物理治疗专业学生在私人诊所的临床实习被认为对学生、私人诊所和大学都是安全且有益的：一项全国性的混合方法研究。
Clinical placements in private practice for physiotherapy students are perceived as safe and beneficial for students, private practices and universities: a national mixed-methods study.
机构信息
School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
School of Allied Health, Curtin University, Perth, Australia.
出版信息
J Physiother. 2022 Jan;68(1):61-68. doi: 10.1016/j.jphys.2021.12.007. Epub 2021 Dec 18.
QUESTION
What are the extent and characteristics of clinical placements in private practice for physiotherapy students? What do university clinical education managers perceive to be the benefits, risks, barriers and enablers of clinical placements in private practice for physiotherapy students? What training and support are available for private practitioners?
DESIGN
Mixed methods study combining a national survey and in-depth, semi-structured focus group interviews.
PARTICIPANTS
Twenty clinical education managers from Australian universities who had graduating students in entry-level physiotherapy programs in 2017 (95% response rate) responded to the survey with data on 2,000 students. Twelve clinical education managers participated in the focus groups.
RESULTS
It was found that 44% of physiotherapy graduates in Australia in 2017 completed a 5-week private practice placement. Private practice placement experiences were perceived to be safe and beneficial for students, private practices and universities. The main risks identified by clinical education managers were related to the quality and consistency of the student's experience on placement and not risks to service or clients. The main perceived barriers were time costs (both practitioner and university clinical education managers) and perceived lost earning capacity. Clinical education managers emphasised that more time and resources to establish and support private practitioners would enable them to reduce risk and overcome barriers to increasing private practice placement capacity and quality. Engaging private practitioners and working collaboratively appear vital for establishing, monitoring and supporting private practice placements.
CONCLUSION
By working collaboratively, universities and private practice physiotherapists can enhance private practice placement capacity and quality.
问题
物理治疗专业学生在私人诊所的临床实习的范围和特点是什么？大学临床教育管理者认为物理治疗专业学生在私人诊所进行临床实习的好处、风险、障碍和促进因素有哪些？私人从业者可以获得哪些培训和支持？
设计
混合方法研究，结合了全国性调查和深入的半结构化焦点小组访谈。
参与者
20 名来自澳大利亚大学的临床教育管理者，他们在 2017 年有即将毕业的入门级物理治疗项目的学生（95%的回复率），对 2000 名学生的调查数据做出了回应。12 名临床教育管理者参加了焦点小组。
结果
发现 2017 年澳大利亚 44%的物理治疗专业毕业生完成了为期 5 周的私人诊所实习。临床教育管理者认为私人诊所实习经历对学生、私人诊所和大学都是安全和有益的。临床教育管理者认为的主要风险与学生实习经历的质量和一致性有关，而不是与服务或客户有关的风险。主要被认为的障碍是时间成本（从业者和大学临床教育管理者）和被认为的收入损失能力。临床教育管理者强调，投入更多的时间和资源来建立和支持私人从业者将使他们能够降低风险，并克服增加私人实践实习能力和质量的障碍。与私人从业者合作并协作对于建立、监测和支持私人实践实习至关重要。
结论
通过合作，大学和私人执业物理治疗师可以提高私人实践实习的能力和质量。
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