A case study of a strategic initiative in pediatric rehabilitation transition services: An insiders' perspective on team principles and practices.
Gillian King, Laura R Bowman, C J Curran and 5 others
PMID 36569639WHAT IT FOUND
Respect, partnership, shared leadership, co-design, and solution-focused communication were described by eight team members as important in a pediatric rehabilitation transition service.
It is an insider view of service development, not proof that these practices improve patient outcomes.
Key findings
01Eight Transition Strategy team members described respect, support, partnership, and open communication as guiding principles.
02The team identified relational leadership and a climate of innovation, autonomy, and trust as enablers of positive team functioning.
03The article described supportive relational practices, human-centered co-design, and solution-focused communication as team practices.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This was a single case study in a hospital, so it describes the team's experience rather than a general effect. The data came from the authors' own reflections, meeting notes, and feedback, not from formal interviews with independent key informants. The authors state they do not know the wider impact on clients and families. Reported outputs such as clients served and programs offered do not show that clients improved or that the practices work. The initiative occurred in a well-funded, supportive academic hospital, so it may not transfer to other settings.
Declared interests
The initiative was donor-funded. The supplied text does not include a conflict-of-interest declaration.
The easy way to misread this
Do not read this as evidence that transition services or solution-focused coaching improve patient outcomes. The paper is an insider case study of the team's experience, and the authors state they do not know the wider impact on clients and families.