Stoikov Susan, Shardlow Kassie, Gooding Mark, Kuys Suzanne
Aust Health Rev. 2018 Dec;42(6):720. doi: 10.1071/AH16181_CO.
The aim of the present study was to determine the clinical activity profile of preregistration physiotherapy students during clinical placements and their clinical activity contribution to health service delivery. Clinical activity data for 2014 were obtained from five Queensland public sector hospitals providing preregistration physiotherapy students clinical education in three key clinical areas (cardiorespiratory, musculoskeletal and neurological) over four 5-week placement blocks. Data regarding the number of student occasions of service (OOS) and the length of the OOS (LOOS) were collected to determine the average OOS and LOOS per student in each clinical area. Twenty weeks of student data were collected from each hospital in each clinical area, representing 29.1% of cardiorespiratory, musculoskeletal and neurorehabilitation student placements. Students completed 19051 OOS. The average OOS per student per block for cardiorespiratory, musculoskeletal and neurorehabilitation placements was 98.3, 74.0 and 72.4 respectively. Two-way ANOVA revealed a main effect of weeks (F=402.1, P<0.001) and clinical area (F =1331.5, P<0.001) for LOOS.In addition, an interaction was found between clinical placement week and clinical area for LOOS (F=8.4, P<0.001). Student clinical activity data are useful for understanding the student contribution to health services. Student contribution appears to increase throughout the clinical placement and consideration should be given to the clinical educator:student ratio to enhance overall student contribution. Quantitative data describing physiotherapy student clinical care activity during placements are limited. This paper profiles physiotherapy student clinical care activity and the changes occurring over 5-week placements. Physiotherapy students provide clinical activity for health services that changes over their 5-week placement. Student clinical activity should be considered when responding to placement demand and planning service delivery.
本研究的目的是确定预注册物理治疗专业学生在临床实习期间的临床活动概况，以及他们对医疗服务提供的临床活动贡献。2014年的临床活动数据来自昆士兰州的五家公共部门医院，这些医院在四个为期5周的实习阶段，为预注册物理治疗专业学生提供三个关键临床领域（心肺、肌肉骨骼和神经）的临床教育。收集了有关学生服务次数（OOS）和服务时长（LOOS）的数据，以确定每个临床领域每名学生的平均OOS和LOOS。从每家医院的每个临床领域收集了20周的学生数据，占心肺、肌肉骨骼和神经康复专业学生实习的29.1%。学生完成了19051次OOS。心肺、肌肉骨骼和神经康复实习中，每名学生每个阶段的平均OOS分别为98.3、74.0和72.4。双向方差分析显示，LOOS存在周数主效应（F = 402.1，P < 0.001）和临床领域主效应（F = 1331.5，P < 0.001）。此外，还发现临床实习周数和临床领域之间在LOOS方面存在交互作用（F = 8.4，P < 0.001）。学生临床活动数据有助于了解学生对医疗服务的贡献。学生的贡献在整个临床实习过程中似乎有所增加，应考虑临床教育工作者与学生的比例，以提高学生的总体贡献。描述物理治疗专业学生实习期间临床护理活动的定量数据有限。本文概述了物理治疗专业学生的临床护理活动以及在为期5周的实习期间发生的变化。物理治疗专业学生为医疗服务提供临床活动，这些活动在他们为期5周的实习期间会发生变化。在应对实习需求和规划服务提供时，应考虑学生的临床活动。
