A Student Evaluation of an Occupational Therapy Apprenticeship
Abstract
Apprenticeships are becoming an increasingly popular means of training healthcare professionals; providing an opportunity to earn and study simultaneously in order to gain nationally recognised qualifications. However, there is currently a lack of evaluative data on student experience of Occupational Therapy (OT) or Allied Health Professional (AHP) apprenticeship schemes. The aim of this study was to evaluate the perspectives of five apprentices who commenced the Kent Community Health NHS Foundation Trust (KCHFT) OT Apprenticeship in January 2020. A qualitative interpretive approach was utilised to analyse semi-structured interview data. Subsequent thematic analysis identified three key themes from the data: support (peer-support, support from employer, and applying theory to practise), organisation (University, time-management and learning needs), and communication (University, and stakeholder expectations). Findings from this study emphasise the importance of clear communication and management of expectations between stakeholders, effective induction processes, and a commitment to supporting mentors and workplace teams within the clinical arena. Future evaluations should consider the perspectives of other stakeholders within apprenticeship programmes.
References
Attenborough, J., Abbott, S., Brook, J., & Knight, R. A. (2019, March). Everywhere and nowhere: Work-based learning in healthcare education. Nurse Education in Practice, 36, 132–138.
https://doi.org/10.1016/j.nepr.2019.03.004
Baker, D. (2019). Potential implications of degree apprenticeships for healthcare education. Higher Education, Skills and Work-Based Learning,9(1), 2-17.
https://doi.org/10.1108/HESWBL-01-2018-0006
Bishop, D. (2017). Affordance, agency and apprenticeship learning: a comparative study of small and large engineering firms. Research in Post-Compulsory Education, 22(1), 68-86.
https://doi.org/10.1080/13596748.2016.1272074
Brand, D. (2020). An exploration of novice nursing student’s experiences of mentoring in practice placement settings in the United Kingdom. International Journal of Practice-based Learning in Health and Social Care, 8(1), 73–85. https://doi.org/10.18552/ijpblhsc.v8i1.573
Braun, V., & Clark, V. (2006). Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Catterall, A. (2020). Supporting delivery of diagnostic assessments for apprentices with undiagnosed additional needs. Higher education, skills and work-based learning, 10(4), 623-641. https://doi.org/10.1108/HESWBL-02-2019-0032
Chan, S. (2016) Belonging to a workplace: first-year apprentices’ perspectives on factors determining engagement and continuation through apprenticeship. International Journal for Educational and Vocational Guidance, 16(1), 9-27. https://doi.org/10.1007/s10775-014-9282-2
Christiansen, A., Salamonson, Y., Crawford, R., McGrath, B., Roach, D., Wall, P., Kelly, M. & Ramjan, L.M. (2019), “Juggling many balls”: Working and studying among first‐year nursing students". Journal of clinical nursing, 28(21-22), 4035-4043. https://doi.org/10.1111/jocn.14999
Curtis, R. D. (2017). Is poor mentor training to blame for almost a third of apprentices dropping out?. HR News, 1. https://hrnews.co.uk/poor-mentor-training-blame-almost-third-apprentices-dropping/
Cvetkovski, S., Jorm, A.F. & Mackinnon, A.J. (2018). Student psychological distress and degree dropout or completion: a discrete-time, competing risks survival analysis. Higher education research and development, 37(3), 484-498. https://doi.org/10.1080/07294360.2017.1404557
Dagsland, Å.H.B., Mykletun, R.J. & Einarsen, S. (2015). ‘‘We’re not slaves – we are actually the future!’ A follow-up study of apprentices’ experiences in the Norwegian hospitality industry. Journal of Vocational Education & Training, 67(4), 460-481. https://doi.org/10.1080/13636820.2015.1086411
DiCicco-Bloom, B. & Crabtree, B.F. (2006). The Qualitative Research Interview. Medical Education, 40(4), 314-321. https://doi.org/10.1111/j.1365-2929.2006.02418.x
Dornan, T., Conn, R., Monaghan, H., Kearney, G., Gillespie, H., & Bennett, D. (2019). Experience Based Learning (ExBL): Clinical teaching for the twenty-first century. Medical Teacher, 41(10), 1098-1105. https://doi.org/10.1080/0142159X.2019.1630730
Drynan, D. P., Turnbull, J. A, & Currie, L. M. (2018). Evaluation of the Quality of Occupational Therapy Fieldwork Experiences. International Journal of Practice-based Learning in Health and Social Care, 6(2), 48-63. https://doi.org/10.18552/ijpblhsc.v6i2.415
Education and Skills Funding Agency (2015). Apprenticeships: detailed information. https://www.gov.uk/government/organisations/education-and-skills-funding-agency
Einboden, R., Choi, I., Ryan, R., Petrie, K., Johnston, D., Harvey, S. B., Glozier, N., Wray, A. & Deady, M. (2021). ‘Having a thick skin is essential’: mental health challenges for young apprentices in Australia. Journal of Youth Studies, 24(3), 355-371. https://doi.org/10.1080/13676261.2020.1728240
Filice, S., Tregunno, D., Edge, D., & Egan, R. (2020, February 11). Re-imaging Clinical Education: The Interdependence of the Self-Regulated Clinical Teacher and Nursing Student. International Journal of Nursing Education Scholarship. http://doi.org/10.1515/ijnes-2019-0056
Filliettaz, L. (2011). Collective guidance at work: a resource for apprentices? Collective guidance at work: a resource for apprentices? Journal of Vocational Education & Training, 63(3), 485-504. https://doi.org/10.1080/13636820.2011.580359
Finance Act. UK Public General Acts. Part 6. (2016). https://www.legislation.gov.uk/ukpga/2016/24/contents
Goble, P. H (2019). Preparing the Health Care Workforce Through Apprenticeship. North Carolina Medical Journal, 80(3) https://doi.org/10.18043/ncm.80.3.160
Hasanpour-Dehkordi, A & Shohani, M (2016). Nursing Instructor and Students' Perspectives on Clinical Education Apprenticeship Problems. Journal of Clinical and Diagnostic Research, 10(9), 1-4. https://doi.org/10.7860/JCDR/2016/18925.8402
Hay, K. & Barab, S. A. (2001). Constructivism in Practice: A Comparison and Contrast of Apprenticeship and Constructionist Learning Environment. The Journal of the Learning Sciences, 10(3), 281-322. https://doi.org/10.1207/S15327809JLS1003_3
Hill, A. & Dalley-Trim, L. (2008). Hanging in there. What makes a difference in the first year of an apprenticeship? Youth Studies Australia, 27(1), 36-42.
HM Government. (2021). ‘Apprenticeships’. https://www.apprenticeships.gov.uk/
Hortsch, M (2019). How to Make Educational Lemonade Out of a Didactic Lemon: The Benefits of Listening to Your Students. Anatomical sciences education, 12(5), 572-576. https://doi.org/10.1002/ase.1861
Howson C. B. K. (2015) Feedback to and from Students – building an ethos of student and staff engagement in teaching and learning. In: Fry H, Ketteridge S, & Marshall S (eds). A Handbook for Teaching & Learning in Higher Education – Enhancing Academic Practice (4th Ed). (pp. 123-138). Routledge: London & New York.
Hughes, C. J., & Saieva, G. (2019). Degree apprenticeships – an opportunity for all?’ Higher Education, Skills and Work-Based Learning, 9(2), 225-236. https://doi.org/10.1108/HESWBL-10-2018-0113
Jowett, A. (2020) Carrying out qualitative research under lockdown - practical and ethical considerations. https://blogs.lse.ac.uk/impactofsocialsciences/2020/04/20/carrying-out-qualitative-research-under-lockdown-practical-and-ethical-considerations/
Kao, K. Y., Rogers, A., Spitzmueller, C., Lin, M. T., & Lin, C. H. (2014). Who should serve as my mentor? The effects of mentor's gender and supervisory status on resilience in mentoring relationships. Journal of Vocational Behavior, 85(2), 191-203. https://doi.org/10.1016/j.jvb.2014.07.004
Khoiriyah, U., Roberts, C., Jorm, C., & Van der Vleuten, C. P. M. (2015). Enhancing students’ learning in problem based learning: validation of a self-assessment scale for active learning and critical thinking. BMC Medical Education, 15(1), Article 140. https://doi.org/10.1186/s12909-015-0422-2
Kielhofner, G. (2009). Conceptual foundations of occupational therapy practice. FA Davis.
Krause, K. & Coates, H. (2008). Students' engagement in first-year university. Assessment and evaluation in higher education, 33(5), 493-505. https://doi.org/10.1080/02602930701698892
Kvale, S. (1996). Interviews - an Introduction to Qualitative Research Interviewing. Sage Publications
Lester, S., & Bravenbour, D. (2020) Sustainable Degree Apprenticeships. Middlesex University. https://www.mdx.ac.uk/__data/assets/pdf_file/0033/565863/sustainable-degree-apprenticeships-2020.pdf
Malecka, B., Boud, D., & Carless, D (2022). Eliciting, processing and enacting feedback: mechanisms for embedding student feedback literacy within the curriculum. Teaching in Higher Education, 27(7), 908-922 https://doi.org/10.1080/13562517.2020.1754784
Mandal, N. K. (2019). Importance of student feedback in improving mechanical engineering courses. International Journal of Mechanical Engineering Education, 47(3), 227–245. https://doi.org/10.1177/0306419018759800
Mathieson S. (2015). Student Learning. In Fry H, Ketteridge S, & Marshall S (eds). A Handbook for Teaching & Learning in Higher Education – Enhancing Academic Practice (4th Ed). Routledge: London and New York, pp. 63-79.
McNamara, C. (1999). General Guidelines for Conducting Interviews. Sage, Minnesota.
McNicoll, A. (2017, July 25). Apprenticeships will not ‘dumb down’ social work, say backers. Workforce. https://www.communitycare.co.uk/2017/07/25/apprenticeships-will-dumb-social-work-say-backers
Medical Research Council & Health Research Authority. Do you need NHS REC review? (2020). www.hra-decisiontools.org.uk
Metso, S., & Kianto, A. (2014). Vocational students' perspective on professional skills workplace learning. Journal of Workplace Learning, 26(2), 128-148. https://doi.org/10.1108/JWL-07-2013-0044
Mon, A. A., Fatini, A., Ye, C.W., Barakat, M.A., Jen, P.L. & Lin, T.K. (2014). Learning style preferences among pre-clinical medical students. Journal of Medical and Allied Sciences, 4(1), 22-27.
Moustakas, C. (1994). Phenomenological Research Methods. Thousand Oaks, CA: SAGE Publications.
National Apprenticeship Service. (2021). Apprenticeship Diversity Champions Network: championing diversity in apprenticeships. https://www.gov.uk/government/groups/apprenticeship-diversity-champions-network
NHS Health Careers (2020) ‘Apprenticeships, traineeships and cadet schemes’. https://www.healthcareers.nhs.uk/career-planning/study-and-training/apprenticeships-traineeships-and-cadet-schemes
Nicholls, D. (2009). Qualitative research: part one – philosophies. International Journal of Therapy and Rehabilitation, 16(10), 526–533. https://doi.org/10.12968/ijtr.2009.16.10.44562
Patton, M. Q. (2000). Qualitative research and evaluation methods. Thousand Oaks, CA: SAGE Publications.
Polit, D. & Beck, C. (2010). Essentials of Nursing Research. Appraising evidence for nursing research. Lippincott Williams & Wilkins.
Powers, T. E. & Watt, H. M. G. (2021). Understanding why apprentices consider dropping out: longitudinal prediction of apprentices’ workplace interest and anxiety. Empirical research in Vocational Education and Training, 13(1), 1-23. https://doi.org/10.1186/s40461-020-00106-8
Price, M., Latchford, G., & Hughes, J. (2019). Real-world training for real-world benefits: Exploring the impact of practice-based service evaluation training. International Journal of Practice-based Learning in Health and Social Care, 7(1), 75–85. https://doi.org/10.18552/ijpblhsc.v7i1.535
Richman, P. S, Olvet, D. M., Ahmed, S., & Chandran, L. (2019). Use of student feedback to drive quality improvement (QI) in a preclinical U.S. medical school course. Medical Education Online, 24 (1). https://doi.org/10.1080/10872981.2019.1583968
Rintala, H., & Nokelainen, P. (2020). Standing and attractiveness of vocational education and training in Finland: focus on learning environments. Journal of Vocational Education & Training, 72(2), 250-269. https://doi.org/10.1080/13636820.2020.1744696
Rowe, L., Moss, D., Moore, N., & Perrin, D. (2017). The challenges of managing degree apprentices in the workplace - A manager’s perspective. Journal of Work-Applied Management, 9(2), 185-199. https://doi.org/10.1108/JWAM-07-2017-0021
Royal College of Occupational Therapy (2021a). ‘Degree Level Apprenticeships’. https://www.rcot.co.uk/degree-level-apprenticeship-occupational-therapy
Royal College of Occupational Therapy (2021b). https://www.rcot.co.uk/about-occupational-therapy/what-is-occupational-therapy
Saraswat, A. (2016). Higher apprenticeships and the new apprenticeship standards: perceived potential and limitations. Higher Education, Skills and Work-Based Learning, 6(4), 401-416. https://doi.org/10.1108/HESWBL-06-2016-0042
Smith, S., Caddell, M., Taylor-Smith, E., Smith, C., & Varey, A. (2020). Degree apprenticeships - a win-win model? A comparison of policy aims with the expectations and experiences of apprentices. Journal of Vocational Education & Training, 73(4), 505-525 https://doi.org/10.1080/13636820.2020.1744690
Smythe, E. (2011). From beginning to end: how to do hermeneutic interpretative phenomenology. In G. Thomson, F. Dykes & S. Downe (Eds.), Qualitative research in midwifery and childbirth – Phenomenological approaches. London & New York: SAGE Publications.
Stone, C., & Worsley, A, (2022). ‘‘It’s my time now’: the experiences of social work degree apprentices. Social Work Education. 41(4), 675-690. https://doi.org/10.1080/02615479.2021.1873936
Thomas, E., Cox, J., & Gallagher, P. (2012). Progression to higher education: the voice of the apprentice. Research in Post-Compulsory Education, 17(1), 93–113.
Tétreault, S., Bétrisey, C., Gulfi, A., Brisset, C., Kühne, N., & Leanza, Y. (2020). Perceptions, competencies and motivation for study choice: Occupational therapy and social work student perspectives. International Journal of Practice-based Learning in Health and Social Care, 8(1), 15–30. https://doi.org/10.18552/ijpblhsc.v8i1.519
Trochim, W. M. K. (2006). Ethics in Research’. Web Centre for Social Research Methods. Retrieved April 5, 2021, from https://www.socialresearchmethods.net/kb/ethics.php
Turbin, J., Fuller, A. & Wintrup, J. (2014). Apprenticeship and progression in the healthcare sector: can labour market theory illuminate barriers and opportunities in contrasting occupations? Journal of Vocational Education & Training, 66(2), 156-174. https://doi.org/10.1080/13636820.2014.894553
UCAS. (2021a). Degree Apprenticeships. Retrieved April 5, 2021, from https://www.ucas.com/apprenticeships/apprenticeships-england/what-apprenticeships-are-available/degree-apprenticeships
UCAS. (2021b). Which Industries are Offering Apprenticeships? Retrieved April 5, 2021, from https://www.ucas.com/apprenticeships/apprenticeships-hub/which-industries-are-offering-apprenticeships
UK Government. (2021). Become an Apprentice. https://www.gov.uk/become-apprentice
Vattøy, K-D., Gamlem S.M., & Rogne, W. M (2021). Examining students’ feedback engagement and assessment experiences: a mixed study. Studies in Higher Education, 46(11), 2325-2337. https://doi.org/10.1080/03075079.2020.1723523
Winstone, N.E., & Carless, D. (2019). Designing effective feedback processes in higher education: a learning-focused approach. Routledge: London and New York
World Medical Association. (2013) World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA 310(20), 2191-2194. https://doi.org/10.1001/jama.2013.281053
Yang, M. & Carless, D. (2013). ‘The Feedback Triangle and the Enhancement of Dialogue Feedback Processes’. Teaching in Higher Education, 18(3), 285-297. https://doi.org/10.1080/13562517.2012.719154
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