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Hallé MC, Bussières A, Asseraf-Pasin L, Storr C, Mak S, Root K, Owens H, Amari F, Thomas A. Stakeholders' priorities in the development of evidence-based practice competencies in rehabilitation students: a nominal group technique study. Disabil Rehabil 2024; 46:3196-3205. [PMID: 37489946 DOI: 10.1080/09638288.2023.2239138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 07/15/2023] [Indexed: 07/26/2023]
Abstract
PURPOSE Clinically integrated teaching (CIT) is an effective approach for promoting evidence-based practice (EBP) competencies among medical students. Challenges towards the implementation of CIT in rehabilitation curricula include educators' different conceptualizations of EBP, the perceived complexity of EBP and the boundaries between the academic and the clinical setting. This study aimed to identify tailored strategies to implement in rehabilitation programs and their affiliated clinical sites to support the development of EBP competencies among students in occupational therapy (OT), physical therapy (PT) and speech-language pathology (S-LP). MATERIALS AND METHODS Nominal group technique (NGT) with stakeholders from three rehabilitation programs in Canada, offering the professional master's in OT and PT (n = 35 participants) and in S-LP (n = 8). RESULTS The top two strategies identified in the OT/PT NGT were: 1) Developing a flexible definition of EBP that recognizes its complexity; 2) Providing clinicians with more access to the teaching content by pairing faculty with preceptors. The top two strategies identified in the S-LP NGT were: 1) Providing students with opportunities for decision-making with experienced clinicians; 2) Increasing interactions between faculty and preceptors using formal group meetings. CONCLUSION Findings laid foundations for future integrated knowledge translation projects to collaboratively implement, and test identified strategies.
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Affiliation(s)
- Marie-Christine Hallé
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
- Département d'orthophonie, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
| | - André Bussières
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
- Département chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
| | - Liliane Asseraf-Pasin
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
- Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
| | - Caroline Storr
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
| | - Susanne Mak
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
- Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
| | - Kelly Root
- School of Communication Sciences and Disorders, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
| | - Heather Owens
- Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
| | - Fatima Amari
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
| | - Aliki Thomas
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
- Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada
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Decullier E, Chauliaguet M, Siméone A, Haesebaert J, Witko A. Representations of Research among Newly Graduated Paramedical Professionals: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11331. [PMID: 34769846 PMCID: PMC8583123 DOI: 10.3390/ijerph182111331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 10/21/2021] [Accepted: 10/22/2021] [Indexed: 11/21/2022]
Abstract
Despite a keen interest in clinical research, most paramedical professionals are unwilling to play an active role. Our objective was to explore paramedical professionals' representations of research. Using an existing database of final year paramedical students (speech therapy, occupational therapy, psychomotricity, audiometry, physiotherapy, orthoptics), we deployed a qualitative approach composed of two successive steps: (1) a free word association task, and (2) semi-structured individual interviews. Out of the 54 students who agreed to be contacted, we received 21 responses to the free word association questionnaire, and 11 interviews were conducted. The hierarchical evocation matrix revealed that the scientific representation of research is based on words defining the research and the purpose of the research. "Collaboration" was identified as being an essential part of the research process. The central core of the representation is coherent with all its components perceived as positive. The content analysis of the interviews showed a polarization around two key points: (1) participants are interested in accessing and using evidence in their practice (2) but feel less confident about and/or motivated to generate evidence themselves. This study highlights the need to develop more research-friendly environments, especially in training institutions.
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Affiliation(s)
- Evelyne Decullier
- Hospices Civils de Lyon, Pôle Santé Publique, Service de Recherche et Epidémiologie Cliniques, F-69003 Lyon, France;
- Institut des Sciences et Techniques de la Réadaptation (ISTR), Université Lyon 1, CEDEX 03, F-69373 Lyon, France;
| | - Mathilde Chauliaguet
- Institut des Sciences et Pratiques d’Education et de Formation (ISPEF), Université Lyon 2, F-69007 Lyon, France; (M.C.); (A.S.)
| | - Arnaud Siméone
- Institut des Sciences et Pratiques d’Education et de Formation (ISPEF), Université Lyon 2, F-69007 Lyon, France; (M.C.); (A.S.)
- INSERM Unit U1296 Radiation: Defense, Health, Environment, Léon Bérard Center, F-69008 Lyon, France
| | - Julie Haesebaert
- Hospices Civils de Lyon, Pôle Santé Publique, Service de Recherche et Epidémiologie Cliniques, F-69003 Lyon, France;
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Lyon 1, CEDEX 08, F-69373 Lyon, France
| | - Agnès Witko
- Institut des Sciences et Techniques de la Réadaptation (ISTR), Université Lyon 1, CEDEX 03, F-69373 Lyon, France;
- Dynamique du Langage (DDL), Centre National de la Recherche Scientifique (CNRS), UMR 5596, Université Lyon 2, CEDEX 07, F-69363 Lyon, France
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