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Occupational risks during clinical placement: Key stakeholder perceptions
Australian Psychologist ( IF 1.9 ) Pub Date : 2019-09-30 , DOI: 10.1111/ap.12403
Jade Sheen 1 , Ella Graj 1 , Amanda Dudley 1 , Belinda Wallace 1 , Wendy Sutherland‐Smith 1 , Vicki Kavadas 1 , Rachel M. Roberts 2 , Michael Proeve 2 , Sue Littler 3 , Gavin I. Clark 4 , Debra A. Dunstan 4
Affiliation  

Abstract Objective Clinical placement is an essential aspect of student training in professional postgraduate psychology. However, students can be exposed to risk during clinical placement. Further, anecdotal evidence suggests that barriers may hinder formal reporting of adverse events occurring during placement. The objective of this study was to investigate the incidence and nature of psychology students' exposure to risk during clinical placement. This study also sought to explore key stakeholders' perceptions of risks to students engaging in placement. Method A sequential explanatory mixed‐method design was utilised. The quantitative element of the study involved a questionnaire capturing the experiences of 70 students currently undertaking clinical psychology placement in healthcare services within Australia. This was followed by qualitative semi‐structured interviews with 10 industry‐based stakeholders associated with clinical placements across seven Australian universities. Results Preliminary evidence indicates that psychology students can experience adverse events while on clinical placement, and that industry‐based stakeholders can also encounter professional risk resulting from student contact. Low uptake of formal incident reports among students was demonstrated. The quality of risk‐related training was shown to vary across the industry, indicating a need for streamlined training approaches to risk management. Finally, strategies to support students and supervisors were raised. Conclusions Novice students may be inadequately prepared for the risks arising in unpredictable clinical placement milieu. They may also be unaware of their rights and avenues for reporting. Further support and resources designed to equip health services and universities for student exposure to risk during placement is warranted.

中文翻译:

临床实习期间的职业风险:主要利益相关者的看法

摘要 目的临床实习是专业研究生心理学培养的一个重要方面。但是,学生在临床实习期间可能会面临风险。此外,轶事证据表明,障碍可能会阻碍对安置期间发生的不良事件的正式报告。本研究的目的是调查心理学学生在临床实习期间接触风险的发生率和性质。本研究还试图探讨主要利益相关者对参与安置的学生的风险的看法。方法 采用顺序解释性混合方法设计。该研究的定量元素包括一份问卷,该问卷收集了目前在澳大利亚医疗保健服务中进行临床心理学实习的 70 名学生的经历。随后是对 10 位与澳大利亚七所大学临床实习相关的行业利益相关者进行的定性半结构化访谈。结果 初步证据表明,心理学学生在临床实习期间可能会遇到不良事件,并且行业利益相关者也可能会遇到因学生接触而导致的职业风险。学生对正式事件报告的接受率很低。风险相关培训的质量在整个行业中有所不同,这表明需要简化风险管理培训方法。最后,提出了支持学生和主管的策略。结论 新手学生可能对不可预测的临床安置环境中出现的风险准备不足。他们也可能不知道自己的权利和举报途径。有必要提供进一步的支持和资源,以装备卫生服务和大学,让学生在安置期间面临风险。
更新日期:2019-09-30
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