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A stimulating, practice-based job facing increased stress: Clinical supervisors’ perceptions of professional role, physiotherapy education and the status of the profession
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.ORCID iD: 0000-0003-3083-106X
Umeå University, Faculty of Social Sciences, Department of Child and Youth education, Special Education and Counselling (BUSV).
Umeå University, Faculty of Social Sciences, Department of Sociology.
2005 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 7, no 3, 114-122 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to study perceptions of professional role, education and the status of the profession among clinical physiotherapy supervisors. Five focus group discussions were conducted with 15 supervisors attached to four universities in Sweden. Qualitative analyses were carried out using constant comparisons. Triangulation of researchers was used to increase trustworthiness. The supervisors experienced themselves as being in the centre of two competing and changing fields - the academic setting and the clinic in healthcare organization. The contact with students and their updated knowledge base were the most positive aspects of being clinical supervisors. To create a good learning environment for the students was considered important, but lack of time in all aspects of the work created stress and dissatisfaction. Students’ hands-on skills and treatment techniques were regarded to be rather poor and there is too much emphasis on theoretical knowledge and research methods in the curriculum. The physiotherapy profession has potentials to develop in innovative fields such as health promotion and disease prevention outside the hospitals, but healthcare with its hierarchical organization is a hindrance for this development. Collaborative efforts to bridge the gap between university and clinical setting are needed.

Place, publisher, year, edition, pages
Taylor & Francis, 2005. Vol. 7, no 3, 114-122 p.
Keyword [en]
Focus group discussion, hands-on skills, healthcare organization, physiotherapy education, stress, student supervision, theory-practice gap
National Category
Educational Sciences
Identifiers
URN: urn:nbn:se:umu:diva-66897DOI: 10.1080/14038190510010359OAI: oai:DiVA.org:umu-66897DiVA: diva2:609651
Projects
digitalisering@umu
Available from: 2013-03-06 Created: 2013-03-06 Last updated: 2017-12-06Bibliographically approved
In thesis
1. Profession on the move: Changing conditions and gendered development in physiotherapy
Open this publication in new window or tab >>Profession on the move: Changing conditions and gendered development in physiotherapy
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Physiotherapy in Sweden has developed from a practical, hands-on, assistant job predominantly taught at college level to a university-based academic discipline emphasising evidence-based practice and research. Women are in majority although an increasing number of men have entered the profession. Women and men physiotherapists tend to undertake different career paths. The overall aim of the present thesis was to use a gender perspective to describe and analyse attitudes to the professional role, health care work and the development of the profession among actors engaged in physiotherapy education.

A questionnaire was distributed in 1997 to all Swedish physiotherapy students in the second semester of the education (n=273). The same cohort was investigated in 1999 at the completion of the education. The response rate was 93 percent at both occasions. For an international comparison, the same questionnaire was distributed in 1997 and in 1999 to a group of Canadian physiotherapy students in their first and last semesters (n=60). Qualitative research interviews were conducted with 8 novices in physiotherapy and with 14 women educators in academia. Five focus group discussions with clinical supervisors were conducted (10 women and 5 men). Methods used were Grounded theory, factor analysis, logistic regression and path analysis. Feminist theories and Bourdieu's theory of culture constituted a theoretical framework

Four ideal types were identified among the novices representing attitudes to the professional role. The Treater and The Supervisor were attitudes found among the women, whereas The Coach and The Entrepreneur were attitudes among the men. Type of health care facility was important for their positioning in the organisational hierarchy. Swedish students favour future employment in private practice. Sports medicine clinics and fitness centres are health care facilities highly endorsed, as is health promotion. Neither care of elderly nor hospital work are preferable fields of practice. Research is not favoured. Men students are more likely to have chosen the profession because of their interest in physical activity and sports. They are also more likely to prefer owning a private clinic and working with alternative approaches such as fitness training in sports medicine clinics. Women students are more likely to prefer an employment in private practice. The Canadian men students favour private practice whereas the women prefer the public sector of health care. The academic educators experience a gap between theory and practice which causes conflicting messages to students. Competing professions, emergent societal change and a conservative clinical practice constitute threats to the profession. The uniqueness of professional competency, theoretical development and new arenas such as home rehabilitation, consulting and research constitute a vision for future development of the profession. Masculinity is highly valued for status and power whereas femininity symbolises empathy and caring. The clinical supervisors update their theoretical knowledge base through supervision of students, but claim that students lack hands-on skills. Stress at work, unequal power relations in the hierarchy and restructuring of health care are factors that influence work satisfaction negatively. To conclude, gendered habitus, different symbolic capital and different attitudes towards health care work and development of the profession were found in the sub-fields of physiotherapy.

Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2001. 132 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 730
Keyword
career, gender, division of labour, physiotherapy, health care, professional socialisation, professional development, gendered habitus, field, symbolic capital
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-7519 (URN)91-7305-017-2 (ISBN)
Public defence
2001-05-11, Tandläkarhögskolan, Sal B, 9tr., Umeå universitet, Umeå, 10:00
Projects
digitalisering@umu
Available from: 2008-01-10 Created: 2008-01-10 Last updated: 2015-04-29Bibliographically approved

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Öhman, AnnHägg, KerstinDahlgren, Lars
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Epidemiology and Public Health SciencesDepartment of Child and Youth education, Special Education and Counselling (BUSV)Department of Sociology
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