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Effects of Level II Fieldwork on Clinical Reasoning in Occupational Therapy
Marjorie E Scaffa1, Theresa M Smith
1Department of Occupational Therapy, University of South Alabama, SHAC Rm. 5108, 1504 Springhill Avenue, Mobile, AL, 36604-3273 mscaffa@jaguar1.usouthal.edu.
Occupational Therapy in Health Care
|August 16, 2013
Summary
Level II fieldwork significantly enhances clinical reasoning skills in occupational therapy students. Extended fieldwork provides valuable experience for developing critical thinking abilities.
Area of Science:
- Occupational Therapy Education
- Clinical Reasoning Development
- Healthcare Professional Training
Background:
- Fieldwork is recognized as a crucial educational method for skill enhancement in clinical settings.
- The development of clinical reasoning is a key outcome in occupational therapy (OT) programs.
- Assessing the impact of specific fieldwork components on skill acquisition is essential for curriculum refinement.
Purpose of the Study:
- To evaluate the influence of Level II fieldwork on the clinical reasoning skills of undergraduate occupational therapy students.
- To quantify changes in clinical reasoning abilities following extensive fieldwork rotations.
Main Methods:
- A quasi-experimental pretest-posttest design was employed.
- Participants included 48 undergraduate senior occupational therapy students.
- The Self-Assessment of Clinical Reflection and Reasoning (SACRR) was administered before and after two 12-week full-time fieldwork rotations.
Main Results:
- Statistically significant improvements were observed in 13 out of 26 items on the SACRR.
- The overall mean score on the SACRR increased significantly from 102.55 to 108.41 (p < .01).
Conclusions:
- Twenty-four weeks of full-time Level II fieldwork experience can substantially foster the development of clinical reasoning skills in senior undergraduate OT students.
- This finding supports the integration of comprehensive fieldwork as a core component for cultivating essential clinical competencies in OT education.
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