Promoting the Wellbeing of Physiotherapy Students on Placement:
The Placement Wellbeing Project. A Pilot Study
DOI:
https://doi.org/10.18552/ijpblhsc.v12i1.952Abstract
The current healthcare workforce crisis in the United Kingdom has highlighted the need to equip graduates with the skills to maintain their personal wellbeing whilst working in increasingly pressurised environments. The Placement Wellbeing Project (PWP) is an intervention designed to support the wellbeing of physiotherapy students during studies, while on placement and as they enter the workforce.
This action research project used a single group, repeated measures design. Ethical approval was gained from the [redacted] ethics committee. On recruitment, participants were given the Placement Wellbeing Toolkit [toolkit link available but redacted as not anonymous to author or organisation] and took part in a pre-placement peer group discussion and a post-placement de-briefing session. Outcomes were measured using the Placement Coping Scale (PCS) and the General Self-Efficacy Scale.
Significant improvements were observed in the total PCS score (Friedman's test χ2(2) = 19.75, p = 0.000) and all individual items of the PCS from baseline to post-placement. Post hoc analysis detected significant improvements between baseline and pre-placement total PCS scores (p = 0.005). Total GSE scores improved significantly from baseline to final measure (Wilcoxon sum-rank test Z = 2.105, p =.035).
To develop a resilient future workforce we need to ensure that students are well prepared for challenges and supported to maintain their wellbeing on placement. The results of this study indicate that physiotherapy students may benefit from interventions to develop positive coping strategies for placement.
References
Akram, U., Ypsilanti, A., Gardani, M., Irvine, K., Allen, S., Akram, A., Drabble, J., Bickle, E., Kaye, L., Lipinski, D., Matuszyk, E., Sarlak, H., Steedman, E., & Lazuras, L. (2020). Prevalence and psychiatric correlates of suicidal ideation in UK university students. Journal of Affective Disorders, 272, 191–197. https://doi.org/10.1016/j.jad.2020.03.185
Baldwin, D., Sinclair, J., & Simons, G. (2021). What is mental wellbeing? BJPsych Open, 7(S1), S236–S236. https://doi.org/10.1192/BJO.2021.631
Barkham, M., Broglia, E., Dufour, G., Fudge, M., Knowles, L., Percy, A., Turner, A., & Williams, C. (2019). Towards an evidence-base for student wellbeing and mental health: Definitions, developmental transitions and data sets. Counselling and Psychotherapy Research, 19(4), 351–357. https://doi.org/10.1002/capr.12227
Bell, J., Lim, A., Williams, R., Girdler, S., Milbourn, B., & Black, M. (2023). ‘Nothing about us without us’’: co-production ingredients for working alongside stakeholders to develop mental health interventions.’ Advances in Mental Health, 21(1), 4–16. https://doi.org/10.1080/18387357.2021.2020143
Bennion, J., Symmons, T., Shearman, I., Holloway, C., & Kain, R. (2020). PSS-STUDY: PSS-Study: An Exploration of Physiotherapy Student-Perceived Stress and the Related Coping Strategies whilst on Placement. International Journal of Practice-Based Learning in Health and Social Care, 8(2), 68–85. https://doi.org/10.18552/ijpblhsc.v8i2.654
Broglia, E., Millings, A., & Barkham, M. (2021). Student mental health profiles and barriers to help seeking: When and why students seek help for a mental health concern. Counselling and Psychotherapy Research, 21(4), 816–826. https://doi.org/10.1002/capr.12462
Bruyneel, A., Bouckaert, N., Maertens de Noordhout, C., Detollenaere, J., Kohn, L., Pirson, M., Sermeus, W., & Van den Heede, K. (2023). Association of burnout and intention-to-leave the profession with work environment: A nationwide cross-sectional study among Belgian intensive care nurses after two years of pandemic. International Journal of Nursing Studies, 137, 104385. https://doi.org/10.1016/j.ijnurstu.2022.104385
Delaney, C., Miller, K. J., El-Ansary, D., Remedios, L., Hosseini, A., & McLeod, S. (2015). Replacing stressful challenges with positive coping strategies: a resilience program for clinical placement learning. Advances in Health Science Education, 20(5), 1303-24. https://doi.org/10.1007/s10459-015-9603-3
Field, A. (2017). Discovering statistics using IBM SPSS Statistics (5th ed.). SAGE Publications.
Galante, J., Stochl, J., Dufour, G., Vainre, M., Wagner, A. P., & Jones, P. B. (2021). Effectiveness of providing university students with a mindfulness-based intervention to increase resilience to stress: 1-year follow-up of a pragmatic randomised controlled trial. J Epidemiol Community Health, 75(2), 151–160. https://doi.org/10.1136/JECH-2020-214390
General Medical Council. (2016). Achieving good medical practice: guidance for medical students. https://www.gmc-uk.org/education/standards-guidance-and-curricula/guidance/student-professionalism-and-ftp/achieving-good-medical-practice
Health and Care Professions Council. (2020). Developing resilience. https://www.hcpc-uk.org/covid-19/advice/applying-our-standards/developing-resilience/
Huffman, E. M., Athanasiadis, D. I., Anton, N. E., Haskett, L. A., Doster, D. L., Stefanidis, D., & Lee, N. K. (2021). How resilient is your team? Exploring healthcare providers’ well-being during the COVID-19 pandemic. The American Journal of Surgery, 221(2), 277–284. https://doi.org/10.1016/j.amjsurg.2020.09.005
Hughes, G. J., & Byrom, N. C. (2019). Managing student mental health: The challenges faced by academics on professional healthcare courses. Journal of Advanced Nursing, 75(7), 1539–1548. https://doi.org/10.1111/jan.13989
Hughes, V., Cologer, S., Swoboda, S., & Rushton, C. (2021). Strengthening internal resources to promote resilience among prelicensure nursing students. Journal of Professional Nursing, 37(4), 777–783. https://doi.org/10.1016/j.profnurs.2021.05.008
Le, L. K-D., Esturas, A. C., Mihalopoulos, C., Chiotelis, O., Bucholc, J., Chatterton, M. Lou, & Engel, L. (2021). Cost-effectiveness evidence of mental health prevention and promotion interventions: A systematic review of economic evaluations. PLOS Medicine, 18(5), e1003606. https://doi.org/10.1371/journal.pmed.1003606
Mehta, S., Machado, F., Kwizera, A., Papazian, L., Moss, M., Azoulay, É., & Herridge, M. (2021). COVID-19: a heavy toll on health-care workers. The Lancet Respiratory Medicine, 9(3), 226–228. https://doi.org/10.1016/s2213-2600(21)00068-0
Nursing and Midwifery Council. (2018). Future nurse: Standards of proficiency for registered nurses. https://www.nmc.org.uk/globalassets/sitedocuments/education-standards/future-nurse-proficiencies.pdf
Palmer, B., & Rolewicz, L. (2022). Peak leaving? A spotlight on nurse leaver rates in the UK. https://www.nuffieldtrust.org.uk/resource/peak-leaving-a-spotlight-on-nurse-leaver-rates-in-the-uk
Roberts, A., Angoff, N. R., Brissette, D., Dupee, D., Fahs, D., Honan, L., Korbey, S., Roessler, E., Schwartz, M., Shabanova, V., Tetrault, J., Wu, B., Colson, E., & Encandela, J. (2020). Burnout Among Beginning First-Year Students from Three Health Professional Training Programs. Medical Science Educator, 30, 879–883. https://doi.org/10.1007/s40670-020-00969-2
Schwarzer, R., & Jerusalem, M. (1995). Generalised Self-Efficacy Scale. In Measures in health psychology: A user’s portfolio. Causal and control beliefs (pp. 35–37). NFER-NELSON.
Steigen, A. M., Finbråten, H. S., & Kleppang, A. L. (2022). Using Rasch Analysis to Assess the Psychometric Properties of a Five-Item Version of the General Self-Efficacy Scale in Adolescents. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19053082
Universities UK. (2020). Stepchange: mentally healthy universities. https://www.universitiesuk.ac.uk/policy-and-analysis/reports/Pages/stepchange-mhu.aspx
Walsh, P., Owen, P. A., Mustafa, N., & Beech, R. (2020). Learning and teaching approaches promoting resilience in student nurses: An integrated review of the literature. Nurse Education in Practice, 45, 102748. https://doi.org/10.1016/J.NEPR.2020.102748
Wasil, A. R., Taylor, M. E., Franzen, R. E., Steinberg, J. S., & DeRubeis, R. J. (2021). Promoting Graduate Student Mental Health During COVID-19: Acceptability, Feasibility, and Perceived Utility of an Online Single-Session Intervention. Frontiers in Psychology, 12, 569785. https://doi.org/10.3389/FPSYG.2021.569785
Wood, E., King, R., Senek, M., Robertson, S., Taylor, B., Tod, A., & Ryan, A. (2021). UK advanced practice nurses’ experiences of the COVID-19 pandemic: a mixed-methods cross-sectional study. BMJ Open, 11(3), e044139. https://doi.org/10.1136/BMJOPEN-2020-044139
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