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From practice to praxis: reconnecting moral vision with philosophical underpinnings

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In this article, it is argued that in order to meet the profession's ethical and moral obligations, occupational therapists need to ensure that they are connected to the philosophical foundations of occupational therapy. By making occupational therapy practice occupation-focused, therapists guarantee that they provide a unique and valuable contribution to multidisciplinary teams and that they help to meet all the needs of patients. The findings from an action research study of 15 occupational therapists' practice in an urban Australian acute hospital setting are used to illustrate that occupational therapy practice can and should be occupation-focused.

Research data were gathered through audio-recording and transcribing individual interviews and research group meetings. The data were analysed qualitatively using non-linear formal and informal processes. The findings were as follows: having a clear professional vision increased the confidence of co-researchers; attending to patients' occupational needs increased the therapists' motivation to engage in more occupation-focused practice; and therapists felt increased satisfaction when their practice was occupation-focused. The article concludes by advocating that occupational therapists can be wiser and more ethical practitioners by engaging in praxis, a form of moral, reflective practice scholarship, particularly through participating in communities of practice that focus on understanding and developing ways of enabling occupation.


Document Type: Research Article

Publication date: October 1, 2009

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 http://www.cot.co.uk/british-journal-bjot/british-journal-occupational-therapy

    Submissions can be made at http://mc.manuscriptcentral.com/bjot

    The 2012 Impact Factor for The British Journal of Occupational Therapy is 1.096.

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