Replacing Physiotherapy Student Clinical Education Time with Simulation - The Clinical Educators’ Experience

Authors

  • Julia Blackford University of Sydney
  • Jennifer Alison University of Sydney
  • Lindy McAllister University of Sydney
  • Gillian Nisbet University of Sydney

DOI:

https://doi.org/10.18552/ijpblhsc.v8i1.554

Keywords:

clinical educator, physiotherapy;, simulation

Abstract

Simulation is being increasingly utilised as replacement for part of the clinical education of physiotherapy students. There are several studies investigating the experience and outcomes for physiotherapy students when using simulation to replace clinical placement time. The aim of this pilot study was to investigate clinical educators’ opinions of the preparedness for clinical placement of physiotherapy students whose first week of a 5 week clinical placement was replaced by a simulation experience, compared to those who completed the full placement in the clinical setting. A mixed methods pilot study was undertaken. Questionnaires were completed by clinical educators who supervised students for 4 weeks after the students had one week of simulation (1+4 week model) or supervised students who had not had simulation and completed a full 5 week placement in the clinical setting (5-week model). Both groups were asked to rate how prepared they perceived the students to be to commence placement. Clinical educators in the 1+4 week model group were interviewed after the placement. The clinical educators reported students were better prepared to commence placement in some areas of practice if they had undertaken a week of simulation compared to the students they had previously supervised who had not had a simulation week. However, these clinical educators reported that students in the 1+4-week model did not reach the expected level of students in the 5-week model when compared after one week on clinical placement.

References

Australian Physiotherapy Council. (2006). Australian standards for physiotherapy. Retrieved February 26, 2019, http://www.physiocouncil.com.au/australian_standards_for_physiotherapy/

Australian Physiotherapy Council. (2015). Physiotherapy practice thresholds in Australia and Aotearoa New Zealand. https://physiocouncil.com.au/wp-content/uploads/2017/10/Physiotherapy-Board-Physiotherapy-practice-thresholds-in-Australia-and-Aotearoa-New-Zealand.pdf

Blackford, J., McAllister, L., & Alison, J. (2015). Simulated learning in the clinical education of novice physiotherapy students. International Journal of Practice-based Learning in Health and Social Care, 3(1), 77–93. https://doi.org/10.18552/ijpblhsc.v3i1.209

Blackstock, F. C., Watson, K. M., Morris, N. R., Jones, A., Wright, A., McMeeken, J. M., Rivett, D. A., O'Connor, V., Peterson, R., Haines, T. P., Watson, G., & Jull, G. A. (2013). Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: Two randomized trials. Simulation in Healthcare, 8(1), 32–42. https://doi.org/10.1097/SIH.0b013e318273101a

Bokken, L., Rethans, J. –J., Scherpbier, A., & van der Vleuten, C. (2008). Strengths and weaknesses of simulated and real patients in the teaching of skills to medical students: A review. Simulation in Healthcare, 3(3), 161–169. https://doi.org/10.1097/SIH.0b013e318182fc56

Chan, D. S. K. (2002). Associations between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment. International Journal of Nursing Studies, 39(5), 517–524. https://doi.org/10.1016/s0020-7489(01)00057-8

Chipchase, L. S., Buttrum, P. J., Dunwoodie, R., Hill, A. E., Mandrusiak, A., & Moran, M. (2012). Characteristics of student preparedness for clinical learning: Clinical educator perspectives using the Delphi approach. BMC Medical Education, 12(1), 112. https://doi.org/10.1186/1472-6920-12-112

Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research (2nd ed.). Sage.

Dalton, M., Davidson, M., & Keating, J. (2011). The Assessment of Physiotherapy Practice (APP) is a valid measure of professional competence of physiotherapy students: A cross-sectional study with Rasch analysis. Journal of Physiotherapy, 57(4), 239–246. https://doi.org/10.1016/S1836-9553(11)70054-6

Dalton, M., Davidson, M., & Keating, J. (2012) The Assessment of Physiotherapy Practice (APP) is a reliable measure of professional competence of physiotherapy students: A reliability study. Journal of Physiotherapy, 58(1), 49–56. https://doi.org/10.1016/S1836-9553(12)70072-3

Dutton, L., & Sellheim, D. O. (2017). Academic and clinical dissonance in physical therapist education: How do students cope? Journal of Physical Therapy Education, 31(1), 61–72. https://doi.org/10.1097/00001416-201731010-00009

Gordon, J., Wilkerson, W., Shaffer, D. W., & Armstrong, E. G. (2001). ‘Practicing’ medicine without risk: Students' and educators' responses to high-fidelity patient simulation. Academic Medicine, 76(5), 469–472. doi: https://doi.org/10.1097/00001888-200105000-00019

Houghton, C. E., Casey, D., Shaw, D., & Murphy, K. (2013). Students’ experiences of implementing clinical skills in the real world of practice. Journal of Clinical Nursing, 22(13–14), 1961–1969. https://doi.org/10.1111/jocn.12014

Hyde, E. (2015). A critical evaluation of student radiographers' experience of the transition from the classroom to their first clinical placement. Radiography, 21(3), 242–247. https://doi.org/10.1016/j.radi.2014.12.005

Jette, D. U., Bertoni, A., Coots, R., Johnson, H., McLaughlin, C., & Weisbach, C. (2007). Clinical instructors’ perceptions of behaviors that comprise entry-level clinical performance in physical therapist students: A qualitative study. Physical Therapy, 87(7), 833–843. https://doi.org/10.2522/ptj.20070003

Kneebone, R., & Nestel, D. (2005). Learning clinical skills – The place of simulation and feedback. The Clinical Teacher, 2(2), 86–90. https://doi.org/10.1111/j.1743-498X.2005.00042.x

Kneebone, R. L., Scott, W., Darzi, A., & Horrocks, M. (2004). Simulation and clinical practice: Strengthening the relationship. Medical Education, 38(10), 1095–1102. https://doi.org/10.1111/j.1365-2929.2004.01959.x

Moore, D. S. (1999). The basic practice of statistics (2nd ed.). W.H. Freeman.

National Health Workforce Taskforce (2008). Health education and training. Clinical placements across Australia: Capturing data and understanding demand and capacity. Retrieved February 26, 2019, http://www.ahwo.gov.au/publications.asp

Patton, M. (2002). Qualitative research and evaluation methods (3rd ed.). Sage.

Watson, K., Wright, A., Morris, N., McMeeken, J., Rivett, D., Blackstock, F., Jones, A., Haines, T., O'Connor, V., Watson, G., Peterson, R., & Jull, G. (2012). Can simulation replace part of clinical time? Two parallel randomised controlled trials. Medical Education, 46(7), 657–667. https://doi.org/10.1111/j.1365-2923.2012.04295.x

Wright, A., Moss P., Watson K., & Rue, S. (2015). Simulation in physiotherapy clinical training: Final report. Department of Health. http://lamp.physio.curtin.edu.au/simproj/HWA%20Embedding%20Simulation%20in%20Clinical%20Physiotherapy%20Final%20Report.pdf

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Published

2020-05-26

How to Cite

Blackford, J., Alison, J., McAllister, L., & Nisbet, G. (2020). Replacing Physiotherapy Student Clinical Education Time with Simulation - The Clinical Educators’ Experience. International Journal of Practice-Based Learning in Health and Social Care, 8(1), 60–72. https://doi.org/10.18552/ijpblhsc.v8i1.554

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