en Occupational Therapy Occupational Therapy Original Research Original Research <font face="Times New Roman" size="3"> </font><p style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><font size="3"><font face="Calibri"><b>Background:</b> Clinical reasoning is generally defined as the numerous modes of thinking that guide clinical practice but little is known about the factors affecting how occupational therapists manage the decision-making process. The aim of this qualitative study was to explore the factors influencing the clinical reasoning of occupational therapists</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">.</span></font></p><font face="Times New Roman" size="3"> </font><p style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><font size="3"><font face="Calibri"><b>Methods:</b> Twelve occupational therapy practitioners working in mental and physical dysfunction fields participated in this study. The sampling method was purposeful and interviews were continued until data saturation</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">.</span><font face="Calibri"><span lang="FA"> </span>All the interviews were recorded and transcribed. The data were analyzed through a qualitative content analysis method</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">.</span></font></p><font face="Times New Roman" size="3"> </font><p style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><font size="3"><font face="Calibri"><b>Results:</b> There were three main themes. The first theme: socio-cultural conditions included three subthemes: 1</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">-</span><font face="Calibri"><span lang="FA"> </span>client beliefs 2- therapist values and beliefs 3- social attitude to disability. The second theme: individual attributions included two subthemes 1- client attributions 2- therapist attributions. The final theme was the workplace environment with the three subthemes: 1- knowledge of the managers of rehabilitation services, 2- working in an inter-professional team 3- limited clinical facilities and resources</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">.</span></font></p><font face="Times New Roman" size="3"> </font><p style="margin: 0cm 0cm 10pt text-align: justify unicode-bidi: embed direction: ltr"><font size="3"><font face="Calibri"><b>Conclusion:</b> In this study, the influence of the attitudes and beliefs of client, therapist and society about illness</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">,</span><font face="Calibri"><span lang="FA"> </span>abilities and disabilities upon reasoning was different to previous studies. Understanding these factors, especially the socio-cultural beliefs basis can play a significant role in the quality of occupational therapy services. Accurate understanding of these influential factors requires more extensive qualitative and quantitative studies</font><span lang="FA" style="font-family: "Arial","sans-serif" mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin" dir="rtl">.</span></font></p><font face="Times New Roman" size="3"> </font> Occupational therapy, Decision- making, Qualitative research. 50 59 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-613&slc_lang=en&sid=1 Narges Shafaroodi narges7@yahoo.com 200319475328460013018 200319475328460013018 No Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University ofMedical Sciences, Tehran, Iran. Mohammad Kamali kamali@mkamali.com 200319475328460013019 200319475328460013019 Yes Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Soroor Parvizy s_parvizy@tums.ac.ir 200319475328460013020 200319475328460013020 No Iran Nursing and Midwifery School, Centre for Educational Research in Medical sciences, Iran University of Medical Sciences, Tehran, Iran. Afsoon Hassani Mehraban a-mehraban@tums.ac.ir 200319475328460013021 200319475328460013021 No School of Rehabilitation Sciences, Department of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran. Giyn O’Toole gjyn.otoole@newcastle.edu.au 200319475328460013022 200319475328460013022 No University of Newcastle, Newcastle, Australia.