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Towards an understanding of the staged model of predictive reasoning

By Serena Ng Sin Wa


This study set out to examine the clinical practice of experienced occupational therapists in\ud mental health vocational rehabilitation service in Hong Kong. A combined qualitative and\ud quantitative methodological approach was used to enhance the methodological rigour of the\ud research. Three sub-studies were carried out including a pre-study survey; a semi-structured\ud interview for 6 experienced therapists and a multiple case studies to verify the model of\ud predictive reasoning generated in this research. The findings of this study confirmed the\ud consecutive staged model of decision making, the cyclical predictive reasoning process and\ud its critical components were important in predictive reasoning process. Furthermore, the\ud research alerted that therapist’s ‘Internal References’ affect the process that might exert good\ud or bad influences in the prediction and intervention approaches. From the twenty cases\ud reported and analysed in the multiple case studies, I verified the generated characteristics of\ud the staged model of predictive reasoning process were being evidenced in the daily practices\ud of other experienced occupational therapists. Hence, Predictive Reasoning in occupational\ud therapist was proven as a fundamental scientific, social as Well as psychological process of ascertaining client best suitable choice in vocational rehabilitation. In this research, it has\ud highlighted that they were practicing a bivalent model of practice – scientific in thinking and\ud humanistic in interacting. It has long been a great problem for the professionals to inform\ud the public on their forms and efficacy of practice through scientific rigour. The research\ud methodology employed in this research was an innovative design that responses to both\ud positivist and interpretivist paradigm, to create a new opportunity for occupational therapist\ud to start to reflect on choosing the best suitable research methodology for reporting the real\ud picture of clinical practices

Publisher: University of Leicester
Year: 2009
OAI identifier:

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  1. (1982). A case analysis method for the model of human occupation.
  2. (1998). A dynamic interactional model to cognitive rehabilitation. In
  3. (1987). A historical overview of the phenomenological movement.
  4. (1973). A sociology if good times. In G. Psathas (Eds.) Phenomenological sociology: Issues and applications.
  5. (1995). Academic rigour in the lived experience of researchers using phenomenological methods in nursing.
  6. (1991). Achieving intersubjective understanding: Examples from an occupational therapy treatment session.
  7. (1994). American Psychiatric Association.
  8. (1994). An application of Markov Chain in the process of modeling.
  9. (1934). Art as experience.
  10. (1993). Aspects of clinical reasoning in occupational therapy. In: Hopkins HL, Smith HD. Willard and Spackman’s Occupational Therapy.
  11. (1992). Attribute dimensions that distinguish master and novice physical therapy clinicians in orthopaedic settings. Physical Therapy.
  12. Attribute dimensions that distinguish master and novice physical therapy clinicians in orthopedic settings. Phys Ther.1992;
  13. (1992). Becoming qualitative researchers. Thousand Oaks,
  14. (1999). Brief Introduction of Chinese Work Personality Profile. Hong Kong: Hong Kong
  15. (1994). Case study research:
  16. (1996). Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy.
  17. (1996). Clinical decision making in familiar cases: A model of the process and implications for practice.
  18. (1988). Clinical decision making.
  19. Clinical judgment: how expert nurses use intuition.
  20. (1987). Clinical problem solving in physical therapy and its implications for curriculum development. In:
  21. (1994). Clinical reasoning – forms of inquiry in a therapeutic practice.
  22. (2003). Clinical Reasoning for Manual Therapists.
  23. (1998). Clinical reasoning in nursing. J Adv Nurs.1988; 13:185–192 Jones MA. Clinical reasoning in manual therapy.
  24. (1993). Clinical reasoning in occupational therapy: An integrative review.
  25. (1987). Clinical reasoning in psychosocial occupational therapy: The evaluation process.
  26. (2000). Clinical reasoning in the health professions.
  27. (2000). Clinical reasoning of a novice versus an experienced occupational therapist: A qualitative study. Occupational Therapy In Health Care,
  28. (2001). Clinical reasoning of novice and expert occupational therapists.
  29. (1982). Clinical reasoning of occupational therapy during the initial assessment of physically disabled patients.
  30. (1987). Clinical reasoning process in physical therapy. Phys Ther.1985; 65:924–928.[ Pelland,
  31. (1999). Clinical reasoning, In: Concepts of occupational therapy.
  32. (2006). Clinical reasoning: Development of a theory-in-use.
  33. (2004). Clinical reasoning: How do worldwide, pragmatic reasoning and client centeredness fit?
  34. (1995). Clinical Reasoning. In:
  35. (1989). Cognitive science: Definition, status, and questions.
  36. (1994). Conditional reasoning. Creating meaningful experiences. In
  37. (1987). Contextual factors in the activation of first diagnostic hypotheses: expert-novices differences.
  38. (2004). Depression in young adolescents: Investigations using 2 and 3 factor versions of the parental bonding instrument.
  39. (1997). Diagnostic reasoning: The process of problem identification.
  40. (1999). Doing interpretative phenomenological analysis.
  41. (1994). Doing occupational therapy: Dimensions of satisfaction and dissatisfaction.
  42. (1975). Doing phenomenology. Dordrecht, The Netherlands: Martinus Nijhoff.
  43. (1988). Educating the reflective practitioner. San Francisco:
  44. (1981). Effective evaluation: Improving the effectiveness of evaluation results through responsive and naturalistic approaches.
  45. (1999). Establishing trustworthiness.
  46. (1997). Ethical reasoning in physical therapy and occupational therapy.
  47. Evidence-based medicine: what it is and what it isn't.
  48. (2000). Evolving formulations: Sharing complex information with clients. Behavioural and Cognitive Psychotherapy,
  49. (1984). Existential foundation of psychology:
  50. (1995). Expert clinicians’ and students’ views on clinical reasoning in occupational therapy.
  51. (1999). Expertise in Physical Therapy Practice.
  52. (1992). Expertise, aptitude, and strategic remembering.
  53. (1982). Explaining organizational behaviour.
  54. From beginner to expert: gaining a differentiated clinical world in critical care nursing.
  55. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park. CA:
  56. (2001). Gatekeepers and change agents. In
  57. (1988). Grounded theory: A promising approach to conceptualization in psychology?
  58. (1994). How Psychiatric disability expresses itself as a barrier to employment.
  59. (2001). How therapists’ conceptual perspectives influence early intervention evaluations.
  60. (1972). Human problem solving. Englewood Cliffs,
  61. (1993). Hypothesis generation and the coordination of theory and evidence in novice diagnostic reasoning. Medical Decision Making.
  62. (2000). ICDL clinical practice guideline,
  63. (1998). Images of reasoning: A literature review.
  64. (1998). Influences that shape our reasoning. In J. Creek (Ed.) Occupational therapy: New perspectives.
  65. (2008). Information processing theory and professional reasoning.
  66. (2002). Interpretative phenomenological analysis and the new genetics.
  67. (1997). Interpretative phenomenological analysis and the psychology of health and illness. In
  68. (2001). Introducing qualitative research in psychology:
  69. (2000). Intuition: An important tool in the practice of nursing.
  70. (1981). Issues of generality in medical problem solving.
  71. (2005). Knowledge, power, evidence: A critical analysis of key issues in evidence based practice.
  72. (2000). Learning as transformation: critical perspectives on a theory in progress.
  73. (1997). Material disclosures of health and illness.
  74. (1978). Medical Problem solving: An analysis of clinical reasoning.
  75. (2000). Methods in the study of clinical reasoning.
  76. (1990). Mew methods for qualitative data collection and analysis: Vignettes and pre-structured cases.
  77. (1998). Mixed methodology: Combining qualitative and quantitative approaches. Thousands Oaks,
  78. (1992). New conceptualizations of practice. Common principles in three paradigms suggest new concepts for training.
  79. (1994). Occupational programming in a day hospital for patients with dementia.
  80. (1991). Occupational therapy diagnostic reasoning: A component of clinical reasoning.
  81. (1945). On problem solving (Entire issue).
  82. (2000). Performance Assessment Network (pan) (1.0) – The WPQ Emotional Intelligence Questionaire v3 Report. The Test Agency.
  83. (1991). Phenomenological research as a theoretic initiative in community health nursing.
  84. (2005). Phenomenological research methods for counselling psychology.
  85. (1985). Phenomenology and psychological research.
  86. (2006). Phenomenology and psychological science: Historical and philosophical perspectives.
  87. (1962). Phenomenology of perception
  88. (2007). Plate tectonics in the classification of personality disorder: shifting to a dimensional model.
  89. (2001). Practice Knowledge and Expertise.
  90. (1980). Predictive strategies in diagnostic tasks.
  91. (1988). Professional judgment: A reader in clinical decision-making. Cambridge:
  92. (2007). Professional reasoning as the basis of practice. Clinical and professional reasoning in occupational therapy.
  93. (1993). Protocol analysis-verbal reports as data (rev. ed)
  94. (1978). Psychological research as the phenomenologist views it. In
  95. (2005). Psychotherapy and classification: Psychological, psychodynamic, and cognitive aspects.
  96. (1994). Qualitative data analysis (2nd. Ed.) Thousand Oaks,
  97. (1990). Qualitative research analysis: Types of software.
  98. (1998). Qualitative Research and Case Study Applications in Education, 2nd edition.
  99. (1995). Qualitative research methods for health professionals (2nd.ed.) Thousand Oaks,
  100. (1999). Qualitative research methods.
  101. (1995). Reasoning and the art of therapy for spinal cord injury.
  102. (1990). Researching lived experience: Human science for an action sensitive pedagogy.
  103. (1999). Rethinking the beginning practitioner: introducing the “International Professional”.
  104. (2008). Review of Methodologies for Researching Clinical Reasoning.
  105. (1997). Revising and updating the Workshop Behaviour Checklist for used by occupational therapists in the psychiatric settings. (ref. 512001). Hong Kong: Health Services Research Committee.
  106. (2007). Situational assessment as a predictor of employment outcome in people with chronic psychiatric illness.
  107. (1986). Some cognitive characteristics of students with and without diagnostic reasoning difficulties.
  108. (1995). Some surprising similarities in the clinical reasoning of ‘expert’ and ‘novice’ orthopedic nurses: Report of a study using verbal protocols and protocol analysis.
  109. (1995). Symbolic interaction. In
  110. (2001). Symptom effects on employment in a structural model of mental illness and treatment; an analysis of patients with schizophrenia.
  111. (1998). The application of decision making concepts by nurse practitioners in general practice.
  112. (1998). The child with special needs.
  113. (2000). The Chinese Personality at Work Questionnaire: Development, validation and significance.
  114. (1998). The Chinese version Work Personality Profile on assessing employability of psychiatric day patients in Hong Kong. Hong Kong Department of Rehabilitation Science. The Hong Kong Polytechnic University.
  115. (1987). The comparative method: Moving beyond qualitative and quantitative strategy.
  116. (1993). The depersonalization of patients: A profile gleaned from narratives.
  117. (1967). The discovery of grounded theory: Strategies for qualitative research.
  118. (2005). The employment of people with mental illness. Australian e-Journal for the Advancement of Mental Health,
  119. (2003). The influence of occupational therapist’s worldview on professional reasoning: A Qualitative study.
  120. (2003). The nature of professional reasoning with groups: A phenomenological study of an occupational therapist in community mental health.
  121. (1990). The patient-therapist relationship in occupational therapy: Understanding visions and images.
  122. (1993). The pattern of personal knowing in nurse clinical decision making.
  123. (1983). The reflective practitioner: How professionals think in action.
  124. (1997). The relationship between pretheoretical assumptions and clinical reasoning.
  125. (1989). The situativity of knowing, learning and research.
  126. (1991). The therapist with the three-track mind.
  127. (2005). The use of phenomenology gor family therapy research.
  128. (2006). The will to work: what people struggle to achieve.
  129. (1986). The work personality profile: factor scales, reliability, validity, and norms. Vocat Eval Work Adj Bull;
  130. (1994). The written nursing process: is it still useful to nursing education?
  131. (1992). Theories and principles of occupational therapy.
  132. (2008). Theory and practice: New directions for research.
  133. (2003). Theory Building – A process of increasing abstraction.
  134. (2007). Theory building from cases: Opportunities and challenges.
  135. (1997). Towards a model of occupational performance: Model development.
  136. (1991). Transformation dimensions of adult learning.
  137. (2005). Unbundling the structure of inertia: Resource versus routine rigidity.
  138. (1992). Understanding and validity in qualitative research.
  139. (2005). Using head-mounted video camera to confirm and expand knowledge of clinical reasoning in occupational therapy.
  140. (2004). Using interpretative phenomenological analysis for public health nutrition and dietetic research: A practical guide.
  141. (1999). Utilization of evidence-based practice by registered occupational therapists.
  142. (1999). Validation of Neuro-cognitive State Examination in Chinese. Hong Kong: Hong Kong
  143. (1991). What is clinical reasoning?
  144. (1991). What is worth knowing in occupational therapy?
  145. Work Assessment Report Working Group. Hong Kong: Occupational Therapy Coordinating Committee (2003). Guidelines on psychiatric work assessment report in occupational therapy. Hospital Authority.
  146. (1993). Work evaluations: critique of the state of the art of functional assessment of work.
  147. (1999). Workshop Behaviour Checklist – revised 99 manual. Hong Kong Occupational Therapy Association.

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