PDF(Pubmed)
Abstract：
OBJECTIVE: It is important that allied health professionals (AHPs) are prepared for clinical practice from the very start of their working lives to provide quality care for patients, for their personal well-being and for retention of the workforce. The aim of this study was to understand how well newly qualified AHPs were prepared for practice in the UK.
METHODS: Systematic review.
METHODS: Embase, MEDLINE, CINAHL, ERIC and BEI were searched from 2012 to 2024. Grey literature searching and citation chasing were also conducted.
METHODS: We included primary studies reporting the preparedness for practice of UK graduates across 15 professions; all study types; participants included graduates who were up to 2 years postgraduation, their supervisors, trainers, practice educators and employers; and all outcome measures.
METHODS: A standardised data extraction form was used. Studies were quality assessed using the Quality Appraisal for Diverse Studies tool. 10% of articles were independently double-screened, extracted and quality assessed; 90% was completed by one researcher.
RESULTS: 14 reports were included (9 qualitative, 3 mixed-method and 2 quantitative). Six papers focused on radiographers, three on a mixture of professions, two on paramedics, and one each on physiotherapists, clinical psychologists and orthotists. An important finding of the review is the paucity and low-medium quality of research on the topic. The narrative synthesis tentatively suggests that graduates are adequately prepared for practice with different professions having different strengths and weaknesses. Common areas of underpreparedness across the professions were responsibility and decision-making, leadership and research. Graduates were generally well prepared in terms of their knowledge base.
CONCLUSIONS: High-quality in-depth research is urgently needed across AHPs to elucidate the specific roles, their nuances and the areas of underpreparedness. Further work is also needed to understand the transition into early clinical practice, ongoing learning opportunities through work, and the supervision and support structures in place.
UNASSIGNED: CRD42022382065.
METHODS: Systematic review.
METHODS: Embase, MEDLINE, CINAHL, ERIC and BEI were searched from 2012 to 2024. Grey literature searching and citation chasing were also conducted.
METHODS: We included primary studies reporting the preparedness for practice of UK graduates across 15 professions; all study types; participants included graduates who were up to 2 years postgraduation, their supervisors, trainers, practice educators and employers; and all outcome measures.
METHODS: A standardised data extraction form was used. Studies were quality assessed using the Quality Appraisal for Diverse Studies tool. 10% of articles were independently double-screened, extracted and quality assessed; 90% was completed by one researcher.
RESULTS: 14 reports were included (9 qualitative, 3 mixed-method and 2 quantitative). Six papers focused on radiographers, three on a mixture of professions, two on paramedics, and one each on physiotherapists, clinical psychologists and orthotists. An important finding of the review is the paucity and low-medium quality of research on the topic. The narrative synthesis tentatively suggests that graduates are adequately prepared for practice with different professions having different strengths and weaknesses. Common areas of underpreparedness across the professions were responsibility and decision-making, leadership and research. Graduates were generally well prepared in terms of their knowledge base.
CONCLUSIONS: High-quality in-depth research is urgently needed across AHPs to elucidate the specific roles, their nuances and the areas of underpreparedness. Further work is also needed to understand the transition into early clinical practice, ongoing learning opportunities through work, and the supervision and support structures in place.
UNASSIGNED: CRD42022382065.
摘要：
目的：专职医疗专业人员（AHP）从工作开始就为临床实践做好准备，为患者提供优质护理，这一点很重要，为了他们的个人福祉和留住劳动力。这项研究的目的是了解在英国为实践准备的新合格的AHP。
方法：系统评价。
方法：Embase，MEDLINE,CINAHL,从2012年到2024年对ERIC和BEI进行了搜索。还进行了灰色文献检索和引文追逐。
方法：我们纳入了主要研究，报告了15个职业的英国毕业生的实践准备情况；所有研究类型；参与者包括毕业后2年以下的毕业生，他们的主管,培训师,实践教育工作者和雇主；以及所有成果衡量标准。
方法：使用标准化的数据提取表。使用“多样化研究质量评估”工具对研究进行质量评估。10%的文章进行了独立的双重筛选，提取和质量评估；90%由一名研究人员完成。
结果：包括14份报告（9份定性报告，3混合方法和2定量)。六篇论文专注于射线技师，三个专业的混合，两名护理人员，物理治疗师每人一个，临床心理学家和矫形师。评论的一个重要发现是该主题的研究很少且质量不高。叙事综合初步表明，毕业生为实践做好了充分的准备，不同的职业具有不同的优势和劣势。各行业共同的准备不足领域是责任和决策，领导和研究。毕业生通常在知识基础方面做好了充分的准备。
结论：迫切需要在AHP中进行高质量的深入研究，以阐明其具体作用，他们的细微差别和准备不足的领域。还需要进一步的工作来了解向早期临床实践的过渡，通过工作不断学习的机会，以及到位的监督和支持结构。
■CRD42022382065。
方法：系统评价。
方法：Embase，MEDLINE,CINAHL,从2012年到2024年对ERIC和BEI进行了搜索。还进行了灰色文献检索和引文追逐。
方法：我们纳入了主要研究，报告了15个职业的英国毕业生的实践准备情况；所有研究类型；参与者包括毕业后2年以下的毕业生，他们的主管,培训师,实践教育工作者和雇主；以及所有成果衡量标准。
方法：使用标准化的数据提取表。使用“多样化研究质量评估”工具对研究进行质量评估。10%的文章进行了独立的双重筛选，提取和质量评估；90%由一名研究人员完成。
结果：包括14份报告（9份定性报告，3混合方法和2定量)。六篇论文专注于射线技师，三个专业的混合，两名护理人员，物理治疗师每人一个，临床心理学家和矫形师。评论的一个重要发现是该主题的研究很少且质量不高。叙事综合初步表明，毕业生为实践做好了充分的准备，不同的职业具有不同的优势和劣势。各行业共同的准备不足领域是责任和决策，领导和研究。毕业生通常在知识基础方面做好了充分的准备。
结论：迫切需要在AHP中进行高质量的深入研究，以阐明其具体作用，他们的细微差别和准备不足的领域。还需要进一步的工作来了解向早期临床实践的过渡，通过工作不断学习的机会，以及到位的监督和支持结构。
■CRD42022382065。
