Self-Reflection and Measurement of Professional Behavior Growth in Entry-Level Occupational Therapy Students

Abstract

Occupational therapy (OT) educators have recognized the need to facilitate student professional development along a continuum of behavior that leads them toward professionalism. Reflection has often been a tool assisting in that process. The teaching of professional behavior has been a curricular thread throughout entry-level OT programs. Few studies exist, however, that have measured use of a self-assessment tool for reflection and development of professional behaviors. The purpose of this study was to examine how self-perception of professional behaviors changed in two cohorts of an entry-level occupational therapy program. Investigators compared two cohorts of students at two points in time for both longitudinal and cross-sectional differences. Participants demonstrated significant increase from Time 1 to Time 2 in a greater number of professional behaviors in the area of Fieldwork vs. Academics. Students demonstrated unequal growth in categories, suggesting that academic environments may prompt growth in different professional behaviors than do fieldwork environments. In comparing the two cohorts, the second-year cohort demonstrated significantly higher scores in clinical reasoning (at Time 1), communication, and responsibility and reliability (at Time 2). Qualitative data suggested that students perceived reflection as a valuable tool for observing improvement and goal-setting in professional behaviors. Investigators summarized that selfreflection prompted awareness of changes in professional behaviors among entry-level OT students. Authors recommend utilizing both quantitative and qualitative means of self-reflection, with individualized review with academic advisors, in order to facilitate growth in professional behaviors.