Developing Measures of Placement Quality in Allied Health, Dentistry, Medicine, and Pharmacy

Authors

  • Lindy McAllister The University of Sydney
  • Srivalli Nagarajan
  • Linda Scott
  • Lorraine Smith The University of Sydney
  • Kate Thomson The University of Sydney http://orcid.org/0000-0001-9661-299X

DOI:

https://doi.org/10.18552/ijpblhsc.v6i2.493

Keywords:

health education, placement quality measures, placements, quality

Abstract

As placement numbers expand, there is a concern that the quality of student experience and learning may diminish. Furthermore, there is a paucity of evidence for evaluation and quality improvement in clinical health placements and there have been few studies undertaken to assess quality. Valid and reliable measures of placement quality are needed to provide an evidence-base to guide decisions about the most efficient and effective placement models in health. A two-phase mixed methods design, using a modified Delphi process, focus groups, and surveys, developed and tested items to measure placement quality. Thematic analysis, descriptive statistics, and exploratory factor analysis (EFA) were used to analyse the data. Twenty-three participants took part in the Phase 1 stakeholder focus groups, and 150 useable surveys were returned by 161 who took part in Phase 2 to test validity and reliability of the student survey items. Results show broad agreement on the features of a quality clinical placement across allied health dentistry, medicine, and pharmacy professions. The student survey was found to be a valid and reliable measure of placement quality, with the EFA showing one component accounting for 58.5% of the variance in the survey data. The findings offer a framework and approach that others can adopt to measure placement quality in their setting. The measures may be adaptable to contexts outside health.

Author Biographies

Lindy McAllister, The University of Sydney

Faculty of Health Sciences

Professor

 

Srivalli Nagarajan

Sydney Medical School

Lorraine Smith, The University of Sydney

Faculty of Pharmacy, NSW 2006

Associate Professor

Kate Thomson, The University of Sydney

Faculty of Health Sciences

Lecturer

References

Boor, K., Scheele, F., van der Vleuten, C.P., Scherpbier, A.J., Teunissen, P.W., and Sijtsma, K. (2007) ‘Psychometric properties of an instrument to measure the clinical learning environment’. Medical Education, 41, 92–99 http://dx.doi.org/10.1111/j.1365-2929.2006.02651.x

Braga, M., Paccagnella, M., and Pellizzari, M. (2014) ‘Evaluating students' evaluations of professors’. The Economics of Education Review, 41, 71–88 https://doi.org/10.1016/j.econedurev.2014.04.002

Buchanan, J., Jenkins, S., and Scott, L. (2014) Student Clinical Education in Australia: A University of Sydney Scoping Study. Sydney: The University of Sydney

Cooper, L., Orrell, J., and Bowden, M. (2010) Work Integrated Learning: A Guide to Effective Practice. Abingdon, UK: Routledge

Crebert, G., Bates, M., Bell, B., Patrick, C.-J., and Cragnolini, V. (2004) ‘Developing generic skills at university, during work placement and in employment: Graduates' perceptions’. Higher Education Research & Development, 23, 147–165. http://dx.doi.org/10.1080/0729436042000206636

Creswell, J.W. (2003) Research Design: Qualitative, Quantitative, and Mixed Method Approaches. 2nd edn. London: Sage

Cusick, A. (2013) Measuring Quality Clinical Placements: Literature Review. Final Report. Sydney: Integrated Clinical Training Network (ICTN)

Dalkey, N. and Helmer, O. (1963) ‘An experimental application of the Delphi method to the use of experts’. Management Science, 9, 458–467 https://doi.org/10.1287/mnsc.9.3.458

Darcy Associates (2013) The Best Practice Clinical Learning Environment Framework. Quality Clinical Education in Victoria. Available from https://www.bpcletool.net.au/bpcle-framework/ [6 June 2018]

Dewolfe, J.A., Laschinger, S., and Perkin, C. (2010) ‘Preceptors’ perspectives on recruitment, support, and retention of preceptors’. Journal of Nursing Education, 4, 198–206 https://doi.org/10.3928/01484834-20091217-06

Dunn, S.V. and Burnett, P. (1995) ‘The development of a clinical learning environment scale’. Journal of Advanced Nursing, 22, 1166–1173 https://doi.org/10.1111/j.1365-2648.1995.tb03119.x

Eley, D.S., McAllister, L., Chipchase, L., Strong, J., Allen, S., and Davidson, B. (2015) ‘Health professions as distinct cultures in interprofessional, intercultural clinical placements: A pilot study exploring implications for interprofessional supervision’. International Journal of Practice-based Learning in Health and Social Care, 3 (1), 108–118 http://dx.doi.org/10.18552/ijpblhsc.v3i1.211

Farnan, J., Petty, L., Georgitis, E., Martin, S., Chiu, E., Prochaska, M., and Arora, V. (2012) ‘A systematic review: The effect of clinical supervision on patient and residency education outcomes’. Academic Medicine, 87, 4, 428–442 https://doi.org/10.1097/ACM.0b013e31824822cc

Health Workforce Australia. (2011) National Clinical Supervision Support Framework. Adelaide: Health Workforce Australia

Health Workforce Australia (2012) Health Workforce 2025 – Doctors, Nurses and Midwives. Volume 1. Adelaide: Health Workforce Australia. Available from http://www.health.gov.au/internet/main/publishing.nsf/Content/hwa-archived-publications [6 June 2018]

Health Workforce Australia. (2014) Australia’s health workforce series: Physiotherapists in focus. Adelaide: Health Workforce Australia.

Henzi, D., Davis, R., Jasinevicius, R., and Hendricson, W. (2006) ‘North American dental students’ perspectives about their clinical education’. Journal of Dental Education, 70, 361–377

Higgs, J., and McAllister, L. (2007) ‘Educating clinical educators: Using a model of the experience of being a clinical educator’. Medical Teacher, 29 (2-3), e51–e57 https://doi.org/10.1080/01421590601046088

Hsu, C.-C. and Sandford, B.A. (2007) ‘The Delphi technique: Making sense of consensus’. Practical Assessment, Research and Evaluation, 12 (10), 1–8

Keeney, S., Hasson, F., and McKenna, H. (2011) The Delphi Technique in Nursing and Health Research. Oxford: Wiley-Blackwell https://doi.org/10.1002/9781444392029

Krautmann, A. and Sander, W. (1999) ‘Grades and student evaluations of teachers’. Economics of Education Review, 18, 59–63 https://doi.org/10.1016/S0272-7757(98)00004-1

McAllister, L., and Nagarajan, S.V. (2015) ‘Accreditation requirements in allied health education: Strengths, weaknesses and missed opportunities. Journal of Teaching and Learning for Graduate Employability, 6, 2–23 http://dx.doi.org/10.21153/jtlge2015vol6no1art570

McAllister, L., Paterson, M., Higgs, J., and Bithell, C. (2010) Innovations in allied health fieldwork education: A critical appraisal. Rotterdam: Sense

McCall, L., Wray, N., and McKenna, L. (2009) ‘Influence of clinical placement on undergraduate midwifery students’ career intentions’. Midwifery, 25, 403–410 https://doi.org/10.1016/j.midw.2007.07.008

Nolte, E., Fry, C.V., Winpenny, E., and Brereton, L. (2011) Use of Outcome Metrics to Measure Quality in Education and Training of Healthcare Professionals: A Scoping Review of International Experiences. Department of Health in England through its Policy Research Programme (grant no. 0510002). Cambridge, UK: RAND Europe working paper series

Poropat, A. (2014) ‘Students don’t know what’s best for their own learning’. The Conversation [online] 26 November. available from http://theconversation.com/students-dont-know-whats-best-for-their-own-learning-33835 [30 May 2018]

Saarikoski, M., Isoaho, H., Warne, T., and Leino-Kilpi, H. (2008) ‘The nurse teacher in clinical practice: Developing the new sub-dimension to the clinical learning environment and supervision (CLES) scale’. International Journal of Nursing Studies, 45, 1233–1237 https://doi.org/10.1016/j.ijnurstu.2007.07.009

Salamonson, Y., Bourgeois, S., Everett, B., Weaver, R., and Peters, K. (2011) ‘Psychometric testing of the abbreviated Clinical Learning Environment Inventory (CLEI‐19)’. Journal of Advanced Nursing, 67, 2668–2676 https://doi.org/10.1111/j.1365-2648.2011.05704.x

Salkind, N. (2010) Encyclopedia of Research Design. Thousand Oaks, CA: Sage https://doi.org/10.4135/9781412961288

Sheils, E. A., Loades, M. E., Medley, A. R., and Marks, E.M. (2016) ‘A Fair Exchange: The reciprocal relationship between universities and clinical placement supervisors’. International Journal of Practice-based Learning in Health and Social Care, 4 (1), 28–39 https://doi.org/10.18552/ijpblhsc.v4i1.304

Smith, C. (2012) ‘Evaluating the quality of work-integrated learning curricula: A comprehensive framework’. Higher Education Research & Development, 31, 247–262 http://dx.doi.org/10.1080/07294360.2011.558072

Thomson, K., Nguyen, M., and Leithhead, I. (2016) ‘Peer mentoring for clinical educators: A case study in physiotherapy’. Focus on Health Professional Education, 17 (3), 30–44 https://doi.org/10.11157/fohpe.v17i3.175

Walters, L., Prideaux, D., Worley, P., and Greenhill, J. (2011) ‘Demonstrating the value of longitudinal integrated placements to general practice preceptors’. Medical Education, 45, 455–463 https://doi.org/10.1111/j.1365-2923.2010.03901.x

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Published

2018-11-28

How to Cite

McAllister, L., Nagarajan, S., Scott, L., Smith, L., & Thomson, K. (2018). Developing Measures of Placement Quality in Allied Health, Dentistry, Medicine, and Pharmacy. International Journal of Practice-Based Learning in Health and Social Care, 6(2), 31–47. https://doi.org/10.18552/ijpblhsc.v6i2.493

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