Can simulation-based education or other education interventions replace clinical placement in medical radiation sciences? A narrative review

Jimenez, Y. Nieto; Gray, F.; Michele, Laura Di; Said, S.; Reed, Warren; Kench, Peter

doi:10.1016/j.radi.2023.02.003

Cited by 10 publications

(8 citation statements)

References 25 publications

(93 reference statements)

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“…A narrative literature review (NLR) is used in exploratory research as applied as demonstrated in the study by Jimenez, Gray, Di Michele, Said, Reed and Kench (2023) in the exploration of educational interventions in Medical Radiation Sciences. The methodology allows for a broad examination of the current evidence, providing a holistic view of the topic.…”

Section: Research Methodology -Narrative Literature Review (Nlr)mentioning

confidence: 99%

“…The collection of knowledge involves a search in the synthesizing of findings from peer-reviewed materials (Green, Johnson & Adams, 2006). By incorporating a narrative approach, researchers can effectively communicate complex information, facilitate understanding, and contribute to the ongoing development of educational practices in the field of medical radiation sciences (Jimenez et al, 2023).…”

Section: Research Methodology -Narrative Literature Review (Nlr)mentioning

confidence: 99%

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Conceptual Framework for the Psychosocial Management of Depression in Adolescents in the North West Province, South Africa

2022

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Section: Research Methodology -Narrative Literature Review (Nlr)mentioning

confidence: 99%

Section: Research Methodology -Narrative Literature Review (Nlr)mentioning

confidence: 99%

Conceptual Framework for the Psychosocial Management of Depression in Adolescents in the North West Province, South Africa

2022

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“…Another cause for the increase in patient positioning‐related image reject rates may be student training. In recent times, there has been marked changes to clinical placement time and opportunity 13–15 . By extension, this would likely result in limitation of the clinical experience for new graduates.…”

Section: Introductionmentioning

confidence: 99%

The cost of perfection: An investigation into the unnecessary rejection of clinically acceptable lateral wrist imaging

Steward,

Semsem,

Currie

et al. 2023

J of Medical Radiation Sci

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IntroductionThis study illustrates image rejection rates of the lateral wrist x‐ray projection at a large, public teaching hospital. Rejected images were evaluated to determine the number of images that needed to be repeated based on the clinical indication. This study highlights the difference in subjective image‐repeat decision‐making skills existing between radiologists, experienced radiographers and junior radiographers.MethodsA retrospective review was conducted of all rejected lateral wrist x‐ray images by a panel of three radiologists, three experienced radiographers and six junior radiographers. This review aimed to determine if rejected imaging met the consideration of the clinical indication and assumed appropriate acquisition of an orthogonal projection. A complement of images that had not been rejected were included in the review to create a blinded study.ResultsThe review demonstrated 85.8% of rejected images were deemed to meet clinical requirements according to radiologists. The experienced radiographers agreed with radiologists regarding 75.3% of images. Junior radiographers agreed with radiologists in 34.2% of cases. Junior radiographers were three times more likely to seek repeat imaging than the radiologists and experienced radiographers.ConclusionsThis review demonstrated a lateral wrist projection reject rate of 38.7% with unnecessary repeats according to clinical indications in 85.8% of cases. The review of experienced radiographers was comparable to radiologists; however, the difference in decision‐making skills was evident in the junior radiographers. This highlights an alarming trend, should similar results be demonstrated at other health services and indicates an unnecessary burden to clinical practice. Inclusion of clinical reasoning for imaging and the need for repeat imaging is recommended for radiography training programs.

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“…However, educators face challenges in nding practice sites to prepare physiotherapy students, including a shortage of quali ed staffs, an increase in the number of learners and universities offering physiotherapy programmes without a corresponding increase in the number of student placements (4)(5)(6). The COVID-19 pandemic has made the situation worse, putting more strain on healthcare systems and leading to discussions on how to increase placement capacity (4,(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

“…Simulation-based learning activities are becoming increasingly popular in healthcare professional training. They offer a potential way to increase placement capacity, as mentioned by several studies (9,(11)(12)(13). For instance, a Delphi Consensus Study involving 79 nursing and allied health professionals revealed that simulation placements could replace 11-30% of traditional practice placements (14).…”

Section: Introductionmentioning

confidence: 99%

The Impact of simulation-based learning on the Knowledge, Attitude and Performance of physiotherapy students on practice placement

Ishaku,

Hunter,

Dairo

2023

Preprint

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Background Practice placement is a crucial part of pre-registration physiotherapy education worldwide. However, educators face challenges in finding practice sites for students to undertake placement. The use of simulation-based learning has the potential to replace some traditional placement thereby increasing placement capacity, but the benefits have not been fully explored. This study aims to assess how a simulation-based placement impacts students' knowledge, attitude, and performance when they undertake practice placements with external providers.Methods This study utilised an exploratory qualitative research design using a semi-structured interview to collect data from Year 2 students of a 2-year MSc pre-registration physiotherapy programme in the UK. To be eligible to be included in the study students must have participated in the 4-week simulation placement and have completed all their practice placements with external providers. All the interviews were conducted virtually in a 1:1 setting and recorded. The interviews lasted an average of 45 minutes. An inductive thematic analysis based on Braun and Clarke’s approach was utilised in this study.Results 12 students consented to participate in this study. The 56 codes generated from the data were categorised into 5 themes; (1) Working together, (2) Working with Service Users, (3) Professionalism, (4) Profession-specific practical skills and (5) Generic practical skills. Participants expressed unanimously, a positive view on working in groups and they consider that engaging with service users acting as patients enhanced the authenticity of the simulation placement. Subjective and objective assessments were considered important profession-specific skills gained during the simulation. Despite the benefits derived from the simulation placement, some participants felt that the learning experience would have been enriched by periodically changing the groups they were working in and having the opportunity for more 1:1 feedback throughout the four weeks.Conclusions Simulation-based learning offers a transformative educational experience for physiotherapy students and has the potential to better prepare students for successful integration into the dynamic healthcare environment. To enhance and improve the authenticity of this type of placement our recommendations include recruiting more service users, incorporating and encouraging more intervention-based elements as well as increasing the contact time of the practice educators and students.

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Can simulation-based education or other education interventions replace clinical placement in medical radiation sciences? A narrative review

Cited by 10 publications

References 25 publications

Conceptual Framework for the Psychosocial Management of Depression in Adolescents in the North West Province, South Africa

Conceptual Framework for the Psychosocial Management of Depression in Adolescents in the North West Province, South Africa

The cost of perfection: An investigation into the unnecessary rejection of clinically acceptable lateral wrist imaging

The Impact of simulation-based learning on the Knowledge, Attitude and Performance of physiotherapy students on practice placement

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