Postgraduate clinical physiotherapy education in acute hospitals: a cohort study
: Junior physiotherapists require satisfactory clinical skills to work effectively within the acute hospital setting for service quality and consistency. : To investigate the effects of stream-specific clinical training on junior physiotherapist self-efficacy, self-rated confidence, and self-rated a...
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Published in | Physiotherapy theory and practice Vol. 36; no. 1; pp. 157 - 169 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
Taylor & Francis Ltd
02.01.2020
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Abstract | : Junior physiotherapists require satisfactory clinical skills to work effectively within the acute hospital setting for service quality and consistency.
: To investigate the effects of stream-specific clinical training on junior physiotherapist self-efficacy, self-rated confidence, and self-rated ability to work independently during weekend shifts.
: Prospective cohort study.
: Eighteen junior physiotherapists.
: Physiotherapists undertook 8 h of stream-specific education in: pediatrics, women's health, neuro-medical, musculoskeletal, cardiorespiratory, and critical care over 8 weeks. Learning objectives were evaluated using a self-efficacy (0-100) scale and self-rated confidence was measured with a 4-point Likert scale (not confident to independent). Self-rated ability to independently work weekend shifts was measured dichotomously (yes/no).
: Participants completed an average of three stream-specific programs in the study period. Post-training, mean improvement in self-efficacy across objectives ranged from 2.9 (95% CI -8.7 to 14.5) to 43.3 (95% CI 4.8-81.8) points,
< 0.05 for 80% of objectives. Self-rated confidence scores improved for 45.6% of stream-specific learning objectives; 52.8% were unchanged and 1.7% reported a decrease in confidence. Self-rated ability to work stream-specific weekend shifts increased from 56-70%, but no stream achieved a significant increase in staff able to independently work weekend shifts (
range 0.10 to 1.0).
: A stream-specific education program increased junior physiotherapists' self-efficacy and self-rated confidence but not perceived ability to work independently on weekends. Results were non-randomized and actual practice change was not assessed. Future studies could investigate different educational structures in a blinded, randomized manner on clinical practice change. |
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AbstractList | Background: Junior physiotherapists require satisfactory clinical skills to work effectively within the acute hospital setting for service quality and consistency. Objective: To investigate the effects of stream-specific clinical training on junior physiotherapist self-efficacy, self-rated confidence, and self-rated ability to work independently during weekend shifts. Design: Prospective cohort study. Participants: Eighteen junior physiotherapists. Methods: Physiotherapists undertook 8 h of stream-specific education in: pediatrics, women’s health, neuro-medical, musculoskeletal, cardiorespiratory, and critical care over 8 weeks. Learning objectives were evaluated using a self-efficacy (0–100) scale and self-rated confidence was measured with a 4-point Likert scale (not confident to independent). Self-rated ability to independently work weekend shifts was measured dichotomously (yes/no). Results: Participants completed an average of three stream-specific programs in the study period. Post-training, mean improvement in self-efficacy across objectives ranged from 2.9 (95% CI −8.7 to 14.5) to 43.3 (95% CI 4.8–81.8) points, p < 0.05 for 80% of objectives. Self-rated confidence scores improved for 45.6% of stream-specific learning objectives; 52.8% were unchanged and 1.7% reported a decrease in confidence. Self-rated ability to work stream-specific weekend shifts increased from 56–70%, but no stream achieved a significant increase in staff able to independently work weekend shifts (p range 0.10 to 1.0). Conclusions: A stream-specific education program increased junior physiotherapists’ self-efficacy and self-rated confidence but not perceived ability to work independently on weekends. Results were non-randomized and actual practice change was not assessed. Future studies could investigate different educational structures in a blinded, randomized manner on clinical practice change. : Junior physiotherapists require satisfactory clinical skills to work effectively within the acute hospital setting for service quality and consistency. : To investigate the effects of stream-specific clinical training on junior physiotherapist self-efficacy, self-rated confidence, and self-rated ability to work independently during weekend shifts. : Prospective cohort study. : Eighteen junior physiotherapists. : Physiotherapists undertook 8 h of stream-specific education in: pediatrics, women's health, neuro-medical, musculoskeletal, cardiorespiratory, and critical care over 8 weeks. Learning objectives were evaluated using a self-efficacy (0-100) scale and self-rated confidence was measured with a 4-point Likert scale (not confident to independent). Self-rated ability to independently work weekend shifts was measured dichotomously (yes/no). : Participants completed an average of three stream-specific programs in the study period. Post-training, mean improvement in self-efficacy across objectives ranged from 2.9 (95% CI -8.7 to 14.5) to 43.3 (95% CI 4.8-81.8) points, < 0.05 for 80% of objectives. Self-rated confidence scores improved for 45.6% of stream-specific learning objectives; 52.8% were unchanged and 1.7% reported a decrease in confidence. Self-rated ability to work stream-specific weekend shifts increased from 56-70%, but no stream achieved a significant increase in staff able to independently work weekend shifts ( range 0.10 to 1.0). : A stream-specific education program increased junior physiotherapists' self-efficacy and self-rated confidence but not perceived ability to work independently on weekends. Results were non-randomized and actual practice change was not assessed. Future studies could investigate different educational structures in a blinded, randomized manner on clinical practice change. |
Author | O'Keeffe, B Physio, M Physio, David D Farlie, B Physio, Post Grad Cert Physio, Grad Cert Health Prof Ed, Melanie K Knight, B Physio, Jessica L Saber, B Physio, Kelly J Keely, B Physio, Spec Cert Paed Ortho, Laura K Katz, B Physio, M Health Med Law, Nikki Sturgess, B Physio (Hons), M Physio, Tamica R Skinner, PhD, B. Physio (Hons), Elizabeth H Ryan, B Physio, Danielle T Bastick, M Physio, BHM, Emma K Haines, PhD, B Physio (Hons), Grad Cert Health Economics, Terry P |
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SubjectTerms | Ability Clinical medicine Clinical skills Clinical training Cohort analysis Confidence Critical care Education Educational programs Health education Hospitals Objectives Pediatrics Physical therapists Physical therapy Physiotherapy Quality of service Self evaluation Self-efficacy Women Womens health Work |
Title | Postgraduate clinical physiotherapy education in acute hospitals: a cohort study |
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