Implementation and evaluation of a Collaborative Learning in Practice (CLiP) placement pilot for physiotherapy students in an acute hospital setting
DOI:
https://doi.org/10.18552/ijpblhsc.v13i2.1272Keywords:
collaborative, physiotherapy, placement, studentAbstract
The purpose of this paper is to discuss the implementation and evaluation of a Collaborative Learning in Practice (CLiP) placement pilot for physiotherapy students. This took place on an acute ward setting at a secondary care district hospital in the Southwest of England.
Participants included two second year physiotherapy students and two practice educators. The physiotherapy CLiP placement ran alongside an established nursing CLiP placement for six weeks. Feedback was gained from the physiotherapy students using a post-placement questionnaire which included a mix of open and closed questions. Informal feedback was gained from the practice educators via email and meetings.
The placement feedback gained highlights the benefits of using a CLiP model for student physiotherapy practice placements. The CLiP model promoted the students’ development of autonomy, caseload management, person centred care and communication, which are essential skills for qualification. Challenges included preparing and adjusting to the CLiP model.
More research is needed to explore the effectiveness of CLiP for physiotherapy students, however this pilot identified that it is important that the most appropriate ward setting is identified and that adequate training and organisation has been put in place before the placement commences.
This work highlights that a CLiP placement model can be beneficial for physiotherapy student placements and could be considered to help increase placement capacity. It also provides some guidance to enable others to implement the CLiP model.
References
Alpine, L. M., Caldas, F. T., & Barrett E. M. (2019). Evaluation of a 2 to 1 peer placement supervision model by physiotherapy students and their educators. Physiotherapy Theory and Practice, 35(8), 748-755. https://doi.org/10.1080/09593985.2018.1458168
Barrett, E. M., Belton, A., & Alpine, L. M. (2021). Supervision models in physiotherapy practice education: student and practice educator evaluations. Physiotherapy Theory and Practice, 37(11), 1185-1198. https://doi.org/10.1080/09593985.2019.1692393
Bournemouth University. (2022). Research Ethics Code of Practice: Policy and Procedure. Bournemouth University. https://intranetsp.ac.uk/documentsrep/8B-research-ethics-code-of-practice.pdf
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Melesis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, S., & Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376(9756), 1923–1958. https://doi.org/10.1016/s0140-6736(10)61854-5
Hanson, D. J., & DeIuliis, E. D. (2015). The Collaborative Model of Fieldwork Education: A Blueprint for Group Supervision of Students. Occupational Therapy In Health Care, 29(2), 223-239. https://doi.org/10.3109/07380577.2015.1011297
Harvey, S., & Uren, C. D. (2019). Collaborative learning: application of the mentorship model for adult nursing students in the acute placement setting. Nurse Education Today, 74, 38-40. https://doi.org/10.1016/j.nedt.2018.11.022
Health Research Authority. (n.d.). Is my study research? Decision tool. MRC Regulatory Support Centre and Health Research Authority. https://www.hra-decisiontools.org.uk/research/
Hill, R., Woodward, M., & Arthur, A. (2020). Collaborative learning in practice (CLiP): Evaluation of a new approach to clinical learning. Nurse Education Today, 85, 104295. https://doi.org/10.1016/j.nedt.2019.104295
Keeping-Burke, L., McCloskey, R., Donovan, C., Yetman, L., & Goud, L. (2018). Nursing students’ experiences with clinical placement in residential aged care facilities: a systematic review of qualitative evidence. JBI Evidence Synthesis, 18(5), 986-1018. https://doi.org/10.11124/jbisrir-d-19-00122
Lobo, C., Arthur, A., & Lattimer, V. (2014). Collaborative Learning in Practice (CLiP) for preregistration nursing students. University of East Anglia. https://healthacademy.lancsteachinghospitals.nhs.uk/app/uploads/2020/09/UEA-CLiP-Paper_-15-Sept-14.pdf
Low, C. M., Heneghan, N., Herbland, A., Atkinson, K., & Beeton, K. (2022). KNOWBEST: the KNOWledge, Behaviours and Skills required of the modern hysiotherapy graduate including the future role of practice based learning. Project report for the Chartered Society of Physiotherapy. Hatfield: School of Health and Social Work. University of Hertfordshire. https://www.csp.org.uk/system/files/documents/2022-06/FINAL%20KNOWBEST%20Project%20Summary%20and%20Report%20June%202022%20%281%29.pdf
Markowski, M., Yearley, C., Bower, H., Hayford, W., Rugge, E., & Chatterley-Stettler, S. (2022). Implementing collaborative learning in practice in a London maternity ward. British Journal of Midwifery, 30(9), 532-537. http://doi.org/10.12968/bjom.2022.30.9.532
Morris, J., Corp, G., Robinson, A., Wyndham-Birch, N., Wilson, D., Royle, H., & Modrate, M. (2022). Four-strands of qualitative study understanding the perspectives of students, clinicians, senior managers and leaders on Collaborative-Learning-in-Practice (CLiP) on physiotherapy placement, Physiotherapy, 114(Supplement 1), e29-e30. https://doi.org/10.1016/j.physio.2021.12.276
Moule, P., Armoogum, J., Dodd, E., Donskoy, A-L., Douglass, E., Taylor, J., & Turton, P. (2016). Practical guidance on undertaking a service evaluation. Nursing Standard, 30(45), 46-51. https://doi.org/10.7748/ns.2016.e10277
National Health Service England. (2019) The NHS Long Term Plan. https://webarchive.nationalarchives.gov.uk/ukgwa/20230418155402/https:/www.longtermplan.nhs.uk/publication/nhs-long-term-plan/
O’Connor, D. A., Baird, T., Jack, K., Wilkinson, RG., Chambers, A., & Hamshire, C. (2024). Supporting physiotherapy learners in practice settings: a mixed methods evaluation of experiences of physiotherapy educators. Physiotherapy Theory and Practice, 40(8), 1807-1820. https://doi.org/10.1080/09593985.2023.2219313
O’Connor, A., Cahill, M., & McKay, E. A. (2012). Revisiting 1:1 and 2:1 clinical placement models: student and clinical educator perspectives. Australian Occupational Therapy Journal, 59(4), 276-83. https://doi.org/10.1111/j.1440-1630.2012.01025.x
Patton, N., Higgs, J., & Smith, M. (2018). Using theories of learning in workplaces to enhance physiotherapy clinical education. Physiotherapy Theory and Practice, 29(7), 493-503. https://doi.org/10.3109/09593985.2012.753651
Williamson, G. R., Plowright, H., Kane, A., Bunce, J., Clarke, D., & Jamison, C. (2020). Collaborative learning in practice: A systematic review and narrative synthesis of the research evidence in nurse education. Nurse Education in Practice, 43, 102706. https://doi.org/10.1016/j.nepr.2020.102706
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