An ethnographic study exploring the work readiness of new graduate occupational therapists for acute physical hospital practice

Background: Many new graduate occupational therapists commence their careers in acute physical hospitals. The acute hospital is known to be a fast paced and challenging environment, however the work readiness of new graduate occupational therapists for working within this setting remains unclear. The aim of this study was to explore new graduate and senior occupational therapists’ experiences and perceptions of the work readiness of new graduate occupational therapists for acute physical hospital practice.

Methods: A focused ethnographic approach was used at two acute hospitals that were part of one NHS Trust. New graduate occupational therapists (n=11) and senior occupational therapists (n=11) were recruited through purposive sampling. Data was collected through observations and semi-structured interviews. Data was analysed using reflexive thematic analysis.

Findings: Four themes were generated from the data: 1) complexity of the role; 2) education versus practice; 3) being autonomous; and 4) diversity of communication.

Conclusion: Occupational therapists are trained to work in a diverse range of settings and each workplace has a unique context, culture and system. Challenges with work readiness are faced by many new graduate occupational therapists practising in acute hospitals. Greater inclusion of acute contexts and perspectives in pre-registration occupational therapy education may enhance the work readiness of new graduates for acute hospital practice.