European School of Physiotherapy, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.
Center of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.
BMC Med Educ. 2020 Apr 28;20(1):130. doi: 10.1186/s12909-020-02035-2.
Intensive Care Units (ICUs) are daunting environments for physiotherapy (PT) students performing clinical rotations. To prepare students for this environment, a newly developed, evidence-based e-learning module was designed and implemented in the undergraduate curriculum. The aim of this study was to investigate whether e-learning is a feasible method in preparing PT students for clinical work in complex ICU environments, as perceived by students and experts.
A mixed methods proof of concept study was undertaken. Participants were final-year students of an international curriculum, and experts from didactic and clinical fields. An e-learning module consisting of 7 separate chapters based on the latest scientific evidence and clinical expertise was developed, piloted and incorporated into the undergraduate curriculum as a compulsory course to be completed prior to clinical ICU rotations. Data were collected through 3 focus group meetings and 5 semi-structured interviews; these meetings and interviews were audio recorded, transcribed verbatim and analyzed.
The study sample comprised of 14 students and 5 experts. Thematic analysis revealed three themes: expected competencies of PT students in ICU, feeling prepared for ICU clinical work and dealing with local variety. The e-learning module enabled students to anticipate clinical situations and PT tasks in the ICU. Higher level clinical reasoning skills, handling of lines and wires and dealing with out-of-textbook situations could not be achieved with the e-learning module alone.
An e-learning module can sufficiently prepare PT students for their clinical tasks in the ICU, as long as it is integrated with, or closely connected to, the students' clinical placement.
对于进行临床轮转的物理治疗（PT）学生来说，重症监护病房（ICU）是令人生畏的环境。为了让学生为这种环境做好准备，我们在本科课程中设计并实施了一个新开发的、基于证据的电子学习模块。本研究旨在调查电子学习是否是一种可行的方法，可使 PT 学生为在复杂的 ICU 环境中进行临床工作做好准备，这是学生和专家的看法。
进行了一项混合方法概念验证研究。参与者为国际课程的最后一年学生和理论与临床领域的专家。开发了一个由 7 个独立章节组成的电子学习模块，这些章节基于最新的科学证据和临床专业知识，经过试点并纳入本科课程，作为在进行 ICU 临床轮转之前必须完成的必修课程。通过 3 次焦点小组会议和 5 次半结构化访谈收集数据；这些会议和访谈进行了录音，逐字记录并进行了分析。
研究样本包括 14 名学生和 5 名专家。主题分析揭示了三个主题：ICU 中 PT 学生的预期能力、为 ICU 临床工作做好准备的感觉以及处理当地差异。电子学习模块使学生能够预测 ICU 中的临床情况和 PT 任务。仅通过电子学习模块无法获得更高水平的临床推理技能、处理线路和电线以及处理课外情况。
只要电子学习模块与学生的临床实习相结合或紧密相关，它就可以充分为 PT 学生在 ICU 中的临床任务做好准备。
