Lew Nancy, Cara Elizabeth, Richardson Pamela
Pacifica Nursing & Rehabilitation Center, Stanford Hospital & Clinics & On-Lok Senior Health Services, Bay Area, CA.
Occup Ther Health Care. 2007;21(1-2):105-22. doi: 10.1080/J003v21n01_08.
This study explored the experience of occupational therapists who encountered counterproductive events during their fieldwork training. Interviews were conducted to gather information regarding the participant's perception of factors that contributed to a negative fieldwork experience. The results were divided into major categories: (1) the role of the supervisor, (2) poor supervisory characteristics, (3) the fieldwork infrastructure, (4) misconceptions in the fieldwork experience, (5) student coping strategies, (6) student responses, (7) positive outcomes, (8) negative consequential outcomes, and (9) cycle of the ineffective fieldwork experience. The results showed challenging supervisory events were the major factor in contributing to a negative fieldwork experience; however, the situation was magnified by other factors such as lack of academic program support. To help prevent this phenomenon from occurring or to minimize negative outcomes, positive resolutions such as solutions to dilemmas presented by the current health care system may minimize the difficulties impinging on fieldwork in occupational therapy.
本研究探讨了职业治疗师在其临床实习培训期间遇到适得其反事件的经历。通过访谈收集有关参与者对导致负面临床实习经历的因素的看法的信息。结果分为主要类别：（1）督导的角色，（2）不良的督导特征，（3）临床实习基础设施，（4）临床实习经历中的误解，（5）学生应对策略，（6）学生反应，（7）积极结果，（8）负面后续结果，以及（9）无效临床实习经历的循环。结果表明，具有挑战性的督导事件是导致负面临床实习经历的主要因素；然而，诸如缺乏学术项目支持等其他因素会使情况恶化。为了帮助防止这种现象发生或尽量减少负面结果，诸如解决当前医疗保健系统所呈现困境的积极解决方案等，可能会最大限度地减少影响职业治疗临床实习的困难。
