Weaving a clinical academic career: Illuminating the method and pattern to follow

Bona, Laura Di; Field, Becky; Read, Jennifer; Jones, Natalie; Fowler-Davis, Sally; Cudd, Peter; Evans, Laura A.

doi:10.1177/0308022618784258

Cited by 7 publications

(6 citation statements)

References 13 publications

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“…A ‘Collaboration Aiming to Build Occupational Therapy Research’ (CABOT) (Di Bona et al., 2018; Jones, 2015) facilitated occupational therapists to work with university academics in exploring solutions to real-world problems. Clinicians felt delivering occupational therapy home assessments in some circumstances was problematic.…”

Section: Introductionmentioning

confidence: 99%

Remote Home Visit: Exploring the feasibility, acceptability and potential benefits of using digital technology to undertake occupational therapy home assessments

Read

Jones

Fegan

et al. 2020

British Journal of Occupational Therapy

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Introduction Home assessments are integral to the occupational therapy role, providing opportunities to personalise and integrate care. However, they are resource intensive and declining in number. A 3-month service development within one United Kingdom National Health Service acute hospital setting explored the concept of using digital technology to undertake remote home assessments. Methods Four work streams explored the concept’s feasibility and acceptability: real-world testing; user consultations; narrative case study collection; traditional visit resource use exploration. Project participants were occupational therapists and patient and public representatives recruited via snowball sampling or critical case sampling. Qualitative data were thematically analysed identifying key themes. Analysis of quantitative data provided descriptive statistics. Findings The remote home visit concept was feasible within four specific contexts. Qualitative themes suggest acceptability depends on visitor safety, visitor training, visitor induction and standardisation of practice. Consultees perceived the approach to have potential for resource savings, personalisation and integration of care. Barriers to acceptance included data security, data governance, technology failure and threat to occupational therapists’ role and skills. Conclusion Applying digital technology to occupational therapy home assessment appears feasible and acceptable within a specific context. Further research is recommended to develop the technology, and test and investigate perceived benefits within wider contexts and stakeholder groups.

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Section: Introductionmentioning

confidence: 99%

Remote Home Visit: Exploring the feasibility, acceptability and potential benefits of using digital technology to undertake occupational therapy home assessments

Read

Jones

Fegan

et al. 2020

British Journal of Occupational Therapy

Self Cite

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“…COVID-19 has caused a lot of questions for occupational safety and health experts on workplace risk assessment for home offices. Already before the COVID-19 pandemic, the home assessment had been used by other industries, e.g., in occupational therapy [32]. These home assessments in occupational therapy aim to identify hazards or environmental issues which may affect safety or function and to determine possible strategies to overcome these hazards or issues, including home modifications [33].…”

Section: Discussionmentioning

confidence: 99%

Challenges for Workplace Risk Assessment in Home Offices—Results from a Qualitative Descriptive Study on Working Life during the First Wave of the COVID-19 Pandemic in Latvia

Matisāne

Paegle

Akūlova

et al. 2021

IJERPH

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Epidemiological restrictions due to the COVID-19 pandemic have raised legal and practical questions related to the provision of workplace risk assessment in home offices of teleworkers. The objective of this qualitative study was to analyze practical experience of employers and occupational safety and health experts performing workplace risk assessment in Latvia during the first wave of the COVID-19 pandemic. Our findings suggest that employers have not sufficiently implemented their legal obligations related to workplace risk assessment which can result in an increased number of physical and mental health problems of teleworkers in the short term and in the future. Work from home has shown how different working conditions can be for the same type of work (office work); therefore, the promotion of personalized workplace risk assessment should be encouraged. Even if virtual workplace visits using photos and videos are not the traditional way the workplace risk assessment should be done, it is effective; workers who report that their employers assessed their working conditions report fewer health effects. The experience of workers in participation in workplace risk assessment for telework might change the level and role of worker participation in the management of health and safety hazards at work in general.

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“…Other strategies for capability and capacity-building focus on embedding dedicated NMAHP research positions [2,24] and offering research skills training, research bursaries and mentoring [2,25]. While NMAHPs are clearly interested in clinical academic careers [6], there is often uncertainty about the best way to navigate a clinical academic career pathway [26]. The NIHR Research Internships offer an initial opportunity for NMAHPs to undertake a small research project through funded backfill and mentorship.…”

Section: Introductionmentioning

confidence: 99%

The role of Allied Health Professions and Nursing Research Internships in developing a research culture: a mixed-methods exploration of stakeholder perspectives

Nightingale

Fowler-Davis

Grafton

et al. 2020

Health Res Policy Sys

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Background Developing research capability and capacity within the healthcare professions is a challenge throughout diverse international settings. Within England, the National Institute for Health Research aimed to address these challenges through the Integrated Clinical Academic (ICA) research careers escalator for nurses, midwives and allied health professionals. Poor academic progression has been identified in the advanced stages of the pathway, though progression from the earlier entry point (Internship) has not previously been investigated. A national evaluation of four completed Internship cohorts was undertaken to explore stakeholder perspectives and progression beyond the Internship programme. Methods A mixed methods project used sequential qualitative and quantitative data collection phases commencing with two stakeholder focus groups (n = 10); the findings informed the development of an online survey distributed to previous cohorts of interns (n = 104), their managers (n = 12) and academic mentors (n = 36). Eight semi-structured interviews subsequently explored the challenges and opportunities afforded by the internships. Thematic analysis was used to review qualitative data from focus groups and interviews, with survey data analysed and displayed using descriptive statistics. Synthesis of data from each phase is displayed within the four level evaluation framework outlined within the New World Kirkpatrick® Training Evaluation Model. Results Important regional differences exist yet the internships are highly valued by all stakeholders. Representation varied between different professions, with nursing and some service-based professions poorly represented. All interns successfully completed the programme (n = 104), with evidence of positive impacts on interns, colleagues and patient care. Balancing research commitments with clinical activity was challenging; middle managers were seen as gatekeepers to programme success. Progression to the next stage of the ICA pathway is highly competitive and was achieved by only a quarter of interns; access to mentors outside of the funded programme is vital for a successful transition. Conclusions The Internship programme succeeds in providing a range of important early experiences in research, though progression beyond the programme is challenging due, in part, to a widening gap between Internship and the next level of the ICA framework. Vital mentorship support to bridge this gap is threatened by a lack of time and funding; therefore, the pursuit of a clinical-academic career will continue to be elusive for many nurses and allied health professionals. A partnership approach to clinical academic support at institutional level is needed with several international models offering alternative strategies for consideration.

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Weaving a clinical academic career: Illuminating the method and pattern to follow

Cited by 7 publications

References 13 publications

Remote Home Visit: Exploring the feasibility, acceptability and potential benefits of using digital technology to undertake occupational therapy home assessments

Remote Home Visit: Exploring the feasibility, acceptability and potential benefits of using digital technology to undertake occupational therapy home assessments

Challenges for Workplace Risk Assessment in Home Offices—Results from a Qualitative Descriptive Study on Working Life during the First Wave of the COVID-19 Pandemic in Latvia

The role of Allied Health Professions and Nursing Research Internships in developing a research culture: a mixed-methods exploration of stakeholder perspectives

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