Simulated learning experiences (SLEs) assist students to acquire knowledge and skills and are an effective teaching tool in physiotherapy education. The aim of this project was to explore physiotherapy student attitudes towards SLEs as a preparatory component of an introductory clinical placement. The project was a quasi-experimental, pre/post-test repeated measures design. Participants were second year physiotherapy students (n=57) allocated to a placement which included one week of SLEs and three weeks in a healthcare setting. The SLE week consisted of sessions to develop students' clinical skills in preparation for placement. Data on participant attitudes towards SLEs were collected via anonymous survey before and after the SLE week, and at the completion of the three week clinical placement. Attitudes of respondents (n=43) towards SLEs were significantly more positive at the completion of the SLE week. At the completion of the three week clinical placement, all responses remained more positive than at the commencement of the project, however participant responses were generally less positive than at the conclusion of the week of SLEs. Students valued the use of SLEs in preparing for introductory clinical placements. Simulated learning experiences should be considered as a useful tool for pre-placement preparation for early year physiotherapy.
The changing distribution of physiotherapy clinical placements may be reflective of increasing student numbers and greater efforts to support students completing rural and remote placements. This change may lead to a positive effect on the rural and remote physiotherapy workforce. Further research is required to determine the specific training and support needs of students and clinical educators in rural and remote settings.
The aim of this study was to describe physiotherapists' involvement, confidence and training needs in the provision of student clinical education (CE) in Australia. A valid and reliable cross-sectional online survey instrument was used to collect data from physiotherapists employed in public and private healthcare facilities in Australia. Survey questions included participant personal and professional characteristics, participation in CE-related continuing professional development (CPD) and confidence in components of CE. In all, 170 (34%) physiotherapists (mean age 37 years; mean years clinical experience 13 years) completed the survey. Most participants (68%) were currently involved in CE, over half (56%) had completed CE-related CPD and many (56%) reported a need for more CPD. Participants with no previous CE experience were less confident (P ≤ 0.05) in all components of CE. Participants with less clinical experience were less confident in managing challenging students (P = 0.003), multiple students (P = <0.001) and competing workplace and education duties (P = <0.001). Physiotherapists with varying professional characteristics were involved in CE. Although many participants had attended CE-related CPD, many reported that more training was required. Future training for clinical educators should be tailored to participants' level of experience and focus on the components of CE in which they feel least confident. The ability of physiotherapists to confidently assume a clinical educator role may affect their willingness to be clinical educators in the future and the students' perceptions of clinical placement quality. CPD relating to CE may help prepare physiotherapists for the clinical educator role. There is a lack of information regarding physiotherapists' involvement in CE, completion of CE-related CPD or perceived levels of confidence in various aspects of the clinical educator role, such as placement organisation, teaching, assessment and the provision of feedback. This study describes the involvement of physiotherapists in CE in Australia, including their demographic and professional characteristics, participation in CE-related CPD and confidence in various components of CE. Several recommendations regarding future CE-related CPD have resulted from this study, including tailoring CPD to the needs of physiotherapists based on their level of clinical or CE experience, focusing CPD on the aspects of CE in which physiotherapists feel least confident and raising the awareness of and improving accessibility to CPD opportunities in this area.
Clinical education (also termed “clinical supervision”) is essential for entry-level physiotherapy student training. Physiotherapists providing clinical education have a vital role in facilitating student learning and assessing performance, however research suggests that many assume this role due to willingness, availability or expectation rather than skills or experience. There is a lack of literature internationally describing the involvement of physiotherapists in clinical education, and currently no valid and reliable survey instrument with which to collect this information. The purpose of this study was to develop and validate a survey to explore physiotherapy clinical education in Australia. A draft online survey was developed and reviewed by expert physiotherapists, clinical education managers and clinical educators to ensure face and content validity. Following revision, physiotherapists employed in various healthcare facilities pilot-tested the survey. Survey utility and internal consistency were then evaluated. The final survey has 39 questions in five sections with categorical, Likert and free text response options. Internal consistency of the variables in the two Likert scale questions was acceptable (Cronbach’s alpha: 0.98 and 0.97, respectively). A valid and reliable survey has been developed and can be used to profile the professional characteristics of physiotherapy clinical educators, perceived barriers and training requirements related to the provision of clinical education.
Background: Chest physiotherapy techniques, such as percussion, postural drainage, and expiratory vibrations, may be employed in a critical care setting. Physiotherapists are primarily responsible for their provision; however, nurses have also traditionally implemented these treatments. It is unclear whether nurses consider chest physiotherapy to be a part of their role, or how they perceive their knowledge and confidence pertaining to these techniques. Objective: To investigate the attitudes of nurses towards traditional chest physiotherapy techniques. Method: A total of 1222 members of the Australian College of Critical Care Nurses were invited to participate in an anonymous online survey. Results: There were 142 respondents (12%) with the majority ( n = 132, 93%) having performed chest physiotherapy techniques in clinical practice. Most of them considered that the provision of chest physiotherapy was a part of nurse's role. Commonly cited factors influencing nurses' use of chest physiotherapy techniques were the availability of physiotherapy services, adequacy of nursing staff training and skill, and perceptions of professional roles. Conclusions: Nurses working in critical care commonly utilised traditional chest physiotherapy techniques. Further research is required to investigate the reasons why nursing professionals might assume responsibility for the provision of chest physiotherapy techniques, and if their application of these techniques is consistent with evidence-based recommendations.
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