Harries Priscilla Ann, Gilhooly Kenneth J
School of Health Sciences and Social Care, Brunel University, Uxbridge, Middlesex, UK.
Aust Occup Ther J. 2010 Dec;57(6):417-24. doi: 10.1111/j.1440-1630.2010.00881.x.
BACKGROUND/AIM: Obtaining valid accounts of professionals' thinking is dependent upon experts' capacity for self-insight. Self-insight has implications for developing professional decision making, facilitating education and promoting agreement among therapists. The aim of this study was to examine occupational therapists' self-insight into their referral prioritisation policies.
A total of 40 occupational therapists individually rated the importance that differing types of referral content had on their prioritisation of referrals. These subjective policies were then correlated with their objective referral prioritisation policies that had been previously statistically derived.
Self-insight was found to be moderate but with wide variation across individuals and across referral information used. Self-insight on cues that were important to the decision was found to be better than on those cues not so important to the decision.
Occupational therapists have similar levels of self-insight to other professional groups. The 'attention hypothesis' may explain why self-insight varied across referral information used.
背景/目的:获取专业人员思维的有效描述取决于专家的自我洞察能力。自我洞察对发展专业决策、促进教育以及推动治疗师之间的共识具有重要意义。本研究的目的是考察职业治疗师对其转诊优先排序政策的自我洞察。
共有40名职业治疗师分别对不同类型的转诊内容在其转诊优先排序中的重要性进行评分。然后将这些主观政策与其先前通过统计得出的客观转诊优先排序政策进行关联。
发现自我洞察处于中等水平,但个体之间以及所使用的转诊信息之间存在很大差异。对决策重要线索的自我洞察比对决策不太重要线索的自我洞察要好。
职业治疗师的自我洞察水平与其他专业群体相似。“注意力假说”或许可以解释为何自我洞察在所使用的转诊信息中存在差异。