in the Nordic and Baltic countries. The journal aims to provide a leading international forum for high quality research on all themes of psychiatry including: Child psychiatry Adult psychiatry Psychotherapy Pharmacotherapy Social psychiatry Psychosomatic medicine Nordic Journal of Psychiatry accepts original research articles, review articles, brief reports, editorials and letters to the editor.
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