Physiotherapy students' professional identity on the edge of working life

Lindquist, Ingrid; Engardt, Margareta; Garnham, Liz; Poland, Fiona; Richardson, Barbara

doi:10.1080/01421590600605272

Cited by 65 publications

(53 citation statements)

References 20 publications

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“…Our results are consistent with the findings of others in the United Kingdom, Sweden, and the United Arab Emirates who, using different qualitative methods, also identified themes of self-confidence, 18,19 communication, [18][19][20] client-centred practice, 18,19,21 Over time, students in Wessel and Larin's study became more comfortable when communicating with their preceptors, a finding that is also reflected in our study. Consistent with their findings, we identified that inter-professional communication can be either positive or negative and that both provide learning opportunities.…”

Section: Discussionsupporting

confidence: 82%

“…We suggest that educators who may want to implement a guided reflection process be aware of the issues and solutions inherent in this exercise, in order to optimize the experiences and outcomes of students. We agree with others 18,21 who have emphasized the need to focus on professional socialization at multiple points in the entry-to-practice curriculum. We believe that the skills students develop through the process of exploring and reflecting on critical learning incidents will be helpful to them as they continue to develop professionally.…”

Section: Future Work and Recommendationsmentioning

confidence: 60%

“…Clearly, the transition to independent practice involves taking on much greater responsibilities than students experience during supervised practice in clinical placements, which likely contributes to the emotional stresses that new graduates experience. 22 Although others [19][20][21] have identified the issues of being constrained by time, needing to prioritize within an intervention session, struggling with ethical dilemmas, and lack of access to services, no one has articulated so clearly the tensions that were evident in our analysis. Beginning at the intermediate level, students were identifying conflicts and contradictions among personal and professional beliefs and values and discrepancies between ideal and actual practice.…”

Section: Discussionmentioning

confidence: 92%

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Understanding the Professional Socialization of Canadian Physical Therapy Students: A Qualitative Investigation

Bartlett

Lucy²,

Bisbee³

et al. 2009

Physiotherapy Canada

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Purpose: To understand the professional socialization of physical therapy (PT) students. Method: Forty-two students enrolled in our newly developed master's degree programme wrote three-page reflective journals on a critical learning incident after each of three selected clinical experiences. The journals were coded and analyzed, and major themes were identified and described. A separate cohort of 44 students participated in focus groups after the same three clinical experiences to check the trustworthiness of the results. Results: Following the first placement, the main themes coded were emotions, self-confidence, professionalism in the real world, communication, and learning by doing. After the intermediate placement, major themes were idealism versus realism, depth of communication with clients, and breadth of communication with family members and colleagues. Aspects of clinical learning were variable, and self-confidence remained an issue. After the final placement, most students were deeply engaged with their clients and self-confidence had developed to the point of self-efficacy. Tensions increased between the concept of ideal practice and the pragmatics of actual practice, and the concept of self as proté gé (rather than as object of the supervisor's evaluation) emerged. The themes were subsequently assembled in a booklet with representative quotations. Conclusion: These results contribute to foundational knowledge required by PT educators, including clinical instructors, by explicitly describing the professional socialization of PT students.Key Words: physical therapy students, professional socialization, qualitative investigation RÉ SUMÉObjectif : Comprendre la socialisation professionnelle des é tudiants en physiothé rapie. Me´thodologie : Quarante-deux é tudiants inscrits à notre nouveau programme de maîtrise ont é crit un journal de ré flexion de trois pages sur un incident d'apprentissage critique aprè s chacune de trois expé riences cliniques choisies. Les journaux ont é té codé s et analysé s et des thè mes principaux ont é té identifié s et dé crits. Afin de vé rifier la fiabilité des ré sultats, une cohorte distincte de 44 é tudiants a participé à des groupes de discussion aprè s les trois mê mes expé riences cliniques. Re´sultats : Aprè s le premier stage, les thè mes principaux portaient sur les é motions, confiance en soi, le professionnalisme dans le monde ré el, la communication et l'apprentissage par la pratique. Aprè s le stage intermé diaire, les thè mes principaux é taient l'idé alisme par rapport au ré alisme, la profondeur de la communication avec les clients et l'é tendue de la communication avec les membres de la famille et les collè gues. Les aspects de l'apprentissage clinique é taient variables et la confiance en soi demeurait un problè me. Aprè s le stage final, la plupart des é tudiants avaient dé veloppé un engagement profond avec leurs clients et leur confiance en soi s'est vue dé veloppé au point d'auto-efficacité . Des tensions ont augmenté entre le concept d'exerc...

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Section: Discussionsupporting

confidence: 82%

Section: Future Work and Recommendationsmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 92%

See 1 more Smart Citation

Understanding the Professional Socialization of Canadian Physical Therapy Students: A Qualitative Investigation

Bartlett

Lucy²,

Bisbee³

et al. 2009

Physiotherapy Canada

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“…How these views and assumptions of osteopathy were enacted, shaped practitioners' clinical actions, decisions and resulted in different therapeutic approaches to practice (Trede and Higgs, 2008). The findings that there is diversity in how practitioners identify with their profession and their conceptions of being a professional is consistent with research in physiotherapy (Öhman and Hägg, 1998;Richardson et al, 2002;Lindquist et al, 2006). This study found that differences in therapeutic approach led to variation in the focus of participants' interaction with their patients and the cues they generated and interpreted.…”

Section: Discussionsupporting

confidence: 66%

Clinical decision-making and therapeutic approaches in osteopathy – A qualitative grounded theory study

Thomson¹,

Petty²,

Moore³

2014

Manual Therapy

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a b s t r a c tThere is limited understanding of how osteopaths make decisions in relation to clinical practice. The aim of this research was to construct an explanatory theory of the clinical decision-making and therapeutic approaches of experienced osteopaths in the UK.Twelve UK registered osteopaths participated in this constructivist grounded theory qualitative study. Purposive and theoretical sampling was used to select participants. Data was collected using semistructured interviews which were audio-recorded and transcribed. As the study approached theoretical sufficiency, participants were observed and video-recorded during a patient appointment, which was followed by a video-prompted interview. Constant comparative analysis was used to analyse and code data.Data analysis resulted in the construction of three qualitatively different therapeutic approaches which characterised participants and their clinical practice, termed; Treater, Communicator and Educator. Participants' therapeutic approach influenced their approach to clinical decision-making, the level of patient involvement, their interaction with patients, and therapeutic goals. Participants' overall conception of practice lay on a continuum ranging from technical rationality to professional artistry, and contributed to their therapeutic approach. A range of factors were identified which influenced participants' conception of practice.The findings indicate that there is variation in osteopaths' therapeutic approaches to practice and clinical decision-making, which are influenced by their overall conception of practice. This study provides the first explanatory theory of the clinical decision-making and therapeutic approaches of osteopaths.

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“…Our theoretical model embodied the core values, beliefs, attitudes, unique clinical skills and roles of the physiotherapists within the health care system [23][24][25][26][27]. Specifically, the questions on our Our Professionalism Inventory consisted of three subscales.…”

Section: Figure-1 Fundamental Elements/core Values/attributes Of Promentioning

confidence: 99%

Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism

Balogun¹,

Mbada

Balogun³

et al. 2017

International Journal of Medical and Health Sciences Research

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Article HistoryBackground and Purpose: There is currently no culturally appropriate instrument to assess Nigerian physiotherapists" knowledge and attributes of professionalism. This study sets out to develop a psychometric instrument to assess the knowledge and attributes of professionalism of Nigerian physiotherapists, and to investigate the instrument's readability, stability, and internal consistency. Methods: A Professionalism Inventory with eight demographic questions, ten knowledge of professionalism questions and sixteen attributes of professionalism perception-based statements was developed. The attributes of professionalism scale assess clinical competence, a spirit of inquiry, accountability, autonomy, advocacy, innovation and visionary, collegiality and collaboration, and ethics and values. The Inventory was completed on two occasions, after two-week interval, by 91 Nigerian physiotherapists. Results: The Inventory"s average grade reading level was 10. The intra class correlation coefficient (ICC 3, 1) for the knowledge of professionalism scale ranged from "moderate" (0.421, p<0.001) to "substantial" (0.770, p<0.001). The Kendall's coefficient of concordance for the attributes of professionalism scale ranged from "fair" (0.368, p<0.001) to "moderate" (0.547, p<0.001). The Cronbach alpha for the knowledge of professionalism scale was "almost perfect" (0.813, p<0.0001); and "substantial" (0.780, p<0.001) for professionalism attributes scale. Conclusion: The knowledge and attributes of professionalism scales are stable and internally consistent. The availability of this psychometric instrument will promote studies of professionalism in physiotherapy. Contribution/Originality:This study is the first psychometric instrument developed to assess Nigerian physiotherapists" knowledge and attributes of professionalism and also the first to document the instrument's readability, stability, and internal consistency statistical properties.

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Physiotherapy students' professional identity on the edge of working life

Cited by 65 publications

References 20 publications

Understanding the Professional Socialization of Canadian Physical Therapy Students: A Qualitative Investigation

Understanding the Professional Socialization of Canadian Physical Therapy Students: A Qualitative Investigation

Clinical decision-making and therapeutic approaches in osteopathy – A qualitative grounded theory study

Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism

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