Occupational identity in occupational therapy: A concept analysis

Figures & data

Figure 1. PRISMA flow diagram representing literature search process .

Table 1. Overview of reviewed articles.

	Title	Authors	Journal/year	Purpose	Participants
[29]	Belief in doing and knowledge in being mothers with arthritis	Del Fabro Smith L, Suto M, Chalmers A, Backman CL	OTJR Occupation, Participation and Health/2011	To explore the experience of mothers with inflammatory arthritis in relation to participation and OI	Mothers with inflammatory arthritis
[30]	Mothers of children with food allergy: a discourse analysis of occupational identities	VanderKaay S	Journal of Occupational Science/2016	To explore the experience of mothers of children with food allergies in relation to mothering occupations	Mothers of children with food allergies
[31]	Re-establishing an occupational identity after stroke – a theoretical model based on survivor experience	Walder K, Molineux M	The British Journal of Occupational Therapy/2017	To explore occupational disruption and identity reconstruction after a stroke	Stroke survivors
[32]	Occupational identity of adolescents with ADHD: A mixed methods study	Levanon-Erez N, Cohen M, Traub Bar-Ilan R, Maeir A	Scandinavian Journal of Occupational Therapy/2017	To explore the OI of adolescents with attention deficit hyperactivity disorder (ADHD)	Adolescents with ADHD
[33]	Irish insights into the lived experience of breast cancer related lymphoedema: Implications for occupation focussed practice	McGrath T	World Federation of Occupational Therapists Bulletin/ 2013	To explore the experience of women with breast cancer related lymphoedema (BCRL)	Women with BCRL
[34]	Mothers in recovery: an occupational perspective	Martin LM, Smith M, Rogers J, Wallen T, Boisvert R	Occupational Therapy International/2011	To explore the experience of mothers from addiction through recovery in relation to occupational performance	Mothers with substance addictions
[35]	Awaiting knee joint replacement surgery: An occupational perspective on the experience of osteoarthritis	Man A, Davis A, Webster F, Polatajko H	Journal of Occupational Science/2017	To explore the experience of people with osteoarthritis (OA) following hip or knee replacements in relation to preoperative occupations	People with OA
[36]	Exploring the transformation in occupational identity: Perspectives from brain injury survivors	Bryson-Campbell M, Shaw L, O’Brien J, Holmes J	Journal of Occupational Science/2016	To explore shifts in OI following a traumatic brain injury (TBI)	Brain injury survivors
[37]	‘Without occupation you don’t exist’: Occupational engagement and mental illness	Blank AA, Harries P, Reynolds FR	Journal of Occupational Science, 2014	To explore the meanings of work for people with mental health conditions	People with severe and enduring mental health conditions
[38]	Occupation and identity: Perspectives of children with disabilities and their parents	Phelan SK, Kinsella EA	Journal of Occupational Science/2016	To explore the shaping of identity in children with disabilities in relation to occupation and social dimensions	Children with disabilities
[7]	Understanding the lived experiences of Parkinson’s disease and deep brain stimulation (DBS) through occupational changes	Liddle J, Phillips J, Gustafsson L, Silburn P	Australian Occupational Therapy Journal/ 2018	To explore the lived experiences of people with Parkinson’s disease who are undergoing DBS	People with Parkinson’s disease undergoing DBS
[39]	A study to explore the occupational adaptation of adults with MDR-TB who undergo long-term hospitalization	Hess-April L	South African Journal of Occupational Therapy/2014	To explore the experience of adults with multi drug resistant tuberculosis (MDR-TB) in relation to occupational identity, engagement and competence	People with MDR-TB who are hospitalized long-term
[40]	Experiences of participation in occupation of women on long-term sick leave.	Johansson C, Isaksson G	Scandinavian Journal of Occupational Therapy/2014	To explore the experiences of women on long-term sick leave in relation to occupation	Women on long-term sick leave

Table 2. OI use extracted from included articles.

	Meaning unit	Condensed meaning	Code	Context
1	‘I started doing [horseback riding] at first because I want to be more like my dad. And started hunting because I kind of connect with him and stuff. I do horseback riding because he grew up with horses his whole life and he still knows how to ride and I want to know how to ride so like if we both get horses we can both ride together.’ [38, p. 344]	Connecting to others, meaningful doing with family, is integrated into one’s own sense of being and doing	Belonging connects to being and doing	Construction
2	‘…lifting her son was important for her…she did lift him despite advice to the contrary. This was an established routine that meant a lot to them both and the continuity of this routine was important to Ruth.’ [33, p. 47]	Disconnect between meaningfully being and doing as before, and one’s current capacity for doing	Conflict between past and current being and doing	Discrepancy
3	‘Charles experienced a disruption to connecting with reality at discharge as he felt overwhelmed and confused about post-discharge arrangements: “We stopped in the middle of nowhere…we pulled over and we just cried and cried. We didn’t know what was going on.’’’ [31, p. 624]	Disrupted being and doing overwhelms, causing uncertainty for present and future	Disrupted being and doing connects to becoming	Disruption

Figure 2. The antecedents, attributes and related consequences of OI.

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