Developing a framework and digital toolkit for healthcare professional students and educators to support Technology-Enabled Practice Education (TEPE)

Authors

DOI:

https://doi.org/10.1921/jpts.v21i1-2.2048

Keywords:

practice education, telepractice

Abstract

Practice education is a core component of speech and language therapy education. COVID-19 led to the abrupt disruption of student placements and the rapid adoption of technology-supported solutions to ensure the continuity of clinical learning, including telepractice and simulation-based learning. Technology brings many opportunities. For example, simulation-based learning allows students to engage with rare clinical presentations or practise skills before meeting clients. However, the sudden shift to technology solutions meant that many practice educators and students were learning through trial and error as they engaged with the technology. Furthermore, telepractice requires additional skill learning and competency development for both students and educators. This study aimed to evaluate the experience of students and educators involved in practice education during the pandemic and identify how technology-enabled practice education can be effectively supported in the future. Using a six-step co-design approach, we considered the extant literature and evaluated the benefits and challenges of using technology-enabled practice education during the pandemic. Through an iterative co-design process, we synthesised the learning to develop a framework to support technology-enabled practice education and an online toolkit resource to support students engaging with technology-enabled practice education.

 

Author Biographies

Yvonne Lynch, Trinity College Dublin

Yvonne Lynch is an Assistant Professor in Clinical Speech and Language Studies and Principal Investigator on the Technology Enabled Practice Education (TEPE) project. Interests include technology-enhanced clinical practice, augmentative and alternative communication, and clinical decision-making. 

Beth Milofsky, Trinity College Dublin, Department of Clinical Speech and Language Studies

Beth Milofsky is a Senior Speech and Language Therapist, at Children’s Disability Network Team, HSE, PhD Candidate at Trinity College Dublin, Department of Clinical Speech and Language Studies.

Cliona Sullivan , Trinity College Dublin

Speech and Language Therapist and was a student co-researcher on the project

Eilis Farren, Trinity College Dublin

Eilis Farren is a Speech and Language Therapist, Paediatric Primary Care, HSE in the Department of Clinical Speech and Language Studies.

Órla Gilheaney, Trinity College Dublin

Assistant Professor in Speech-Language Pathology Trinity College Dublin.

Susan Johnson, Mooka Media Ltd, Managing Director & Head of Operations

An instructional designer with over 20 years’ experience of working on digital education and learning projects for schools, further and higher education, and corporate elearning.  

Ciaran Kenny, Trinity College Dublin

Assistant Professor in Clinical Speech and Language Studies, Trinity College Dublin. Interests in technology-enhanced clinical practice, swallowing and voice disorders.

Caroline Jagoe, Trinity College Dublin

Dr Caroline Jagoe is Assistant Professor in the Department of Clinical Speech and Language Studies, Trinity College Dublin. With a clinical background in speech and language therapy, her primary focus in research address disability inclusion in humanitarian action and development programming. As an educator of speech and language therapy student her interest lies in transformative education and critical consciousness. 

Duana Quigley, Trinity College Dublin

Duana Quigley PhD is a speech and language therapist with in-depth knowledge and experience of supporting the education of student healthcare professionals. Duana's research interests include quality enhancement of teaching, learning, assessment and clinical education.

References

Aggarwal, K., Patel, R. and Ravi, R. (2020). Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India. Speech, Language and Hearing, 14(3), pp.1–7.

Akram, S., Mumtaz, N., Shahid, N. and Saqulain, G. (2021). Satisfaction and competence with telepractice services in Pakistan amid COVID-19 pandemic: The speech-language pathologists’ perspective. Iranian Rehabilitation Journal, 19(3), pp.251–260.

ASHA. (2021). Telehealth: Advancing health in America. American Hospital Association. Retrieved 20 January 2021, from https://www.aha.org/telehealth

Boyd, H., McKernon, S. & Old, A. (2010). Health Service Co-design: Working with patients to improve healthcare services. Auckland: Waitemata District Health Board.

Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, pp.77-101.

Braun, V. & Clarke, V. (2012). Thematic analysis. In H. Cooper, P.M. Camic, D.L. Long, A.T. Panter, D. Rindskopf, & K.J. Sher (Eds), APA handbook of research methods in psychology, Vol. 2: Research designs: Quantitative, qualitative, neuropsychological, and biological (pp. 57-71). Washington, DC: American Psychological Association.

Brown, T., Williams, B., McKenna, L., Palermo, C., McCall, L., Roller, L., Hewitt, L., Molloy, L., Baird, M. and Aldabah, L. (2011). Practice education learning environments: The mismatch between perceived and preferred expectations of undergraduate health science students. Nurse Education Today, 31(8), pp.22–28.

Burns, C. L., 2015, Using debriefing and feedback in simulation to improve participant performance: an educator’s perspective. International Journal of Medical Education, 6, pp.118–120.

Choi, B., Jegatheeswaran, L., Minocha, A., Alhilani, M., Nakhoul, M. and Mutengesa, E., (2020), “The impact of the COVID-19 pandemic on final medical students in the United Kingdom: a national survey”, BMC Medical Education, 20 (206), pp.1-11.

Compton, S., Sarraf-Yazdi, S., Rustandy, F. and Kumar Radha Krishna, L., (2020), “Medical students’ preference for returning to the clinical setting during the COVID-19 pandemic”, Workplace-based Learning, 54(10), pp.943-950

Cook, D. A., Hatala, R., Brydges, R., Szostek, J. H., Wang, A. T., Erwin, P. J., & Hamstra, S. J. (2011). Technology-enhanced simulation for health progressions education: A systematic review and meta-analysis. Journal of the American Medical Association, 306(9), pp.978-988.

Dunkley, C., Pattie, L., Wilson, L. and McAllister, L. (2010). A comparison of rural speech-language pathologists’ and residents’ access to and attitudes towards the use of technology for speech-language pathology service delivery. International Journal of Speech-Language Pathology, 12(4), pp.333–343.

Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. In BMC Medical Research Methodology 13, (1). https://doi.org/10.1186/1471-2288-13-117

Farren, E., Quigley, D. and Lynch, Y. (2021). Telepractice in service delivery: A survey of perspectives and practices of speech and language therapists in Ireland during COVID-19. Advances in Communication and Swallowing, pp.1–12.

Fong, R., Tsai, C., & Yiu, O. (2020). The implementation of telepractice in speech language pathology in Hong Kong during the COVID-19 pandemic. Telemedicine and eHealth, 27 (1), pp.30-38.

Greenhalgh, T., Wherton, J., Shaw, S., & Morrison, C. (2020). Video consultations for COVID-19. BMJ, 63(9), pp.368-371).

Grillo, E.U. (2017). Results of a survey offering clinical insights into speech-language pathology telepractice methods. International Journal of Telerehabilitation, 9(2), pp.25–30.

Grogan-Johnson, S., Schmidt, A.M., Schenker, J., Alvares, R., Rowan, L.E. and Taylor, J. (2013). A comparison of speech sound intervention delivered by telepractice and side-by-side service delivery models. Communication Disorders Quarterly, 34(4), pp.210–220.

Hewat, S., Penman, A., Davidson, B., Baldac, S., Howells, S., Walters, J., Purcell, A., Cardell, E., McCabe, P., Caird, E., Ward, E., Hill, A. (2020). A framework to support the development of quality simulation-based learning programmes in speech–language pathology. International Journal of Language and Communication Disorders, 55, pp.287–300.

Hickland, M., Gosney, E. and Hare, K. (2020), “Medical student views on returning to clinical placement after months of online learning as a result of the COVID-19 pandemic”, Medical Education Online, 25(1), pp.1800981

Hill, A. E., Davidson, B. J., McAllister, S., Wright, J. and Theodoros, D. G., 2014, Assessment of student competency in a simulated speech–language pathology clinical placement. International Journal of Speech–Language Pathology, 16(5), pp.464–475.

Hines, M., Lincoln, M., Ramsden, R., Martinovich, J. and Fairweather, C. (2015). Speech pathologists’ perspectives on transitioning to telepractice: What factors promote acceptance? Journal of Telemedicine and Telecare, 21(8), pp.469–473.

Iacono, T., Stagg, K., Pearce, N. and Hulme Chambers, A. (2016). A scoping review of Australian allied health research in e-Health. BMC Health Services Research, 16(1), pp.1–8.

Issenberg, S.B. & Scalese, R.J. (2008). Simulation in healthcare education. Perspectives in Biological Medicine, 51(1). pp.31-46. doi: 10.1353/pbm.2008.000

Kuvač Kraljević, J., Matić, A. and Pavičić Dokoza, K. (2020). Telepractice as a reaction to the COVID-19 crisis: Insights from Croatian SLP settings. International Journal of Telerehabilitation, 12(2), pp.93–104.

Lam, M., Hines, M., Lowe, R., Nagarajan, S., Keep, M., Penman, M. and Power, E. (2016). Preparedness for eHealth: Health sciences students’ knowledge, skills, and confidence. Journal of Information Technology Education: Research, 15, pp.305–334.

Lopreiato, J. O. (Ed.), Downing, D., Gammon, W., Lioce, L., Sittner, B., Slot, V., Spain, A. E. (Associate Eds.), and theTerminology & Concepts Working Group. (2016). Healthcare Simulation Dictionary. Retrieved from http://www.ssih.org/dictionary.

Macoir, J., Desmarais, C., Martel‐Sauvageau, V. and Monetta, L. (2021). Proactive changes in clinical practice as a result of the COVID‐19 pandemic: Survey on use of telepractice by Quebec speech-language pathologists. International Journal of Language & Communication Disorders, 56(5), pp.1086–1096.

Mansuri, B., Tohidast, S.A., Mokhlesin, M., Choubineh, M., Zarei, M., Bagheri, R. and Callaway Scherer, R. (2021). Telepractice among speech and language pathologists: A KAP study during COVID-19 pandemic. Speech, Language and Hearing, 14(3), pp.1–8.

McAllister, S., Lincoln, M., Ferguson, A. and McAllister, L. (2011). A systematic program of research regarding the assessment of speech-language pathology competencies. International Journal of Speech-Language Pathology, 13(6), pp.469–479.

McGill, M. and Dennard, Q. (2021). Graduate students’ perspectives toward telepractice at the COVID-19 global pandemic onset. Perspectives of the ASHA Special Interest Groups, 6(4), pp.841–854.

Mitchell, B., Sarfati, D. and Stewart, M. (2021). COVID-19 and beyond: A prototype for remote/virtual social work field placement. Clinical Social Work Journal, Advance Online Publication, pp.1–8.

Morris, J., Jones, M., Thompson, N., Wallace, T., & DeRuyter, F. (2019). Clinician perspectives on mrehab interventions and technologies for people with disabilities in the United States: A national survey. International Journal of Environmental Research and Public Health, 16(21), pp.20-42

O’Brien, A., McNeil, K. and Dawson, A. (2019). The student experience of clinical supervision across health disciplines – Perspectives and remedies to enhance clinical placement. Nurse Education in Practice, 34, pp.48–55.

Overby, M.S. (2017). Stakeholders’ qualitative perspectives of effective telepractice pedagogy in speech–language pathology. International Journal of Language & Communication Disorders

(1), 101–112.

Pit, S.W., Velovski, S., Cockrell, K. and Bailey, J. (2021). A qualitative exploration of medical students’ placement experiences with telehealth during COVID-19 and recommendations to prepare our future medical workforce. BMC Medical Education, 21(1), pp.1–13.

Quigley, D., Poole, C., Whiting, S., O'Connor, E., Gleeson, C. and Alpine, L. (2022), "University student experiences of work-based placements during COVID-19 pandemic: an inter-disciplinary survey of allied health and social work students", Higher Education, Skills and Work-Based Learning, https://doi.org/10.1108/HESWBL-11-2021-0218

Rainford, L., Zanardo, M., Buissink, C., Decoster, R., et al., (2021), “The impact of COVID-19 upon students radiographers and clinical training”, Radiography, 27(2), pp.464-474.

Rose, T. A., Copley, A. and Scarinci, N., 2017, Benefits of providing an acute simulated learning environment to speech pathology students: An exploratory study. Focus on Health

Professional Education, 18(3), pp.44–59.

Sheepway, L., Lincoln, M. and Togher, L. (2011). An international study of clinical education practices in speech-language pathology. International Journal of Speech-Language Pathology, 13(2), pp.174–185.

Slanetz, P., Parikh, U., Chapman, T., and Motuzas, C., (2020), “Coronavirus disease 2019 (COVID-19) and radiology education-strategies for survival”, Journal of American College of Radiology, 17(6), pp.743–745

Smith, A., Thomas, E., Snoswell, C., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare, 26(5), pp.309-313

Swales, M., Theodoros, D., Hill, A.J. and Russell, T. (2019). Speech-language pathologists’ perceptions of the use of telepractice in the delivery of services to people with Parkinson’s disease: A national pilot survey. International Journal of Speech-Language Pathology, 22(4), pp.387–398.

Tay, Y., Hoon Sng, L., Chuin Chow, H., and Zainuldin, M., (2020), “Clinical placements for undergraduate diagnostic radiography students amidst the COVID-19 pandemic in Singapore: Preparation, challenges and strategies for safe resumption”, Journal of Medical Imaging and Radiation Sciences, 51(4), pp.1-7

Theodoros, D. (2012). A new era in speech-language pathology practice: Innovation and diversification. International Journal of Speech-Language Pathology, 14(3), pp.189–199.

Tucker, J.K. (2012). Perspectives of speech-language pathologists on the use of telepractice in schools: The qualitative view. International Journal of Telerehabilitation, 4(2), pp.47–60.

Twogood, R., Hares, E., Wyatt, M. and Cuff, A. (2020). Rapid implementation and improvement of a virtual student placement model in response to the COVID-19 pandemic. BMJ Open Quality, 9(4), pp.1–7.

Weidner, K. and Lowman, J. (2020). Telepractice for adult speech-language pathology services: A systematic review. Perspectives of the ASHA Special Interest Groups, 5(1), pp.326–338.

World Health Organisation (WHO) (2021). Coronavirus Disease (COVID-19). [online] World Health Organization. Available at: https://www.who.int/health-topics/coronavirus#tab=tab_1 [Accessed 25 Oct. 2021].

Zughni, L., Gillespie, A., Hatcher, J., Rubin, A. & Giliberto, J. (2020). Telemedicine and the Interdisciplinary clinic model: During the COVID-19 pandemic and beyond. Otolaryngology–Head and Neck Surgery, 163(4), pp.67-75.

Published

2023-12-07

How to Cite

Lynch, Y., Milofsky, B., Sullivan , C., Farren, E., Gilheaney, Órla, Johnson, S. ., Kenny, C., Jagoe, C., & Quigley, D. (2023). Developing a framework and digital toolkit for healthcare professional students and educators to support Technology-Enabled Practice Education (TEPE). The Journal of Practice Teaching and Learning, 21(1-2). https://doi.org/10.1921/jpts.v21i1-2.2048
Received 2022-11-01
Accepted 2023-03-01
Published 2023-12-07