The relationship between clinical reasoning assessment in musculoskeletal physiotherapy and clinical placement

2016 ◽  
Vol 25 ◽  
pp. e167
Author(s):  
J.-P. Dumas ◽  
J.-G. Blais ◽  
B. Charlin
Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e122-e123
Author(s):  
R. Barry ◽  
C. Newstead ◽  
P. Osmotherly ◽  
C. Johnston

2020 ◽  
Author(s):  
Alberto González-García ◽  
Camilla Strandell-Laine ◽  
Ana Díez-Fernández ◽  
Helena Leino-Kilpi ◽  
Vicente Martínez-Vizcaíno ◽  
...  

Abstract Background: Multiple factors that influence the learning experience of nursing students while they are in clinical training have been identified. Nevertheless, there is no evidence on what is the optimum time a nursing student should remain in the different practice settings for achieving the required competencies nor how this duration of the placement may be influenced by other variables.The aim of the study was examine whether the relationship between the clinical placement duration and total satisfaction with clinical training is mediated by supervisory relationship and learning environment.Method: A mediation analysis was conducted using the data from a cross-sectional study conducted in 17 higher educational institutions from nine European countries with the CLES+T scale (n=1903 pre-registration nursing students). Besides, ANCOVA models were used to assess mean differences in total satisfaction by categories of supervision factors, clinical placement duration and participants’ characteristics.Results: A significant increase of total satisfaction was found as better learning environment participant’s perceived, as well as better was their satisfaction with their supervisor (both p<0.001). Students that considered the supervisor the most important person in practical training were significantly more satisfied as compared with those who considered the nurse teacher as the most important [mean 4.15 (0.89) vs 3.23 (1.16)]; p=0.001]. The satisfaction with the supervisor (IE= 0.101 [95% CI 0.016; 0.183]) and a good learning environment (IE= 0.088 [95% CI 0.003; 0.170]) mediated the relationship between clinical placement duration and total satisfaction perceived by the students.Conclusion: Nursing students with longer clinical placement duration were more satisfied with clinical training as a result of both their satisfaction with their supervisor and the good learning environment perceived. The optimal duration a nursing student should remain in the different practice settings to reach a balance between the achievement of fully competent nurses and the maximum level of satisfaction at the practicum ward should be around seven weeks. The role of nurse teachers and supervisors in contributing the acquisition of competences of nursing students needs to be clarified.


2020 ◽  
Vol 95 (8) ◽  
pp. 1285-1285
Author(s):  
Juan N. Lessing ◽  
Patrick Rendón ◽  
Steven J. Durning ◽  
Justin J. Roesch

Author(s):  
Thiani Pillay ◽  
Mershen Pillay

Background: This study explored the available literature on the phenomenon of clinical reasoning and described its influence on the clinical swallow evaluation. By exploring the relationship between clinical reasoning and the clinical swallow evaluation, it is possible to modernise the approach to dysphagia assessment.Objectives: This study aimed to contextualise the available literature on clinical reasoning and the CSE to low-middle income contexts through the use of a scoping review and expert consultation.Method: A scoping review was performed based on the PRISMA-ScR framework. The data was analysed using thematic analysis. Articles were considered if they discussed the clinical swallow evaluation and clinical reasoning, and were published in the last 49 years.Results: Through rigorous electronic and manual searching, 12 articles were identified. This review made an argument for the value of clinical reasoning within the clinical swallow evaluation. The results of the study revealed three core themes related to the acquisition, variability and positive impact of clinical reasoning in the clinical swallow evaluation.Conclusion: The results of this review showed that the clinical swallow evaluation is a complex process with significant levels of variability usually linked to the impact of context. This demonstrates that in order to deliver effective and relevant services, despite challenging conditions, healthcare practitioners must depend on clinical reasoning to make appropriate modifications to the assessment process that considers these salient factors.


Author(s):  
Alberto González‐García ◽  
Ana Díez‐Fernández ◽  
Helena Leino‐Kilpi ◽  
Vicente Martínez‐Vizcaíno ◽  
Camilla Strandell‐Laine

2021 ◽  
Vol 11 (8) ◽  
pp. 43
Author(s):  
Liz Ditzel ◽  
Emma Collins

Objective: The purpose of this exploratory and descriptive study was to evaluate the student experience of using the Microsoft HoloLens® headsets and the HoloPatient application (app) to perform a nursing assessment of Jerry, a life-sized hologram of a young man admitted to Emergency Department following a mountain bike accident.Methods: Setting: The research was conducted in 2019 in a New Zealand School of Nursing. Participants were undergraduate (pre-licensure) students (N = 121) enrolled in a 3-year Bachelor of Nursing degree programme. The study was conducted before students went on their first hospital-based clinical placement. Methods: The researchers designed a tutorial that guided students through the first five steps of the clinical reasoning cycle (i.e., look, collect, process, decide, plan) and collect cues and information about Jerry’s condition which worsens as he develops anaphylactic shock. Tutorials were conducted during the week immediately preceding the first clinical placement to assist students to develop clinical reasoning and nursing assessment skills.Results: Data were collected via a post-activity pen and paper survey. Quantitative data showed that this technology enhanced learning. Thematic analysis identified 17 advantages of using holograms, including realism, a reduced level of self-consciousness, and better preparation for clinical practice. Disadvantages mostly related to technical projection issues such as blurry image quality.Conclusions: These findings indicate that spending time carefully observing, and processing information provided via a hologram assisted novice nurses to develop clinical reasoning skills, thereby increasing readiness for the clinical setting.


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