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Establishment of an Innovative Telehealth Speech and Language Therapy Placement as a Rapid Response to COVID-19: Sharing the Learning 建立快速应对COVID-19的创新型远程医疗语音和语言治疗实习:分享学习经验
Q2 Health Professions Pub Date : 2021-08-11 DOI: 10.18552/ijpblhsc.v9i2.738
Rena Lyons, Laura Loftus, Margaret Rodden, Siobhan Ward Lynch, Sonya Gaffney, Brid McAndrew
The aim of this evaluation was to explore practice educators’ and speech and language therapy (SLT) students’ experiences of a rapid response telehealth placement in response to the COVID-19 pandemic in order to inform quality improvement. In March 2020, public health restrictions were imposed across Ireland in efforts to ‘flatten the curve’ in response to the COVID-19 pandemic. All placements were cancelled. According to an Irish Association of Speech and Language Therapists survey in April 2020, 47% of SLTs were redeployed to swabbing and contact tracing roles, and many remain redeployed seven months later. This redeployment, along with strict public health measures in clinical sites, significantly reduced the availability of clinical placements. A rapid response was required to enable students to develop clinical competencies. Although telehealth has been used to deliver speech and language therapy in other countries, it had not been used routinely in service provision in Ireland. In this article, we outline how we built on existing partnerships with practice educators, both on- and off-site, to design a much-needed telehealth placement. We explored educators’ and students’ experiences using an online focus group and online survey respectively. The evaluations of practice educators were positive in that despite their initial apprehension, they reported that this placement provided valuable learning opportunities for students while also providing benefits for clients. They also reported some technological and sustainability challenges. The students also evaluated this placement positively with 83.3% of respondents rating the placement as ‘excellent ‘and 16.7% rating it as ‘good’. All stakeholders valued this learning experience.
本次评估的目的是探讨实践教育工作者和语言治疗(SLT)学生在应对COVID-19大流行的快速反应远程医疗安置方面的经验,以便为质量改进提供信息。2020年3月,为了应对COVID-19大流行,爱尔兰各地实施了公共卫生限制措施,以“拉平曲线”。所有的配售都被取消。根据爱尔兰言语和语言治疗师协会2020年4月的一项调查,47%的语言治疗师被重新部署到擦拭和接触者追踪岗位上,许多人在7个月后仍被重新部署。这种重新部署,加上在临床地点采取严格的公共卫生措施,大大减少了临床安置的可用性。需要快速反应,使学生能够发展临床能力。尽管远程保健在其他国家被用于提供言语和语言治疗,但在爱尔兰,它并没有被常规地用于提供服务。在这篇文章中,我们概述了我们如何建立现有的合作伙伴关系与实践教育工作者,无论是在现场和场外,设计一个急需的远程医疗安置。我们分别通过在线焦点小组和在线调查来探讨教育工作者和学生的经验。实践教育工作者的评价是积极的,尽管他们最初的担忧,他们报告说,这种安置为学生提供了宝贵的学习机会,同时也为客户提供了好处。他们还报告了一些技术和可持续性方面的挑战。学生们也积极评价这个实习,83.3%的受访者认为实习“优秀”,16.7%的受访者认为实习“好”。所有利益相关者都重视这一学习经验。
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引用次数: 4
Co-Designing Innovative Practice-Based Education for Speech Pathology Students 共同设计言语病理学学生创新实践教育
Q2 Health Professions Pub Date : 2021-08-04 DOI: 10.18552/ijpblhsc.v9i2.746
S. Kamper, A. Dario, Melina Waibel, David O'Connor, E. Bourne
© 2021 Kamper, S.J., Dario, A.B., Waibel, M., O’Connor, D., & Bourne, E. This Open Access article is distributed under the terms of the Creative Commons Attribution Attribution-Non-Commercial No Derivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is unaltered.
©2021 Kamper, s.j., Dario, a.b., Waibel, M., O 'Connor, D., & Bourne, E.这篇开放获取文章是根据知识共享署名署名-非商业禁止衍生品4.0国际许可(https://creativecommons.org/licenses/by-nc-nd/4.0/)的条款发布的,该条款允许在任何媒介上不受限制的非商业使用,分发和复制,前提是原始作品被正确引用并且未被修改。
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引用次数: 2
NAEP Conference 2020: ‘Whose placement is it anyway?’ NAEP会议2020:“它到底是谁的位置?””
Q2 Health Professions Pub Date : 2021-06-15 DOI: 10.18552/ijpblhsc.v9i1.762
(NAEP) National Association of Educators in Practice
The United Kingdom’s National Association of Educators in Practice (NAEP) has published the peer-reviewed abstracts that had been accepted for the 2020 Conference, cancelled because of the COVID-19 pandemic. The collected abstracts can be downloaded from https://naep-uk.org/wp-content/uploads/2021/04/Publication-of-peer-reviewed-abstracts-2020-conference-final-12.04.21.doc.pdf 
英国全国教育工作者实践协会(NAEP)发表了2020年会议接受的同行评审摘要,该会议因新冠肺炎疫情而取消。收集的摘要可从https://naep-uk.org/wp-content/uploads/2021/04/Publication-of-peer-reviewed-abstracts-2020-conference-final-12.04.21.doc.pdf
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引用次数: 1
Introduction to the COVID-19 Special Issue 新冠肺炎特刊简介
Q2 Health Professions Pub Date : 2021-06-08 DOI: 10.18552/IJPBLHSC.V9I1.755
M. Bartlett, S. Howden, Alison Jones, L. Martindale
A special issue exploring innovations and experiences in practice-based learning during the pandemic will be published over the next two editions of the International Journal of Practice-based Learning in Health and Social Care. Focusing on practice-oriented educational activities during the COVID-19 pandemic, the special issue will include research-based, evaluative and reflective articles that capture creativity, development of practice and the experiences of learners and teachers internationally.
《国际卫生和社会护理实践学习杂志》的下两版将出版一期特刊,探讨疫情期间实践学习的创新和经验。特刊将重点关注新冠肺炎大流行期间以实践为导向的教育活动,包括以研究为基础的、评价性的和反思性的文章,这些文章将捕捉国际上学习者和教师的创造力、实践发展和经验。
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引用次数: 0
Speech Pathologists’ Perceptions of the Impact of Student Supervision 语言病理学家对学生监督影响的感知
Q2 Health Professions Pub Date : 2020-10-21 DOI: 10.18552/ijpblhsc.v8i2.549
E. Bourne, L. McAllister, B. Kenny, K. Short
Qualitative studies have described clinician perspectives on student placements. These studies highlight likely contributors to placement shortages, but little is documented in speech pathology (SP). This article describes SP clinician perceptions of student impact/s on their clinical and other work tasks, stress levels and time management, and explores factors that may contribute to these perceptions of their experience. Interpretive description was selected to analyse public health sector SP clinician online survey responses. Open-ended questions explored clinician perceptions of student impact on specified components of their work as well as any other aspects clinicians identified. Thirty-four SP clinicians with varying caseloads and experience levels responded. Clinicians perceived that students can positively or negatively impact their clinical and non-clinical activities. Many also identified negative impacts on their stress levels. Some commented on differing impacts for patients and other colleagues. Collective themes of Clinician, Supervision Practices, Workplace, and Student are presented in a model of potential influences on the experience of student impact. SP clinicians perceived that experience of student impact is varied and complex. Influences are likely to be multi-factorial and further research is needed in a range of contexts to guide clinicians, managers and universities in supporting SP student clinical placements.
定性研究描述了临床医生对学生安置的看法。这些研究强调了安置短缺的可能原因,但在言语病理学(SP)方面很少有记录。本文描述了SP临床医生对学生对他们的临床和其他工作任务、压力水平和时间管理的影响的看法,并探讨了可能对他们的经历产生这些看法的因素。选择解释性描述来分析公共卫生部门SP临床医生在线调查的回应。开放式问题探讨了临床医生对学生对其工作的特定组成部分以及临床医生确定的任何其他方面的影响的看法。34名不同病例量和经验水平的SP临床医生做出了回应。临床医生认为,学生可以积极或消极地影响他们的临床和非临床活动。许多人还发现了对他们压力水平的负面影响。一些人评论了对患者和其他同事的不同影响。临床医生、监督实践、工作场所和学生的集体主题在学生影响体验的潜在影响模型中呈现。SP临床医生认为,学生影响的经验是多样和复杂的。影响可能是多因素的,需要在一系列背景下进行进一步的研究,以指导临床医生、管理人员和大学支持SP学生的临床实习。
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引用次数: 3
Dietetic Students’ Attitudes to and Knowledge of Working with Older People 营养学学生对与老年人一起工作的态度和知识
Q2 Health Professions Pub Date : 2020-06-02 DOI: 10.18552/ijpblhsc.v8i1.559
M. Mackenzie, Connie Mcaulay
Across the world, people are living longer but not necessarily healthier lives. Healthcare professionals will need to be prepared to work with older people, recognising that, at all stages of the lifespan, attention to nutrition and other health behaviours can impact positively on wellbeing. This study examined the attitudes, knowledge and future career preferences of pre-registration dietetic students in the United Kingdom towards working with older people. A questionnaire, based on the validated Palmore Facts on Aging Quiz and adapted to a UK population, was sent to the fifteen universities which provide dietetic courses in the UK approved by the Health and Care Professions Council (HCPC). Responses were received from thirteen universities, and, of the estimated 1250 students, 285 questionnaires were completed (response rate 23%) with the predominant demographic being 91% female, and 86% undergraduate degree type. The mean knowledge score was higher in postgraduate vs. undergraduate students (69.6% vs. 65.2%; p [less than] 0.011). A weak positive correlation (rs = 0.155) was found between number of placement weeks carried out and knowledge score (p [less than] 0.01). Care of the elderly was the least preferred of five specialities, and 65-plus was the fourth preferred age group out of five. A greater focus should be placed on the delivery of aging education and placement experiences in dietetic courses to increase the number of graduate dietetic students who have positive work preferences towards older adults.
在世界各地,人们活得更长,但不一定更健康。医疗保健专业人员需要做好与老年人合作的准备,认识到在生命的各个阶段,对营养和其他健康行为的关注都会对健康产生积极影响。这项研究调查了英国注册前营养学学生对与老年人合作的态度、知识和未来职业偏好。一份基于经验证的Palmore老龄化事实测验并适用于英国人群的问卷被发送给了英国健康与护理专业委员会(HCPC)批准的15所提供饮食课程的大学。收到了来自13所大学的回复,在估计的1250名学生中,完成了285份问卷调查(回复率23%),其中91%为女性,86%为本科生。研究生和本科生的平均知识得分更高(69.6%对65.2%;p<0.011)。实习周数和知识得分之间存在弱正相关(rs=0.155)(p<0.01)。在五个专业中,照顾老年人是最不受欢迎的,65岁以上是第四个受欢迎的年龄组。应更加重视提供老龄化教育和营养学课程的安置经验,以增加对老年人有积极工作偏好的营养学研究生的数量。
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引用次数: 1
Replacing Physiotherapy Student Clinical Education Time with Simulation - The Clinical Educators’ Experience 以模拟代替物理治疗学生临床教学时间——临床教育工作者的体会
Q2 Health Professions Pub Date : 2020-06-02 DOI: 10.18552/ijpblhsc.v8i1.554
Julia Blackford, J. Alison, L. McAllister, G. Nisbet
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引用次数: 0
Students’ Perceptions of Simulation-Based Learning in Speech Pathology: A Pilot Study 语言病理学学生对模拟学习的认知:一项初步研究
Q2 Health Professions Pub Date : 2020-06-02 DOI: 10.18552/ijpblhsc.v8i1.558
A. Penman, Annie J. Hill, S. Hewat, Nerina Scarinci
Due to increased student numbers and workforce limitations, speech pathology students have fewer opportunities to develop skills in working with adult populations in traditional clinical placements. Using simulation-based learning has proven to be advantageous in other disciplines. The use of simulation to develop clinical skills in speech pathology range of practice areas, including speech, language and swallowing in adults, has been less well researched. The aim of this study was to investigate students' overall perceptions about simulation-based learning, particularly their confidence related to specific clinical skills and perceived anxiety about working with adult clients. Six final year speech pathology students enrolled in either a 4-year undergraduate or 2.5-year masters program participated in this research. Students engaged in five simulation-based learning activities across one day. Purposefully developed pre- and post- surveys were completed to explore students' anxiety levels and perceptions of confidence regarding clinical skills across domains of foundation knowledge, case history, assessment, intervention, interaction and clinical reasoning, and anxiety levels. The Satisfaction with Simulation Experience (SSE) Scale was completed post-simulation experience. Students also participated in a focus group discussion following the simulation experience. Student median ratings of clinical skills improved from pre- to post-simulation across the six domains. All students reported that the simulation-based learning experience was valuable and reported increased levels of confidence and enhanced preparedness for their clinical placements. Findings from this study suggested that students value simulation-based learning and future research should explore learning outcomes from a longer, more intensive simulation program.
由于学生人数的增加和劳动力的限制,言语病理学学生在传统临床实习中发展与成年人群合作技能的机会较少。事实证明,使用基于模拟的学习在其他学科中是有利的。使用模拟来发展言语病理学实践领域的临床技能,包括成人的言语、语言和吞咽,还没有得到很好的研究。本研究的目的是调查学生对模拟学习的总体看法,特别是他们对特定临床技能的信心,以及对与成年客户合作的焦虑。六名就读于4年制本科或2.5年制硕士课程的最后一年言语病理学学生参与了这项研究。学生们在一天内参加了五项基于模拟的学习活动。完成了有目的的前后调查,以探索学生的焦虑水平和对临床技能的信心,包括基础知识、病例史、评估、干预、互动和临床推理以及焦虑水平。模拟体验满意度量表(SSE)是在模拟体验后完成的。学生们还参加了模拟体验后的焦点小组讨论。在六个领域中,从模拟前到模拟后,学生临床技能的中位数评分有所提高。所有学生都报告说,基于模拟的学习经验很有价值,并报告说,他们对临床实习的信心和准备都有所提高。这项研究的结果表明,学生重视基于模拟的学习,未来的研究应该探索更长、更密集的模拟课程的学习结果。
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引用次数: 6
Capturing Debriefing and Enhancing Reflection within Simulated Clinical Learning Environments 在模拟临床学习环境中捕捉汇报并加强反思
Q2 Health Professions Pub Date : 2020-06-02 DOI: 10.18552/ijpblhsc.v8i1.565
M. Wareing, J. England, D. Mathew, Carla Ball, A. Willetts, Jane Kemp, K. Clifford, A. Thompson, Ian J. Dove, L. Adams
This article presents findings from an evaluation of a new A3-size learner notes sheet designed for use by healthcare students engaging in clinical simulation and clinical skills sessions. The notes sheet consists of an adapted form of the SBAR (situation, background, assessment, response) tool, whilst capturing post-simulation oral debriefing provided by a facilitator. Additionally, the Driscoll (2007) model is used to provide students with an opportunity to reflect on their engagement in clinical simulation. Two cohorts of students, who engaged in separate simulation sessions, completed the A3 sheet. The study featured 33 midwifery and 21 operating department practitioner (ODP) students undertaking a simulation. Documentary analysis was undertaken to identify the depth of reflective writing of both groups of students. Midwifery student participants reflected on their experiences of simulation at a slightly deeper level than their ODP counterparts. All students adhered to the structure of the notes sheet when receiving their briefing from the facilitator and when asked to write their reflective accounts. This study has sought to explore an under-researched area of clinical simulation: the extent to which healthcare students can utilise reflection when engaging with a clinical scenario within a simulated learning environment.
本文介绍了一份新的A3尺寸学习者笔记表的评估结果,该笔记表专为参加临床模拟和临床技能课程的医疗保健学生设计。备注表由SBAR(情境、背景、评估、响应)工具的改编形式组成,同时记录主持人提供的模拟后口头汇报。此外,Driscoll(2007)模型用于为学生提供一个反思他们参与临床模拟的机会。两组学生分别参加了模拟课程,完成了A3表。这项研究的特点是33名助产士和21名操作科医生(ODP)学生进行模拟。进行了文献分析,以确定两组学生反思性写作的深度。助产学生参与者在比ODP同行略深入的层面上反思了他们的模拟体验。所有学生在收到辅导员的简报时,以及在被要求写下反思性陈述时,都遵守了笔记表的结构。这项研究试图探索一个研究不足的临床模拟领域:医疗保健学生在模拟学习环境中参与临床场景时,可以在多大程度上利用反思。
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引用次数: 1
Perceptions, Competencies and Motivation for Study Choice: Occupational Therapy and Social Work Student Perspectives 学习选择的认知、能力和动机:职业治疗和社会工作学生的观点
Q2 Health Professions Pub Date : 2020-06-02 DOI: 10.18552/ijpblhsc.v8i1.519
S. Tétreault, Carine Bétrisey, Alida Gulfi, Camille Brisset, N. Kühne, Yvan Leanza, W. Arts
Caring for others is one of the most important attributes for individuals who want to be occupational therapists or social workers. Students are not necessarily aware of the challenges and responsibilities of the helping relationship. Deeper insights are needed into these aspects in order to train and prepare students to become competent, work-ready professionals. This study therefore aimed to describe student beliefs about their chosen profession, the competencies they perceived were most important to develop, and their motivators for their choice of profession. In this explorative study, 51 first-year students from occupational therapy (22 students) and social work (29 students) participated in individual semi-structured interviews. The interviews were transcribed and analysed thematically. Although participants had difficulty defining their future profession, they agreed it was all about helping people. A range of competencies was identified, such as establishing interpersonal relationships, sensitivity to difference, communication, flexibility, and teamwork. Differences emerged according to the chosen profession, such as creativity and imagination for occupational therapy students, and administrative skills and the desire to effect change for social work students. Concerning the choice of profession, most participants wanted to help others and engage in human relationships. Diversity and variety of tasks were also attractive elements of both professions. From the beginning of the program, educational institutions should describe more clearly occupational therapy and social work, so that students can develop a realistic vision of their future profession.
对于那些想成为职业治疗师或社会工作者的人来说,关心他人是最重要的特质之一。学生不一定意识到帮助关系的挑战和责任。我们需要对这些方面有更深入的了解,以便培养和准备学生成为有能力的、准备工作的专业人士。因此,本研究旨在描述学生对他们所选择的职业的信念,他们认为最重要的能力发展,以及他们选择职业的动机。在本探索性研究中,51名来自职业治疗(22名学生)和社会工作(29名学生)的一年级学生参加了个人半结构化访谈。访谈内容被记录下来并按主题进行分析。尽管参与者很难确定自己未来的职业,但他们一致认为,这一切都是为了帮助别人。一系列的能力被确定,例如建立人际关系,对差异的敏感性,沟通,灵活性和团队合作。根据所选择的职业,差异出现了,比如职业治疗学生的创造力和想象力,以及社会工作学生的管理技能和改变的愿望。在职业选择方面,大多数参与者希望帮助他人和参与人际关系。多样性和多样化的任务也是这两个职业吸引人的因素。从课程一开始,教育机构就应该更清楚地描述职业治疗和社会工作,这样学生就可以对他们未来的职业有一个现实的认识。
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引用次数: 3
期刊
International Journal of Practice-Based Learning in Health and Social Care
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