The use of theory in everyday practice: an exploratory study.

PURPOSE: This exploratory study, using a phenomenological framework with ethnographic methodology investigated the use of theory in everyday practice as described by three registered occupational therapists. METHOD: Semi-structured interviews were conducted with three practicing occupational therapists. Ethnographic observations and field notes supplemented the data collection. Data were analyzed using qualitative techniques. RESULTS: Six major themes emerged from the interview data and were supported by the observational data: (1)"This is where I kind of get confused."(2)"I remember hearing about theory."(3)"It helps me."(4)"I don't think there's a particular reason."(5)"We rarely use the terminology." (6)"It's kind of hard to incorporate that." DISCUSSION: The lack of the use of theory is paradoxical since all three therapists valued its use and saw it as a way to distinguish occupational therapy from other professions. The lack of use may be due to inadequate educational preparation, pragmatic issues prevalent in clinical sites, and lack of role models. An alternative learning strategy is provided.