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Accountability and competence: occupational therapy practitioner perceptions

L C Fawcett1, L R Strickland

  • 1Occupational Therapy Program, Spalding University, Louisville, Kentucky, USA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|October 20, 1998
PubMed
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Occupational therapy practitioners view continued competence broadly, defining its outcomes as autonomy in practice. New professional behaviors are essential for demonstrating accountability and competence in the field.

Area of Science:

  • Occupational therapy practice and professional development.

Background:

  • Accountability is a growing demand in occupational therapy service delivery.
  • Continued competence throughout a practitioner's career is essential for meeting accountability demands.
  • Key behaviors demonstrating accountability and competence include commitment, leadership, and professional knowledge.

Purpose of the Study:

  • To discuss issues related to accountability and competence in occupational therapy.
  • To present findings from focus groups with occupational therapy practitioners on professional competence.
  • To identify actions for enhancing the understanding of competence in the field.

Main Methods:

  • Two focus groups were conducted with 39 randomly selected occupational therapy practitioners.
  • Participants used a structured discussion guide to explore the definition, sustenance, and outcomes of continued competence.

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  • Qualitative data from focus groups were analyzed to identify emergent themes.

    • Main Results:

    • Practitioner views on the definition and contributors to continued competence in occupational therapy were diverse.
    • Perceptions of "practice" within occupational therapy were broad.
    • The primary outcome of a practitioner's continued competence was perceived as autonomy in executing the occupational therapy process.

    Conclusions:

    • The study provides language to articulate competence in occupational therapy, fostering a discipline-wide discussion.
    • Findings challenge practitioners to adopt new professional behaviors encompassing personal and interpersonal skills.
    • These enhanced professional behaviors are critical for demonstrating accountability and competence in occupational therapy practice.