Physiotherapy Student Clinical Education: the influence of subjective judgements on observational assessment

The process of assessing students on clinical placements has to date been under‐researched. In particular, while the involvement of subjective judgements in assessing students has been discussed in the literature, there has been no attempt to look for systematic evidence. This paper comprises the first attempt to relate judgement theory to the assessment of vocational education. Preliminary results demonstrate that physiotherapy assessors made subjective judgements of their students, that these contributed to the determination of assessment grades, and that in certain cases these judgements were erroneous. The relationship of these subjective judgements to the awarding of grades via a supposedly objective assessment instrument is not yet known. Given the widespread use of such assessment instruments across different professions, the question raised is whether all observational assessment systems suffer from similar problems. If students are being judged on criteria not included on assessment instruments, perhaps the other criteria being used need to be made more explicit.     

Sexual Health Education in Massage Therapy Programs: A Survey of Program Directors

Massage therapy program directors completed an online survey to explore sexual education in massage therapy programs. The overall data suggest that program directors are supportive of sexual health education in the training of massage therapists and that such education is integrated into several aspects of their training programs. To enhance sexual health education, massage therapy programs could collaborate with specialists in sex therapy or sexuality education. Massage therapy training may need to include the following topics: working with clients who have been sexually abused, working with transsexual clients, understanding sexual arousal processes, and understanding dynamics between men and women.     

Qualitätssicherung im österreichischen Hochschulsystem

Die ?sterreichischen Universit?ten und Fachhochschulen sind gesetzlich dazu aufgefordert, interne Qualit?tssicherungsprozesse und -systeme zu entwickeln. Der Grundsatz der Erstverantwortlichkeit der Hochschulen für die Sicherung von Qualit?t in Lehre, Forschung und Organisation tr?gt der Hochschulautonomie Rechnung, und er kommt durch die im Zuge des Bologna-Prozesses vereinbarten Europ?ischen Standards der Qualit?tssicherung zum Ausdruck. Als Qualit?tssicherungsagentur für den gesamten Hochschulbereich in ?sterreich bietet die AQA Universit?ten und Fachhochschulen externe Begleitung, vermittelt unabh?ngige Expertise und führt Evaluierungen durch. Die AQA hat ihre Leistungen und Verfahren auf Grundlage europ?ischer Standards der externen Qualit?tssicherung für Universit?ten und Fachhochschulen entwickelt. Die Verfahren der AQA stellen die hochschulinterne Qualit?tskultur in den Mittelpunkt: Basierend auf den Erfahrungen mit externen Evaluierungsverfahren und des Hochschulvergleichen, welche die AQA seit 2004 durchgeführt hat, implementiert die Agentur nun ein Verfahren, welches das hochschulinterne Qualit?tsmanagement st?rken soll und den Hochschulen l?ngerfristig eine Zertifizierung ihres Qualit?tsmanagements bietet. Die AQA stellt hierfür die Expertise internationaler Expertinnen und Experten zu Themen des Hochschulmanagements bereit und nutzt Kooperationen mit anderen Qualit?tssicherungsagenturen. Auf l?ngere Sicht k?nnte ein prozessorientiertes "Quality Audit"-Verfahren eine Referenz der externen Qualit?tssicherung für den gesamten ?sterreichischen Hochschulbereich darstellen.     

Factors underlying students' decisions to use mobile devices in clinical settings

University policies prohibiting use of mobile devices by medical students during clinical placements are contradicted by regular use by physicians. Consequently, many students use their mobile devices, which can be beneficial for learning but may put patient privacy at risk. This study explores the reasons underlying students' decisions about using mobile devices in clinical settings. We used a mixed-methods sequential explanatory design involving a questionnaire and focus groups. Qualitative data from the questionnaire and focus groups was analysed through thematic analysis. We found students were aware of the risks mobile devices posed to professionalism and medical practice. Despite prohibitions, many made individual decisions to use mobile devices because the benefits outweighed the risks. These students were influenced by an organised, strategic approach to learning and a motivation to comply with the beliefs and behaviours of their medical teams and conform to physicians' directives in order to participate in their community of practice. Many students appear to be transferring everyday use of mobile devices to clinical settings. There is a need to understand and promote aspects of learning that are enhanced by mobile devices in clinical settings, while articulating clear guidelines and boundaries compatible with the professional behaviour expected of students.     

Exploring Views about LARCs Among Parenting Rural Latinx Teenagers,Their Mothers,and Providers: Implications for Sexuality Education and Care

While long-acting reversible contraception (LARC) reduces risk of repeat-births, use remains low among rural Latinx adolescent mothers. This qualitative study identified perspectives about factors that influence LARC use among this population. Participants were dyads of parenting Latinx adolescent daughters and their mothers (n?=?9 dyads) and nurses (n?=?17). Findings revealed themes specific to this vulnerable population including (a) distinct ways LARC characteristics fit into parenting teenagers’ lives, (b) supportive health care climate toward LARCs, and (c) factors that inhibit LARC uptake. The study has implications for sexuality education that seeks to reduce repeat-births among this population.