Practising in the acute orthopaedic setting, a qualitative study investigating the perspectives of occupational therapists in Ireland

Purpose: To explore the perspectives of occupational therapist’s practising in the acute orthopaedic setting in Ireland. Method: Five occupational therapists working in the acute orthopaedic setting were interviewed using a semi-structured, open-ended interview protocol. Data were analysed using thematic analysis informed by a qualitative research methodology. Results: Fives themes emerged following data analysis: Core beliefs of occupational therapy, role definition in the acute orthopaedic setting, enhancing practice through effective communication and supportive multidisciplinary relationships, perceptions of occupational therapists- motivations and frustrations and the growth and development of occupational therapy. Participants shared their personal experiences of practising in the acute orthopaedic setting, provided examples of how they envisage their role within the setting, discussed the prerequisite for effective communication and supportive relationships with colleagues. Finally, they described the changes they perceived as being necessary for the development of occupational therapy to occur. Conclusion: The complexities of practising in the acute orthopaedic setting were explored. Inadequate opportunities to engage in continuous professional development, insufficient funding and limited staffing and resources were highlighted as areas that inhibited the growth and development of the profession. The impact of inadequate service provision is discussed with recommendations for future research. It is suggested that the findings from the current research can be used to contribute to a greater understanding of the role of occupational therapy within the acute orthopaedic environment. Additionally, it is hoped the study will empower emerging therapists to explore innovative ways of describing the valuable contribution of occupational therapy, within an increasingly competitive health service.