Well today i have read through every word the participants have said and tried to make sense of the categories and subcategories.
My thoughts at the moment:
The categories and subcategories.....
Working alongside (axial)
- "observing"
- "reflecting with" - i did have this separate - but i think it fits nicely in here
- ?? "Learning things with/trying new things out" - going to keep this here - it might fit in with observing but it might be separate
Checking in (axial)
- "needing to ask"
- "get support"
- "checking out before" - maybe need to find a better open code ? recognising they dont know
Being under pressure (axial)
- "doing things quickly"
- "pacing yourself"
- "amount of referrals" - maybe also timing of referrals/inappropriate/pace of referrals etc
Having confidence (axial)
- "competent to practice" "to say you dont know"
- "giving your opinion"
- "feeling supported"
Letting them decide (axial)
- "figuring out how"
- "a change to test it out"
- "taking a risk"
- "knowing your boundaries"
Having the right attitude (axial)
- "an interest in"
- "lets do it"
- wanting to be there
Developing relationships (axial) - thinking this may fit with checking in some how..
- "belonging"
- "having someone there"
- "sharing"
Knowing the place
- "exposure to"
Finally... i am still working on one more category - to see if it fits - or if it stands alone - or if it even should be there..
Its around practicing in an occupational focused way.
Im thinking that one of the open codes could be "wanting to". What im finding is that the participants have said how new graduates are wanting to practice in an occupational focused way...not being seen as someone who purely gives out equipment or just there to be part of the discharge process. They are wanting to use their OT skill, proceses and models in the acute environment but they are "struggling" in the medical focused actue environment. The new graduate comes with great knowledge about the OT models and processes - but they are struggling to put theory into practice. I wonder if this is because of the following things:
- the perception of the team - that they dont value or have any idea of what an OT can do - they see an OT's role as being purely equipment provision - so that "norm" is there - and from my memory ing Craig, Robertson & Milligan's study (2004), the team members valued the OT role for their "quick fix" approaches..
- the next thing is all around the timing and pace or amount of referrals. With limited time, and when the new grad doesnt have the knowledge about "diagnosis" and how it affects function - im wondering whether this links to what one of the participants said... around the referrals come in late..we have little time "and thats why we get in a situation where we are purely prescribing equipment".
- the next thing is all around the types of models the new grads are trying to use to practice in an "occupational focused" way. The models are all focused on long term...building up relationships over time.. and "they dont account for the fact that its a very short part of the patients journey. So i take this as meaning that the new grads come out with great knowledge of the models and want to use it and it doesnt work (very simple language haha).. So.. is this why they struggle to practice in an occ focused way??
So at the moment - i am thinking that this fits somewhere..and i think it may even stand alone as a category. And all this thinking has made me realise that maybe this contributes or impacts of the fit between new grads into acute settings. I think certainly this is definitly going to be included in the "future areas for research" part of my discussion.
But if this doesnt fit in the end - i am going to have to do some thing abot it after my dissertation is done - maybe something additional..
Enough thinking for the day - doubt that will be the case
Jess
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1 comment:
Hi Jess
Lots of nice thinking - now you have me thinking.
Re Working alongside
The “learning things with/trying new things out” – perhaps this links with the sub categories in your category “Letting them decide”?
The sub categories under “Being under pressure” – first two sound good ?? I think “amount of referrals” might be a property or dimension of one of the other two sub categories in this category?
Whoops just a grammar/tense thing but is “pacing yourself"– actually “pacing themselves” as this is the perspective of the therapists.
Don’t move “developing relationships” yet – I think there is still something in this.
I am wondering whether “Knowing the place” is a sub category of something like “coming with”
e.g “Coming with” as in coming to acute practice with
sub categories
"knowing the place"
“an interest in”
“wanting to be there”
“having the theory”
“bringing knowledge and skills”
which would cover your three areas of the triangle you have – you would need to test this thinking out e.g. does the data support this??
Then all the other categories you have seem to be about how new grads develop the fit
Do you have any data that relates to a final state of "fit"???
Suggest you now think about whether the categories you have are intervening conditions, strategies, phenomena etc.
Also think it is worth continuing to consider “occupation focused"
In my mind I don’t remember the issues re diagnosis coming out very strongly ??? is this something that attracts you more than me because it is something important to your own experience??? Suggest you just check it out again in the data – you may well be right.
Looking good
Jackie
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