Introduction: The transition from physiotherapy student to clinician within hospital settings has been identified as overwhelming, leaving new graduates experiencing significant anxiety and stress. Professional development plays a major role in facilitating the transition from student to clinician. However, the perceived professional development needs of new graduates in hospital settings and the factors that influence graduates’ decision-making regarding professional development remain relatively unknown. The aim of this study was to explore the professional development needs of new-graduate physiotherapists working in hospital settings and to explore graduates’ decision-making relating to engagement in professional development. Methods: A qualitative study utilising a general inductive approach was undertaken to investigate new-graduate physiotherapists’ experiences. Telephone interviews were conducted with 15 new-graduate participants, and data were subject to thematic analysis. Results: Five key themes regarding hospital-based new-graduate physiotherapists’ professional development needs and decision-making were generated following analysis: 1) practical and clinical relevance, 2) influence from external supports, 3) translation to practice, 4) accessing professional development and 5) professional development for the future. This provided insight regarding the challenges faced in accessing professional development during the transition from student to clinician. Conclusions: This study has highlighted the complexity of new-graduate physiotherapists’ decision-making and perceived needs surrounding professional development within the hospital setting. New-graduate physiotherapists perceived that the hospital workplace provided sufficient resources for professional development. However, guidance from supervisors and colleagues within the hospital workplace was highly valued by new graduates when choosing professional development, including informal professional development opportunities. Research is needed to further understand the role of professional development of physiotherapists in hospital settings.
Purpose: Discharge planning constitutes a large part of a physiotherapist's role when working in hospital settings. The challenges of decision-making relating to discharge planning have been identified by experienced physiotherapists. Despite known challenges associated with the transition from student to clinician, the experiences of new-graduates undertaking discharge planning are largely unknown. Therefore, this study aimed to explore:1) new-graduate physiotherapists' experiences of discharge planning in hospital settings, and2) the influence of pre-professional training on their perceived preparedness for discharge planning.Design: A qualitative general inductive approach using semi-structured interviews. New-graduate physiotherapists (n = 14) working in hospital settings were recruited.Finding: Four themes were generated: 1) responding to the pressures associated with discharging patients, 2) complex decision-making, 3) the role of the interprofessional team, and 4) desiring additional context and complexity from pre-professional training.Practice Implications: The study has identified that new-graduates underestimate the extent to which discharge planning features in their roles within hospital settings, and are unaware of the interprofessional practice required. Whilst they felt that their pre-professional training provides the technical skills required for their roles, they felt that they were not prepared for their role within the broader healthcare system, nor the complexity of clinical practice. This study encourages education providers to emphasise the role of physiotherapists within the broader health care system, through highlighting contexts where physiotherapy knowledge can be applied (i.e., discharge planning) and understanding the role of the physiotherapist within the interprofessional team.Limitations: Important perspectives of mentors and other members of the interprofessional team involved in discharge planning have not been included in this study which may have impacted the interpretation of the results.
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