Before Preceptorship: New Occupational Therapists' Expectations of Practice and Experience of Supervision

Abstract

Newly qualified health care practitioners generally have high expectations of practice. Stress, value conflict and role uncertainty (‘reality shock’) can result where such expectations remain unmet. Good quality professional supervision can mitigate the deleterious effects of such change. Agenda for Change initiatives have the potential to improve the new practitioners' lot in this area by mandating a year-long period of ‘preceptorship’ support. Such support pairs newly qualified individuals (preceptees) with senior colleagues as role models and resources (preceptors).

This article reports a questionnaire-based survey conducted with 45/74 (61%) newly qualified occupational therapists based in London. The respondents reported high initial expectations of their first posts, particularly with regard to professional supervision and client care, which varied according to their age and education. Most (76%) received weekly professional supervision, focused on primarily clinical issues, although this did not always reflect the respondents' desired time use. Although varied development opportunities were cited, the respondents spent little time with their senior colleagues.

This study showed that the respondents' expectations and experience of supervisory practice varied. A structured approach to the respondents' personal and professional development, and/or supervision, was not always apparent. Given this, preceptorship seemingly has much to offer newly qualified occupational therapists in the United Kingdom.