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“他们让你时刻保持警觉”:物理治疗师对在临床环境中指导学生的感知益处与障碍

"They put you on your toes": Physical Therapists' Perceived Benefits from and Barriers to Supervising Students in the Clinical Setting.

作者信息

Davies Robyn, Hanna Elizabeth, Cott Cheryl

机构信息

Robyn Davies, BHScPT, MAppScPT: Education Practice Leader, Physiotherapy Services, Sunnybrook Health Sciences Centre; Lecturer, Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario.

出版信息

Physiother Can. 2011 Spring;63(2):224-33. doi: 10.3138/ptc.2010-07. Epub 2011 Apr 13.

Abstract

PURPOSE

To identify the perceived benefits of and barriers to clinical supervision of physical therapy (PT) students.

METHOD

In this qualitative descriptive study, three focus groups and six key-informant interviews were conducted with clinical physical therapists or administrators working in acute care, orthopaedic rehabilitation, or complex continuing care. Data were coded and analyzed for common ideas using a constant comparison approach.

RESULTS

Perceived barriers to supervising students tended to be extrinsic: time and space constraints, challenging or difficult students, and decreased autonomy or flexibility for the clinical physical therapists. Benefits tended to be intrinsic: teaching provided personal gratification by promoting reflective practice and exposing clinical educators to current knowledge. The culture of different health care institutions was an important factor in therapists' perceptions of student supervision.

CONCLUSIONS

Despite different disciplines and models of supervision, there is considerable synchronicity in the issues reported by physical therapists and other disciplines. Embedding the value of clinical teaching in the institution, along with strong communication links among academic partners, institutions, and potential clinical faculty, may mitigate barriers and increase the commitment and satisfaction of teaching staff.

摘要

目的

确定物理治疗(PT)专业学生临床督导的感知益处和障碍。

方法

在这项定性描述性研究中,对在急性护理、骨科康复或复杂持续护理领域工作的临床物理治疗师或管理人员进行了三个焦点小组讨论和六次关键 informant 访谈。使用持续比较法对数据进行编码和分析,以找出共同观点。

结果

督导学生的感知障碍往往是外在的:时间和空间限制、具有挑战性或困难的学生,以及临床物理治疗师的自主性或灵活性降低。益处往往是内在的:教学通过促进反思性实践和使临床教育工作者接触当前知识而带来个人满足感。不同医疗保健机构的文化是治疗师对学生督导看法的一个重要因素。

结论

尽管存在不同的学科和督导模式,但物理治疗师和其他学科报告的问题有相当大的同步性。将临床教学的价值融入机构,以及学术伙伴、机构和潜在临床教员之间建立紧密的沟通联系,可能会减少障碍,并提高教学人员的投入度和满意度。

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