Occupational Therapists’ Perspectives for Promoting Fieldwork Experiences in Private Practice
DOI:
https://doi.org/10.18552/ijpblhsc.v12i2.942Keywords:
Canada, health education, preceptorship, private sector, workplaceAbstract
Limited private practice fieldwork opportunities exist in Canadian occupational therapy (OT) education programs, in comparison to public health opportunities. This gap must be addressed to ensure students have opportunities to gain experience in the private sector. There are limited qualitative studies in occupational therapy that identify strategies to encourage occupational therapists to offer placements in this area. This qualitative study explored the experiences and perspectives of occupational therapists working in private practice and their motivations and uncertainty to participate in occupational therapy student education. Strategies to best support fieldwork educators as well as opportunities to advance student preparation for private practice placements, were uncovered. Using purposive sampling, nine occupational therapists working in private practice with or without fieldwork educator experience, participated in semi-structured interviews. Phenomenology was used to analyze data and determine emergent themes. Four themes emerged that highlight key considerations for occupational therapists hosting students in private practice. Motivations and hesitations for hosting students were uncovered. Strategies which can be used to directly support private practice occupational therapists and facilitate student learning at the university level prior to fieldwork placements in this area, were revealed. It is imperative to understand occupational therapist’s perspectives when hosting students as well as hesitations for not hosting students in private practice. These findings contribute practical and viable approaches that can be utilized by education programs and the private sector, to ensure mutually beneficial partnerships.
References
American Occupational Therapy Association. (2022). Occupational therapy fieldwork education: Value and purpose. American Journal of Occupational Therapy, 76(Suppl. 3). https://doi.org/10.5014/ajot.2022.76S3006
Barker, D., Stack, R., Miller, C., MacEwen, H., & Rappolt, S. (2014). Enhancing fieldwork opportunities within private practice settings. Occupational Therapy Now, 16(6), 20–22. https://caot.ca/document/4007/nov_OTnow_NOV_2014.pdf#page=20
Barker, D., Morrison, T., Rappolt, S., & Nowrouzi-Kia, B. (2019). Fieldwork in private practice in Canada: A descriptive cross-sectional study. Annals of International Occupational Therapy, 2(4), 171–180. https://doi.org/10.3928/24761222-20190625-01
Bridle, M., & Hawkes, B. (1990). A survey of Canadian occupational therapy private practice. Canadian Journal of Occupational Therapy, 57(3), 160–166. https://doi.org/10.1177/000841749005700305
Canadian Institute for Health Information. (2013). Occupational therapist workforce 2012 [Data set]. https://secure.cihi.ca/estore/productFamily.htm?pf=PFC4980&lang=en&media=0
Chiang, H-Y., Liu, C-H., Chen, Y., Wang, S-H., Lin, W-S., Su, F-Y., Su, C-T., Pan, C-H., & Wang, C-A. (2013). A survey of how occupational therapy fieldwork influences future professional preference. Hong Kong Journal of Occupational Therapy, 23(2), 62–68. https://doi.org/10.1016/j.hkjot.2013.09.003
Clarke, V., Braun, V., & Hayfield, N. (2015). Thematic analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (pp. 222–248). SAGE Publications.
College of Occupational Therapists of British Columbia. (2023). Pathways to change annual report 2022/2023.
Commission on Education. (2012). COE guidelines for an occupational fieldwork experience – level II. https://www.aota.org/-/media/corporate/files/educationcareers/educators/fieldwork/levelii/coe-guidelines-for-an-occupational-therapy-fieldwork-experience-level-ii-final.pdf
Doubt, L., Paterson, M., & O'Riordan, A. (2004). Clinical education in private practice: An interdisciplinary project. Journal of Allied Health, 33(1), 47–50. https://pubmed.ncbi.nlm.nih.gov/15053220/
Drolet, M., Baril, N., Sauvageau, A., & Renaud, S. (2020). Addressing the Ethical Issues Associated with Fieldwork Education in Occupational Therapy: Results of an Empirical Study Conducted in Quebec. Canadian Journal of Bioethics / Revue canadienne de bioéthique, 3(1), 119–131. https://doi.org/10.7202/1070233ar
Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–4. https://doi.org/10.11648/j.ajtas.20160501.11
Forbes, R., Dinsdale, A., Dunwoodie, R., Birch, S., & Brauer, S. (2020). Exploring Strategies Used by Physiotherapy Private Practices in Hosting Student Clinical Placements. Australian Journal of Clinical Education, 7(1), 1–13. https://doi.org/10.53300/001c.17206
Forbes, R., Dinsdale, A., Dunwoodie, R., Birch, S., & Brauer, S. (2022). Weighing up the benefits and challenges of hosting physiotherapy student placements in private practice; a qualitative exploration. Physiotherapy Theory and Practice, 38(6), 794–804. https://doi.org/10.1080/09593985.2020.1799461
Forfa, M., Helfrich, C., & Simon, R. (2022). Perceptions of Non-traditional Models of Fieldwork Supervision. Journal of Occupational Therapy Education, 6(1). https://doi.org/10.26681/jote.2022.060111
Golos, A., & Tekuzener, E. (2019). “Perceptions, expectations and satisfaction levels of occupational therapy students prior to and after practice placements and comparison of practice placement models”. BMC Medical Education, 19, Article 324. https://doi.org/10.1186/s12909-019-1762-0
Honorene, J. (2017). Understanding the Role of Triangulation in Research. Scholarly Research Journal for Interdisciplinary Studies, 4(31), 91–95. https://www.srjis.com/downloadPdf/149544238718.%20HONORENO%20JOHNSON.pdf/2384/78
Kallio, H., Pietilä, A., Johnson, M., & Kangasniemi, M. (2016). Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. Journal of Advanced Nursing, 72(12), 2954–2965. https://doi.org/10.1111/jan.13031
Kobbero, T. K., Lynch, C. H., Boniface, G., & Forwell, S. J. (2018). Occupational therapy private practice workforce: Issues in the 21st century. Canadian Journal of Occupational Therapy, 85(1), 58–65. https://doi.org/10.1177/0008417417719724
Lopez, K. A., & Willis, D. G. (2004). Descriptive Versus Interpretive Phenomenology: Their Contributions to Nursing Knowledge. Qualitative Health Research, 14(5), 726–735. https://doi.org/10.1177/1049732304263638
Maloney, P., Stagnitti, K., & Schoo, A. (2013). Barriers and enablers to clinical fieldwork education in rural public and private allied health practice. Higher Education Research & Development, 32(3), 420–435. https://doi.org/10.1080/07294360.2012.682255
Moran, D. (2018). What is the Phenomenological Approach? Revisiting Intentional Explication. Phenomenology and Mind, 15, 72–90. https://doi.org/10.13128/Phe_Mi-24973
Neubauer, B. E., Witkop, C. T., & Varpio, L. (2019). How phenomenology can help us learn from the experiences of others. Perspectives on Medical Education, 8(2), 90–97. https://doi.org/10.1007/s40037-019-0509-2
Nowrouzi-Kia, B., Barker, D., Rappolt, S., & Morrison, T. (2019). Predictors to Private Practice Occupational Therapy Fieldwork Opportunities in Canada: New Evidence suggests New Solutions. Occupational Therapy In Health Care, 33(3), 247–264. https://doi.org/10.1080/07380577.2019.1616241
Peiris, C. L., Reubenson, A., Dunwoodie, R., Lawton, V., Francis-Cracknell, A., & Wells, C. (2022). Clinical placements in private practice for physiotherapy students are perceived as safe and beneficial for students, private practices and universities: A national mixed-methods study. Journal of Physiotherapy, 68(1), 61–68. https://doi.org/10.1016/j.jphys.2021.12.007
Potts, H. E., Babcock, J. L., & McKee, M. (1998). Considerations for Fieldwork Education within a private practice. Canadian Journal of Occupational Therapy, 65(2), 104–107.
Rodger, S., Webb, G., Devitt, L., Gilbert, J., Wrightson, P., & McMeeken, J. (2008). Clinical education and practice placements in the allied health professions: an international perspective. Journal of Allied Health, 37(1), 53–62.
Shenton, A. K. (2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, 22(2), 63–75. https://doi.org/10.3233/EFI-2004-22201
Sloggett, K., Kim, N., & Cameron, D. (2003). Private practice: Benefits, Barriers and Strategies of Providing Fieldwork Placements. Canadian Journal of Occupational Therapy, 70(1), 42–50. https://doi.org/10.1177/000841740307000106
Sokkar, C., McAllister, L., Raymond, J., & Penman, M. (2019). Supervisors' perceptions of student placements in speech-language pathology private practice: benefits, challenges and strategies. Speech, Language and Hearing, 22(2), 122–133. https://doi.org/10.1080/2050571X.2019.1607482
Spiliotopoulou, G. (2007). Preparing Occupational Therapy Students for Practice Placements: Initial Evidence. British Journal of Occupational Therapy, 70(9), 384–388. https://doi.org/10.1177/030802260707000903
Starks, H., & Trinidad, S. B. (2007). Choose Your Method: A Comparison of Phenomenology, Discourse Analysis, and Grounded Theory. Qualitative Health Research, 17(10), 1372–1380. https://doi.org/10.1177/1049732307307031
Thomas, Y., Dickson, D., Broadbridge, J., Hopper, L., Hawkins, R., Edwards, A., & McBryde, C. (2007). Benefits and challenges of supervising occupational therapy fieldwork students: Supervisors' perspectives. Australian Occupational Therapy Journal, 54(s1), S2–S12. https://doi.org/10.1111/j.1440-1630.2007.00694.x
Thomas, D. R. (2017). Feedback from research participants: are member checks useful in qualitative research? Qualitative Research in Psychology, 14(1), 23–41. https://doi.org/10.1080/14780887.2016.1219435
Varland, J., Cardell, E., Koski, J., & McFadden, M. (2017). Factors Influencing Occupational Therapists' Decision to Supervise Fieldwork Students. Occupational Therapy in Health Care, 31(3), 238–254. https://doi.org/10.1080/07380577.2017.1328631
Whitehead, D., & Whitehead, L. (2016). Sampling data and data collection in qualitative research. In Z. Schneider & D. Whitehead (Ed.), Nursing and Midwifery Research: Methods and Appraisal for Evidence-Based Practice (pp. 111–123). Elsevier.
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