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Original Articles

Understanding professional identity in occupational therapy: A scoping review

ORCID Icon, ORCID Icon, &
Pages 175-197 | Received 24 Sep 2020, Accepted 26 Aug 2021, Published online: 07 Oct 2021

References

  • Britton L, Rosenwax L, McNamara B. Occupational therapy in Australian acute hospitals: a modified practice. Aust Occup Ther J. 2016;63(4):257–265.
  • Fitzgerald M. Maintaining professional identity and role in the modern workplace. BJOT. 2014;77(8):383–383.
  • Guajardo A, Kronenberg F, Ramugondo LE. Southern occupational therapies: emerging identities, epistemologies and practices. S Afr J Occup Ther. 2015;45(1):3–10.
  • Kirsh BH. Transforming values into action: advocacy as a professional imperative. Can J Occup Ther. 2015;82(4):212–223.
  • Turner A, Knight J. A debate on the professional identity of occupational therapists. BJOT. 2015;78(11):664–673.
  • Wilding C, Whiteford G. Language, identity and representation: occupation and occupational therapy in acute settings. Aust Occup Ther J. 2008;55(3):180–187.
  • Edwards H, Dirette D. The relationship between professional identity and burnout among occupational therapists. Occup Ther Health Care. 2010;24(2):119–129.
  • Dale LM, Fabrizio AJ, Adhlakha P, et al. Occupational therapists working in hand therapy: the practice of holism in a cost containment environment. Work. 2002;19(1):35–45.
  • Occupational Therapy Board of Australia. Statistics Melbourne, Australia 2017 [cited 2020]. Available from: https://www.occupationaltherapyboard.gov.au
  • Occupational Therapy Australia. Issues paper to the productivity commission health workforce study. Melbourne: Occupational Therapy Australia; 2005.
  • Powell JM, Kanny EM, Ciol MA. State of the occupational therapy workforce: results of a national study. Am J Occup Ther. 2008;62(1):97–105.
  • Ashby S, Ryan S, Gray M, et al. Factors that influence the professional resilience of occupational therapists in mental health practice. Aust Occup Ther J. 2013;60(2):110–119.
  • Ikiugu M, Rosso H. Facilitating professional identify in occupational therapy students. Occup Ther Int. 2003;10(3):206–225.
  • Thomas Y. Inspiration: moving forward when you do not see the steps. NZJOT. 2009;56(1):12–18.
  • Clarke C, Martin M, de Visser R, et al. Sustaining professional identity in practice following role-emerging placements: opportunities and challenges for occupational therapists. BJOT. 2015;78(1):42–50.
  • Devery H, Scanlan JN, Ross J. Factors associated with professional identity, job satisfaction and burnout for occupational therapists working in eating disorders: a mixed methods study. Aust Occup Ther J. 2018;65(6):523–532.
  • Fox V. Professional roles in community mental health practice: generalist versus specialist. Occup Ther Ment Health. 2013;29(1):3–9.
  • Hardaker L, Halcomb E, Griffiths R, et al. A survey of 63 Australian occupational therapists working in youth mental health. Occup Ther Ment Health. 2011;27(2):140–154.
  • Lloyd C, Kanowski H, Maas F. Occupational therapy in mental health: challenges and opportunities. Occup Ther Int. 1999;6(2):110–125.
  • Lloyd C, King R, McKenna K. Actual and preferred work activities of mental health occupational therapists: congruence or discrepancy? BJOT. 2004;67(4):167–175.
  • Kornblau BL. A vision for our future. Am J Occup Ther. 2004;58(1):9–14.
  • Hughes J. Occupational therapy in community mental health teams: a continuing dilemma? Role theory offers an explanation. BJOT. 2001;64(1):34–40.
  • Palmadottir G. The challenges of implementing a curriculum with occupation as the central organizing framework. WFOT Bull. 2003;47(1):7–16.
  • Ikiugu M, Schultz S. An argument for pragmatism as a foundational philosophy of occupational therapy. Can J Occup Ther. 2006;73(2):86–97.
  • Hodges H, Keeley A, Grier E. Professional resilience, practice longevity, and parse's theory for baccalaureate education. J Nurs Educ. 2005;44(12):548–554.
  • Ashby S, Adler J, Herbert L. An exploratory international study into occupational therapy students' perceptions of professional identity. Aust Occup Ther J. 2016;63(4):233–243.
  • Toal-Sullivan D. New graduates' experiences of learning to practise occupational therapy. BJOT. 2006;69(11):513–524.
  • Fortune T. Occupational therapists: is our therapy truly occupational or are we merely filling gaps? BJOT. 2000;63(5):225–230.
  • Kielhofner G. Conceptual foundations of occupational therapy practice. 4th ed. Philadelphia (PA): F A Davis; 2009.
  • Whiteford G, Townsend E, Hocking C. Reflections on a renaissance of occupation. Can J Occup Ther. 2000;67(1):61–69.
  • Royeen CB. The 2003 Eleanor Clarke Slagle Lecture. Chaotic occupational therapy: collective wisdom for a complex profession. Am J Occup Ther. 2003;57(6):609–624.
  • Hooper B, Wood W. Pragmatism and structuralism in occupational therapy: the long conversation. Am J Occup Ther. 2002;56(1):40–50.
  • Crabtree JL. Occupational therapy: building skills transforming selves? BJOT. 1998;61(11):504–508.
  • Mocellin G. Occupational therapy: a critical overview, part 2. BJOT. 1996;59(1):11–16.
  • Molineux M. The nature of occupation. In: Curtin M, Molineux M, Supyk-Mellson J, editors. Occupational therapy and physical dysfunction: enabling occupation. 6th ed. Edinburgh: Elsevier; 2010. p. 17–26.
  • Estes J, Pierce DE. Pediatric therapists' perspectives on occupation-based practice. Scand J Occup Ther. 2012;19(1):17–25.
  • Lloyd C, King R. Work-related stress and occupational therapy. Occup Ther Int. 2001;8(4):227–243.
  • Davis J. Occupational therapy students' metaphors for helping. Am J Occup Ther. 2008;62(2):242–250.
  • Holland K, Middleton L, Uys L. Professional confidence: a concept analysis. Scand J Occup Ther. 2012;19(2):214–224.
  • Skubik-Peplaski C, Rowles GD, Hunter EG. Toward a physical environmental continuum for occupational intervention in a rehabilitation hospital. Occup Ther Health Care. 2012;26(1):33–47.
  • Holland KE, Middleton L, Uys L. Professional confidence: conceptions held by novice occupational therapists in South Africa: conceptions of professional confidence. Occup Ther Int. 2013;20(3):105–113.
  • Maslach C, Jackson S, Leiter M. Maslach burnout inventory manual. 3rd ed. Palo Alto (CA): Consulting Psychologists Press; 1996.
  • Wright R. Occupational therapy: what makes you stay in the profession? BJOTR. 2001;8(11):418–425.
  • Britton L, Rosenwax L, McNamara B. Occupational therapy practice in acute physical hospital settings: Evidence from a scoping review. Aust Occup Ther J. 2015;62(6):370–377.
  • Davis J. The importance of the community of practice in identity development. IJAHSP. 2006;4(3):1–8.
  • Whitcombe SW. Problem-based learning students' perceptions of knowledge and professional identity: occupational therapists as ‘knowers’. BJOT. 2013;76(1):37–42.
  • Clarke C, Martin M, Sadlo G, et al. The development of an authentic professional identity on role-emerging placements. BJOT. 2014;77(5):222–229.
  • Boehm J, Tanner B, Lowrie D, et al. Exploring emerging occupational therapy identity and the development of graduate attributes among occupational therapy students. BJOT. 2015;78(8):499–507.
  • Binyamin G. Growing from dilemmas: developing a professional identity through collaborative reflections on relational dilemmas. Adv Health Sci Educ. 2018;23(1):43–60.
  • McKinstry C, Brown T, Gustafsson L. Scoping reviews in occupational therapy: the what, why, and how to. Aust Occup Ther J. 2014;61(2):58–66.
  • Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5(1):69–69.
  • Arksey H, O'Malley L. Scoping studies: towards a methodological framework. IJSRM. 2005;8(1):19–32.
  • Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J. 2009;26(2):91–108.
  • Weeks LC, Strudsholm T. A scoping review of research on complementary and alternative medicine (CAM) and the mass media: looking back, moving forward. BMC Complement Altern Med. 2008;8(1):43–43.
  • Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77–101.
  • O'Shea BJ. Muriel driver memorial lecture. Pawn or protagonist: interactional perspective of professional identity. Can J Occup Ther. 1977;44(3):101–108.
  • Mosey A. Eleanor Clarke Slagle lecture, 1985: a monistic or a pluralistic approach to professional identity?. Am J Occup Ther. 1985;39(8):504–509.
  • DePoy E, Merrill SC. Value acquisition in an occupational therapy curriculum. OTJR. 1988;8(5):259–274.
  • de Jonge D, Vanclay F. Professional identity, legitimacy and the teaching of treatment media. AOTJ. 2010;36(4):200–211.
  • Raveh M. Configuration of occupational therapy, professionalism and experiential learning: an integrated introductory course. Occup Ther Int. 1995;2(1):65–78.
  • Palmadottir G. Occupational therapy education program in Iceland: needs and development. WFOT Bull. 1996;33(1):19–23.
  • Gray JM. Putting occupation into practice: occupation as ends, occupation as means. Am J Occup Ther. 1998 May;52(5):354–364.
  • Cooper H, Spencer-Dawe E, McLean E. Beginning the process of teamwork: design, implementation and evaluation of an inter-professional education intervention for first year undergraduate students. J Interprof Care. 2005;19(5):492–508.
  • Wright C, Rowe N. Protecting professional identities: service user involvement and occupational therapy. BJOT. 2005;68(1):45–47.
  • Abreu BC. Professional identity and workplace integration. Am J Occup Ther. 2006;60(5):596–599.
  • Lidskog M, Löfmark A, AhlströM G. Learning about each other: students' conceptions before and after interprofessional education on a training ward. J Interprof Care. 2008;22(5):521–533.
  • Clouston TJ, Whitcombe SW. The professionalisation of occupational therapy: a continuing challenge. BJOT. 2008;71(8):314–320.
  • Hooper B. Stories we teach by: intersections among faculty biography, student formation, and instructional processes. Am J Occup Ther. 2008;62(2):228–241.
  • Dige M. Occupational therapy, professional development, and ethics. Scand J Occup Ther. 2009;16(2):88–98.
  • Lindeman MA. Assessment staff in home and community care services: issues of learning and professional identity in Australia. Health Soc Care Community. 2009;17(4):406–414.
  • Kinn LG, Aas RW. Occupational therapists perception of their practice: a phenomenological study. AOTJ. 2009;56(2):112–121.
  • Arndt J, King S, Suter E, et al. Socialization in health education: encouraging an integrated interprofessional socialization process. J Allied Health. 2009;38(1):18–23.
  • Seruya FM, Hinojosa J. Professional and organizational commitment in paediatric occupational therapists: the influence of practice setting. Occup Ther Int. 2010;17(3):125–134.
  • Bodell S, Hook A. Using facebook for professional networking: a modern-day essential. BJOT. 2011;74(12):588–590.
  • Holland K, Middleton L, Uys L. The sources of professional confidence in occupational therapy students. SAJOT. 2012;42(3):19–25.
  • Lee SW, Kielhofner G, Morley M, et al. Impact of using the model of human occupation: a survey of occupational therapy mental health practitioners' perceptions. Scand J Occup Ther. 2012;19(5):450–456.
  • Grant A. The effect of the use of discretion on occupational therapists' professional identity. BJOT. 2013;76(9):409–417.
  • Jakobsen F, Hansen J. Spreading the concept: an attempt to translate an interprofessional clinical placement across a danish hospital. J Interprof Care. 2014;28(5):407–412.
  • Kraft M, Blomberg K, Hedman AMR. The health care professionals' perspectives of collaboration in rehabilitation - an interview study. Int J Older People Nurs. 2014;9(3):209–216.
  • Johannessen AK, Steihaug S. The significance of professional roles in collaboration on patients' transitions from hospital to home via an intermediate unit. Scand J Caring Sci. 2014;28(2):364–372.
  • Dures E, Hewlett S, Ambler N, et al. Rheumatology clinicians' experiences of brief training and implementation of skills to support patient self-management. BMC. 2014;15(1):1–9.
  • Wimpenny K, Lewis L. Preparation for an uncertain world: professional agency and durability in the practice preparation of mental health in occupational therapy. S Afr J Occup Ther. 2015;45(2):22–28.
  • Bondoc S, Wall T. Interprofessional educational experience to assist in student readiness toward neurorehabilitation. Occup Ther Health Care. 2015;29(2):153–164.
  • Martinez J, Leland N. Language discordance and patient- centered care in occupational therapy: a case study. OTJR. 2015;35(2):120–128.
  • Drolet M-J, Sauvageau A. Developing professional values: perceptions of francophone occupational therapists in Quebec, Canada. SJOT. 2016;23(4):286–296.
  • Drolet MJ, Desormeaux-Moreau M. The values of occupational therapy: perceptions of occupational therapists in Quebec. Scand J Occup Ther. 2016;23(4):272–285.
  • van Stormbroek K, Buchanan H. Community service occupational therapists: thriving or just surviving? SAJOT. 2016;46(3):63–72.
  • Hooper B, Krishnagiri S, Taff SD, et al. Teaching knowledge generated through occupational science and teaching the science itself. JOS. 2016;23(4):525–531.
  • Kururi N, Tozato F, Lee B, et al. Professional identity acquisition process model in interprofessional education using structural equation modelling: 10-year initiative survey. J Interprof Care. 2016;30(2):175–183.
  • Carra KA, Fortune T, Ennals P, et al. Supporting scholarly identity and practice: narratives of occupational therapy academics. BJOT. 2017;80(8):502–509.
  • Cox DL. The Dr elizabeth casson memorial lecture 2017: life as an occupational being. BJOT. 2017;80(9):525–532.
  • Hess-April L, Ganas N, Phiri L, et al. Occupation-based practice in a tertiary hospital setting: occupational therapists' perceptions and experiences. SAJOT. 2017;47(3):25–31.
  • Moores A, Fitzgerald C. New graduate transition to practice: how can the literature inform support strategies? Aust Health Rev. 2017;41(3):308–312.
  • Ashby S, Gray M, Ryan S, et al. An exploratory study into the application of psychological theories and therapies in Australian mental health occupational therapy practice: challenges to occupation-based practice. Aust Occup Ther J. 2017;64(1):24–32.
  • Lahav O, Daniely N, Yalon-Chamovitz S. Interpersonal social responsibility model of service learning: a longitudinal study. Scand J Occup Ther. 2018;25(1):61–69.
  • Manspeaker SA, Wallace SE, Shaughnessy G, et al. Fostering interprofessional teamwork through an immersive study abroad experience. J Interprof Care. 2019;33(5):598–601.
  • Burley S, Cox R, Di Tommaso A, et al. Primary contact occupational therapy hand clinics: the pull of an occupational perspective. Aust Occup Ther J. 2018;65(6):533–543.
  • Scanlan JN. Evaluation of the construct and internal validity of the professional identity questionnaire: a Rasch analysis. Aust Occup Ther J. 2018;65(5):395–404.
  • O’Shea J, McGrath S. Contemporary factors shaping the professional identity of occupational therapy lecturers. BJOT. 2019;82(3):186–194.
  • Rees CE, Kent F, Crampton PES. Student and clinician identities: how are identities constructed in interprofessional narratives? Med Educ. 2019;53(8):808–823.
  • Scanlan JN, Hazelton T. Relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health. AOTJ. 2019;66(5):581–590.
  • Matthews J, Bialocerkowski A, Molineux M. Professional identity measures for student health professionals - a systematic review of psychometric properties. BMC Med Educ. 2019;19(1):308–308.
  • Krishnagiri S, Hooper B, Price P, et al. A national survey of learning activities and instructional strategies used to teach occupation: Implications for signature pedagogies. Am J Occup Ther. 2019;73(5):7305205080p1–7305205080p11.
  • Galheigo SM, Braga CP, Magalhães L, et al. An occupational therapy community of practice within pediatric acute care: fostering professional, social and cultural Capital in resource challenged settings. Cad Bras Ter Ocup. 2019;27(4):776–791.
  • Jentoft R. Boundary-crossings among health students in interprofessional geropsychiatric outpatient practice: collaboration with elderly people living at home. J Interprof Care. 2021;35(3):409–418.
  • Clough C. School-based occupational therapists' service delivery decision-making: perspectives on identity and roles. J Occup Ther Sch Early Interv. 2019;12(1):51–67.
  • Zubriski S, Norman M, Shimmell L, et al. Professional identity and emerging occupational therapy practice: an autoethnography. Can J Occup Ther. 2020;87(1):63–72.
  • Porter J, Wilton A. Professional identity of allied health staff associated with a major health network organizational restructuring. Nurs Health Sci. 2020;22(4):1103–1110.
  • Binyamin G. Strategies for resolving relational dilemmas while developing therapists' professional identity. Adv Health Sci Educ Theory Pract. 2021;26(3):827–845.
  • Lamash L, Fogel Y. Role perception and professional identity of occupational therapists working in education systems. Can J Occup Therapy. 2021;88(2):163–172.
  • Marcolino TQ, Kinsella EA, AdS A, et al. A community of practice of primary health care occupational therapists: advancing practice‐based knowledge. AOTJ. 2021;68(1):3–11.
  • Wilcock AA. Reflections on doing, being and becoming. Can J Occup Ther. 1998;65(5):248–256.
  • Pierce D. Occupation by design: dimensions, therapeutic power, and creative process. Am J Occup Ther. 2001;55(3):249–259.
  • Molineux M. Standing firm on shifting sands. NZJOT. 2011;58(1):21–28.
  • Fieldhouse J, Fedden T. Exploring the learning process on a role-emerging practice placement: a qualitative study. BJOT. 2009;72(7):302–307.
  • Lloyd C, King R, Maas F. The impact of restructuring mental health services on occupational therapy. BJOT. 1999;62(11):507–513.
  • Mackey H. Do not ask me to remain the same: Foucault and the professional identities of occupational therapists. Aust Occ Ther J. 2007;54(2):95–102.
  • Mattingly C, Fleming MH. Clinical reasoning: forms of inquiry in a therapeutic practice. Philadelphia: F.A. Davis; 1994.
  • Di Tommaso A, Isbel S, Scarvell J, et al. Occupational therapists' perceptions of occupation in practice: an exploratory study. Aust Occup Ther J. 2016;63(3):206–213.
  • Estes J. Occupational therapists' experiences with ethical and occupation-based practice in hospital setting. Ann Arbor (MI): University of Kentucky; 2014.
  • Gillen A, Greber C. Occupation-focused practice: challenges and choices. BJOT. 2014;77(1):39–41.
  • Kielhofner G. A model of human occupation: theory and application. 4th ed. Baltimore (MD): Lippincott Williams & Wilkins; 2008.
  • Howe M, Briggs A. Ecological systems model for occupational therapy. Am J Occup Ther. 1982;36(5):322–327.
  • Law M, Cooper B, Strong S, et al. The person-environment-occupation model: a transactive approach to occupational performance. Can J Occup Ther. 1996;63(1):9–23.
  • Hammell W. K. Resisting theoretical imperialism in the disciplines of occupational science and occupational therapy. BJOT. 2011;74(1):27–33.
  • Phelan S, Kinsella EA. Occupational identity: engaging socio-cultural perspectives. JOS. 2009;16(2):85–91.
  • Iwama M. Toward culturally relevant epistemologies in occupational therapy. Am J Occup Ther. 2003;57(5):582–588.
  • Molineux M, Whiteford G. Occupational science: genesis, evolution and future contributions. In: Duncan E, editor. Foundations for practice in occupational therapy. London: Elsevier; 2006. p. 297–313.
  • Drolet M-J. The axiological ontology of occupational therapy: a philosophical analysis. SJOT. 2014;21(1):2–10.
  • Yerxa EJ. Infinite distance between the I and the it. Am J Occup Ther. 2009;63(4):490–497.
  • Yerxa EJ. The philosophical base of OT. Occupational therapy: 2001 AD. Rockville, MD: American Occupational Therapy Association; 1979. p. 26–30.
  • Chapparo C, Ranka J. Theoretical contexts. In: Whiteford G, Wright-St Clair V, editors. Occupation and practice in context. Marrickville, (NSW): Elsevier; 2005. p. 51–71.
  • Hitch D, Pépin G, Stagnitti K. In the footsteps of Wilcock, part one: the evolution of doing, being, becoming, and belonging. Occup Ther Health Care. 2014;28(3):231–246.
  • Barilan YM, Brusa M. Deliberation at the hub of medical education: beyond virtue ethics and codes of practice. Med Health Care Philos. 2013;16(1):3–12.
  • Whalley Hammell K. Sacred texts: a sceptical exploration of the assumptions underpinning theories of occupation. Can J Occup Ther. 2009;76(1):6–13.
  • Hammell W. K. Client-centred practice: ethical obligation or professional obfuscation? BJOT. 2007;70(6):264–266.
  • Whalley Hammell K. Making choices from the choices we have: the contextual-embeddedness of occupational choice. Can J Occup Ther. 2020;87(5):400–411.
  • Pereira RB, Whiteford G, Hyett N, et al. Capabilities, opportunities, resources and environments (CORE): using the CORE approach for inclusive, occupation-centred practice. Aust Occup Ther J. 2020;67(2):162–171.
  • Wood W, Nielson C, Humphry R, et al. A curricular renaissance: graduate education centered on occupation. Am J Occup Ther. 2000;54(6):586–597.
  • Kinsella EA, Whiteford GE. Knowledge generation and utilisation in occupational therapy: towards epistemic reflexivity. AOTJ. 2009;56(4):249–258.
  • Di Tommaso A, Wilding C. Exploring ways to improve descriptions of occupational therapy. NZJOT. 2014;61(1):27–33.
  • Bennett S, Allen S, Caldwell E, et al. Organisational support for evidence-based practice: occupational therapists perceptions. Aust Occup Ther J. 2016;63(1):9–18.
  • Reed KL, Peters CO. Occupational therapy values and beliefs: part IV – a time of professional identity, 1970–1985 – would the real therapist please stand up? OT Pract. 2008;13(8):15–18.
  • Zemke R. The 2004 Eleanor Clarke Slagle Lecture: time, space, and the kaleidoscopes of occupation. AJOT. 2004;58(6):608–620.

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