Browsing Physiotherapy by Author "Rowe, Michael"
Now showing items 1-10 of 10
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Rowe, Michael; Frantz, Jose; Bozalek, Vivienne (BioMed Central, 2013)[more][less]
Abstract: Background: While there is evidence to suggest that teaching practices in clinical education should include activities that more accurately reflect the real world, many educators base their teaching on transmission models that encourage the rote learning of knowledge and technical skills. Technology-mediated instruction may facilitate the development of professional attributes that go beyond “having” knowledge and skills, but there is limited evidence for how to integrate technology into these innovative teaching approaches. Methods: This study used a modified Delphi method to help identify the professional attributes of capable practitioners, the approaches to teaching that may facilitate the development of these attributes, and finally, how technology could be integrated with those teaching strategies in order to develop capable practitioners. Open-ended questions were used to gather data from three different expert panels, and results were thematically analysed. Results: Clinical educators should not view knowledge, skills and attitudes as a set of products of learning, but rather as a set of attributes that are developed during a learning process. Participants highlighted the importance of continuing personal and professional development that emphasised the role of values and emotional response to the clinical context. To develop these attributes, clinical educators should use teaching activities that are learner-centred, interactive, integrated, reflective and that promote engagement. When technology-mediated teaching activities are considered, they should promote the discussion of clinical encounters, facilitate the sharing of resources and experiences, encourage reflection on the learning process and be used to access content outside the classroom. In addition, educational outcomes must drive the integration of technology into teaching practice, rather than the features of the technology. Conclusions: There is a need for a cultural change in clinical education, in which those involved with the professional training of healthcare professionals perceive teaching as more than the transmission of knowledge and technical skills. Process-oriented teaching practices that integrate technology as part of a carefully designed curriculum may have the potential to facilitate the development of capable healthcare graduates who are able to navigate the complexity of health systems and patient management in ways that go beyond the application of knowledge and skills. URI: http://hdl.handle.net/10566/595 Files in this item: 1
RoweTeachnology-MediatedTeaching2013.pdf (185.7Kb) -
Frantz, Jose; Rowe, Michael (Health and Medical Publications Group, 2013)[more][less]
Abstract: Background. Evidence-based practice (EBP) is the process by which a clinician evaluates the quality of evidence before applying it in the management of a patient. Many practitioners struggle to integrate this research-based evidence into their professional practice. Blogs have been identified as useful pedagogical tools that can facilitate the sharing of ideas and clinical experiences among peers to reflect on diverse learning experiences. Objectives. A qualitative research design was used to examine the use of reflective blogging to teach the process of EBP in physiotherapy. Methods. A conveniently selected group of postgraduate students who were registered for an EBP module participated in the study. Blogging was used to teach the process of EBP in physiotherapy using Kolb's cycle as a guiding and an evaluative framework. Students reflected on and shared their learning experiences in ways that exposed the limits of their understanding around certain concepts. Results. The results reflect how students moved from assisted to independent performance by identifying gaps in their own understanding and finding the answers themselves. Conclusion. Reflective blogging was found to be a valuable tool for promoting meaningful learning activities among participants and assisted students in making sense of their shared experiences. It was also an effective tool to be used in teaching the process of EBP. URI: http://hdl.handle.net/10566/615 Files in this item: 1
FrantzBloggingPhysiotheraphy2013.pdf (1.131Mb) -
Rowe, Michael (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Information and communication technology has been shown to be increasingly important in the education and professional practice of healthcare workers. The World Health Organisation (WHO) discusses the benefits of using ICT in the Primary Healthcare setting in terms of better access to information, improved communication between colleagues, facilitating continuing professional development and providing learning tools for healthcare professionals, patients and the community as a whole. This review of the literature describes the role of information and communication technology (ICT) in the education and professional practice of healthcare workers and goes on to outline the challenges facing the widespread adoption of ICT. The conclusion is that ICT does indeed have a positive role to play in both the education and professional practice of healthcare workers, including physiotherapists, as long as it is implemented as an adjunct to established and proven practice, and not a replacement. URI: http://hdl.handle.net/10566/61 Files in this item: 1
Rowe_Information2008.pdf (398.8Kb) -
Rowe, Michael (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Institutions of higher learning are under pressure to respond to the changing needs of today's learners and the use of information and communication technology has been at the forefront of that change. Furthermore, the use of social software to enable people to interact with each other in a dynamic way has been identified as one possible solution. This survey sought to identify the knowledge and attitudes of South African physiotherapy students towards the use of social software in a physiotherapy department. The design was a cross-sectional, descriptive survey that took place in a university physiotherapy department in the Western Cape, South Africa. It included 135 students and used a self-developed questionnaire. Results showed that these students had only a superficial understanding of social software and that they did not make use of common services. They did however, show an openness to new approaches and a willingness to interact with lecturers outside the traditional classroom setting. A lack of access to appropriate technology was identified as one possible factor for their lack of understanding. Conclusion Any attempt to incorporate social software to improve teaching and learning practice into this department would have to be accompanied by significant training and support. URI: http://hdl.handle.net/10566/62 Files in this item: 1
Rowe_Knowledge2009.pdf (68.47Kb) -
Frantz, Jose M.; Rhoda, Anthea; Rowe, Michael; Phillips, Julie; Karachi, F; Mlenzana, Nondwe; Pharaoh, H; Steyl, Tania; Struthers, Patricia (South African Society of Physiotherapy, 2010)[more][less]
Abstract: A growing shift towards research and evidence based practice in academia is associated with requirements to disseminate research results in the form of publication in peer reviewed journals. Mentoring has been identified as an important component of developing young authors, as it increases confidence and competence, and facilitates professional development. This led to the formation of a support group to stimulate peer-review publication in the physiotherapy department at the University of the Western Cape. The Kirkpatrick Framework of Evaluation was used to evaluate the success of the mentoring process which made use of a participatory action research methodology. The writing group consisted of nine academic members of staff and took place over ten weeks. The programme included writing, giving feedback, discussion and peer review on a weekly basis. Focus group discussions were taped and transcribed in order to evaluate the mentoring process by identifying relationships within the data and categorising key concepts, which were shaped into a thematic framework. The findings indicated that participants experienced a variety of emotions throughout the programme, with an overall feeling of personal growth by the end. In addition, participants also reported improved writing, reviewing and communication skills. Six months following the programme, six participants had submitted at least one article to a peer reviewed journal. It is clear from this study that some academics still find the task of writing and reviewing articles daunting, and that guidance and support in the form of a writing programme can be useful. URI: http://hdl.handle.net/10566/190 Files in this item: 1
FrantzMentoring2010.pdf (323.0Kb) -
Rowe, Michael; Frantz, Jose M.; Bozalek, Vivienne (South African Society of Physiotherapy, 2012)[more][less]
Abstract: The relevance of non-technical skills have long been acknowledged as important components of clinical learning, and there is evidence that integrating technology can facilitate their development by encouraging reflection, and by enhancing communication and reasoning. However, effectively integrating technology into learning practices must take the contextual needs of students into consideration. The aim of this study was to determine what online tools undergraduate physiotherapy students at one South African university are familiar with, and how they use them as part of their learning practices. The case study was conducted in a university physiotherapy department in the Western Cape during 2010. A cross-sectional, descriptive design used a survey to obtain quantitative and qualitative data from participants, and a plot study was conducted to test the reliability of the instrument. All ethical considerations were adhered to. Seventy six percent of participants had access to the internet at home, and 93% of them belonged to a social network, although fewer than half used it for their studying. Few students reported using the internet for more than information retrieval but reported wanting to use it for enhanced communication with lecturers. Almost all respondents believed that lectures were a useful way to learn. However, 61% added that integrating online learning activities with lectures could have value. Integrating technology into healthcare education has the potential to develop non-technical skills that are relevant for clinical practice. However, this group of students currently lack the experience and insight to use technology effectively as part of their learning practices. Educators must take cognisance of the educational and contextual needs of students if they wish to integrate technology into clinical teaching. URI: http://hdl.handle.net/10566/309 Files in this item: 1
RowePhysiotherapyStudents2012.pdf (530.7Kb) -
Rowe, Michael; Frantz, Jose M.; Bozalek, Vivienne (Association for Medical Education in Europe, 2012)[more][less]
Abstract: BACKGROUND: Developing practice knowledge in healthcare is a complex process that is difficult to teach. Clinical education exposes students to authentic learning situations, but students also need epistemological access to tacit knowledge and clinical reasoning skills in order to interpret clinical problems. Blended learning offers opportunities for the complexity of learning by integrating face-to-face and online interaction. However, little is known about its use in clinical education. AIM: To determine the impact of blended learning in the clinical education of healthcare students. METHODS: Articles published between 2000 and 2010 were retrieved from online and print sources, and included multiple search methodologies. Search terms were derived following a preliminary review of relevant literature. RESULTS: A total of 71 articles were retrieved and 57 were removed after two rounds of analysis. Further methodological appraisals excluded another seven, leaving seven for the review. All studies reviewed evaluated the use of a blended learning intervention in a clinical context, although each intervention was different. Three studies included a control group, and two were qualitative in nature. Blended learning was shown to help bridge the gap between theory and practice and to improve a range of selected clinical competencies among students. CCONCLUSION: Few high-quality studies were found to evaluate the role of blended learning in clinical education, and those that were found provide only rudimentary evidence that integrating technology-enhanced teaching with traditional approaches have potential to improve clinical competencies among health students. Further well-designed research into the use of blended learning in clinical education is therefore needed before we rush to adopt it. URI: http://hdl.handle.net/10566/308 Files in this item: 1
RoweBlendedLearning2012.pdf (1.048Mb) -
Rowe, Michael (Informa Healthcare, 2012)[more][less]
Abstract: Background: The development of practice knowledge is an important component of clinical education and reflective reasoning is known to play a role in its development. Online social networks may have some potential for developing practice knowledge by providing tools for clinical educators to guide students’ reasoning practices. Aim: To determine if an online social network could be used to facilitate reflective reasoning in clinical contexts, as it relates to developing practice knowledge. Method: The study was conducted within a South African university, physiotherapy department, using an online social network to facilitate engagement. Tharp and Gallimore’s theory of assisted performance was used as a framework to conduct qualitative analysis of students’ reflective blog posts within the network. Results: The lecturer was able to use strategies within the assisted performance framework to facilitate reflection among students. These included modelling, contingency management, feedback, instruction, questioning and cognitive structuring. The features of the social network enabled enhanced communication between teacher and student, as well as promoted engagement around clinical scenarios. Conclusion: Online social networks can be used to facilitate reflective reasoning as part of the development of practice knowledge by exposing students’ understanding of clinical practice. However, careful facilitation using sound pedagogy is still necessary to guide students to deeper understanding URI: http://hdl.handle.net/10566/427 Files in this item: 1
RoweSocialNetworks2012.pdf (185.4Kb) -
Rowe, Michael (South African Society of Physiotherapy, 2012)[more][less]
Abstract: The dominant form of teaching in higher education remains the lecture, even though evidence suggests that it alone is inadequate to facilitate the development of the higher order thinking skills required in clinical practice. The use of wikis may have a role to play in facilitating collaborative learning practices that are important for professional development. This descriptive survey evaluated the use of a wiki for a collaborative learning activity within small groups of undergraduate physiotherapy students in a South African university. Students participated in a wiki-based assignment and were then surveyed using open- and closed-ended questions to determine their perceptions and experiences of the process. The results indicate that although a wiki can be used to develop relevant content, there were significant challenges in its implementation. These included a poor understanding by students of how to work effectively in groups, a lack of physical and epistemological access to the internet, and the need for adequate preparation and support. Some features of the wiki were found to have an impact on the quality of the work produced, including the use of Discussion pages, peer review, and the public nature of the wiki. The conclusion is that wikis may have a role to play in collaborative groupwork, but that that students need to be adequately prepared and supported throughout the process. URI: http://hdl.handle.net/10566/495 Files in this item: 1
RoweCollaborativeLearning2012.pdf (617.0Kb) -
Rowe, Michael; Struthers, Patricia (South African Society of Physiotherapy, 2009)[more][less]
Abstract: The global shift toward the use of information and communication technology (ICT) in health education and practice has been shown to enhance both the educational opportunities and the support provided to students and healthcare professionals. This study aimed to investigate the use of ICT by South African physiotherapy students and what their experiences and perceptions were regarding their use of ICT as part of their studies. The study design was a cross-sectional, descriptive survey using a self-administered questionnaire. The survey population included all of the undergraduate physiotherapy students from six of the eight universities offering the physiotherapy degree in South A frica (N=1105). The sample size consisted of 529 students from the survey population who completed and returned questionnaires, indicating a response rate of 48%. The results of the study showed that the use of ICT by South African physiotherapy students varied according to task, racial group and university attended. Furthermore, the reported use of ICT for communication, research and continuing professional development was low. In conclusion, this study indicates that with a move toward the use of ICT to enhance health education and practice in South A frica, certain groups of physiotherapy students may be at a disadvantage if required to make use of ICT as a means of improving communication, enhancing education, participating in lifelong learning opportunities and accessing support. URI: http://hdl.handle.net/10566/92 Files in this item: 1
Rowe_ICT2009.pdf (181.2Kb)
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