Are perinatal OT’s actually offering evidence-based practice?

EBP triangle

I’ve finished coding the case study interviews. Hoorah! As I’m writing up findings, I’ve been reflecting a lot about so many of the coding challenges I have debated with myself and several other colleagues. There have been some wonderfully robust discussions about evidence-based practice, and how to check that we are actually offering the best possible service to clients. It’s definitely challenging for clinicians in practice, and also from an academic research perspective.

A colleague reminded me of the EBP triad. I had totally forgotten this little gem. When we think about levels of evidence and offering best practice incorporating EBP, there is often grounds for so much doubt, uncertainty and procrastination. Clinical decisions are based on more than one thing.

I read this article recently, and it resonated with me about the feeling I had from so many perinatal OT practitioners, in their quest to offer best-practice clinical services:

Copley, J. A., Turpin, M. J., & King, T. L. (2010). Information Used by an Expert Paediatric Occupational Therapist When Making Clinical Decisions. 77(4), 249-256. doi:10.2182/cjot.2010.77.4.7

The perinatal OT case study results are beginning to reveal how these passionate OT’s are seeking and drawing together an impressive range of training, clinical reasoning, experience, supervision and mentoring to offer perinatal populations unique, person-centered and evidence-based practices. Anecdotal evidence, research literature of multiple levels and sources, and other formal training and CPD clinicians complete influence the range and quality of professional services OT’s can offer perinatal populations.

What a privilege it is to be capturing a snapshot of how this cohort are doing their bit to improve outcomes for maternal populations in the context of “occupation”. Amazing. Thank you to everyone who participated in this research. I can’t wait to get it out!

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Author: Dr Hannah Slootjes (PhD)

I'm an occupational therapist, women's health researcher, academic, writer, mum, and passionate life learner. In 2022, I completed PhD exploring how OTs globally do, could or should work to promote health and maintain wellbeing for mothers during and after pregnancy, and matrescence. Titled, 'The Role of Occupational Therapists in Perinatal Health' my thesis introduced the Person-centered Occupational Model of Matrescence (POMM) to understand women's wellbeing from a human-centered approach, and the Functional Co-occupation Spectrum (FCS) for working with mother-infant dyads. I am currently teaching occupational therapy and public health students at La Trobe University, and writing a textbook about working with women during perinatal stages and matrescence based on my thesis (aiming for publication in 2024). I still love clinical practice, and work in women's health locally in Bendigo. After taking a year-long sabbatical to recover and re-energise after completing my PhD, I'm rolling up my sleeves and gearing up for the next life chapter! I'm still writing and teaching, and will be increasing practice-based supports for OTs from this website from May 2023. I am so looking forward to reconnecting with OTs practicing and researching in this space, and cannot wait to be part of the next phase of practice-based professional development!

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