Background. Challenges with clinical decision-making are common among new graduate occupational therapists. There is limited research exploring their experiences of learning to make intervention decisions. Purpose. To explore new graduates' experiences of learning to make intervention decisions in pediatric private practice. Method. A case study approach, involving a range of data sources, explored the experiences of 11 new graduates and three experienced occupational therapists working in Australian private practices. Data were analyzed using inductive thematic analysis. Findings. Themes pervading new graduates' decision-making experiences were: "being seen as capable and competent," "similar and familiar," and "specialist versus generalist positions." Contextual influences contributed to new graduates utilizing their support networks and personal experiences in addition to workplace supports. Implications. It is vital to balance private practice business demands with opportunities for new graduates to engage with experienced occupational therapists and professional communities of practice to assist their learning to make intervention decisions.

中文翻译：

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新毕业生在儿科私人诊所的经验：学习做出干预决定。

背景。临床决策的挑战在新毕业的职业治疗师中很常见。探索他们学习做出干预决策的经验的研究有限。目的。探索应届毕业生在儿科私人诊所中学习做出干预决定的经验。方法。案例研究方法涉及一系列数据源，探讨了 11 名应届毕业生和三名在澳大利亚私人诊所工作的经验丰富的职业治疗师的经历。使用归纳主题分析法分析数据。发现。贯穿新毕业生决策经验的主题是：“被视为有能力和称职”、“相似和熟悉”以及“专家与通才职位”。除了工作场所的支持外，情境影响还促使新毕业生利用他们的支持网络和个人经历。影响。平衡私人执业业务需求与新毕业生与经验丰富的职业治疗师和专业实践社区互动以帮助他们学习做出干预决策的机会是至关重要的。