Development of autonomy on placement: perceptions of physiotherapy students and educators in Australia and the United Kingdom.

This paper explores the decision-making processes involved in giving physiotherapy students responsibility on clinical placement and the impact on their developing professional autonomy. The qualitative study, using semi-structured interviews, involved physiotherapy students and clinical educators (...

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Publicado en:Physiotherapy Theory & Practice Vol. 38; no. 12; pp. 2100 - 2111
Autores principales: Clouder, Lynn, Jones, Mark, Mackintosh, Shylie, Adefila, Arinola
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
      vid: 38
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2021.1898066
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        atl: Development of autonomy on placement: perceptions of physiotherapy students and educators in Australia and the United Kingdom.
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          Clouder, Lynn
          Jones, Mark
          Mackintosh, Shylie
          Adefila, Arinola
        affil: Research Centre for Global Learning: Education and Attainment, Coventry University, Coventry, UK
      sug:
        subj:
          Professional Development Methods
          Professional Autonomy Evaluation
          Decision Making, Clinical Evaluation
          Students, Physical Therapy Psychosocial Factors
          Task Performance and Analysis
          Student Placement
          Student Attitudes
          Education, Physical Therapy
          Faculty Attitudes Australia
          Faculty Attitudes United Kingdom
          Human
          Qualitative Studies
          Semi-Structured Interview
          Australia
          United Kingdom
          Questionnaires
          Exploratory Research
          Cross Sectional Studies
          Male
          Female
          Purposive Sample
          Seminars and Workshops
          Nonexperimental Studies
          Faculty-Student Relations
          Workload
          Male
          Female
      ab: This paper explores the decision-making processes involved in giving physiotherapy students responsibility on clinical placement and the impact on their developing professional autonomy. The qualitative study, using semi-structured interviews, involved physiotherapy students and clinical educators (CEs) from two higher education institutions, one in Australia, and the other in the United Kingdom (UK). Findings led to the development of a heuristic framework of 'graduated supervision,' a process of progressively less direct observation and monitoring of students as clinical proficiency improved. By focusing on the measured exposure of students to increasing complexity and inverse levels of supervision, the framework captures tacit practices, and consistent, yet varied facilitation strategies adopted across specialties, and evident in clinical education settings in both countries. The framework formalizes, for the first time, assumptions and expectations previously unacknowledged. Factors identified as affecting students' progress toward autonomy include the student/CE relationship, the development of mutual trust through ongoing dialogue, and the importance of formal discussions at the commencement of a clinical placement to establish learning goals, preferred supervision styles and learner responsibilities. Insights have significance for the CE community, and students who at times have to second-guess what is required of them and how they might excel on clinical placement.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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