Enhancing professional reasoning through the use of evidence-based assessments, robust case formulations and measurable goals

PARKINSON Sue, et al
Journal article citation:
British Journal of Occupational Therapy, 74(3), March 2011, pp.148-152.

It is widely recognised that careful planning and clear communication are essential in contemporary health care. The value of therapists documenting their clinical reasoning and negotiating specific and measurable goals is critical to successful practice. However, the literature suggests that practitioners often encounter barriers when implementing best practice and may not consistently demonstrate the necessary skills. This article describes how occupational therapists in Derbyshire Healthcare NHS Foundation Trust entered an academic partnership to improve their communication of clinical and professional reasoning. Having adopted a conceptual model of practice, they established clearly defined protocols and forms that supported assessment, case formulation and goal setting. Survey responses from a total of 148 service users, carers and team members confirmed that these initiatives enhanced person-centred practice, highlighted occupational issues and made treatment planning more effective for the whole team.

Subject terms:
objectives setting, occupational therapists, person-centred care, professional role, assessment, case management, communication;
Content type:
practice example
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