OTQualitativeAustralian occupational therapy journal2025

Similar but different: A qualitative study of occupational therapists' transformational experiences during practice education.

Anne-Maree Caine, Olympia Nicolson, Matthew Molineux

PMID 40484697

WHAT IT FOUND

Occupational therapists recalled placement moments, including ordinary tasks and bullying, as experiences that challenged them, stayed emotionally vivid, took years to process, and shaped their later supervision of students.

Key findings

01The 16 experiences shared four elements: challenge, strong emotion, time to process, and long-term impact.

02Almost all participants said their experience changed how they supervised students and junior staff; some copied helpful approaches, while others deliberately did the opposite of what they received.

03Bullying, failed placement, and unsafe client-care decisions were among the experiences described, and participants reported lasting emotional effects but also gratitude on balance.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Eleven participants were recruited by convenience and snowball sampling, so the sample may not represent all occupational therapists. Eight participants graduated from Australian universities, and all but one experience occurred in Western countries, so the settings and cultures may be narrow. Most experiences happened in hospitals, so community and other settings are less represented. The term transformational experience was used in a new way, and some participants may have misunderstood it or described expected placement learning instead. The authors included an occupational therapy student and two academics, so their experience may have shaped interpretation.

The easy way to misread this

Do not read this as proof that a particular placement activity improves therapy outcomes. The study reports how occupational therapists interpreted past placement experiences, not a comparison of treatments.

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