New graduates learning to make intervention decisions in acute paediatric hospital settings: Support and influences
Introduction New graduate occupational therapists’ experiences of learning to make paediatric intervention decisions within hospital settings are unexplored. New graduates commonly find clinical decision-making challenging. Previous research has predominantly evaluated support programs designed to a...
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Published in | The British journal of occupational therapy Vol. 85; no. 12; pp. 965 - 973 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.12.2022
Sage Publications Ltd |
Subjects | |
Online Access | Get full text |
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Abstract | Introduction
New graduate occupational therapists’ experiences of learning to make paediatric intervention decisions within hospital settings are unexplored. New graduates commonly find clinical decision-making challenging. Previous research has predominantly evaluated support programs designed to assist their transition to practice. Exploring new graduates’ experiences working in hospital settings is important because they are common employers of new graduates and typically provide substantial support.
Method
A case study approach enabled exploration of the experiences of four new graduate and perspectives of four experienced occupational therapists working in an Australian paediatric hospital. Data were collected through semi-structured interviews, informal discussions, observations and review of documents. Inductive analysis was used to identify codes and themes within the data.
Findings
New graduates reported substantial access to workplace supports and resources to inform their intervention decisions. However, the immediacy with which occupational therapists needed to respond to referrals impacted new graduates’ ability to consistently access available supports. They were acutely aware of needing to manage clinical risk and actively sought informal support for making intervention decisions.
Conclusion
Providing opportunities to seek informal support on an ‘as-needs’ basis was most important for assisting new graduates to obtain reassurance that they were making safe, high-quality intervention decisions. |
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AbstractList | Introduction New graduate occupational therapists’ experiences of learning to make paediatric intervention decisions within hospital settings are unexplored. New graduates commonly find clinical decision-making challenging. Previous research has predominantly evaluated support programs designed to assist their transition to practice. Exploring new graduates’ experiences working in hospital settings is important because they are common employers of new graduates and typically provide substantial support. Method A case study approach enabled exploration of the experiences of four new graduate and perspectives of four experienced occupational therapists working in an Australian paediatric hospital. Data were collected through semi-structured interviews, informal discussions, observations and review of documents. Inductive analysis was used to identify codes and themes within the data. Findings New graduates reported substantial access to workplace supports and resources to inform their intervention decisions. However, the immediacy with which occupational therapists needed to respond to referrals impacted new graduates’ ability to consistently access available supports. They were acutely aware of needing to manage clinical risk and actively sought informal support for making intervention decisions. Conclusion Providing opportunities to seek informal support on an ‘as-needs’ basis was most important for assisting new graduates to obtain reassurance that they were making safe, high-quality intervention decisions. Introduction New graduate occupational therapists’ experiences of learning to make paediatric intervention decisions within hospital settings are unexplored. New graduates commonly find clinical decision-making challenging. Previous research has predominantly evaluated support programs designed to assist their transition to practice. Exploring new graduates’ experiences working in hospital settings is important because they are common employers of new graduates and typically provide substantial support. Method A case study approach enabled exploration of the experiences of four new graduate and perspectives of four experienced occupational therapists working in an Australian paediatric hospital. Data were collected through semi-structured interviews, informal discussions, observations and review of documents. Inductive analysis was used to identify codes and themes within the data. Findings New graduates reported substantial access to workplace supports and resources to inform their intervention decisions. However, the immediacy with which occupational therapists needed to respond to referrals impacted new graduates’ ability to consistently access available supports. They were acutely aware of needing to manage clinical risk and actively sought informal support for making intervention decisions. Conclusion Providing opportunities to seek informal support on an ‘as-needs’ basis was most important for assisting new graduates to obtain reassurance that they were making safe, high-quality intervention decisions. |
Author | Copley, Jodie A Turpin, Merrill J Moir, Elizabeth |
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Cites_doi | 10.1111/j.1440-1630.2006.00568.x 10.1177/030802269806100605 10.1177/00084174211022880 10.1177/030802260907200903 10.5014/ajot.55.1.19 10.1177/030802260606901105 10.1177/030802269706000802 10.1177/000841740707400303 10.1111/j.1440-1630.2004.00380.x 10.1111/1440-1630.12165 10.1177/0308022619876842 10.1111/1440-1630.12693 10.1177/0008417416660990 10.1136/bmjopen-2019-033761 10.1071/AH15240 10.4276/030802209X12577616538753 10.1111/phn.12100 10.1177/030802260506800505 10.1002/9781118702833 10.1111/jocn.13628 10.1177/0308022620941390 10.2182/cjot.2010.77.4.7 10.1111/1440-1630.12298 10.1111/1440-1630.12227 |
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Snippet | Introduction
New graduate occupational therapists’ experiences of learning to make paediatric intervention decisions within hospital settings are unexplored.... Introduction New graduate occupational therapists’ experiences of learning to make paediatric intervention decisions within hospital settings are unexplored.... |
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SubjectTerms | Clinical decision making Clinical research Decision making Intervention Learning New employees Occupational therapists Occupational therapy Pediatrics Therapists Workplaces |
Title | New graduates learning to make intervention decisions in acute paediatric hospital settings: Support and influences |
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