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探索那些认为自己在临床实习中遭受欺凌或骚扰的物理治疗专业学生的经历并实施相应策略:参与式行动研究

Exploring the experiences and implementing strategies for physiotherapy students who perceive they have been bullied or harassed on clinical placements: participatory action research.

作者信息

Thomson Di, Patterson David, Chapman Hannah, Murray Louise, Toner Maeve, Hassenkamp Anne-Marie

机构信息

Faculty of Health, Social Care and Education, Kingston & St. George's Joint Faculty, St. George's Hospital Campus, Cranmer Terrace, London SW17 0RE, United Kingdom.

Faculty of Health, Social Care and Education, Kingston & St. George's Joint Faculty, St. George's Hospital Campus, Cranmer Terrace, London SW17 0RE, United Kingdom.

出版信息

Physiotherapy. 2017 Mar;103(1):73-80. doi: 10.1016/j.physio.2015.12.003. Epub 2015 Dec 29.

Abstract

OBJECTIVES

To explore and empower physiotherapy students who reported being bullied or harassed on clinical placements by co-developing, implementing and evaluating strategies that could be adopted by the university.

DESIGN

A participatory action research design was employed.

PARTICIPANTS

Two focus groups were carried out involving 5 final year physiotherapy students. In the first focus group negative experiences were discussed and coping strategies suggested for their penultimate placement. A second focus group was held following the students' final placement when these strategies were evaluated and further ones proposed.

ANALYSIS

A thematic analysis of the data was carried out.

RESULTS

Four themes and sub-themes emerged from the analysis. The four themes were negative experiences on placement, coping strategies, the role of the visiting tutor and the assessment. The students' highlighted various degrees of threat to their efficacy and in most cases could draw upon a suggested 'tool box' of coping strategies. They all agreed that serious cases of harassment require wider support from the University senior management team which should be clearly documented. The role of the visiting tutor was deemed to be critical in these situations and recommendations were made regarding this role and the assessment of placements.

CONCLUSION

Students understand that they are going to be assessed before achieving their professional qualification and in essence they will always find themselves in a hierarchical position but equally fairness must prevail and it is important and that there are clear avenues for them to seek support.

摘要

目标

通过共同开发、实施和评估大学可采用的策略,探索并增强那些报告在临床实习中受到欺凌或骚扰的物理治疗专业学生的能力。

设计

采用参与式行动研究设计。

参与者

开展了两个焦点小组,涉及5名物理治疗专业的最后一年学生。在第一个焦点小组中,讨论了负面经历,并为他们的倒数第二次实习提出了应对策略。在学生完成最后一次实习后,举行了第二个焦点小组,对这些策略进行评估并提出进一步的策略。

分析

对数据进行了主题分析。

结果

分析得出了四个主题和子主题。四个主题分别是实习中的负面经历、应对策略、来访导师的作用和评估。学生们强调了他们的效能受到不同程度的威胁,在大多数情况下,他们可以借鉴建议的“应对策略工具箱”。他们一致认为,严重的骚扰案件需要大学高级管理团队提供更广泛的支持,且应明确记录在案。在这些情况下,来访导师的作用被认为至关重要,并就该角色和实习评估提出了建议。

结论

学生们明白在获得专业资格之前他们将接受评估,实际上他们总会处于等级制度中,但同样必须确保公平,重要的是要有明确的途径让他们寻求支持。

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