Document Type (Journals)
Original Research
Abstract
This study aimed to explore the influence of case-based learning (CBL) on the clinical reasoning of new graduate occupational therapists. A quasi-experimental single-arm study with a convergent mixed methods approach was conducted. The intervention was the 10-week CBL program, which included (1) guidance and mentorship in clinical practice and (2) case reports and presentations. Quantitative data collection consisted of the self-assessment of clinical reasoning in occupational therapy (SA-CROT) and the professional identity scale (PI scale); paired t-tests were conducted (p p = .001, effect size r = .65), and all four of the SA-CROT's subfactors indicated improvement with moderate to large changes. In addition, the PI scale's two subfactors improved. Qualitative analysis revealed that the CBL program was an experience of "learning multidimensional thought processes" and "learning skills to improve clinical reasoning themselves" for participants. This study's results provide information on the positive influence of CBL on the clinical reasoning of new graduate occupational therapists and highlight the integration of the CBL program into continuing education, the importance of supervisors' guidance and mentorship, and learners' reflection and verbalization of clinical practice.
Biography
Sho Maruyama, PhD, OTR is a visiting researcher at Tokyo Metropolitan University and an occupational therapy department manager at Shonan-Keiiku Hospital. He holds an M.S. in Rehabilitation and a Ph.D. in Occupational Therapy. His research interests focus on clinical reasoning, reflection, and clinical education for occupational therapy students and practitioners.
Takuya Hirose, PhD, OTR is a researcher at Kibi International University. He is the Assistant Manager of the Rehabilitation Department at Shonan-Keiiku Hospital. He has completed a PhD in health sciences. His research interests include evidence-based practice in occupational therapy.
Reiko Miyamoto, PhD, OTR currently holds the position of Associate Professor at the Department of Occupational Therapy, Tokyo Metropolitan University. Her research focuses on several areas, including decision-making and self-recognition using fMRI, basic handwriting skills, stigma related to individuals with disabilities, the education of occupational therapists in clinical training, and the development of new educational tools using virtual reality. Her educational topics encompass cognitive rehabilitation and vocational therapy for clients with brain injuries, as well as support for clients in decision-making processes.
Yuriko Mashida, DNP. RN is an assistant professor in the Faculty of Nursing and Medical Care at Keio University. She holds a Doctoral degree in Nursing. Her research interests focus on gerontological nursing and value-based care of older adults.
Hiroki Fukahori, PhD, RN is a professor in the Faculty of Nursing and Medical Care at Keio University. He holds a Ph.D. from University of Tokyo. His research interests are gerontological nursing, family nursing, and nursing management including evidence-based practice in nursing.
Peter Bontje, PhD, OTR is a professor in the occupational therapy department at Tokyo Metropolitan University. He holds a Ph.D. from the Karolinska Institute. His research topics are occupational science, client-centered inter-professionalism, peer support and first person perspectives.
Declaration of Interest
We have no conflicts of interest to disclose.
Recommended Citation
Maruyama, S., Hirose, T., Miyamoto, R., Mashida, Y., Fukahori, H., & Bontje, P. (2024). The Influence of Case-Based Learning on Clinical Reasoning of New Graduate Occupational Therapists. Journal of Occupational Therapy Education, 8 (4). https://doi.org/10.26681/jote.2024.080412
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