Advances in Health Sciences Education

, Volume 23, Issue 2, pp 387–406 | Cite as

‘There’s so much to it’: the ways physiotherapy students and recent graduates experience practice

  • S. BarradellEmail author
  • T. Peseta
  • S. Barrie


Health science courses aim to prepare students for the demands of their chosen profession by learning ways appropriate to that profession and the contexts they will work and live in. Expectations of what students should learn become re-contextualised and translated into entry-level curriculum, with students operating as a connection between what is intended and enacted in curriculum, and required in the real world. Drawing on phenomenology, this paper explores how students understand practice—the collective, purposeful knowing, doing and being of a community—in entry-level physiotherapy programs. Ways of thinking and practising (WTP)—a framework attentive to the distinctive nature of a discipline, its values, philosophies and world-view (McCune and Hounsell in High Educ 49(3):255–289, 2005)—provides the conceptual lens. Six themes describing how students see the WTP of physiotherapy practice emerged from the analysis: discovery of new knowledge; problem solving client related contexts; adopting a systems based approach to the body; contributing to a positive therapeutic alliance; developing a sense of self and the profession; and the organisation of the workforce. The study produces knowledge about practice by focusing on physiotherapy students’ experiences of disciplinary learning. Including students in educational research in this way is an approach that can help students realise their potential as part of a community of practice.


Ways of thinking and practising Health sciences education Phenomenology Physiotherapy Students 


  1. Anderson, C., & Day, K. (2005). Purposive environments: Engaging students in the values and practices of history. Higher Education, 49(3), 319–343.CrossRefGoogle Scholar
  2. Australian Physiotherapy Council. (2006). Australian standards for physiotherapy. Retrieved September 21, 2012, from
  3. Barnett, R., & Coate, K. (2005). Engaging the curriculum in higher education. Maidenhead, Berkshire: Open University Press.Google Scholar
  4. Barradell, S., Barrie, S., & Peseta, T. (2017). Ways of thinking and practising: Highlighting the complexities of higher education curriculum. Innovations in Education and Teaching International. Scholar
  5. Bell, A. (2016). Students as co-inquirers in Australian higher education: Opportunities and challenges. Teaching and Learning Inquiry. Scholar
  6. Bithell, C. (2005). Editorial: Developing theory in a practice profession. Physiotherapy Research International, 10(2), iii–iv.CrossRefGoogle Scholar
  7. Boud, D. (2012). Problematising practice-based education. In J. Higgs, R. Barnett, S. Billett, M. Hutchings, & F. Trede (Eds.), Practice-based education: Perspectives and strategies (pp. 55–68). Rotterdam: Sense Publishers.CrossRefGoogle Scholar
  8. Bovill, C., & Bulley, C. J. (Eds.). (2011). A model of active participation in curriculum design: Exploring desirability and possibility. Oxford: Oxford Centre for Staff and Learning Development, Oxford Brookes University.Google Scholar
  9. Cook-Sather, A., Bovill, C., & Felten, P. (2014). Engaging students as partners in learning and teaching: A guide for faculty. San Francisco: Jossey-Bass.Google Scholar
  10. Cott, C. A., & Finch, E. (2007). Invited commentary. Physical Therapy, 87(7), 925–926.CrossRefGoogle Scholar
  11. Crotty, M. (1998). Constructionism: The making of meaning. In M. Crotty (Ed.), The foundations of social research (pp. 42–65). Crows Nest, NSW: Allen and Unwin.Google Scholar
  12. 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
  13. Douglass, B. G., & Moustakas, C. (1985). Heuristic inquiry: The internal search to know. Journal of Humanistic Psychology, 25(3), 39–55.CrossRefGoogle Scholar
  14. Edwards, I., & Richardson, B. (2008). Clinical reasoning and population health: Decision making for an emerging paradigm of health care. Physiotherapy Theory and Practice, 24(3), 183–193.CrossRefGoogle Scholar
  15. Emerson, R. M., Fretz, R. I., & Shaw, L. L. (1995). Writing ethnographic fieldnotes. Chicago: University Chicago Press.Google Scholar
  16. Finlay, L. (2011). Phenomenology for therapists researching the lived world. West Sussex: Wiley-Blachwell.CrossRefGoogle Scholar
  17. Flint, A., & Harrington, K. (2014). Framework for partnership in learning and teaching in higher education. York: Higher Education Academy.Google Scholar
  18. Fraser, S. P., & Bosanquet, A. M. (2006). The curriculum? That’s just a unit outline, isn’t it? Studies in Higher Education, 31(3), 269–284.CrossRefGoogle Scholar
  19. Gibson, B. E., Nixon, S. A., & Nicholls, D. A. (2010). Critical reflections on the physiotherapy profession in Canada. Physiotherapy Canada, 62(2), 98–100.CrossRefGoogle Scholar
  20. 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
  21. Green, B. (2009). Introduction: Understanding and researching professional practice. In B. Green (Ed.), Understanding and researching professional practice (pp. 1–18). Rotterdam: Sense Publishers.Google Scholar
  22. Hager, P. (2012). Theories of practice and their connections with learning: A continuum of more and less inclusive accounts. In P. Hager, A. Lee, & A. Reich (Eds.), Practice, learning and change practice-theory perspectives on professional learning (pp. 17–32). Dordrecht: Springer.Google Scholar
  23. Hager, P., Lee, A., & Reich, A. (2012). Problematising practice, reconceptualising learning and imagining change. In P. Hager, A. Lee, & A. Reich (Eds.), Practice, learning and change Practice-theory perspectives on professional learning (pp. 1–16). Dordrecht: Springer.Google Scholar
  24. Hounsell, D., & Anderson, C. (2009). Ways of thinking and practicing in biology and history. In C. Kreber (Ed.), The university and its disciplines (pp. 71–83). New York: Routledge.Google Scholar
  25. Kemmis, S. (2005). Knowing practice: Searching for saliences. Pedagogy, Culture and Society, 13(3), 391–426.CrossRefGoogle Scholar
  26. Kemmis, S. (2009). Understanding professional practice: A synoptic framework. In B. Green (Ed.), Understanding and researching professional practice (pp. 19–38). Rotterdam: Sense Publishers.Google Scholar
  27. Kemmis, S., & Trede, F. (2010). Practice and developing future practice. In J. Higgs, D. Fish, I. Goulter, S. Loftus, J. Reid, & F. Trede (Eds.), Education for future practice (pp. 29–39). Rotterdam: Sense Publishers.Google Scholar
  28. Liamputtong, P. (2013). Qualitative research methods (4th ed.). Oxford, Victoria: Oxford University Press.Google Scholar
  29. Lindquist, I., Engardt, M., Garnham, L., Poland, F., & Richardson, B. (2006a). Development pathways in learning to be a physiotherapist. Physiotherapy Research International, 11(3), 129–139.CrossRefGoogle Scholar
  30. Lindquist, I., Engardt, M., Garnham, L., Poland, F., & Richardson, B. (2006b). Physiotherapy students’ professional identity on the edge of working life. Medical Teacher, 28(3), 270–276.CrossRefGoogle Scholar
  31. 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
  32. Loftus, S., & Higgs, J. (2010). Researching the individual in workplace research. Journal of Education and Work, 23(4), 377–388.CrossRefGoogle Scholar
  33. McCune, V., & Hounsell, D. (2005). The development of students’ ways of thinking and practising in three final-year biology courses. Higher Education, 49(3), 255–289.CrossRefGoogle Scholar
  34. Moustakas, C. (1990). Heuristic research design, methodology and applications. Thousand Oaks, CA: Sage Publications Inc.CrossRefGoogle Scholar
  35. Moustakas, C. (1995). Being-in, being-for, being-with. Lanham, NJ: Jason Aronson Inc.Google Scholar
  36. Noronen, L., & Wikström-Grotell, C. (1999). Towards a paradigm-oriented approach in physiotherapy. Physiotherapy Theory and Practice, 15(3), 175–184.CrossRefGoogle Scholar
  37. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage Publications.Google Scholar
  38. Richardson, B., Lindquist, I., Engardt, M., & Aitman, C. (2002). Professional socialization: Students’ expectations of being a physiotherapist. Medical Teacher, 24(6), 622–627.CrossRefGoogle Scholar
  39. Roskell, C., & Cross, V. (2003). Student perceptions of cardio-respiratory physiotherapy. Physiotherapy, 89(1), 2–12.CrossRefGoogle Scholar
  40. Schatzki, T. R. (1996). Social practices: A Wittgensteinian approach to human activity and the social. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  41. Schatzki, T. R. (2006). On organizations as they happen. Organization Studies, 27(12), 1863–1873.CrossRefGoogle Scholar
  42. Shaw, J. A., & DeForge, R. T. (2012). Physiotherapy as bricolage; Theorizing expert practice. Physiotherapy Theory and Practice, 28(6), 420–427.CrossRefGoogle Scholar
  43. Trede, F., & McEwen, C. (2016). Scoping the deliberate professional. In F. Trede & C. McEwen (Eds.), Educating the deliberate professional preparing for future practices (pp. 3–14). Switzerland: Springer.Google Scholar
  44. Turner, P. (2001). The occupational prestige of physiotherapy: Perceptions of student physiotherapists in Australia. Australian Journal of Physiotherapy, 47(3), 191–197.CrossRefGoogle Scholar
  45. Tyni-Lenné, R. (1989). To identify the physiotherapy paradigm: A challenge for the future. Physiotherapy Practice, 5(4), 169–170.CrossRefGoogle Scholar
  46. van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy. Albany, NY: State University of New York.Google Scholar
  47. Walker, K. (2013). University students’ perceptions of neurology and experiences of learning neurological physiotherapy. (Doctor of Education), University of East Anglia.Google Scholar
  48. Willis, P. (2004). From “The Things Themselves” to a “Feeling of Understanding”: Finding different voices in phenomenological research. Indo-Pacific Journal of Phenomenology, 4(1), 1–13.CrossRefGoogle Scholar
  49. World Congress for Physical Therapy. (2011). WCPT guideline for standards of physical therapy practice. Retrieved August 10, 2017, from
  50. World Health Organisation. (2016). International Classification of functioning, disability and health. Retrieved September 28, 2016, from

Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2017

Authors and Affiliations

  1. 1.School of Allied HealthLa Trobe UniversityBundooraAustralia
  2. 2.Sydney School of Education and Social WorkThe University of SydneySydneyAustralia
  3. 3.Learning Futures PortfolioWestern Sydney UniversitySydneyAustralia

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