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探索物理治疗临床教育中新手临床教师的经历:一项现象学研究。

Exploring the experiences of novice clinical instructors in physical therapy clinical education: a phenomenological study.

作者信息

Greenfield B H, Bridges P H, Phillips T A, Drill A N, Gaydosik C D, Krishnan A, Yandziak H J

机构信息

Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Physiotherapy. 2014 Dec;100(4):349-55. doi: 10.1016/j.physio.2013.10.005. Epub 2014 Jan 15.

Abstract

OBJECTIVE

To explore the perceptions of novice physical therapy clinical instructors (CIs) about their interactions and teaching behaviours with physical therapy students.

DESIGN

A phenomenological approach using semi-structured interviews and a focus group.

PARTICIPANTS

Six novice physical therapy CIs (less than two years as a CI and supervised fewer than three students) were recruited purposefully from a large metropolitan area in the USA. All participants were credentialed by the American Physical Therapy Association as CIs.

MAIN OUTCOME MEASURES

Transcripts of interview data and focus group data were analysed using interpretative analysis for themes and subthemes.

RESULTS

Participants viewed the transition of students from the classroom to the clinic as their primary role, using strategies of 'providing a way in', 'fostering critical thinking', 'finding a balance', 'overcoming barriers' and 'letting go'.

CONCLUSION

While novice CIs showed skill in fostering student reflection and providing orientation, they struggled with student autonomy and balancing the competing obligations of patient care and clinical instruction. They expressed issues related to anxiety and lack of confidence. In the future, novice CIs could benefit from training and support in these areas.

摘要

目的

探讨新手物理治疗临床带教老师(CIs)对其与物理治疗专业学生互动及教学行为的看法。

设计

采用半结构化访谈和焦点小组的现象学方法。

参与者

从美国一个大城市地区有目的地招募了六名新手物理治疗CIs(担任CIs少于两年且带教学生少于三名)。所有参与者均获得美国物理治疗协会认证为CIs。

主要观察指标

使用解释性分析对访谈数据和焦点小组数据的转录本进行主题和子主题分析。

结果

参与者将学生从课堂到临床的过渡视为其主要职责,采用“提供入门途径”、“培养批判性思维”、“找到平衡”、“克服障碍”和“放手”等策略。

结论

虽然新手CIs在促进学生反思和提供指导方面表现出技巧,但他们在学生自主性以及平衡患者护理和临床教学的相互竞争义务方面存在困难。他们表达了与焦虑和缺乏信心相关的问题。未来,新手CIs可从这些领域的培训和支持中受益。

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