The Artistry of Judgement: a Model for Occupational Therapy Practice

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This paper reports on a model developed through qualitative research to examine the intriguing topic of the artistry of judgement in occupational therapy. The construct of professional practice judgement artistry or PPJA was developed (Paterson and Higgs 2001) to explore the cognitive, metacognitive and humanistic aspects of judgement in professional practice. Fifty-three occupational therapy educators and practitioners from four Commonwealth countries (Australia, Canada, New Zealand and the United Kingdom) participated in focus groups and individual interviews over a one-year period in 2001-2. This research identified a number of dimensions and elements that constitute judgement artistry.

The model offers a valuable insight into understanding expertise in professional practice in an era when practitioners are struggling with a demand for increased scientific research knowledge to provide evidence for best practice. This research paper recognises the value of the art of occupational therapy and supports a client-centred approach to practice.

Document Type: Research Article

Publication date: September 1, 2005

More about this publication?
  • The British Journal of Occupational Therapy (BJOT) is the official journal of the College of Occupational Therapists. Its purpose is to publish articles relevant to theory, practice, research, education and management in occupational therapy internationally.

    BJOT publishes research articles, critical reviews, practice analyses, opinion pieces, editorials, letters to the editor, book reviews and an annual index. Please refer to the author's guide at

    Submissions can be made at

    The 2013 Impact Factor for The British Journal of Occupational Therapy is 0.897.

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