The Clinical Challenges Experienced by New Graduate Occupational Therapists: A Matrix Review

Abstract

Background. The transition from student to new graduate occupational therapist is recognized as stressful. Current literature has not specifically drawn together the challenges new graduates face when learning to work with clients. Purpose. This review aimed to synthesize common challenges that new graduate occupational therapists face when working with clients. Methods. Searches of online scholarly databases located research articles. Content related to working with clients in practice was charted using the Matrix Method. Findings. From 21 articles, four categories of challenges were identified: “reasoning and decision-making,” “using knowledge and skills in practice with clients,” “the context of service provision,” and “managing caseload and priorities.” “Having self-doubt” was a theme that pervaded the data. Implications. New graduates often do not feel fully prepared for all aspects of occupational therapy practice. As they may not have access to substantial workplace support, exploring personal resources and professional support may assist this challenging transition.