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Evaluation of an e-Learning teaching innovation to assist clinical radiation therapy educators in the provision of student feedback
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Confidence and Attitudes Toward Osteoarthritis Care Among the Current and Emerging Health Workforce: A Multinational Interprofessional Study
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Briggs, Andrew M.; Hinman, Rana S.; Darlow, Ben; Bennell, Kim L.; Leech, Michelle; Pizzari, Tania; Greig, Alison M.; MacKay, Crystal; Bendrups, Andrea; Larmer, Peter J.; Francis‐Cracknell, Alison; Houlding, Elizabeth; Desmond, Lucy A.; Jordan, Joanne E.; Minaee, Novia; Slater, Helen. - : John Wiley and Sons Inc., 2019
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Abstract:
OBJECTIVE: To measure confidence and attitudes of the current and emerging interprofessional workforce concerning osteoarthritis (OA) care. METHODS: Study design is a multinational (Australia, New Zealand, Canada) cross‐sectional survey of clinicians (general practitioners [GPs], GP registrars, primary care nurses, and physiotherapists) and final‐year medical and physiotherapy students. GPs and GP registrars were only sampled in Australia/New Zealand and Australia, respectively. The study outcomes are as follows: confidence in OA knowledge and skills (customized instrument), biomedical attitudes to care (Pain Attitudes Beliefs Scale [PABS]), attitudes toward high‐ and low‐value care (customized items), attitudes toward exercise/physical activity (free‐text responses). RESULTS: A total of 1886 clinicians and 1161 students responded. Although a number of interprofessional differences were identified, confidence in OA knowledge and skills was consistently greatest among physiotherapists and lowest among nurses (eg, the mean difference [95% confidence interval (CI)] for physiotherapist‐nurse analyses were 9.3 [7.7‐10.9] for knowledge [scale: 11‐55] and 14.6 [12.3‐17.0] for skills [scale: 16‐80]). Similarly, biomedical attitudes were stronger in nurses compared with physiotherapists (6.9 [5.3‐8.4]; scale 10‐60) and in medical students compared with physiotherapy students (2.0 [1.3‐2.7]). Some clinicians and students agreed that people with OA will ultimately require total joint replacement (7%‐19% and 19%‐22%, respectively), that arthroscopy is an appropriate intervention for knee OA (18%‐36% and 35%‐44%), and that magnetic resonance imaging is informative for diagnosis and clinical management of hip/knee OA (8%‐61% and 21%‐52%). Most agreed (90%‐98% and 92%‐97%) that exercise is indicated and strongly supported by qualitative data. CONCLUSION: Workforce capacity building that de‐emphasizes biomedical management and promotes high‐value first‐line care options is needed. Knowledge and skills among physiotherapists support leadership roles in OA care for this discipline.
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Original Articles
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URL: https://doi.org/10.1002/acr2.1032
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857979/
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Educators’ behaviours during feedback in authentic clinical practice settings: an observational study and systematic analysis
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Understanding students' and clinicians' experiences of informal interprofessional workplace learning : an Australian qualitative study
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