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South African Journal of Occupational Therapy

versión On-line ISSN 2310-3833
versión impresa ISSN 0038-2337

S. Afr. j. occup. ther. vol.42 no.1 Pretoria  2012

 

ARTICLES

 

Fieldwork education: Putting supervisors' interpersonal communication to the test

 

 

Marianne de BeerI; Charl VorsterII

IPhD. Head: Department of Occupational Therapy, University of Pretoria
IIPhD. Professor, Department of Psychology, University of Limpopo, Medunsa Campus

Correspondence

 

 


ABSTRACT

Various factors have an impact on the development of the clinical reasoning skills of occupational therapy students during their training. The aim of this study was to investigate how the interpersonal communication skills of the supervisors impact on their students' ability to learn clinical reasoning skills during their education in the physical field. Thirty final year students at the University of Pretoria and 14 supervisors from six different hospitals formed the study sample. A mixed research design was employed. Data were collected by means of focus groups and one-on-one interviews conducted with fieldwork educators and students on their inter-subjective experience of supervision. It was then analysed by a clinical psychologist using the Interpersonal Pattern Analysis diagnostic instrument, and finally compared with the grades students obtained for their clinical reasoning skills in the final practical exam in the physical field.
The findings of this study indicated that the supervisors of students who received good grades, were predominantly linear in their approach, showed limited empathy and confirmation, were rigid in their expectations and solved problems effectively. Supervisors of students who received lower grades were mainly circular in their approach, were flexible and partly empathetic, validated students and also solved problems effectively.
Regarding the interpersonal approach to human behaviour there is no one role or pattern of interaction that is more effective in all contexts. A style or a pattern that may be highly effective in one kind of relationship may be ineffective in another. What is emerging here is that a style which is characterised by flexibility and empathy is not necessarily an effective teaching style, whereas one characterised by a linear approach, rigidity and limited empathy may prove to be significantly more effective.

Key words: Fieldwork education, supervision, clinical reasoning, interpersonal pattern analysis, occupational therapy


 

 

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References

1. Mulholland S, Derdall M. A strategy for supervising occupational therapy students at community sites. Occupational Therapy International, 2005; 12 (1): 28-43.         [ Links ]

2. Bonello M. Fieldwork within the context of higher education: A literature review. British Journal of Occupational Therapy, 2001; 64(2): 93-98.         [ Links ]

3. Hummel J. Effective fieldwork supervision: Occupational therapy student perspectives. Australian Occupational Therapy Journal, 1997; 44: 147-157.         [ Links ]

4. Scaffa ME, Wooster DM. Effects of Problem-based learning on clinical reasoning in occupational therapy. American Journal of Occupational Therapy, 2004; 58(3): 333-336.         [ Links ]

5. Mattingly C, Fleming MH. Clinical reasoning: Forms of inquiry in a therapeutic practice. Philadelphia: F.A. Davis, 1994.         [ Links ]

6. Schell BA, Cervero R. Clinical reasoning in occupational therapy: An integrative review. American Journal of Occupational Therapy, 1993; 47: 605-610.         [ Links ]

7. Chur-Hansen A, McLean S. On being a supervisor: the importance of feedback and how to give it. Australasian Psychiatry, 2006; 14(1): 67-71.         [ Links ]

8. Barr EM. The relationship between student and clinical supervisor. British Journal of Occupational Therapy, 1987; 50(10): 329-331.         [ Links ]

9. Christie BA, Joyce PC, Moeller PL. Fieldwork experience II: The supervisor's dilemma. American Journal of Occupational Therapy, 1985; 39(10): 675-681.         [ Links ]

10. Levy LS, Sexton P, Willeford KS, Barnum MG, Guyer MS, Gardner G, Fincher AL. Clinical instructor characteristics, behaviour and skills in allied health care settings: A literature review. Athletic training Education Journal, 2009; 4(1): 8-13.         [ Links ]

11. Stormont DA. "The significance of the interpersonal relationship in practicum supervision: What is it about Fleur?" 2001. <http://www.aare.ed.au/98pap/sto98234.htm> (31 January 2011).         [ Links ]

12. Kumbuzi, VRPM, Chinhengo TPT, Kagseke F "Perception of physiotherapy and occupational therapy students' supervision of field attachment in Zimbabwe". Asia Pacific Disability Rehabilitation Journal. 2009; 20. <http://www.dinf.ne.jp/doc/english/asia/resource/apdri/vol20_l/brief-reports2.htm> (8 June 2010).         [ Links ]

13. Vorster C. Impact: The story of interactional therapy. Pretoria: SATOTI, 2011.         [ Links ]

14. Van den Berg L. Psychological well-being and interactional patterns of behaviour: an empirical investigation. Unpublished doctoral thesis, Department of Clinical and Applied Psychology, University of Limpopo (Medunsa Campus), 2008.         [ Links ]

15. Terre Blanche M, Durrheim K, Painter D, editors. Research in Practice: Applied methods for the social sciences. 2nd ed. Cape Town: University of Cape Town Press, 2006.         [ Links ]

16. Denzin N, Lincoln Y, editors. Collecting and interpreting qualitative materials. 3rd ed. Thousand Oaks: SAGE, 2008.         [ Links ]

17. Bernard JM, Goodyear RK. Fundamentals of clinical supervision. 3rd ed. Boston: Pearson Education, 2004.         [ Links ]

18. Gutman SA, McCreedy P Heisler P Student level II fieldwork failure: Strategies for intervention. American Journal of Occupational Therapy, 1998; 52 (2): 143-149.         [ Links ]

19. Scheerer CR. Perceptions of effective professional behaviour feedback: Occupational therapy student voices. American Journal of Occupational Therapy, 2003; 57(2): 205-214.         [ Links ]

20. Dunbar-Krige H, Fritz E. The supervision of counsellors in South Africa: Travels in new territory, 1st ed. Pretoria: Van Schaik, 2006.         [ Links ]

 

 

Correspondence:
Marianne de Beer PhD
marianne.debeer@up.ac.za

 

 

This paper is based on the research at the University of Pretoria for the PhD in Occupational Therapy.

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