Evaluation of an Occupational Therapy Mentorship Program: Effects on Therapists’ Skills and Family-Centered Behavior

ABSTRACT There is growing interest in understanding the usefulness of mentorship programs for children's rehabilitation service providers. This evaluation study examined the effects of an occupational therapy mentorship program on the skills and behaviors of 8 new and 17 experienced occupational therapists practicing at a regional children's rehabilitation center. Self- and peer-report measures of family-centered behavior, critical thinking ability, listening/interactive communication skill, and clinical behavior were collected before and after an 11-month facilitated, collaborative group mentorship intervention. Significant pre–post changes associated with intervention were found on 9 of 12 outcome measures, including information provision, respectful treatment, self-confidence, and listening and clinical skill. Changes were not found on the more trait-like variables of open-mindedness, interpersonal sensitivity, and interpersonal skill. Experienced therapists had higher scores than new therapists on most variables, including family-centered behavior, listening skill, and clinical skill. Implications regarding the utility of mentorship programs in children's rehabilitation centers are discussed.

[1]  K. A. Ericsson,et al.  Toward a general theory of expertise : prospects and limits , 1991 .

[2]  Lewis E. Kazis,et al.  Effect Sizes for Interpreting Changes in Health Status , 1989, Medical care.

[3]  B. Fiese,et al.  Qualitative inquiry: an overview for pediatric psychology. , 1998, Journal of pediatric psychology.

[4]  Ingrid M Provident.  Mentoring: A Role to Facilitate Academic Change , 2005 .

[5]  N. Clarke.  Workplace Learning Environment and its Relationship with Learning Outcomes in Healthcare Organizations , 2005 .

[6]  U. Rosenqvist,et al.  Interventions to support reflection and learning: a qualitative study , 2004 .

[7]  T. Skovholt,et al.  Portrait of the master therapist: The highly-functioning self: Exploring expertise in therapy and counseling , 2004 .

[8]  T. Cook,et al.  Quasi-experimentation: Design & analysis issues for field settings , 1979 .

[9]  Tracy A Shepherd,et al.  Development of a measure to assess effective listening and interactive communication skills in the delivery of children’s rehabilitation services , 2012, Disability and rehabilitation.

[10]  James Rochon,et al.  Sample size calculations for two-group repeated-measures experiments , 1991 .

[11]  H. Heath,et al.  Reflection and patterns of knowing in nursing. , 1998, Journal of advanced nursing.

[12]  P. Benner.  From novice to expert. , 1984, The American journal of nursing.

[13]  B. J. Hays,et al.  Fostering Expertise in Occupational Health Nursing , 1996, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[14]  K. Mann,et al.  Reflection and reflective practice in health professions education: a systematic review , 2009, Advances in health sciences education : theory and practice.

[15]  T Paget,et al.  Reflective practice and clinical outcomes: practitioners' views on how reflective practice has influenced their clinical practice. , 2001, Journal of clinical nursing.

[16]  Richard M. Lerner,et al.  Theories of human development: Contemporary perspectives. , 1998 .

[17]  G. King,et al.  The development of expertise in pediatric rehabilitation therapists: Changes in approach, self-knowledge, and use of enabling and customizing strategies , 2007, Developmental neurorehabilitation.

[18]  A Qualitative Study of Workplace Factors Influencing Expertise in the Delivery of Children’s Education and Mental Health Services , 2010 .

[19]  H. Campbell,et al.  Evaluation of a mentorship programme for specialist practitioners. , 2004, Nurse education today.

[20]  Jennifer K. Phillips,et al.  Expertise in Judgment and Decision Making: A Case for Training Intuitive Decision Skills , 2008 .

[21]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[22]  Tracy Milner,et al.  Evaluation of the mentor-mentee relationship in an occupational therapy mentorship programme. , 2004, Occupational therapy international.

[23]  Gillian King,et al.  Expertise in research-informed clinical decision making: Working effectively with families of children with little or no functional speech , 2008 .

[24]  R. Kirk.  Experimental Design: Procedures for the Behavioral Sciences , 1970 .

[25]  I. Sigel,et al.  HANDBOOK OF CHILD PSYCHOLOGY , 2006 .

[26]  Kevin W Eva,et al.  Self-Assessment in the Health Professions: A Reformulation and Research Agenda , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[27]  D. Dörner,et al.  Controlling complex systems: or Expertise as "grandmother's know-how." , 1991 .

[28]  J. Cleak,et al.  Clinical Reasoning in the Health Professions , 2000 .

[29]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[30]  B. Abreu,et al.  Mentoring Review and Reflections , 2006, Occupational therapy in health care.

[31]  G. Harbin,et al.  Family-Centered Services , 1998 .

[32]  G. King.  A framework of personal and environmental learning-based strategies to foster therapist expertise , 2009 .

[33]  G. King,et al.  Family-Centered Service: Developing and Validating a Self-Assessment Tool for Pediatric Service Providers , 2001 .

[34]  G. King,et al.  Measuring the Expertise of Paediatric Rehabilitation Therapists , 2008 .

[35]  S. Kendall.  Identifying outstanding clinical nurses: the 'star' shines in oncology. , 1999, Nursing & health sciences.

[36]  D. Bartlett,et al.  Measuring change in students' critical thinking ability: implications for health care education. , 2002, Journal of allied health.

[37]  David C. Berliner,et al.  Describing the Behavior and Documenting the Accomplishments of Expert Teachers , 2004 .

[38]  Joseph A. Horvath,et al.  A Prototype View of Expert Teaching , 1995 .

[39]  G. King.  A Relational Goal-Oriented Model of Optimal Service Delivery to Children and Families , 2009, Physical & occupational therapy in pediatrics.