Qualitative research provides a valuable source of evidence to enhance occupational therapy practice. Occupational therapists need to consider the issue of trustworthiness prior to deciding whether the findings of qualitative research have relevance to their day-to-day work. By trustworthiness we mean the extent to which the findings are an authentic reflection of the personal or lived experiences of the phenomenon under investigation. In this article we provide guidance to enable occupational therapists to competently determine the trustworthiness of a qualitative research project. We do this by explaining, and illustrating with examples, six considerations that should be taken into account when determining whether the method, findings and interpretation of a qualitative research have been conducted in a trustworthy manner. These considerations are evidence of thick description, triangulation strategies, member-checking, collaboration between the researcher and the researched, transferability and reflexivity. Once the trustworthiness of a qualitative research has been determined, occupational therapists are in a better position to consider how the research findings may impact on their practice.
In spite of the developments within health and social care, little research has been published that specifically identifies the views and perceptions that occupational therapists working in England have of evidence-based practice (EBP).
This study used qualitative and quantitative methodologies in two distinct phases. Initially, focus groups were used to explore the views and perceptions that senior occupational therapists working in different settings had of EBP. In the second phase, the findings from the focus groups, alongside the results from a study conducted by Wiles and Barnard (1998), were used to design a questionnaire to canvass the views and perceptions of a larger number of occupational therapists within the South and West Region of England. Of 653 questionnaires distributed, 500 (76.5%) were returned and analysed.
The findings indicated that the respondents were positive about EBP. The lack of time and the high staff turnover and staff shortages were seen as major barriers to the implementation of EBP. Support from managers and colleagues, along with personal motivation and access to resources, enabled the implementation of EBP. Many respondents felt that they required more training about EBP. This research indicates that practical initiatives assisting the implementation of EBP are likely to be met with enthusiasm by occupational therapists.
This study aimed to investigate any differences between the motor skills and sensory processing abilities of children between the ages of 4 and 8, who do and do not have an idiopathic toe walking gait. Children in each cohort were tested with a number of norm referenced assessments. A total of 60 children participated, 30 within each cohort. Those with an idiopathic toe walking gait were found to have different Sensory Profile quadrant scores (P = .002), poorer performance on the Bruininks-Oseretsky Test of Motor Proficiency (P ≤ .001), a lower vibration perception threshold (P = .001), and poorer performance on the Standing Walking Balance subtest of the Sensory Integration and Praxis Test (P = .047), compared with non-toe walking peers. Although this research does not give a causative factor for toe walking gait, it provides a number of theories as to why this gait may not be idiopathic in nature.
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