Fakultät „Life Sciences“ (Arbeitstitel)

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Expectations concerning a future
health care system
– the view of physiotherapists, occupational therapists, speech
and language therapists, and midwives.
Development “Bachelor Interdisciplinary Health Care” in the context
“Advancement through Education: Open Universities”
Runtime: 15.08.2012 – 31.03.2015
Prof. Dr. Susanne Busch, Prof. Dr. Joachim Westenhöfer
Johannes Balke M.A., Lita Herzig M.Sc., Kristin Maria Käuper M.Sc.
Manchester CARPE Conference • 4 - 6th November 2013
Funded by German Federal Ministry
of Education and Research (BMBF)
and European Social Fund (ESF)
OUTLINE
Background
Studydesign
Results
Discussion
BACKGROUND
 Demographic change = change and new requirements on health
professionals’ work and interprofessional cooperation (WR 2012).
 Midwives, occupational therapists, physiotherapists and speech and
language therapists are still trained at vocational schools.
German Council of Science and Humanities 2012: 7
“ […] Moreover, courses should be developed which offer attractive
further academic education opportunities to trained, experienced
personnel [in the area of physiotherapy, occupational therapy, speech
an language therapy, and midwifery] for specialized patient-oriented
tasks and for activities in teaching and health management. […]“
BACKGROUND
The CCG at HAW Hamburg is developing an interdisciplinary bachelor
for midwives, occupational therapists, physiotherapists and speech and
language therapists.
 No robust data for Germany exist on interdisciplinary study concepts,
needs of prospective students and demands of labour market.
Aim
Development of a demand-oriented and innovative
study program by an expert review on expectations,
needs and demands for these health care professions.
STUDY DESIGN: DELPHI SURVEY
1. online expert round with health
care professionals (n=54)
QUALITATIVE
Expertsurveys with
lecturers of
scientific
disciplines
care professionals (n=48)
QUANTITATIVE
care professionals
QUANTITATIVE
Impulses for content design of the
study program
√
√
RESEARCH APPROACH
Qualitative
questionnaire
1. Round – May 2013
emerging challenges
in practice
demands in health
care
interdisciplinarity
(no) motivation
starting studying
structural study
format
willingness-to-pay
fees
skills and
competencies
RESULTS I : reasons pro and contra part-time study
PRO
„To ensure the continued existence and develoment of midwifery and to get
ready for the changing social demands.“
(12013HAg50)
PRO
„The study enhances professional roles and identities as an important issue for a
continued professionalization process.“
(12013PAg25)
CONTRA
„Focusing only on theory and science and not on individual patients‘ needs.
The loss of practical skills.“
(12013EAn33)
CONTRA
„There is no reason [not to study], however an academic qualified occupational
therapist is not better paid.“
(12013EAn34)
RESEARCH APPROACH
1. Round – May 2013
Qualitative
questionnaire
emerging challenges
in practice
demands in health
care
interdisciplinarity
(no) motivation
starting studying
structural study
format
willingness-to-pay
fees
skills and
competencies
RESEARCH APPROACH
2. Round – JULY 2013
179 items out of 438 analysis units
Quantitative
questionnaire
communication and
counselling
basic of science and
research
health and biography
teaching and tutelage
leadership actions
new care concepts
professional
environment
reference disciplines
interdisciplinary
teamwork
personal skills and
competencies
discipline - specific skills
Results II: total results from all professional groups
learning objectives: highest and lowest means
mean ± SD
conversation skills
counseling
basics of communication
interdisciplinary communication
theory of treatment approaches
practical experiences in the context of evidence based practice
3.8 ± 0.4
3.7 ± 0.5
3.7 ± 0.5
3.7 ± 0.5
3.7 ± 0.5
3.6 ± 0.6
knowledge about state of research of other health professionals’
human genetics
political science
2.5 ± 0.6
2.4 ± 0.6
2.4 ± 0.7
Results II: category science and research
learning objectives: highest and lowest means
mean ± SD
theory of treatment approaches
practical experiences in the context of evidence based practice
diagnostic procedures
benefits and limitation of evaluation concepts
traditional knowledge and missing evidence
3.7±0.5
3.6± 0.6
3.6±0.6
3.6±0.6
3.5±0.6
statistics & epidemiology
experimental research designs
scientific theory
3.0±0.7
2.9±0.9
2.8±0.7
Results II: personal competencies after graduation
personal competencies: highest and lowest means
mean ± SD
reflection about individual skills and limitation
networking thinking
dealing with success and failure of treatment
empathy
self-organization and time management
emotional self-protection
3.7±0.5
3.6± 0.5
3.6±0.5
3.5±0.6
3.5±0.6
3.4±0.6
dealing with severely ill patient or newborns
reflection about closeness and distance
3.0±0.7
3.0±0.6
3.0±0.8
dealing with psychogeriatric disorders
DISCUSSION: results & empirical approach
results: necessary skills
conversation
and counseling
reflective
practice
networking /
interdisciplinary
discipline-specific
professionalization
empirical approach: benefits
complex issues
stakeholder
involvement
anonymous group
communication
needs
assessment
empirical approach: limitations
definition
expert-panel
heterogeneity
closed group
communication
data quality
(of the 2nd round)
12013HAn47:
„Life Long learning is a basic requirement for long-term
success! We work with people and not with products.“
Thank you for your attention!
Manchester CARPE Conference • 4 - 6th November
REFERENCE LIST
Wissenschaftsrat (German Council of Science and Humanities ) (2012):
Recommendations on higher education qualifications for the healthcare
system, Executive summary, Berlin.
Funded by
German Federal Ministry of Education and Research (BMBF)
Advancement through Education
European Social Fund (ESF)
European Union

Fakultät „Life Sciences“ (Arbeitstitel)

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