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Vocations and Learning

, Volume 11, Issue 1, pp 1–18 | Cite as

Graduating Physiotherapy Students’ Conceptions of their own Competence

  • Merja Kurunsaari
  • Päivi Tynjälä
  • Arja Piirainen
Original Paper

Abstract

A competence-oriented approach has recently emerged in higher education and thus far, not much attention has been paid to how “competence” itself is understood in education. The purpose of this study was to examine how graduating physiotherapy students perceive their competence at the end of their studies. The data comprised interviews with 33 graduating physiotherapy students. The data were analysed with the phenomenographic approach. The findings indicated that graduating students had different and wide-ranging conceptions of what competence in physiotherapy entails and what their own competence covers. The descriptive categories – mastering core skills, understanding the theoretical basis of physiotherapy, having a holistic view of physiotherapy, engaging in and developing multi-professional collaboration – varied hierarchically on the basis of seven themes. From a pedagogical point of view, four critical aspects were identified: focus of reflection, professional agency, cultural awareness and communication.

Keywords

Professional competence Conceptions of competence Graduating students Physiotherapy Physiotherapy students Phenomenography 

Notes

Acknowledgements

The authors sincerely thank all of the physiotherapy students who participated in this study.

References

  1. Achcaoucaou, F., Guitart-Tarrés, L., Miravitlles-Matamoros, P., Núñez-Carballosa, A., Bernardo, M., & Bikfalvi, A. (2014). Competence assessment in higher education: A dynamic approach. Human Factors and Ergonomics in Manufacturing & Service Industries, 24(4), 454–467.CrossRefGoogle Scholar
  2. AHELO. (2013). The OECD’s Assessment of Higher Education Learning Outcomes. http://www.oecd.org/site/ahelo.
  3. Åkerlind, G. (2005). Learning about phenomenography: Interviewing, data analysis and qualitative research paradigm. In J. D. Bowden & P. Green (Eds.), Doing developmental phenomenography (pp. 63–78). Melbourne: RMIT University Press.Google Scholar
  4. Åkerlind, G. (2008). A phenomenographic approach to developing academics´ understanding of the nature of teaching and learning. Teaching in Higher Education, 13(6), 633–644.CrossRefGoogle Scholar
  5. Åkerlind, G. (2012). Variation and commonality in phenomenographic research methods. Higher Education Research & Development, 31(1), 115–127.CrossRefGoogle Scholar
  6. Benner, P. (2000). The wisdom of our practice. American Journal of Nursing, 100(10), 99–105.Google Scholar
  7. Bergsmann, E., Schultes, M.-T., Winter, P., Schober, B., & Spiel, C. (2015). Evaluation of competence-based teaching in higher education: From theory to practice. Evaluation and Program Planning, 52, 1–92.CrossRefGoogle Scholar
  8. Bound, H., & Lin, M. (2013). Developing competence at work. Vocations and Learning, 6, 403–420.CrossRefGoogle Scholar
  9. Bowden, J. (2005). Reflections on the phenomenographic team research process. In J. A. Bowden & P. Green (Eds.), Doing developmental phenomenography (pp. 11–31). Melbourne: RMIT University Press.Google Scholar
  10. Briggs, R., Fary, R., Slater, H., Bragge, P., Chua, J., Keen, H., & Chan, M. (2012). Disease-specific knowledge and clinical skills required by community-based physiotherapists to co-manage patients with rheumatoid arthritis. Arthritis Care & Research, 64(10), 1514–1526.CrossRefGoogle Scholar
  11. Dahl-Michelsen, T. (2015). Curing and caring competences in the skills training of physiotherapy students. Physiotherapy Theory and Practice, 31(1), 8–16.CrossRefGoogle Scholar
  12. Dandridge, T., Stubbs, B., Roskell, C., & Soundy, A. (2014). A survey of physiotherapy students’ experiences and attitudes towards treating individuals with mental illness. International Journal of Therapy and Rehabilitation, 21(7), 324–330.CrossRefGoogle Scholar
  13. Davies, K., Harrison, K., Clouder, D. L., Gilchrist, M., McFarland, L., & Earland, J. (2011). Making the transition from physiotherapy student to interprofessional team member. Physiotherapy, 97, 139–144.CrossRefGoogle Scholar
  14. ENPHE. (2012). The final outcome of Quality Assurance: Introducing and promoting quality in physiotherapy in higher education in Europe. http://enphe.org/Portals/enphe/documents/Poster%20Quality%20Focus%20Group%20Report.pdf.
  15. EQF. (2008). The European Qualifications Framework, 2008 http://ec.europa.eu/education/lifelong-learning-policy/doc44_en.htm.
  16. Eraut, M. 2004. Transfer of knowledge between education and workplace settings. In H. Rainhbird, fuller a, and A. Munro (Eds.). Workplace learning in context (pp. 201–221). London: Routledge.Google Scholar
  17. Ericsson, K. A., Krampe, R. T., & Tesch-Römer, C. (1993). The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100, 363–406.CrossRefGoogle Scholar
  18. Eteläpelto, A., K, Vähänsantanen, K. Hokka, P and S. Paloniemi. 2013. What is agency? Conceptualizing professional agency at work. Educational Research Review 10: 45–65.Google Scholar
  19. European Commission. (2014). The Bologna process and the European higher education area. http://ec.europa.eu/education/policy/higher-education/bologna-process_en.htm.
  20. Finnish law of University of Applied Sciences 14.11.2014/932. http://www.finlex.fi/fi/laki/ajantasa/2014/20140932.
  21. Fougner, M., & Horntvedt, T. (2012). Perceptions of Norwegian physiotherapy students: Cultural diversity in practice. Physiotherapy Theory and Practice, 28(1), 18–25.CrossRefGoogle Scholar
  22. Francis-Coad, J., & Hill, A.-M. (2014). Discovering what experiences physical therapist students identify as learning facilitators in practical laboratories. Journal of Physical Therapy Education, 28(3), 424–449.CrossRefGoogle Scholar
  23. Grace, S., & Trede, F. (2013). Developing professionalism in physiotherapy and dietetics students in professional entry courses. Studies in Higher Education, 38(6), 793–806.CrossRefGoogle Scholar
  24. Hendrick, P., Bond, C., Duncan, E., & Hale, L. (2009). Clinical reasoning in musculoskeletal practice: Students conceptualizations. Physical Therapy, 89(5), 430–442.CrossRefGoogle Scholar
  25. Hiller, A., Guillemina, M., & Delany, C. (2015). Exploring healthcare communication models in private physiotherapy practice. Patient Education and Counseling, 98, 1222–1228.CrossRefGoogle Scholar
  26. Khaled, A., Gulikers, J., Tobi, H., Biemans, H., Oonk, C., & Mulder, M. (2014). Exploring the validity and robustness of a competency self-report instrument for vocational and higher competence-based education. Journal of Psychoeducational Assessment, 32(5), 429–440.CrossRefGoogle Scholar
  27. King, A. (1993). From sage on the stage to guide on the side. College Teaching, 41, 30–35.CrossRefGoogle Scholar
  28. Koenen, A.-K., Dochy, F., & Berghmans, I. (2015). A phenomenographic analysis of the implementation of competence based education in higher education. Teaching and Teacher Education, 50(1), 12.Google Scholar
  29. Kurunsaari, M., Tynjälä, P., & Piirainen, A. (2015). Students’ experiences of reflective writing as a tool for learning in physiotherapy education. In G. Ortoleva, M. Bétrancourt, & S. Billet (Eds.), Writing for professional development. Studies in Writing, Volume 32. Language & Linguistics (pp. 129–151).Google Scholar
  30. Larsson, I., & Gard, G. (2006). Conceptions of physiotherapy knowledge among Swedish physiotherapists: A phenomenographic study. Physiotherapy, 92, 110–115.CrossRefGoogle Scholar
  31. Lewis, M., Bell, J., & Asghar, A. (2013). Use of simulated patients in development of physiotherapy students’ interpersonal skills. International Journal of Therapy and Rehabilitation, 15(5), 221–227.Google Scholar
  32. Lindquist, I., Engardt, M., Garnham, L., Poland, F., & Richardson, B. (2006). Development pathways in learning to be a physiotherapist. Physiotherapy Research International, 11(3), 129–139.CrossRefGoogle Scholar
  33. Lindquist, I., Engardt, M., & Richardson, B. (2010). Learning to be a physiotherapist: A Metasynthesis of qualitative studies. Physiotherapy Research International, 15(2), 103–110.Google Scholar
  34. Marton, F., & Booth, S. (2009). Learning and awareness. Hillsdale: Lawrence Erlbaum.Google Scholar
  35. Marton, F., & Pong, W. Y. (2005). On the unit of description in phenomenography. Higher Education Research and Development, 24(4), 335–348.CrossRefGoogle Scholar
  36. Mason, M. (2010). Sample size and saturation in PhD studies using qualitative interviews. Qualitative Social Research 11(3). http://www.qualitative-research.net/index.php/fqs/index.
  37. McLean, A., Bonda, C., & Nicholson, H. (2015). An anatomy of feedback: A phenomenographic investigation of undergraduate students' conceptions of feedback. Studies in Higher Education, 40(5), 921–932.CrossRefGoogle Scholar
  38. Mezirow, J. (1990). Fostering critical reflection in adulthood: A guide to transformative and emancipatory learning. San Francisco: Jossey-Bass.Google Scholar
  39. Morris, M., Gallagher, T., & Ridgway, P. (2012). Tools used to assess medical students’ competence in procedural skills at the end of a primary medical degree: A systematic review. Medical Education. doi: 10.3402/meo.v17i0.18398.Google Scholar
  40. Mostert-Wentzel, K., Frantz, J., & van Rooijen, A. J. (2013). A model for community physiotherapy from the perspective of newly graduated physiotherapists as a guide to curriculum revision. AJHPE, 5, 1.CrossRefGoogle Scholar
  41. Mulder M. 2011. The concept of competence: Blessing or curse? In I. Torniainen, S. Mahlamäki-Kultanen, P. Nokelainen and P. Ilsley (Eds). Innovations for competence management. Conference proceedings (pp. 11–24). Lahti: Lahti University of Applied Sciences.Google Scholar
  42. Mulder, M. (2012). Competence-based education and training. The Journal of Agricultural Education and Extension, 18(3), 305–314.CrossRefGoogle Scholar
  43. Mulder, R. (2013). Exploring feedback incidents, their characteristics and the informal learning activities that emanate from them. European Journal of Training and Development, 37(1), 49–71.CrossRefGoogle Scholar
  44. Mulder, M. (2014). Conceptions of professional competence. In S. Billett, C. Harteis, & H. Gruber (Eds.), International handbook of research in professional and practice-based learning (pp. 107–137). Dordrecht: Springer.Google Scholar
  45. Mulder, M., Gulikers, J., Biemans, H., & Wesselink, R. (2009). The new competence concept in higher education: Error or enrichment? Journal of European Industrial Training, 33(8/9), 755–770.CrossRefGoogle Scholar
  46. Nicoll, K., & Salling Olesen, H. (2013). Editorial: What’s new in a new competence regime? In this issue: What’s new in a new competence regime? RELA. European Journal for Research on the Education and Learning of Adults, 4(2), 103–109.CrossRefGoogle Scholar
  47. Olsen, N., Bradley, P., Lomborg, K., & Nortvedt, M. (2013). Evidence-based practice in clinical physiotherapy education: A qualitative interpretive description. BMC Medical Education, 13(52), 1–14.Google Scholar
  48. Organisation for Economic Co-operation and Development (2014). Education http://www.oecd.org/education/.
  49. Paakkari, L., Tynjälä, P., & Kannas, L. (2010). Student teachers’ ways of experiencing the teaching of health education. Studies in Higher Education, 35(8), 905–920.CrossRefGoogle Scholar
  50. Parry, R., & Brown, K. (2009). Teaching and learning communication skills in physiotherapy: What is done and how should it be done? Physiotherapy, 95, 294–301.CrossRefGoogle Scholar
  51. Patton, N., Higgs, J., & Smith, M. (2013). Using theories of learning in workplaces to enhance physiotherapy clinical education. Physiotherapy Theory and Practice, 29(7), 493–503.CrossRefGoogle Scholar
  52. Phillips, D., Barnard, S., Mullee, M., & Hurley, M. (2009). Simple anatomical information improves the accuracy of location specific spinous processes during manual examination of the low back. Manual Therapy, 14, 346–350.CrossRefGoogle Scholar
  53. Rapanta, C., Garcia-Mila, M., & Gilabert, S. (2013). What is meant by argumentative competence? An integrative review of methods of analysis and assessment in education. Review of Educational Research, 83(4), 483–520.CrossRefGoogle Scholar
  54. Robson, M., & Kitchen, S. (2007). Exploring physiotherapy students’ experiences of interprofessional collaboration in the clinical setting: A critical incident study. Journal of Interprofessional Care, 21(1), 95–109.CrossRefGoogle Scholar
  55. Schneckenberg, D., Ehlers, U., & Adelsberger, H. (2011). Web 2.0 and competence-oriented design of learning—Potentials and implications for higher education. British Journal of Educational Technology, 4(5), 747–762.CrossRefGoogle Scholar
  56. Shields, N., Bruder, A., Taylor, N., & Angelo, T. (2013). Getting fit for practice: An innovative paediatric clinical placement provided physiotherapy students opportunities for skill development. Physiotherapy, 99, 159–164.CrossRefGoogle Scholar
  57. Skøien, A. K., Vågstøl, U., & Raaheim, A. (2009). Learning physiotherapy in clinical practice: Student interaction in a professional context. Physiotherapy Theory and Practice, 25(4), 268–278.CrossRefGoogle Scholar
  58. Stenfors-Hayes, T., Hult, H., & Dahlgren, M. (2013). A phenomenographic approach to research in medical education. Medical Education, 47, 261–270.CrossRefGoogle Scholar
  59. Struyven, K., & De Meyst, M. (2010). Competence-based teacher education: Illusion or reality? An assessment of the implementation status in Flanders from teachers’ and students’ points of view. Teaching and Teacher Education, 26(8), 1495–1510.CrossRefGoogle Scholar
  60. Täks, M. (2015). Engineering students’ experiences of entrepreneurship education. A qualitative approach Institute of Education: Faculty of Social Sciences and Education, University of Tartu, Estonia.Google Scholar
  61. Thiele, A., & Barraclough, A. (2007). Journal of. Physical Therapy Education, 21(3), 47–52.CrossRefGoogle Scholar
  62. Tremblay K., Lalancette, D., & Roseveare, D. (2012). Assessment of higher education learning outcomes. AHELO. Feasibility study report. Volume 1. OECD.Google Scholar
  63. Tuxworth, E. (1989). Competence-based education and training: Background and origins. In J. Burke (Ed.), Competency -based education and training (pp. 10–25). London: The Falmer Press.Google Scholar
  64. Tynjälä, P. (2008). Perspectives into learning at the workplace. Educational Research Review, 3, 130–154.CrossRefGoogle Scholar
  65. Tynjälä P., and D. Gijbels. 2012. Changing world – Changing pedagogy. In P. Tynjälä, M-L. Stenström, M. Saarnivaara (Eds.) transitions and transformations in learning and education (pp. 205–222). Dordrecht: Springer.Google Scholar
  66. Tynjälä, P., Virtanen, A., Klemola, U., Kostiainen, E., & Rasku-Puttonen, H. (2016). Developing social competence and other generic skills in teacher education : Applying the model of integrative pedagogy. European Journal of Teacher Education, 39(3), 368–387. doi: 10.1080/02619768.2016.1171314.CrossRefGoogle Scholar
  67. Uys, L., van Rhyn, L., Gwele, N., Mcinerney, P., & Tanga, T. (2004). Problem-solving competency of nursing graduates. Journal of Advanced Nursing, 48(5), 500–509.CrossRefGoogle Scholar
  68. Vågstol, U., & Skoien, A. (2011). “a learning climate for discovery and awareness”: Physiotherapy students’ perspective on learning and supervision in practice. Advances in Physiotherapy, 13, 71–78.CrossRefGoogle Scholar
  69. Ven, A., & Vyt, A. (2007). The competence chart of the European network of physiotherapy in higher education. Antwerp-Apeldoorn: Garant.Google Scholar
  70. Virtanen, A., Tynjälä, P., & Eteläpelto, A. (2014). Factors promoting vocational students’ learning at work: Study on student experiences. Journal of Education and Work, 27, 43–70.CrossRefGoogle Scholar
  71. Wangensteen, S., Johansson, I., Björkström, M., & Nordström, G. (2012). Newly graduated nurses' perception of competence and possible predictors. A cross-sectional survey Journal of Professional Nursing, 28(3), 170–181.CrossRefGoogle Scholar
  72. WCPT (2011). World Confederation for Physical Therapy. WCPT guideline for physical therapist professional entry level education. London, UK: WCPT policy statement: Education. http://www.wcpt.org/sites/wcpt.org/files/files/PS_Education_Sept2011.pdf.Google Scholar
  73. Wesselink, R., & Wals, A. (2011). Developing competence profiles for educators in environmental education organisations in the Netherlands. Environmental Educational Research, 17(1), 69–90.CrossRefGoogle Scholar
  74. Wesselink, R., Dekker-Groen, A., Biemans, H., & Mulder, M. (2010). Using an instrument to analyse competence-based study programmes: Experiences of teachers in Dutch vocational education and training. Journal curriculum studies, 42(6), 813–829.CrossRefGoogle Scholar
  75. Wickford, J. (2014). Conscious seeing: A description of a reflective framework used with final-year Swedish physiotherapy students in the context of international clinical placements. European Journal of Physiotherapy, 16, 41–48.CrossRefGoogle Scholar
  76. Włoszczak-Szubzda, A., & Mirosław, J. (2013). Professional communication competences of physiotherapists – Practice and educational perspectives. Annals of Agricultural and Environmental Medicine, 20(1), 189–194.Google Scholar
  77. Yanua, C., & Watson, R. (2011). A review of clinical competence assessment in nursing. Nurse Education Today, 31, 832–836.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  • Merja Kurunsaari
    • 1
  • Päivi Tynjälä
    • 2
  • Arja Piirainen
    • 1
  1. 1.Faculty of Sport SciencesUniversity of JyväskyläJyväskyläFinland
  2. 2.Finnish Institute for Educational ResearchUniversity of JyväskyläJyväskyläFinland

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