‘Facing Uncharted Waters’: Challenges experienced by Occupational Therapy Students undertaking Role-emerging Placements
DOI:
https://doi.org/10.18552/ijpblhsc.v3i1.212Keywords:
occupational therapy, placement challenges, role-emerging placementsAbstract
Role-emerging placements, which take place in settings where there are no on-site occupational therapy educators, are increasingly being used within occupational therapy curricula internationally. Although literature on such placements is increasing, little has explored the early stages and demands of such placements. Interpretative phenomenological analysis was used to gain an understanding of how five MSc pre-registration occupational therapy students experienced and ascribed meaning to their role-emerging placements. Interviews were carried out with the students within one month of their role-emerging placement. This article explores one of the themes that emerged from the study, ‘Thrown in’, that reflected the challenges students faced in the early days of their placement. Key findings revealed that students found the early stages of placement cognitively, emotionally and ontologically demanding. They felt temporarily lost, anxious and overwhelmed by their experience, which impacted on their sense of self. Recommendation is made that consideration is given to students’ ontological discomfort, or ‘sense of being’ on placement and pre-placement preparation.
References
Alsop, A., Donald, M. (1996) Making the most of fieldwork education: a practical approach. London: Chapman Hall
Banks, S. and Head, B. (2004) ‘Partnering Occupational Therapy and Community Development’. Canadian Journal of Occupational Therapy 71 (1), 5-8
Barnett, R. (2007) A Will to Learn. Maidenhead: Open University Press, McGraw Hill.
Bilics, A.R., Lamothe, H. and Murphy, C. (2002) ‘The Community Practicum: an Opportunity to Synthesise Learning for Emerging Practices’. Occupational Therapy in Healthcare 16, 69-73.
Bossers, A., Cook, J., Polatajko, H. and Laine, C. (1997) ‘Understanding the Role-emerging Fieldwork Placement’. Canadian Journal of Occupational Therapy 64 (1), 70-81
Clarke, C. (2012) Occupational Therapy Students’ Experiences of Role-emerging Placements and their Influence on Professional Practice. Unpublished PhD Thesis. Brighton: University of Brighton
Clarke, C., Martin, M., Sadlo, G., de-Visser, R. (2014a) ‘The Development on an Authentic Professional Identify on Role-emerging Placements’. British Journal of Occupational Therapy 77 (5), 222-229
Clarke, C., de-Visser, R., Martin, M., Sadlo, G. (2014b) ‘Role-emerging Placements: a Useful Model for Occupational Therapy Practice Education? A Review of the Literature’. International Journal of Practice-based Learning in Health and Social Care 2 (2), 14-26
Clarke, C., Martin, M., de-Visser, R., Sadlo, G. (2015) ‘Sustaining Professional Identity in Practice Following Role-emerging Placements’. British Journal of Occupational Therapy 78 (1), 42-50
College of Occupational Therapists (2006) Developing the Occupational Therapy Profession: Providing New Work-based Learning Opportunities for Students. London: COT
Cooper, R. and Raine, R. (2009) ‘Role-emerging Placements are an Essential Risk for the Development of theOccupational Therapy Profession: the Debate’. British Journal of Occupational Therapy 72 (9), 416-418
Dancza, K., Warren, A., Copley, J., Rodger, S., Moran, M., Mckay, E. and Taylor, A. (2013) ‘Learning Experiences on Role-emerging Placements: An Exploration from the Students’ Perspective. Australian Occupational Therapy Journal 60 (6), 427-435
Edwards, M. and Thew, M. (2011) ‘Models of role emerging placements’. in Role Emerging Occupational Therapy. ed. by Thew,M. Edwards, M. Baptiste, S. and Molineux, M.. Chichester: Wiley-Blackwell, 15-35
Evans, N.J., Forney, D.S., Guido, F.M., Patton, L.D. and Renn, K.A. (2010) Student Development in College: Theory, Research and practice. 2nd edn. San Francisco: Jossey-Bass
Fieldhouse, F. and Fedden, T. (2009) ‘Exploring the Learning Process on a Role-emerging Practice Placement: a Qualitative Study’. British Journal of Occupational Therapy 72 (7), 302-307
Fisher, A. and Savin-Baden, M. (2002) ‘Modernising Fieldwork, Part 2: Realising the Potential’. British Journal of Occupational Therapy 65 (6), 275-282
Fortune, T., Farnworth, L. and McKinstry, C. (2006) ‘Project-focussed Fieldwork: Core Business or Fieldwork Fillers?’ Australian Occupational Therapy Journal 53, 233-236
Gilbert Hunt, S. (2006) ‘A Practice Placement Education Model Based upon a Primary Health Care Perspective Used in South Australia’. British Journal of Occupational Therapy 69 (2), 81-85
Healy, J. (2005) ‘Practice placements: at breaking point?’. OT News 2, 35
Hook, A. and Kenney, C. (2007) ‘Evaluating Role Emerging Placements’. OT News 7, 25
Huddleston, R. (1999) ‘Clinical Placements for the Professions Allied to Medicine, Part 1: a Summary’. British Journal of Occupational Therapy62 (5), 213-219
James, C. and Prigg, A. (2004) ‘A Self-directed Fieldwork Program to Provide Alternative Occupational Health Placements for Undergraduate Occupational Therapy Students’. Australian Occupational Therapy Journal 51, 60-68
Jarvis, P. (2010) Adult Education and Lifelong Learning, Theory and Practice. 4th edn. Oxon: Routledge
Kirke, P., Layton, N. and Sim, J. (2007) ‘Informing Fieldwork Design: Key Elements to Quality in Fieldwork Education for Undergraduate Occupational Therapy Students’. Australian Occupational Therapy Journal54, 13-22
Lave, J. and Wenger, E. (2003) Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press
Mackenzie, A., Craik, C., Tempest, S., Cordingly, K., Buckingham, I. and Hale, S. (2007) ‘Interprofessional Learning in Practice’. British Journal of Occupational Therapy 70 (8), 358-361
Martin, M., Morris, J., Moore A., Sadlo, G. and Crouch, V. (2004) ‘Evaluating Practice Education Models in Occupational Therapy: Comparing 1:1, 2:1 and 3:1 Placements’. British Journal of Occupational Therapy 67 (5), 192-200
Mulholland, S. and Derdall, M. (2005) ‘A Strategy for Supervising Occupational Therapy Students at Community Sites’. Occupational Therapy International 12 (1), 28-43
Overton A, Clarke M, Thomas Y (2009) ‘A Review of Non-traditional Occupational Therapy Practice Placement Education: a Focus on Role-emerging and Project Placements’. British Journal of Occupational Therapy 72 (7), 294-301
Prigg, A. and Mackenzie, L. (2002) ‘Project Placements for Undergraduate Occupational Therapy Students: Design, Implementation and Evaluation’. Occupational Therapy International 9 (3), 210-236
Rodger, S., Thomas, Y., Dickson, D., McBryde, C., Broadbridge, J., Hawkins, R and Edwards, A. (2007) ‘Putting Students to Work: Valuing Fieldwork Placements as a Mechanism for Recruitment and Shaping the Future Occupational Therapy Workforce’. Australian Occupational Therapy Journa54, 94-97
Rodger, S., Thomas, Y., Holley, S., Springfield, E., Broadbridge, J., Greber, C., Mcbryde, C., Hawkins, R., Banks, R. (2009) ‘Increasing the Occupational Therapy Mental Health Workforce through Innovative Practice Education: Evaluation of an Innovative Practice Education Placement Trial in Mental Health’. Australian Occupational Therapy Journal 56 (6), 409-417
Sadlo, G. and Craik, C. (2005) ‘Time for Creative Action’. OT News 3, 22
Shaw, R. (2010) Embedding Reflexivity Within Experiential Qualitative Psychology. Qualitative Research in Psychology 7, 233-243
Smith, J.A., Flowers, P. and Larkin, M. (2009) Interpretative Phenomenological Analysis. London: SAGE Publications Ltd.
Soloman, P. and Jung, B. (2006) ‘An Interprofessional Role-emerging Placement in HIV Rehabilitation’. International Journal of Therapy and Rehabilitation 13 (2), 59-64
Sweeney, G., Webley, P. and Treacher, A. (2001) ‘Supervision in Occupational Therapy, Part 2: the Supervisee's Dilemma’. British Journal of Occupational Therapy 64 (8), 380-386
Thew, M., Hargreaves, A. and Cronin-Davis, J. (2008) ‘An Evaluation of Role-emerging Practice Placement Model for a Full Cohort of Occupational Therapy Students’. British Journal of Occupational Therapy 71 (8), 348-353
Thew, M., Edwards, M., Baptiste, S. and Molineux, M. (2011) Role Emerging Occupational Therapy. Maximising Occupation-Focused Practice. Chichester: Wiley-Blackwell
Thomas, Y. and Rodger, S. (2011) Successful Role Emerging Placements: It is all in the Preparation. In Role Emerging Occupational Therapy ed. by Thew, M. Edwards, M. Baptiste,S. and Molineux, M. . Chichester: Wiley-Blackwell, 39-53
Totten, C. and Pratt, J. (2001) ‘Innovation in Fieldwork Education: Working with Members of the Homeless Population in Glasgow’. British Journal of Occupational Therapy 64 (11), 559-563
Warren, A., Dancza, K., McKay, E., Taylor, A., Moran, M., Rodger, S. and Copely, J. (2013) Supervising Role-emerging Placements: Creating Opportunities for Innovation. Australian Occupational Therapy Journal 60 no. s1, 1-50
Westmorland, M.J. and Jung, B. (1997) ‘Educational Partnerships: Student and Faculty Involvement’. British Journal of Therapy and Rehabilitation 4 (12), 671-675
Wilcock, J., Sledding, F. and Kershaw, A. (2009) ‘Role-emerging Placements: the Educators' Experience’. OT News 9, 24
Wisnewski, J.J. (2013) Heidegger: An Introduction. Plymouth: Rowman and Littlefield Publishers
Wood, A. (2005) ‘Student Practice Contexts: Changing Face, Changing Place’. British Journal of Occupational Therapy 68 (8), 375-378
Yardley, L. (2008) Demonstrating Validity in Qualitative Psychology. In Qualitative Psychology: a Practical Guide to Research Methods. 2nd edn. ed. by Smith, J.A.. London: SAGE Publications Ltd., 235-251
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons License "Attribution-NonCommercial No Derivs 4.0 International" (CC BY-NC-ND 4.0) which permits others to use the publication as long as the authors are appropriately cited.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The Author grants to Coventry University an irrevocable, royalty-free, worldwide, non-exclusive licence to publish this article in this journal in addition to the licence granted at paragraph 1 of this copyright notice.