From Clinical Practice to the Classroom. Advantages and Disadvantages of Video and Paper Cases on the Motivation and Clinical Reasoning of Occupational Therapy Students
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Participants
2.3. Outcome Measures
3. Procedure
4. Recruitment and Randomization
5. Data Analysis
5.1. Quantitative Measures
5.1.1. Instructional Material Motivation Survey (IMMS)
5.1.2. Grade of the Clinical Reasoning Case Exercise
5.1.3. Relationship between Motivation and the Grade of the Clinical Reasoning Case Exercise
5.2. Qualitative Analysis
6. Ethical Considerations
7. Results
7.1. Quantitative Results
7.1.1. Grades of the Clinical Reasoning Case Exercise
7.1.2. Relationship between Motivation and the Grade of the Clinical Reasoning Case Exercise
7.2. Qualitative Results
7.2.1. Aspects Related to the Format of Presentation
It is much more visual, which gives us the chance to be more objective, because we can directly see how the person performs certain activities of daily living (st 89).
You really see the person and you can get an idea of how the illness is affecting her (st 67).
Thanks to non-verbal communication and people’s gestures you can have much more information that is sometimes missing in a written document (st 72). Because patient’s expressions show much more than words (st 110).
You can check which limitations are more significant for the patient, thus getting a better idea of her physical environment (st 90).
You can observe the patient’s real situation and perceive her relationship with others (st 120).
I think that, when doing the case through the video, it is more difficult to notice the details, because a lot more attention is required. In the report it is already written (st 104).
I think […] the process of doing the clinical reasoning case exercise is slower, because you have to draw your own conclusions and perhaps there are a lot of details that you miss. Probably we will watch the video more than once to make a good clinical reasoning case exercise (St 99).
You always have the information at hand, and it is much quicker to select the different aspects that you need to complete the task (st 13).
[…] you can check the information easily if you don’t remember something (st 60).
It is easier because everything is written, well explained and developed, so you do not have to think so much about the different details (st 28).
You can directly read the problems of the patient for whom we are conducting the clinical reasoning case exercise (st 40).
You don’t really see the person. I can’t treat a person only by reading a report. Talking to the person or seeing how she acts is very important (st 2).
You miss a lot of details when you don’t see her performance, including the way she communicates (st 26).
7.2.2. Motivation to Learn from the Case
It was entertaining; more interesting than reading a report (st 95).
It is more enjoyable, and you can observe things that do not appear at reports, such as facial expression (st 86).
It is boring and you do not connect so much with the person because it is more superficial (st 12).
You can get distracted while reading because it is not so enjoyable, and you can miss some important details (st 56).
7.2.3. Professional Abilities Acquired
You get involved in the role of the therapist and see with your own eyes what the client’s behavior is like (st 88).
We put ourselves in the role of OTs and start a little bit in the world of a therapist, seeing real cases (st 119).
Seeing the body expressions and movements and listening to her voice makes it easier to be empathetic with the patient and her situation…and it helps to establish a better occupational diagnosis (st 118).
It helps to connect more with the person and her problem […] (st 90).
It’s difficult to put yourself in the patient’s shoes, because you’re not seeing her body expressions and/or evolution at each moment or activity that she is performing (st 27).
You don’t really see the person. I cannot treat a person just by reading a report. Seeing the person or talking to her is very important (st 6).
8. Discussion
8.1. Attention
8.2. Relevance
8.3. Confidence
8.4. Satisfaction
8.5. Grades of the Clinical Reasoning Case Exercise
8.6. Limitations
9. Conclusions
Practical Applications
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Instructional Material Motivation Survey | Grades of the Clinical Reasoning Case Exercise | ||||
---|---|---|---|---|---|
Attention * | Relevance * | Confidence * | Satisfaction | Rating | |
Video | 4.29 (0.59) | 4.07 (0.53) | 3.90 (0.49) | 4.09 (0.72) | 5.01 (1.84) |
Paper | 3.75 (0.56) | 3.81 (0.49) | 3.59 (0.48) | 3.87 (0.60) | 4.95 (2.10) |
Themes | Categories | |||
---|---|---|---|---|
Video | Paper | |||
Positive Aspects | Negative Aspects | Positive Aspects | Negative Aspects | |
Aspects related to the format of presentation | More realistic appreciation of occupational performance Non-verbal communication access Appreciation of the environment context | The information is less specific and more difficult to find | Accessibility clarity | Less information |
Motivation to learn from the case | Enjoyable | Boring | ||
Professional abilities acquired | Approach of the professional role of occupational therapist Ability to empathize | Does not generate empathy |
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Rodríguez-Bailón, M.; Fernández-Solano, A.J.; Merchán-Baeza, J.A.; Vidaña-Moya, L. From Clinical Practice to the Classroom. Advantages and Disadvantages of Video and Paper Cases on the Motivation and Clinical Reasoning of Occupational Therapy Students. Int. J. Environ. Res. Public Health 2021, 18, 9671. https://doi.org/10.3390/ijerph18189671
Rodríguez-Bailón M, Fernández-Solano AJ, Merchán-Baeza JA, Vidaña-Moya L. From Clinical Practice to the Classroom. Advantages and Disadvantages of Video and Paper Cases on the Motivation and Clinical Reasoning of Occupational Therapy Students. International Journal of Environmental Research and Public Health. 2021; 18(18):9671. https://doi.org/10.3390/ijerph18189671
Chicago/Turabian StyleRodríguez-Bailón, María, Ana Judit Fernández-Solano, Jose Antonio Merchán-Baeza, and Laura Vidaña-Moya. 2021. "From Clinical Practice to the Classroom. Advantages and Disadvantages of Video and Paper Cases on the Motivation and Clinical Reasoning of Occupational Therapy Students" International Journal of Environmental Research and Public Health 18, no. 18: 9671. https://doi.org/10.3390/ijerph18189671