Development and Evaluation of Strategies to Support Rural Secondments for Junior Physiotherapists

Gabrielle Van Balen, Mitchell Smith, Laura Parish, R. M. Gallagher
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Abstract

AbstractPurposeRural workforce shortages are a national issue. One strategy is the use of secondments from larger healthcare sites to staff rural sites on a rotational basis. The purpose of this evaluation is to explore the impact of the development, implementation of an educational, training and supervision package for junior Physiotherapists undertaking rural secondments in Northern NSW.Design/methodology/approachPre post evaluation of a training, education and supervision package to support junior Physiotherapists undertaking rural secondments across Northern NSW.  A baseline survey of Physiotherapists who had undertaken a secondment in the previous 12 months defined current practice and limitations. From this a targeted education, training and supervision package was developed. Post implementation surveying for a period of 12 months was undertaken to evaluate the packages implementation.FindingsStatistically significant improvements in staff reporting they felt supported and were aware of escalation processes for patients under their care were reported. Additionally improvements were seen in staff reported access to and completing competencies relevant to their secondment.Research implicationsThese findings provide guidance in regards to junior Physiotherapists working on rural secondments and the importance of structured education, training and support mechanisms.Practical implicationsThe findings from this work support the development and implementation of structured education, training and supervision plans prior to undertaking rural secondments.Originality/valueThese findings provide evidence and support the need for structured and target training, education and supervision for staff undertaking rural secondments to ensure staff are confident to work in a rural setting.LimitationsLarger response rates for post implementation survey results may result in different outcomes being reported in comparison to pre implementation results.
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支持初级物理治疗师农村借调策略的发展和评估
摘要:农村劳动力短缺是一个全国性的问题。一项战略是从较大的保健地点借调到农村地点轮流工作。本次评估的目的是探讨新南威尔士州北部农村借调的初级物理治疗师的教育、培训和监督一揽子计划的发展、实施的影响。设计/方法/方法对培训、教育和监督一揽子计划进行前后评估,以支持初级物理治疗师在新南威尔士州北部进行农村借调。对在过去12个月内借调的物理治疗师进行了基线调查,确定了目前的做法和局限性。据此制定了一套有针对性的教育、培训和监督方案。执行后进行了为期12个月的调查,以评价一揽子计划的执行情况。调查结果统计上有显著改善的工作人员报告说,他们感到支持,并意识到在他们照顾的病人的升级过程。此外,在报告工作人员获得和完成与其借调有关的能力方面也有所改善。研究意义这些发现为从事农村借调工作的初级物理治疗师以及结构化教育、培训和支持机制的重要性提供了指导。实际意义这项工作的结果支持在进行农村借调之前制定和实施结构化的教育、培训和监督计划。原创性/价值这些调查结果提供了证据,并支持有必要对进行农村借调的工作人员进行有组织和有针对性的培训、教育和监督,以确保工作人员有信心在农村环境中工作。限制实施后调查结果的较大回复率可能导致报告的结果与实施前的结果不同。
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