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Occupational adaptation and identity reconstruction

A grounded theory synthesis of qualitative studies exploring adults’ experiences of adjustment to chronic disease, major illness or injury

Bibliographic Data

ID12643773
AuthorsKim Walder (0000-0002-9692-9054, Griffith University, corresponding author), Matthew Molineux (0000-0002-6671-4140, Griffith University, corresponding author)
Year2017
Volume24
Issue2
Pages225-243
Publication date2017-01-22
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Occupational Science (JOURNAL)
Journal identifiersISSN: 1442-7591 • E-ISSN: 2158-1576
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/14427591.2016.1269240
OpenAlexW2580605101
LanguageEN
Citations received14
References cited62

Background: Adjustment to occupational disruption and loss following illness or injury is a complex, subjective experience. A number of studies have provided insight into this process within specific conditions and populations. Some studies reveal a process of occupational adaptation. Others describe reconstruction of an occupational identity, as expressed and defined through occupation. Examining these studies collectively can provide a deeper insight into these processes.Purpose: This study involved a synthesis of qualitative studies investigating the lived experience of adjusting to chronic disease or a significant health event. The key research question was how people adjust to chronic disease, major illness or injury from the perspective of occupational adaptation and occupational identity.Method: A systematic search of four databases identified qualitative studies exploring the personal experience of adjustment in adult populations with a range of significant health issues (excluding mental health and palliative care). Using occupational adaptation and occupational identity as sensitising concepts, findings of eligible studies were re-analysed using a 12-step grounded theory methodology, identifying central themes, and bringing these together collectively to construct a theoretical framework.Results: Thirty seven papers met inclusion and quality criteria. Analysis revealed a process of adapting how and what occupations were performed, and re-establishing an occupational identity, facilitated by achieving adequate levels of competence, motivation and confidence in occupational performance.Conclusion: This synthesis provides further evidence to confirm adjustment to chronic disease, major illness or injury as a process of reconstructing an occupational identity and occupational adaptation

Competence (human resources · Construct (python library · Disease · Grounded theory · Identity (music · Psychiatry · Qualitative research · Social science · Sociology · Medicine · Occupational Health and Burnout · Occupational Therapy Practice and Research · Psychology · Social Psychology · Workplace Health and Well-being · Occupational Therapy

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Unique citing works14
Citations per year1.75
Citation span2018 - 2025 (8)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 14

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