title: Application of the enabling occupation II guidelines in a non-Canadian context.
abstract: BACKGROUND
  The Canadian Enabling Occupation II guidelines contain theory and examples of how to apply client-centredness in occupation-based practice. Little information is available about the feasibility of the guidelines in other contexts. For 18 months, nine Dutch occupational therapists participated in a community of practice to explore, together with three researchers, their experiences with the application of the Enabling Occupation II guidelines.
  
  
  OBJECTIVE
  To understand the experiences of Dutch occupational therapists with the application of the Enabling Occupation II guidelines.
  
  
  METHODS
  A qualitative study using four focus group discussions and content analysis.
  
  
  RESULTS
  Four themes emerged: (1) an indication that the guidelines of Enabling Occupation II are in line with values and norms of Dutch occupational therapists, (2) the meaningfulness of an intensive process of studying, discussing, applying and reflecting, (3) the struggles faced by the occupational therapists with translating English and getting a grip on concepts and (4) the challenges to implementing the guidelines in practice.
  
  
  CONCLUSIONS
  Findings indicate that Enabling Occupation II embody values and norms of Dutch occupational therapists. They experience many benefits in their doing, thinking and being when applying the guidelines in practice. Struggles with reading English, getting a grip on concepts and theories, and difficulties in handling obstacles indicate that the application of the guidelines takes effort. An understanding of the philosophy, application, and reflection on professional identity may be prerequisites for appraising the feasibility of adoption of client-centred guidelines cross-culturally.
authors.affiliation: Faculty of Health, Centre of Research Autonomy and Participation for Persons with a Chronic Illness , Heerlen , The Netherlands.
authors.forename: Barbara
authors.initials: B
authors.lastname: Piškur
authors.forename: Annerie
authors.initials: A
authors.lastname: Zalmstra
authors.forename: Marluuke
authors.initials: M
authors.lastname: Jakobs
authors.forename: Ramon
authors.initials: R
authors.lastname: Daniëls
mesh_terms: D017144:Focus Groups; D006801:Humans; D009426:Netherlands; D009788:Occupational Therapy / Q000592:standards*; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D036301:Qualitative Research