Value of clinical observational learning in work-integrated learning in health sciences education: Students’ views and experiences
Abstract
Students' competency is a critical concern in health sciences education. Therefore, work-integrated learning has become an integral part of health sciences programmes at higher education institutions. This study explored students' views and experiences of clinical observational learning to promote work-integrated learning in the acupuncture programme at a South African university. The authors used the Technological, Pedagogical, and Content Knowledge (TPACK) model as a theoretical lens to guide this study, involving five participants who were purposively selected. A qualitative descriptive single case study design was employed within an interpretivist paradigm. Five participants were recruited for this study. The authors employed semi-structured interviews as the data collection instrument. The data were analysed using the six-step thematic analysis. The findings revealed that students agreed that clinical observational learning significantly improved clinical competency. They reported that clinical observational learning assisted them in memorising content knowledge and obtaining practical experience. Furthermore, participants highlighted that a lack of space, insufficient time, and incompetency of observed student practitioners negatively affected their learning experience. This study concluded that higher education institutions should employ clinical observational learning in the curriculum to assist in transitioning students from theoretical knowledge to clinical practice. It is recommended that further research must be conducted at national and international higher education institutions.
https://doi.org/10.26803/ijlter.22.6.29
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Alharahsheh, H. H., & Pius, A. (2020). A Review of key paradigms: Positivism vs interpretivism. Global Academic Journal of Humanities and Social Sciences, 2(3), 39-43. https://dx.doi.org/10.36348/gajhss.2020.v02i03.001
Aristovnik, A., Kerzic, D., Ravšelj, D., Tomaževic, N., & Umek, L. (2020). Impacts of the Covid-19 pandemic on life of higher education students: A global perspective. Sustainability, 12(20). https://doi.org/10.3390/su12208438
Arkorful, V., & Abaidoo, N. (2015). The role of e-learning, advantages and disadvantages of its adoption in higher education. International journal of instructional technology and distance learning, 12(1), 29-42. https://doi.org/10.12691/education-8-2-4
Atherley, A., Dolmans, D., Hu, W., Hegazi, I., Alexander, S., & Teunissen, P. W. (2019). Beyond the struggles: A scoping review on the transition to undergraduate clinical training. Medical Education, 53, 559-570. https://doi.org/10.1111/medu.13883
Bandura, A. & National Institute of Mental Health (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall Inc.
Beigzadeh, A., Yamani, N., Bahaadinbeigy, K., & Adibi, P. (2021). Challenges and strategies of clinical rounds from the perspective of medical students: A qualitative research. Journal of Education and Health Promotion, 10, 6. https://doi.org/10.4103/jehp.jehp_104_20
Billett, S., Cain, M., & Le, A. H. (2018). Augmenting higher education students' work experiences: Preferred purposes and processes. Studies in Higher Education, 43(7), 1279-1294. https://doi.org/10.1080/03075079.2016.1250073
Billett, S., & Choy, S. (2014). Integrating professional learning experiences across university and practice settings. International Handbook of Research in Professional and Practice-based Learning, 485-512. https://doi.org/10.1007/978-94-017-8902-8_18
Challa, K. T., Sayed, A., & Acharya, Y. (2021). Modern techniques of teaching and learning in medical education: A descriptive literature review. MedEdPublish, 10. https://doi.org/10.15694/mep.2021.000018.1
Collett, J., Webster, E., Gray, A., & Delany, C. (2022). Equipping medical students for ward round learning. The Clinical Teacher, 19(4), 316-322. https://doi.org/10.1111/tct.13500
Cordovani, L., & Cordovani, D. (2016). A literature review on observational learning for medical motor skills and anesthesia teaching. Advances in Health Science Education, 21, 1113-1121. https://doi.org/10.1007/s10459-015-9646-5
Creswell, J. W. (2014). Research design: Qualitative, quantitative and mixed methods approaches, (4th ed.). Sage Publications Inc. https://doi.org/10.5539/elt.v12n5p40
Cronin, C. (2014). Using case study research as a rigorous form of inquiry. Nurse Researcher, 21(5), 19-27. https://doi.org/10.7748/nr.21.5.19.e1240
Dearnley, C., McClelland, G. T., & Irving, D. (2013). Innovation in teaching and learning in health higher education - literature review. Higher Education Academy. https://www.councilofdeans.org.uk/wp-content/uploads/2013/11/Innovation-in-Teaching-and-Learning-in-Health-HE-Lit-Review-201309261.pdf
Dornan, T., Hadfield, J., Brown, M., Boshuizen, H., & Scherpbier, A. (2005). How can medical students learn in a self-directed way in the clinical environment? Design-based research. Medical education, 39(4), 356-364.
Dornan, T., Tan, N., Boshuizen, H., Gick, R., Isba, R., Mann, K., Scherpbier, A., Spencer, J., & Timmins, E. (2014). How and what do medical students learn in clerkships? Experience based learning (ExBL). Advances in Health Sciences Education, 19, 721-749. https://doi.org/10.1111/j.1365-2929.2005.02112.x
Feriandi, Y., Wasliman, I., Hanafiah, N., Budiman, B., Putra, A. R., Rachmadini, N., Putri, C. R., & Yusuf, K. (2020). Blended E-learning on clinical skills learning from the medical student's perspectives. Journal of physics: Conference series, 1469(1), 012055. https://doi.org/10.1088/1742-6596/1469/1/012055
Gandomkar, R., Salsali, M., & Mirzazadeh, A. (2011). Factors influencing medical education in clinical environment: Experiences of clinical faculty members. Iran Journal of Medical Education, 11, 279?290. https://doi.org/10.4103%2Fjehp.jehp_620_20
Govender, C. M., & Wait, M. (2018). Work-integrated learning benefits for students' career prospects: Mixed mode analysis. South African Journal of Higher Education, 31(5), 49-64. https://doi.org/10.20853/31-5-609
Hedding, D. W., Greve, M., Breetzke, G. D., Nel, W., & Jansen van Vuuren, B. (2020). COVID-19 and the academe in South Africa: Not business as usual. South African Journal of Science, 116(7/8). https://doi.org/10.17159/sajs.2020/8298
Holmes, B., & Gardner, J. (2006). E-Learning: Concepts and practice. SAGE Publications.
Hu, Z., & Venketsamy, R. (2022). Exploring students' views on clinical simulation in the acupuncture programme at a South African university. Journal for the Education of Gifted Young Scientists, 10(2), 251-263. https://doi.org/10.17478/jegys.1092471
Hu, Z., Venketsamy, R., & Razlog, R. (2022a). Exploring health sciences students' experiences of interprofessional education to improve quality learning outcomes. Journal for the Education of Gifted Young Scientists, 10(3), 385-398. https://doi.org/10.17478/jegys.1126020
Hu, Z., Venketsamy, R., & Pellow, J. (2022b). University students' experiences of the teaching and learning of an acupuncture programme: A South African case study. International Journal of Learning, Teaching and Educational Research, 21(12), 107-125. https://doi.org/10.26803/ijlter.21.12.6
Irvine, S., Williams, B., Özmen, M., & McKenna, L. (2019). Exploration of self-regulatory behaviours of undergraduate nursing students learning to teach: A social cognitive perspective. Nurse Education in Practice, 41, 102633. https://doi.org/10.1016/j.nepr.2019.102633
Johnson I., Palmer E., Burton J., & Brockhouse M. (2013). Online learning resources in anatomy. what do students think? Medical Education, 26, 556-563. https://doi.org/10.1002/ca.22219
Kay, D., & Kibble, J. (2016). Learning theories 101: Application to everyday teaching and scholarship. Advances in Physiology Education, 40(1), 17-25. https://doi.org/10.1152/advan.00132.2015
Koehler, M. J., & Mishra, P. (2009). What is technological pedagogical content knowledge? Contemporary Issues in Technology and Teacher Education, 9(1), 60-70.
Liljedahl, M., Boman, L. E., Fält, C. P., & Laksov, K. B. (2015). What students really learn: Contrasting medical and nursing students' experiences of the clinical learning environment. Advances in Health Sciences Education, 20(3), 765-779. http://dx.doi.org/10.1007/s10459-014-9564-y
Mazerolle, S. M., Bowman, T. G., & Benes, S. S. (2015). Reflective observation in the clinical education setting: A way to promote learning. Athletic Training Education Journal, 10(1), 32-38. https://doi.org/10.4085/100132
McCutcheon, K., Lohan, M., Traynor, M., & Martin, D. (2015). A systematic review evaluating the impact of online or blended learning vs. face-to-face learning of clinical skills in undergraduate nurse education. Journal of Advanced Nursing, 71(2), 255–270. https://doi.org/10.1111/jan.12509
McKenna, L., Cant, R., Bogossian, F., Cooper, S., Levett-Jones, T., & Seaton, P. (2019). Clinical placements in contemporary nursing education: Where is the evidence? Nurse Education Today, 83. https://doi.org/10.1016/j.nedt.2019.104202
Mishra, P., & Koehler, M. J. (2006). Technological pedagogical content knowledge: A Framework for teacher knowledge. Teachers College Record, 108, 1017-1054. https://doi.org/10.1111/j.1467-9620.2006.00684.x
Moule P., Ward R., & Lockyer L. (2010). Nursing and healthcare students' experiences and use of e-learning in higher education. Journal of Advanced Nursing, 66(12), 2785-2795. https://doi.org/10.1111/j.1365-2648.2010.05453.x
Mukhalalati, B., Elshami, S., Eljaam, M., Hussain, F. N., & Bishawi, A. H. (2022). Applications of social theories of learning in health professions education programs: A scoping review. Frontiers in medicine, 9, 912751. https://doi.org/10.3389/fmed.2022.912751
Noorani, M. (2022). The ward round: Friend or foe in postgraduate training? A grounded theory study of residents' perspectives. Medical Education Online, 27(1), 2101180. https://doi.org/10.1080/10872981.2022.2101180
Powell, T. L., Cooke, J., & Brakke, A. (2019). Altered nursing student perspectives: Impact of a pre-clinical observation experience at an outpatient oncology setting. Canadian Oncology Nursing Journal, 29(1), 34-39. https://doi.org/10.5737%2F2368807629133439
Roy, B., Castiglioni, A., Kraemer, R. R., Salanitro, A. H., Willett, L. L., Shewchuk, R. M., Qu, H., Heudebert, G., & Centor, R. M. (2012). Using cognitive mapping to define key domains for successful attending rounds. Journal of General Internal Medicine, 27(11), 1492-1498. https://doi.org/10.1007/s11606-012-2121-6
Ryan, C., & McAllister, M. (2019). The experiences of clinical facilitators working with nursing students in Australia: An interpretive description. Collegian, 26(2), 281-287. https://doi.org/10.1016/j.colegn.2018.07.005
Salminen, H., Ohman, E., & Stenfors-Hayes, T. (2016). Medical students' feedback regarding their clinical learning environment in primary healthcare: A qualitative study. BMC Medical Education, 16, 313. https://doi.org/10.1186/s12909-016-0837-4
Seabrook, M. A. (2003). Medical teachers' concerns about the clinical teaching context. Medical Education, 37(3), 213-222. https://doi.org/10.1046/j.1365-2923.2003.01437.x
Shulman, L. S. (1986). Those who understand: Knowledge growth in teaching. Educational Researcher, 15, 4-14. https://doi.org/10.3102/0013189X015002004
Smedley, J. K. (2010). Modelling the impact of knowledge management using technology. OR Insight, 23, 233-250. http://dx.doi.org/10.1057/ori.2010.11
Statistics South Africa. (2012). Census in brief. Retrieved from https://www.statssa.gov.za/census/census_2011/census_products/Census_2011_Census_in_brief.pdf
Teherani, A., Martimianakis, T., Stenfors-Hayes, T., Wadhwa, A., & Varpio, L. (2015). Choosing a qualitative research approach. Journal of graduate medical education, 7(4), 669-670. https://doi.org/10.4300%2FJGME-D-15-00414.1
Venketsamy, R., Hu, Z., Helmbold, E., & Auckloo, P. (2022). Implementing the Japanese lesson study as a professional development tool in South Africa. Journal for the Education of Gifted Young Scientists, 10(3), 349-362. https://doi.org/10.17478/jegys.1129982
Venketsamy, R., Smart, L., & Hu, Z. (2021). Creating and leading a learning environment in diverse Foundation Phase classrooms in a South African school. Journal for the Education of Gifted Young Scientists, 9(4), 349-364. http://dx.doi.org/10.17478/jegys.1012179
Wong L., Tatnall A., & Burgess S. (2014). A framework for investigating blended learning effectiveness. Education and Training, 56(2/3), 233-251. https://www.doi.org/10.1108/ET-04-2013-0049
Yavich, R., & Rotnishky, I. (2020). Multiple intelligences and success in school studies. International Journal of Higher Education, 9(6), 107-117. https://doi.org/10.5430/ijhe.v9n6p107
Zentall, T. R., Galizio, M., & Critchfield, T. S. (2002). Categorisation, concept learning, and behavior analysis: An introduction. Journal of the Experimental Analysis of Behavior, 78(3), 237-248. https://doi.org/10.1901%2Fjeab.2002.78-237
Züll, C. (2016). Open-ended questions. GESIS survey guidelines. Mannheim, Germany: GESIS – Leibniz Institute for the Social Sciences. https://doi.org/10.15465/gesis-sg_en_002
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