The influence of a full-time, immersive simulation-based clinical placement on physiotherapy student confidence during the transition to clinical practice
MetadataShow full item record
Background: Novice students may have limited learning opportunities during their early exposure to complex clinical environments, due to the priorities of patient care. Immersive, high-fidelity simulation provides an opportunity for physiotherapy students to be exposed to relatively complex scenarios in a safe learning environment before transitioning to the clinical setting. The present study evaluated the influence of immersive simulation on student confidence and competence. Methods: Sixty penultimate year physiotherapy students completed an 18-day full-time immersive simulation placement. The placement involved students spending 6 days working in each of three core practice areas (cardiopulmonary, musculoskeletal, neurological) in which they interacted with simulated patients portrayed by professional role-play actors. The patient scenarios were developed by groups of expert practitioners and incorporated full documentary and imaging information. Students completed a questionnaire to evaluate their confidence in the clinical environment at the start and completion of each 6-day rotation. Their clinical competence was evaluated at the end of each 6-day rotation using the Assessment of Physiotherapy Practice (APP) tool. In a secondary analysis, the clinical competence of this cohort was evaluated in comparison to a matched cohort of students from the same year group that had not completed an immersive simulation placement. Results: Student confidence improved significantly in each 6-day rotation (p < 0.001); however, it reduced again at the commencement of the next rotation, and there was no cumulative improvement in confidence over the 18-day placement (p = 0.22). Students who had completed the immersive simulation placement achieved higher APP (p < 0.001) scores in an evaluation of their competence to practice during their subsequent clinical placement. Conclusion: Immersive simulation provides a beneficial learning environment to enable physiotherapy students to transition from university-based education to working in the clinical environment.
Showing items related by title, author, creator and subject.
Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: Two randomized trialsBlackstock, Felecity; Watson, Kathryn; Morris, Norman; Jones, Anne; Wright, Tony; McMeeken, Joan; Rivett, Darren; O'Connor, Vivienne; Peterson, Raymond; Haines, Terry; Watson, Geoffrey; Jull, Gwendolen (2013)Introduction: Simulated learning environments (SLEs) are used worldwide in health professional education, including physiotherapy, to train certain attributes and skills. To date, no randomized controlled trial (RCT) has ...
Watson, K.; Wright, Anthony; Morris, N.; McMeeken, J.; Rivett, D.; Blackstock, F.; Jones, A.; Haines, T.; O'Connor, V.; Watson, G.; Peterson, R.; Jull, G. (2012)Context: Education in simulated learning environments (SLEs) has grown rapidly across health care professions, yet no substantive randomised controlled trial (RCT) has investigated whether SLEs can, in part, substitute ...
Imms, C.; Froude, E.; Chu, E.; Sheppard, L.; Darzins, S.; Guinea, S.; Gospodarevskaya, E.; Carter, R.; Symmons, M.; Penman, M.; Nicola-Richmond, K.; Gilbert Hunt, S.; Gribble, Nigel; Ashby, S.; Mathieu, E. (2018)© 2018 Occupational Therapy Australia Background/aim: Professional practise placements in occupational therapy education are critical to ensuring graduate competence. Australian occupational therapy accreditation standards ...