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物理治疗师将在私人诊所主持临床实习视为对未来物理治疗师的投资:一项混合方法研究。

Physiotherapists perceive hosting clinical placements in private practice as an investment in future physiotherapists: a mixed-methods study.

机构信息

School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.

Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.

出版信息

J Physiother. 2023 Jul;69(3):175-181. doi: 10.1016/j.jphys.2023.05.009. Epub 2023 Jun 2.

Abstract

QUESTIONS

What do private practitioners perceive to be the benefits, barriers, costs and risks of hosting physiotherapy students on clinical placement? What models of placement are used and what support would private practitioners like to enable them to continue hosting students?

DESIGN

A national mixed-methods study comprising a survey and four focus groups.

PARTICIPANTS

Forty-five private practitioners from six states and territories who host on average 208 students per year (approximately one-third of all physiotherapy private practice placements in Australia) completed the survey. Fourteen practitioners participated in focus groups.

RESULTS

Participants reported that hosting placements helped to recruit graduates and assisted private practitioners in developing clinical and educator knowledge and skills. Cost (both time and financial) and difficulties securing a sufficient caseload for students were perceived barriers to hosting placements. Hosting placements was perceived to be low risk for clients due to supervised care, but there was potential for risk to business reputation and income when hosting a poorly performing student. Participants mostly described a graded exposure placement model whereby final-year students progressed from observation to shared care to providing care under supervision. Participants perceived that they could be assisted in hosting placements if they were to receive additional financial and personalised support from universities.

CONCLUSION

Private practitioners perceived hosting students to be beneficial for the practice, the profession, staff and clients; however, they did report them to be costly and time-consuming. Universities are perceived to play a vital role in providing training, support and communication with educators and students for ongoing placement provision.

摘要

问题

私人从业者认为在临床实习中接待物理治疗学生有哪些好处、障碍、成本和风险?使用哪些实习模式,私人从业者希望得到哪些支持,以使他们能够继续接待学生?

设计

一项全国性的混合方法研究,包括一项调查和四个焦点小组。

参与者

来自六个州和地区的 45 名私人从业者参加了调查,他们平均每年接待 208 名学生(约占澳大利亚所有物理治疗私人执业实习的三分之一)。14 名从业者参加了焦点小组。

结果

参与者报告说,接待实习有助于招聘毕业生,并帮助私人从业者发展临床和教育者的知识和技能。成本(时间和财务)和为学生找到足够病例量的困难被认为是接待实习的障碍。由于有监督的护理,接待实习被认为对客户的风险较低,但在接待表现不佳的学生时,可能会对业务声誉和收入造成潜在风险。参与者主要描述了一种分级实习模式,即最后一年的学生从观察到共同护理,再到在监督下提供护理。参与者认为,如果他们能从大学获得额外的财务和个性化支持,他们将能够在接待学生方面得到帮助。

结论

私人从业者认为接待学生对实践、专业、员工和客户都有好处;然而,他们确实报告说这是昂贵且耗时的。大学被认为在为持续的实习提供培训、支持和与教育工作者和学生的沟通方面发挥着至关重要的作用。

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