Between affection and rivalry: staff perceptions regarding a new occupational therapy service at a psychiatric hospital – an example from Italian Switzerland

Moller, Matthias and Martin, Marion and Wright, Jon (2012) Between affection and rivalry: staff perceptions regarding a new occupational therapy service at a psychiatric hospital – an example from Italian Switzerland. Masters thesis, Dipartimento Sanità.

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Abstract

This study aims to identify and understand how different health care professions working in a psychiatric hospital view the recently implemented occupational therapy service and how they value this new treatment component. A constructivist grounded theory study design was chosen to explore the process of integrating an occupational therapy service into the clinics’ treatment supply. Eight individual in-depth interviews with different staff members were carried out and analysed by using constant comparative method. The main findings were that though building on a solid ground of common assumptions, ambivalence was the core concept that influences health professionals’ perceptions like affection, rivalry, and scepticism with respect to the occupational therapy service, as participants showed to switch between positive and negative aspects. The small sample size may relativize the findings; however, considering the specific cultural and institutional conditions is important as they influence how others see occupational therapy. Particularly nurses and occupational therapists in analysing together their common assumptions about mental health care and how activity and occupation should be distinguished could help clarifying their professional boundaries. To advance the common level of information about occupational therapy within the staff, the institution could start developing clear guidelines concerning the mandate of occupational therapy.

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