Educational needs and workplace opportunities of allied health assistants: A qualitative pilot
Keywords:allied health professional, healthcare assistants, vocational training, educational needs assessment, professional education
AbstractIntroduction: Healthcare assistants perform a broad range of clinical and administrative tasks across many clinical settings and are supervised by most professional groups. This diversity creates challenges for maintaining a consistent scope of practice and consistent patterns of skill utilisation. It is not clear whether formal education in universities for allied health assistants (AHAs) could better shape the role and opportunities for the AHA workforce. Methods and analysis: An exploratory qualitative study was designed to investigate the perspectives of senior allied health clinicians and academics about the educational needs and workplace opportunities for AHAs. We were interested in whether university education for AHAs could help to shape consistent roles and expectations of AHAs for the future workforce. A convenience sample of participants was invited to exploratory semi-structured interviews, and their responses were thematically analysed and integrated. Results: Twelve participants, representing eight different allied health professions, were interviewed. Three themes emerged. Participants described the diverse roles, capabilities and expectations of the health assistant workforce. Current vocational training was considered inconsistent and insufficient, and participants reported significant local training occurring to meet the expectations of different work environments. Future educational pathways in university were not supported by any participants for many, largely practical, reasons. Conclusion: University-level education does not appear to be a feasible tool to ensure consistent workforce roles and expectations for allied health assistants. Instead, AHAs need integrated educational pathways across vocational training and workplace environments. Continued workforce design is required to align assistant and professional roles and expectations.
Billett, S., & Somerville, M. (2004). Transformations at work: Identity and learning. Studies in Continuing Education, 26(2), 309–326. doi:10.1080/158037042000225272
Castro, F. G., Kellison, J. G., Boyd, S. J., & Kopak, A. (2010). A methodology for conducting integrative mixed methods research and data analyses. Journal of Mixed Methods Research, 4(4), 342–360. doi:10.1177/1558689810382916
Duckett, S. J. (2005). Interventions to facilitate health workforce restructure.Australia and New Zealand Health Policy, 2(14), 1–6.
Eisner, E. W. (1998). The enlightened eye: Qualitative enquiry and the enhancement ofeducational practice. Upper Saddle River, NJ: Prentice Hall.
Fylan, F. (2005). Semi-structured interviewing. In J. Miles & P. Gilbert (Eds.), A handbook of research methods for clinical and health psychology (pp. 65–78). New York, NY: Oxford University Press.
Lizarondo, L., Kumar, S., Hyde, L., & Skidmore, D. (2010). Allied health assistants and what they do: A systematic review of the literature. Journal of Multidisciplinary Healthcare, 3, 143–153. doi:10.2147/JMDH.S12106
Nancarrow, S. A., & Borthwick, A. M. (2005). Dynamic professional boundaries in the healthcare workforce. Sociology of Health & Illness, 27(7), 897–919. doi:10.1111/j.1467-9566.2005.00463.x
Nancarrow, S. A., Roots, A., Grace, S., Moran, A. M., & Vanniekerk-Lyons, K. (2013). Implementing large-scale workforce change: Learning from 55 pilot sites of allied health workforce redesign in Queensland, Australia. Human Resources for Health, 11(1), 66. doi:10.1186/1478-4491-11-66
O’Brien, R., Byrne, N., Mitchell, R., & Ferguson, A. (2013). Rural speech-language pathologists’ perceptions of working with allied health assistants. International Journal of Speech-Language Pathology, 15(6), 613–622.
Pearce, C., & Pagett, L. (2015). Advanced allied health assistants: An emerging workforce. Australian Health Review, 39(3), 260–263. doi:10.1071/AH14253
Somerville, L., Davis, A., Milne, S., Terrill, D., & Philip, K. (2017). Exploration of an allied health workforce redesign model: Quantifying the work of allied health assistants in a community workforce. Australian Health Review. Advance online publication. doi:10.1071/AH16266
Stanhope, J., & Pearce, C. (2013). Role, implementation, and effectiveness of advanced allied health assistants: A systematic review. Journal of Multidisciplinary Healthcare, 6, 423–434. doi:10.2147/JMDH.S50185
Stute, M., Hurwood, A., Hulcombe, J., & Kuipers, P. (2013). Defining the role and scope of practice of allied health assistants within Queensland public health services. Australian Health Review, 37(5), 602–606. doi:10.1071/AH13042
Stute, M., Hurwood, A., Hulcombe, J., & Kuipers, P. (2014). Pilot implementation of allied health assistant roles within publicly funded health services in Queensland, Australia: Results of a workplace audit. BMC Health Services Research, 14(1), 258. doi:10.1186/1472-6963-14-258
Taché, S., & Chapman, S. (2006). The expanding roles and occupational characteristics of medical assistants: Overview of an emerging field in allied health. Journal of Allied Health, 35(4), 233–237.
Turnbull, C., Grimmer-Somers, K., Kumar, S., May, E., Law, D., & Ashworth, E. (2009). Allied, scientific and complementary health professionals: A new model for Australian allied health. Australian Health Review, 33(1), 27–37.
Wallace, S. (2016). Re: Building allied health workforce capacity: A strategic approach to workforce innovation [Comment]. Australian Health Review, 40(4), 473. doi:10.1071/AH15176
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