Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.
Clin Teach. 2021 Aug;18(4):391-397. doi: 10.1111/tct.13339. Epub 2021 Mar 3.
Student-led clinics (SLCs) offer unique clinical placement experiences and address unmet community rehabilitation needs. There is growing evidence that SLCs provide high-quality experiential practice and adequate quality of patient care. The purpose of this study was to evaluate patient satisfaction with student-led care and students' perception of their learning experiences in a student-led physiotherapy clinic.
Eight participants with total hip arthroplasty attended 6 weeks of student-led group exercise classes. As a marker of quality of care, we assessed key outcomes including walking speed and endurance, lower extremity function, falls risk and self-reported quality of life after 3 and 6 weeks. Patients completed a satisfaction survey at the end of the program. Ten students who completed a placement during this time shared their perception of learning in the SLC.
Student-led group exercise class was associated with improvements in walking speed and endurance, lower extremity function, a decrease in falls risk and improved quality of life. Patients were satisfied with their care. The SLC was a safe learning environment in which students felt well-supported to develop confidence and independence, were encouraged to reflect on performance and take responsibility for care provided.
Patients are largely satisfied with the quality of care provided. High-quality authentic clinical learning opportunities provided in the SLC may offer pedagogical benefits over traditional practicums, and students are generally satisfied with their learning experiences. SLCs may provide a setting to expose students to research and gain appreciation for evidence-based practice.
学生主导的诊所(SLC)提供独特的临床实习经验,并满足社区康复的未满足需求。越来越多的证据表明,SLC 提供高质量的体验式实践和足够的患者护理质量。本研究的目的是评估患者对学生主导护理的满意度以及学生在学生主导的物理治疗诊所的学习体验。
8 名全髋关节置换术后患者参加了 6 周的学生主导的小组运动课程。作为护理质量的标志,我们评估了关键结果,包括步行速度和耐力、下肢功能、跌倒风险和自我报告的生活质量,在 3 周和 6 周后进行。患者在项目结束时完成满意度调查。在此期间完成实习的 10 名学生分享了他们在 SLC 学习的看法。
学生主导的小组运动课与步行速度和耐力、下肢功能、跌倒风险降低和生活质量提高有关。患者对他们的护理感到满意。SLC 是一个安全的学习环境,学生在其中感到得到了很好的支持,能够建立信心和独立性,鼓励他们反思表现并对提供的护理负责。
患者对提供的护理质量基本满意。SLC 中提供的高质量真实临床学习机会可能比传统实习具有教学优势,学生对他们的学习体验普遍满意。SLC 可以提供一个让学生接触研究并对循证实践产生欣赏的环境。