Clinical Reasoning and Collaboration in Occupational Therapy

Flashcards covering key concepts from 'Chapter 16 Working Together: Clinical Reasoning and Collaboration' by Tamera Keiter Humbert, DEd, OTR/L.

What is a key consideration regarding the supervisory relationship between an OT and an OTA?

Supervision is required when working in occupational therapy, and the amount and frequency vary by state licensure and certification laws.

How do OTs and OTAs continue to develop their skills, knowledge, and clinical reasoning?

Through continuing education, which may have specific state requirements.

What is clinical reasoning in the context of occupational therapy?

Clinical reasoning is the way practitioners think in practice.

How has the way OT practitioners think about therapy evolved over time?

It evolved from focusing on 'doing and being' to explicit theory application in new practice arenas, and currently emphasizes an evidence-based approach.

What is 'activity analysis' in occupational therapy?

Analyzing the various activities used in therapy sessions.

Who were Mattingly and Fleming, and what did they contribute to the understanding of clinical reasoning in the 1990s?

Mattingly and Fleming focused on how practitioners interact with clients and how they understand and engage individuals receiving therapy services.

What does 'occupational performance analysis' involve?

Analyzing various aspects of the person, their contexts, and the context in which therapy is provided.

What is the purpose of evidence-based practice in occupational therapy?

To use theory and research to substantiate what approaches should be used in practice.

What is a key characteristic of Mattingly and Fleming's Clinical Reasoning Model?

It is a dynamic and fluid process where OTs improvise from general theoretical ideas to specific requirements, guided by values, norms, and symbolic meaning.

What sources do OTs and OTAs rely on for clues during clinical reasoning in intervention?

Clues from the client, environment, past experiences, and one's knowledge, involving a conscious, analytical process.

How do OT practitioners use tacit knowledge and reflection in the clinical reasoning process?

They use tacit and habituated thought processes to pay attention to cues and unconsciously shift interventions, gaining tacit knowledge from experience. Reflection helps make meaning of the session.

According to Mattingly and Fleming, what is the underlying form of reasoning within the clinical reasoning process?

Narrative reasoning.

What does narrative reasoning in occupational therapy include?

Storytelling and story creation.

What does procedural reasoning primarily involve?

Problem identification and definition, goal setting, and intervention selection and planning.

What is a core aspect of interactive reasoning?

Understanding the client as an individual, including their perspective on disability, cultural viewpoint, and intuitively individualizing intervention, goal setting, and planning.

What is conditional reasoning in occupational therapy?

A projective mode where the practitioner understands the client's whole condition, imagines how it could change, and engages the client in constructing a new conditional image through narrative.

What is pragmatic reasoning concerned with?

The specific characteristics of the treatment setting, such as length of stay and insurance reimbursement, and how practical limitations impact intervention planning and service delivery.

What does ethical reasoning entail for an OT practitioner?

Considering ethical principles, identifying conflicts, determining their value, understanding stakeholder dynamics, and making decisions by assessing significance, people involved, and potential outcomes.

What does culturally responsive care require from an OT practitioner?

Understanding and appreciating cultural differences, being aware of the client's culture and beliefs about care, and acknowledging how one's own culture and beliefs impact therapeutic services.

What is intuitive reasoning in the context of an OT practitioner?

An OT's sensitivity to their own emotions and the emotions of their clients.

What influences the type of clinical reasoning an OT uses, and what differences are noted?

The type of clinical reasoning used relates to the particular activities the OT is engaged in, and differences exist between experienced and novice OTs.

How can clinical reasoning be enhanced in therapy clinics and education?

Clinical reasoning is stronger when the process is made explicit and the OT practitioner can articulate their thinking methods.

What significant research did Lyons and Crepeau (2001) contribute regarding clinical reasoning and OTAs?

Their case study explored the working partnership of an experienced OTA and two supervising OTs, demonstrating how efficacious clinical reasoning can be promoted within the supervisory relationship.

Which types of clinical reasoning are evident in the OT/OTA supervisory relationship?

Interactive, pragmatic, procedural, conditional, and narrative reasoning.

What characterized a successful tandem supervisory relationship between OTs and OTAs?

Both took responsibility for their contributions, demonstrating mutual trust and respect for each other's skills and judgment.

What factors can interfere with a tandem supervisory relationship between an OT and an OTA?

Blindly trusting the OTA's skills, limited client information for the OT, lack of problem-solving time, an apathetic OT, working with naive practitioners, and not valuing the OTA's judgment.

What is key to promoting clinical reasoning within the supervisory relationship?

Effective communication skills.