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McGuinness S, Guerin S. Interprofessional supervision among allied health professionals: a systematic scoping review. J Interprof Care 2024; 38:739-758. [PMID: 38678372 DOI: 10.1080/13561820.2024.2343837] [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: 04/25/2023] [Accepted: 04/09/2024] [Indexed: 04/29/2024]
Abstract
Clinical supervision typically occurs between clinicians who are trained in the same discipline, and this assumption is present across much of the relevant literature. However, the use of interprofessional supervision (IPS), wherein clinicians do not share the same discipline, has increased in recent years. As IPS increases in usage, it is key that the implications of this approach are explored. In order to map the existing evidence, a scoping review was conducted to explore what is known about the use of IPS across five allied health professions (psychology, speech and language therapy, occupational therapy, physiotherapy and social work). A systematic literature search of four electronic databases was conducted, with 27 articles meeting the inclusion criteria. The data were analyzed using thematic synthesis. Six key themes were identified relating to factors impacting the appropriateness of IPS, necessary steps in the IPS process, and impacts of IPS for clinicians. Limited application of standardized tools and theoretical frameworks within the existing research was highlighted. The findings identified within this review present a broad overview of the existing research relating to IPS, which can be used to inform future research in this area.
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Affiliation(s)
- Shona McGuinness
- School of Psychology, University College Dublin, Dublin, Ireland
| | - Suzanne Guerin
- School of Psychology, University College Dublin, Dublin, Ireland
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Hamiduzzaman M, Miles S, Crook S, Grove L, Hewitt J, Barraclough F, Hawkins P, Campbell E, Buster N, Thomson K, Williams C, Flood V. An integrative review of the impact of allied health student placements on current staff's knowledge and procedural skills in acute and primary care settings. BMC MEDICAL EDUCATION 2024; 24:657. [PMID: 38867188 PMCID: PMC11167915 DOI: 10.1186/s12909-024-05632-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 06/05/2024] [Indexed: 06/14/2024]
Abstract
BACKGROUND Staff shortages limit access to health services. The bidirectional benefits of allied health clinical placements are understood in the domains of student learning, health service delivery, and future workforce development. Still, the benefits to current workforce outcomes remain unknown. This review provides insights into the effects of allied health student placements in acute and primary care settings, particularly on healthcare staff's knowledge and procedural skills. METHODS This search was based on the integrative review process established by Whittemore and Knafl in 2005. In October 2023, the first author (MH) searched five major electronic databases: Medline-EBSCO, PubMed, CINAHL, Embase, and Scopus. The CLUSTER model was used to track additional references. The first three authors (MH, SM, and SC) were involved in screening, quality appraisal, and synthesis of the studies. Data were thematically synthesised and analysed. RESULTS MeSH headings and keywords were used in key search areas: health education, health professional training, clinical placements, and allied health professions. The systematic search yielded 12 papers on allied health student placements across various healthcare settings in rural and metropolitan areas, with no high-quality methodologies measuring student placements' impact on staff knowledge and skills. Four main themes were identified from the analysis: meaningful student integration in service delivery, targeted educational support to healthcare staff, development of staff procedural skills and confidence, and the mechanisms of why student placements work in this aspect. CONCLUSIONS This review suggests that offering allied health student placement could be a promising approach to supporting rural healthcare staff in performing patient assessments and treatments proficiently and collaboratively. However, this requires further investigation to confirm.
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Affiliation(s)
- Mohammad Hamiduzzaman
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia.
| | - Sarah Miles
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Sarah Crook
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Lewis Grove
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Jennie Hewitt
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Frances Barraclough
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Peter Hawkins
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Erika Campbell
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Nicola Buster
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Kate Thomson
- School of Health Sciences, The University of Sydney, Sydney, Australia
| | - Christopher Williams
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
| | - Vicki Flood
- University Centre for Rural Health (UCRH), School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Lismore, NSW, Australia
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Gilroy J, Veli-Gold S, Wright W, Dew A, Jensen H, Bulkeley K, Lincoln M. Disability workforce and the NDIS planning process in regional, rural and remote regions of Australia: Scoping review. Aust J Rural Health 2023; 31:839-854. [PMID: 37485742 DOI: 10.1111/ajr.13020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 07/04/2023] [Accepted: 07/10/2023] [Indexed: 07/25/2023] Open
Abstract
BACKGROUND The Australian geographically rural and remote disability workforce has historically demonstrated difficulties to keep up with the demand for quality services and supports for people with disability. In 2013, the National Disability Insurance Scheme (NDIS) was launched to provide individualised disability support packages to meet people's needs. To receive funding, people with disability are required to develop a NDIS plan. That plan is then funded by the National Disability Insurance Agency (NDIA), the government agency responsible for managing the NDIS. Although the NDIS has been operating for almost 10 years, there is limited research into the planning experiences of the workforce in regional, rural and remote regions of Australia. This review aims to ascertain the level of scholarly investigation into workers' experiences of NDIS planning. METHODOLOGY Research publication databases were searched using a specific search string to identify publications that included reference to the workforce's experiences of the NDIS planning process in regional, rural and remote regions of Australia. The Mixed Methods Appraisal Tool (MMAT) was adopted to appraise the quality of the research publications. Research publications that focused on those working with Aboriginal and Torres Strait Islander people were also appraised using the Aboriginal and Torres Strait Islander Quality Appraisal Tool developed by the Centre for Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange. A thematic synthesis of the publications was undertaken to ascertain disability and health workforce experiences of the NDIS planning process. RESULTS Seven papers met the selection criteria. Two papers were policy reviews and reported the improvements of the NDIS planning process since its inception. These studies reported four reoccurring themes: (1) cultural/socioeconomic and geographical factors; (2) administrative burden and bureaucracy; (3) values, culture and geography; and (4) burden on allied health workers. CONCLUSION The NDIS planning process has developed and progressed since its rollout in 2013. There are limited research papers available that describe the workforce's experience of the planning process in regional, rural and remote regions. More research in this area is needed to identify the experiences of the disability workforce in relation to the NDIS planning process.
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Affiliation(s)
- John Gilroy
- Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Sarah Veli-Gold
- Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Wayne Wright
- Orange Local Aboriginal Land Council, Orange, New South Wales, Australia
| | - Angela Dew
- Faculty of Health, Deakin University, Burwood, Victoria, Australia
| | - Heather Jensen
- Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Kim Bulkeley
- Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Michelle Lincoln
- Faculty of Medicine, Canberra University, Canberra, Australian Capital Territory, Australia
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Turner S, Isaac V, Lim D. A Qualitative Study of Rural and Remote Australian General Practitioners' Involvement in High-Acuity Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20054548. [PMID: 36901557 PMCID: PMC10001441 DOI: 10.3390/ijerph20054548] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/26/2023] [Accepted: 03/01/2023] [Indexed: 06/01/2023]
Abstract
This study aimed to understand the experiences, barriers, and facilitators of rural general practitioners' involvement with high-acuity patients. Semi-structured interviews with rural general practitioners in South Australia who had experience delivering high-acuity care were audio-recorded, transcribed verbatim, and analyzed through content and thematic approaches incorporating Potter and Brough's capacity-building framework. Eighteen interviews were conducted. Barriers identified include the inability to avoid high-acuity work in rural and remote areas, pressure to handle complex presentations, lack of appropriate resources, lack of mental health support for clinicians, and impacts on social life. Enablers included a commitment to community, comradery in rural medicine, training, and experience. We concluded that general practitioners are a vital pillar of rural health service delivery and are inevitably involved in disaster and emergency response. While the involvement of rural general practitioners with high-acuity patients is complex, this study suggested that with the appropriate system, structure and role supports, rural general practitioners could be better empowered to manage high-acuity caseloads locally.
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Affiliation(s)
- Sinead Turner
- Riverland Mallee Coorong Local Health Network, Berri, SA 5343, Australia
| | - Vivian Isaac
- School of Allied Health, Exercise and Sports Sciences, Faculty of Science and Health, Charles Sturt University, Albury, NSW 2640, Australia
| | - David Lim
- Translational Health Research Institute, School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia
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