Barriers and enablers to clinical fieldwork education in rural public and private allied health practice

Maloney, Phoebe; Stagnitti, Karen; Schoo, Adrian

doi:10.1080/07294360.2012.682255

Cited by 24 publications

(29 citation statements)

References 18 publications

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“…8,16,25 Two components of CI stress emerged from our analysis: first, the feelings of stress associated with student supervision—fear of being judged, being unprepared, or getting a challenging student—and, second, those associated with a demanding work environment and with completing caseload assignments in addition to providing mentorship and supervision. Both component or elements of stress may be reduced by adequate and appropriate supervisor preparation and training 26,27 and a workplace that supports student teaching.…”

Section: Discussionmentioning

confidence: 99%

“…More effective supervisor training is one mechanism for addressing some of the stresses associated with student supervision and could lead to improved CE experiences. 26 The importance of CI training for effective and positive CE experiences, and of lack of training as a barrier to participation in CE, has been reported elsewhere, 25,26,28,29 but the literature on physiotherapy CE is sparse. In a nursing study, attendees at supervisor training workshops reported a better appreciation for the role of preceptor and a greater understanding of the placement expectations, which gave them confidence for the supervisory process.…”

Section: Discussionmentioning

confidence: 99%

“…Sometimes information about workshops did not reach clinicians because their managers did not want to arrange coverage for staff attending the workshops. 32 Another study found that supervisors who lacked employer support perceived supervising students as more stressful 25 and were less likely to use personal time to attend supervisor training sessions. Davies and colleagues 16 highlighted employer support and institutional culture as factors in physiotherapists' decisions to supervise students.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

Hall

Poth²,

Manns

et al. 2016

Physiotherapy Canada

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Purpose: To explore Canadian physiotherapists' perceptions of the factors that influence their decisions whether to supervise students in clinical placements. Methods: Using accepted survey development methodology, a survey was developed and administered to 18,110 physiotherapists to identify which factors contribute to the decision to supervise students. The survey also gave respondents opportunities to provide comments; these were analyzed via directed content analysis, using the factors identified in an exploratory factor analysis as an organizing structure. Results: A representative sample of 3,148 physiotherapists responded to the survey. Qualitative analysis of respondent comments provided a rich understanding of the factors contributing to the decision on whether to supervise students, which centred on themes related to stress, workplace productivity, the evaluation instrument, student preparation, and physiotherapists' professional roles and responsibilities. Challenges specific to loss of income and the ethics of charging for student services in private practice were also identified. Conclusions: Supervising students can be stressful, and stress is perceived by respondents to be most influential in deciding whether to supervise students. Effective supervisor training may mitigate some of the stresses related to supervising students. A collaborative approach involving all stakeholders is needed to resolve the issues of student placement capacity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

Hall

Poth²,

Manns

et al. 2016

Physiotherapy Canada

View full text Add to dashboard Cite

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“…Aim, design and setting of the study Given the complexity of factors that can influence the development, implementation and outcomes of RCPs [12,[18][19][20][21][22][23][24][25][26], this research is underpinned by a logic framework [27] to identify and illustrate how different elements of RCPs and associations between elements may impact on the outcomes and ultimately the 'success' of RCPs.…”

Section: Methodsmentioning

confidence: 99%

What works, why and how? A scoping review and logic model of rural clinical placements for allied health students

Moran

Nancarrow

Cosgrave

et al. 2020

BMC Health Serv Res

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Background Allied health services are core to the improvement in health outcomes for remote and rural residents. Substantial infrastructure has been put into place to facilitate rural work-ready allied health practitioners, yet it is difficult to understand or measure how successful this is and how it is facilitated. Methods A scoping review and thematic synthesis of the literature using program logic was undertaken to identify and describe the contexts, mechanisms and outcomes of successful models of rural clinical placements for allied health students. This involved all empirical literature examining models of regional, rural and remote clinical placements for allied health students between 1995 and 2019. Results A total of 292 articles were identified; however, after removal of duplicates and article screening, 18 were included in the final synthesis. Australian papers dominated the evidence base (n = 11). Drivers for rural allied health clinical placements include: attracting allied health students to the rural workforce; increasing the number of allied health clinical placements available; exposing students to and providing skills in rural and interprofessional practice; and improving access to allied health services in rural areas. Depending on the placement model, a number of key mechanisms were identified that facilitated realisation of these drivers and therefore the success of the model. These included: support for students; engagement, consultation and partnership with key stakeholders and organisations; and regional coordination, infrastructure and support. Placement success was measured in terms of student, rural, community and/or program outcomes. Although the strength and quality of the evidence was found to be low, there is a trend for placements to be more successful when the driver for the placement is specifically reflected in the structure of the placement model and outcomes measured. This was seen most effectively in placement models that were driven by the need to meet rural community needs and upskill students in interprofessional rural practice. Conclusion This study identifies the factors that can be manipulated to ensure more successful models of allied health rural clinical placements and provides an evidence based framework for improved planning and evaluation.

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“…Potential fieldwork educators often face barriers such as insufficient knowledge, lack of preparation, and low self-efficacy (Hanson, 2011;Hunt & Kennedy-Jones, 2010;Maloney, Stagnitti, & Schoo, 2013). Novice fieldwork educators have reported various challenges to participation in fieldwork education, including developing their own emerging clinical skills, identifying student learning needs, structuring the fieldwork experience, assessing performance, and providing adequate feedback to fieldwork students (Hunt & Kennedy-Jones, 2010).…”

Section: Introductionmentioning

confidence: 99%

Using Online Professional Development to Increase Self-Efficacy in School-Based Occupational Therapy Fieldwork Educators

Suman

Provident

2018

JOTE

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The purpose of this study was to determine if school-based occupational therapists who participated in a series of online professional development modules on the topic of fieldwork education reported increased feelings of self-efficacy regarding the ability to fulfill the role of fieldwork educator. In this single-group design, participants completed a series of six online professional development modules. Each module consisted of a narrated slideshow presentation, case study activity, and online discussion board. Participants completed a self-efficacy survey before and after completing the series of modules. Results indicated a significant increase in self-efficacy related to fieldwork education following completion of the online professional development course. An online professional development course on the topic of fieldwork education can improve selfefficacy in potential fieldwork educators.

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Barriers and enablers to clinical fieldwork education in rural public and private allied health practice

Cited by 24 publications

References 18 publications

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

An Exploration of Canadian Physiotherapists' Decisions about Whether to Supervise Physiotherapy Students: Results from a National Survey

What works, why and how? A scoping review and logic model of rural clinical placements for allied health students

Using Online Professional Development to Increase Self-Efficacy in School-Based Occupational Therapy Fieldwork Educators

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