‘Once You Get the Threshold Concepts the World Is Changed Forever’: The Exploration of Threshold Concepts to Promote Work-ready Occupational Therapy Graduates
DOI:
https://doi.org/10.18552/ijpblhsc.v6i1.417Keywords:
Threshold concepts framework, occupational therapy, curriculum design, transformation, work-readinessAbstract
In the current higher education environment, there is a growing expectation that universities ensure students graduate with skills and attributes that enable them to be work-ready, particularly within the health and social care disciplines. One curriculum design approach that has been proposed as facilitating this transformation from student to professional is the threshold concepts framework. A recent study identified ten threshold concepts within the discipline of occupational therapy. These were: Understanding the models and theories of occupational therapy; Evidence-based practice; Clinical reasoning; Discipline-specific skills and knowledge; Practising in context; A client-centred approach; Occupation; The occupational therapist role; Reflective practice; and, A holistic approach. This study aimed to explore whether these threshold concepts were taught within an Australian occupational therapy program. Twelve occupational therapy educators participated in focus groups, and five themes emerged from the data. These were: professional identity; time; the impact of the learning environment; explicit versus implicit content and language; and, the value and understanding of the threshold concepts framework. The study found that the integrated use of threshold concepts may make them unique to the discipline. Findings also indicated that using the threshold concepts framework facilitates the transformation from student to occupational therapist. However, students may not acquire all of the threshold concepts prior to graduation. Practice-based learning was considered pivotal for threshold concept acquisition. This study explores the application of the threshold concepts framework, providing insights for educators who are seeking to produce graduates who are well-equipped for employment in complex healthcare environments.
References
Åkerlind, G., McKenzie, J., and Lupton, M. (2011). A Threshold Concepts Focus to Curriculum Design: Supporting Student Learning Through Application of Variation Theory. Final Report. [online]. available from https://opus.lib.uts.edu.au/handle/10453/19462 [03 July 2018]
Allan, H. T., Magnusson, C., Evans, K., Ball, E., Curtis, K., and Johnson, M. (2015) ‘People, liminal spaces and experience: Understanding recontextualisation of knowledge for newly qualified nurses’. Nurse Education Today, 35 (2), e78–e83 https://doi.org/10.1016/j.nedt.2014.10.018
Ballie, C., Bowden, J., and Meyer, J. (2013) ‘Threshold capabilities: Threshold concepts and knowledge capability linked through variation theory’. Higher Education, 65, 227–246. https://dx.doi.org/10.1007/s10734-012-9540-5
Barradell, S. (2013) ‘The identification of threshold concepts: A review of theoretical complexities and methodological challenges’. Higher Education, 65 (2), 265-276. https://dx.doi.org/10.1007/s10734-012-9542-3
Biggs, J., and Tang, C. (2011) Teaching for Quality Learning at University: What the Student Does. New York: McGraw-Hill, Open University Press.
Clouder, L. (2005) ‘Caring as a “threshold concept”: Transforming students in higher education into health(care) professionals’. Teaching in Higher Education, 10 (4), 505–517 https://doi.org/10.1080/13562510500239141
Cousin, G. (2010) ‘Neither teacher-centred nor student-centred: Threshold concepts and research partnerships’. Journal of Learning Development in Higher Education, Feb (2), 1-9
Creswell, J. (2013) Qualitative Inquiry and Research Design: Choosing Among Five Approaches. (3rd edn.) Thousand Oaks: Sage
Davies, P. and Mangan, J. (2007) ‘Threshold concepts and the integration of understanding in economics’. Studies in Higher Education, 32 (6), 711–726 https://dx.doi.org/10.1080/03075070701685148
Dibley, L. (2011) ‘Analyzing narrative data using McCormack’s Lenses’. Nurse Researcher, 18 (3), 13–19
Eckerdal, A., McCartney, R., Mostrom, J., Ratcliffe, M., Sanders, K., and Zander, C. (2006) ‘Putting threshold concepts into context in computer science education’. Proceedings of the Innovation and Technology in Computer Science Education Conference, Bologna, June 26-28’. [online] available from http://dl.acm.org/citation.cfm?id=1140154
Evans, C. and Kevern, P. (2014) ‘Liminality in preregistration mental health nurse education: A review of the literature’. Nurse Education in Practice, 15 (1), 1–6 https://dx.doi.org/10.1016/j.nepr.2014.08.004.
Finlay, L. (2002) ‘‘Outing’ the researcher: The provenance, process and practice of reflexivity’. Qualitative Health Research, 12 (4), 531–545
Fortune, T. (2000) ‘Occupational therapists: Is our therapy truly occupational or are we merely filling gaps?’ British Journal of Occupational Therapy, 63 (5), 225–230
Fortune, T. and Kennedy-Jones, M. (2014) ‘Occupation and its relationship with health and wellbeing: The threshold concept for occupational therapy’. Australian Occupational Therapy Journal, 61 (5), 293–298 https://dx.doi.org/10.1111/1440-1630.12144
Fusch, P., and Ness, L. (2015) ‘Are we there yet? Data saturation in qualitative research’. The Qualitative Report, 20 (9), 1408–1416 [online] available from http://www.nova.edu/ssss/QR/QR20/9/fusch1.pdf
Kabo, J. and Baillie, C. (2009) ‘Seeing through the lens of social justice: A threshold for engineering’. European Journal of Engineering Education, 34, 317–325 https://dx.doi.org/10.1080/03043790902987410
Khan, M. and Manderson, L. (1992) ‘Focus groups in tropical diseases research’. Health Policy and Planning, 7 (1), 56–66 doi https://dx.doi.org/10.1093/heapol/7.1.56
Kinchin, I.M. (2010) ‘Solving Cordelia’s Dilemma: Threshold concepts within a punctuated model of learning’. Journal of Biological Education, 44 (2), 53–57 https://dx.doi.org/10.1080/00219266.2010.9656194
Land, R., Rattray, J., and Vivian, P. (2014) ‘Learning in the liminal space: A semiotic approach to threshold concepts’. Higher Education, 67 (2), 199–217 https://dx.doi.org/10.1007/s10734-013-9705-x
Larkin, H. and Pépin, G. (2013) ‘Becoming a reflective practitioner’. In, Clinical and Fieldwork Placement in the Health Professions. 2nd edn. ed. by Stagnitti, K., Schoo, A., and Welch, D. Melbourne: Oxford University Press, 31–42
Martindale, L., Land, R., Rattray, J., and Anderson, L. (2016) ‘Exploring sources of trouble in research learning for undergraduate nurses’. in Threshold Concepts in Practice. ed .by Land, R., Meyer, J.H.F., and Flanagan, M.T. Rotterdam: Sense, 239-251
Mackey, H. (2007) ‘‘Do not ask me to remain the same’: Foucault and the professional identities of occupational therapists’. Australian Occupational Therapy Journal, 54 (2), 95-102 https://dx.doi.org/10.1111/j.1440-1630.2006.00609.x
Meyer, J.H.F. and Land, R. (2003) Threshold Concepts and Troublesome Knowledge: Linkages to Ways of Thinking and Practising within the Disciplines. Occasional Report 4. [online] available from http://www.etl.tla.ed.ac.uk/docs/ETLreport4.pdf
Meyer, J.H.F. and Land, R. (2005) ‘Threshold concepts and troublesome knowledge (2): Epistemological considerations and a conceptual framework for teaching and learning’. Higher Education, 49, 373–388 https://dx.doi.org/10.1007/s10734-004-6779-5
Moore, T. and Morton, J. (2017) ‘The myth of job readiness? Written communication, employability, and the ‘skills gap’ in higher education’. Studies in Higher Education, 42 (3), 591–609 https://dx.doi.org/10.1080/03075079.2015.1067602
Neve, H., Lloyd, H., and Collett, T. (2017) ‘Understanding students’ experiences of professionalism learning: A ‘threshold’ approach’. Teaching in Higher Education, 22 (1), 92–108 https://dx.doi.org/10.1080/13562517.2016.1221810
Nicola-Richmond, K., Pépin, G., and Larkin, H. (2016) ‘The transformation from student to occupational therapist: Using the Delphi technique to identify the threshold concepts of occupational therapy’. Australian Occupational Therapy Journal, 63 (2), 95–104 https://dx.doi.org/10.1111/1440-1630.12252
Quinlan, K., Male, S., Baillie, C., Stamboulis, A., Fill, J., and Jaffer, Z. (2013) ‘Methodological challenges in researching threshold concepts: A comparative analysis of three projects’. Higher Education, 66 (5), 585–601 https://dx.doi.org/10.1007/s10734-013-9623-y
Rodger, S. and Turpin, M. (2011) ‘Using threshold concepts to transform entry level curricula’. Research and Development in Higher Education, 34, 263–274 [online] available from http://espace.library.uq.edu.au/view/UQ:270038
Rodger, S., Webb, G., Devitt, L., Gilbert, J., Wrightson, P., and McMeeken, J. (2008) ‘Clinical education and practice placements in the allied health professions: An international perspective. Journal of Allied Health, 37 (1), 53–62
Rountree, J., Robins, A., and Rountree, N. (2013) ‘Elaborating on threshold concepts’. Computer Science Education, 23 (3), 265–289 https://dx.doi.org/10.1080/08993408.2013.834748
Taylor, C., Ross, P., Hughes, C., Lutze-Mann, L., Whitaker, N., and Tzioumis, V. (2011) Threshold Concepts in Biology. Final Report. The University of Sydney. [online] available from http://sydney.edu.au/science/biology/learning/threshold
World Health Organisation. (2010) WHO Framework for Action on Interprofessional Education and Collaborative Practice. [online] available from http://apps.who.int/iris/bitstream/10665/70185/1/WHO_HRH_HPN_10.3_eng.pdf [24 May 2016]
World Federation of Occupational Therapists (WFOT) (2015) Entry Level Educational Programs WFOT approved. [online] available from http://www.wfot.org/Education/EntrylevelEducationalProgrammesWFOTApproved.aspx
Wright, A., and Hibbert, P. (2015) ‘Threshold concepts in theory and practice’. Journal of Management Education, 39 (4), 443–451 https://dx.doi.org/10.1177/1052562915574866
Yorke, M. (2006) Employability in Higher Education: What it is -What it is not. Learning and Employability: Series One. Higher Education Academy. [online] available from https://www.heacademy.ac.uk/resource/employability-higher-education-what-it-what-it-not
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