Challenges to student transition in allied health undergraduate education in the Australian rural and remote context: a synthesis of barriers and enablers

Spiers, Michele; Harris, Myles

doi:10.22605/rrh3069

Cited by 22 publications

(22 citation statements)

References 34 publications

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“…Australian dietitians function within the landscape of the Australian health care system and education system, which are recognised to perpetuate significant oppression such as racism for Aboriginal and Torres Strait Islander peoples (Bodkin‐Andrews & Carlson, 2016; Gatwiri et al., 2021; Paradies, 2016), and culturally and linguistically diverse peoples including migrants and refugees (Bastos et al., 2018; Mohamed Shaburdin et al., 2020). Socioeconomic factors are barriers to access to higher education for many people (Rubin et al., 2014), particularly regional students (Edmunds & Harris, 2015), and mature‐age students (Tones et al., 2009). Simultaneously, universities continue to be unsafe places due to sexism unequally experienced by women, especially women who are younger, or of ethnic and sexual minorities (Bondestam & Lundqvist, 2020).…”

Section: Diversity In Dieteticsmentioning

confidence: 99%

Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Delbridge

Jovanovski

Skues

et al. 2022

Sociology Health & Illness

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Through an exploration of the origins of dietetics in the West, and specifically in Australia, we problematise the lack of diversity within the profession through the lens of intersectionality. Dietetics in Australia continues to be dominated by Australian-born women, and ideologies about dietitians perpetuate narratives of white, young, slim, women. Intersectional approaches to critiquing diversity in dietetics provides a useful framework to extend critical studies of health disparities into disparities in the dietetics professional workforce, which is advanced through structural, political and representational intersectionality guided critique. Through the analysis, a dialog is prompted in order to chart paths forward to find 'how differences will find expression' within the professional group. To do this, dietetics as a profession must reckon with its historical roots and step forward, out of a perceived position of objective neutrality regarding people and diversity, and into a position that can recognise that professional institutions have the power to exclude and marginalise, along with the power to include and transform.

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Section: Diversity In Dieteticsmentioning

confidence: 99%

Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Delbridge

Jovanovski

Skues

et al. 2022

Sociology Health & Illness

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“…The cost of undertaking a placement away from a usual place of residence can also present significant financial challenges 1,4 . Rural and remote placements require students to voluntarily cease paid employment for a period of time whilst simultaneously paying for accommodation and travel costs 1,4–7 . In an effort to reduce the financial barriers, a range of scholarships are available to students undertaking placements in certain rural or remote locations 8 .…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 4 Rural and remote placements require students to voluntarily cease paid employment for a period of time whilst simultaneously paying for accommodation and travel costs. 1 , 4 , 5 , 6 , 7 In an effort to reduce the financial barriers, a range of scholarships are available to students undertaking placements in certain rural or remote locations. 8 University Departments of Rural Health (UDRHs) also provide students undertaking a rural or remote placement with subsidised accommodation, travel grants and/or a weekly rural placement allowance to put towards living costs where applicable.…”

Section: Introductionmentioning

confidence: 99%

‘I can't go, I can't afford it’: Financial concern amongst health students undertaking rural and remote placements during COVID‐19

Jessup

Hoang

Podubinski

et al. 2022

Australian J Rural Health

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Introduction: As the coronavirus pandemic unfolded during 2020, widespread financial uncertainty emerged amongst university students across the globe. What is not yet clear is how Australian health students were financially impacted during the initial stages of the pandemic and whether this influenced their ability to undertake planned rural or remote placements. Objective: To examine (a) financial concern amongst health students during COVID-19, (b) the financial implications of changes to planned rural or remote placements and (c) the impact of these factors on students' ability to undertake placements during the pandemic. Design: Mixed-methods design involving an online survey (n = 1210) and semistructured interviews (n = 29). Nursing, medical and allied health students with a planned University Department of Rural Health-facilitated rural or remote placement between February and October 2020 were invited to participate.Findings: 54.6% of surveyed students reported financial concern during COVID-19. Financial concern correlated with both changes in financial position and employment, with 36.6% of students reporting a reduction in income and 43.1% of students reporting a reduction in, or cessation of regular employment.Placement changes yielded a range of financial implications. Cancelled placements saved some students travel and accommodation costs, but left others out of pocket if these expenses were prepaid. Placements that went ahead often incurred increased accommodation costs due to limited availability. Financial concern and/or financial implications of placement changes ultimately prevented some students from undertaking their rural or remote placement as planned. Discussion: Many nursing, allied health and medical students expressed financial concern during COVID-19, associated with a loss of regular employment and How to cite this article: Jessup B, Hoang H, Podubinski T, et al. 'I can't go, I can't afford it': Financial concern amongst health students undertaking rural and remote placements during

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“…Within the nursing profession, new graduates in rural and remote settings have reported that their mentorship needs went largely unmet (Lea & Cruickshank, 2016), and instead, they experienced a lack of structured support (Hegney et al, 2013). This impacts transitional experiences and the subsequent attrition of graduates within the rural practice environment (Ross et al, 2019;Spiers & Harris, 2015). A significant barrier to mentorship amongst rural pharmacists is the lack of staff to facilitate training and support programs (Leversha et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Mentorship and workplace support needs of new graduate physiotherapists in rural and remote settings: A qualitative study

Martin

Mandrusiak

et al. 2021

FoHPE

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Introduction: New graduate physiotherapists working in rural and remote Australia must develop unique skills to work in this setting, while at the same time managing the difficulties typically faced by novice practitioners entering the workforce. Workplace mentorship is commonly used to facilitate this transition, yet little is known about new graduate physiotherapists’ needs in rural and remote settings. This study aimed to explore workplace mentorship in rural and remote Australia from the perspective of new graduate physiotherapists and investigate what new graduates feel they need from mentorship that is specific to rural and remote settings.Methods: A qualitative study with a thematic analytical approach was used. Semi-structured interviews of 12 new graduate physiotherapists working in rural and remote settings were undertaken within the graduates’ first 8 to 10 months of clinical practice. Interviews were audio-recorded between August and November 2019.Results: Three key themes were constructed during the analysis: 1) Mentorship is best when it is frequent and consistent, 2) Initiating mentorship can be challenging and 3) Mentorship needs to be accessible and individualised.Conclusion: There are challenges to mentorship of new graduate physiotherapists in rural and remote areas, including infrequency of mentorship, limited access to mentors and reluctance to request support. Whilst new graduate physiotherapists desire mentorship that is accessible, individualised and, ultimately, similar to what they perceive they would receive in the metropolitan setting, they acknowledge that to suit rural and remote localities, the delivery must be flexible. Mentorship is considered critical to support new graduates entering rural and remote settings.

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Challenges to student transition in allied health undergraduate education in the Australian rural and remote context: a synthesis of barriers and enablers

Cited by 22 publications

References 34 publications

Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

‘I can't go, I can't afford it’: Financial concern amongst health students undertaking rural and remote placements during COVID‐19

Mentorship and workplace support needs of new graduate physiotherapists in rural and remote settings: A qualitative study

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