Megan Caroline Smith

Megan Caroline Smith
Charles Sturt University · School of Community Health

PhD

About

55
Publications
7,403
Reads
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683
Citations
Citations since 2016
8 Research Items
423 Citations
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2016201720182019202020212022010203040506070
2016201720182019202020212022010203040506070
Introduction
I live in rural Australia and am committed to achieving research outcomes that can positively impact on the health of individuals living in rural communities. My research interests are in health professional practice and in particular clinical reasoning and decision making. I'm interested in understanding how students learn to be health professionals and how we can effectively assess that students achieve the outcomes needed for high quality practice.
Additional affiliations
January 1999 - present
Charles Sturt University
Position
  • Head of School
Education
January 2002 - December 2006
University of Sydney
Field of study
  • Physiotherapy

Publications

Publications (55)
Article
Full-text available
This narrative review examined the literature relevant to encounters between physiotherapists and clients with suicidal thoughts and behaviours (STBs). The review was conducted in response to a growing international movement to make suicide prevention everyone's business. The Framework for Suicide Risk Assessment and Management for NSW Health Staff...
Article
Dietitians learn clinical decision making (CDM) predominantly as an autonomous cognitive process that considers the needs and preferences of the patient. While interprofessional education is increasing in tertiary dietetic programs, a paucity of research exists that explores the nature of how practising dietitians make decisions, independent or oth...
Article
Full-text available
In Australia, physiotherapists are registered healthcare practitioners who possess the knowledge and skills to care for clients with poor physical health as a result of musculoskeletal, neurological, and respiratory conditions. Although physiotherapists are not considered a primary profession in the Australian mental health workforce, the associati...
Article
This paper, through a deep examination of clinical workplaces as learning spaces, uses a holistic interpretation of clinical education and offers a practice development crucible metaphor as a useful way to deepen how clinical education can be conceptualized. An in-depth conceptualization of clinical education is needed if educators are able to deve...
Article
Universities face increasing pressure not only to embed interprofessional education within health education curricula but also to prepare graduates as catalysts of change for interprofessional, team-based approaches to health care delivery. Currently, few leadership programmes exist that support the expansion of interprofessional education. This pa...
Article
This scoping study examined how “leadership” is referred to and used in interprofessional education and practice. A total of 114 refereed articles were reviewed to determine how leadership is defined, conceptualised, and theorised. The review also examined what capabilities were identified for effective interprofessional leadership. The majority of...
Article
Full-text available
Purpose: The purpose of this manuscript is to identify key elements of allied health clinical supervision based on allied health practitioner's experiences. Method: This study was conducted with qualitative methodology, including content analysis, and draws on hermeneutic interpretation of texts. Data were collected through an online survey in an A...
Article
The purpose of this manuscript is to identify key elements of allied health clinical supervision based on allied health practitioner’s experiences. Method: This study was conducted with qualitative methodology, including content analysis, and draws on hermeneutic interpretation of texts. Data were collected through an online survey in an Australian...
Conference Paper
Full-text available
1. Presentation Title Clinical learning spaces: Crucibles for practice development 2. Introduction/background: Clinical education plays a critical role in the experiential construction and testing of students’ professional knowledge. A pivotal component of understanding students’ development of professional practice capabilities in a clinical educ...
Conference Paper
Full-text available
Professional practices, understood as complex, dynamic and transformative are necessarily underpinned by a wide range of capabilities. This presentation reports on the findings of doctoral research that explored how capability can provide a useful way to understand the centrality of individual qualities and abilities to professional practice. In pa...
Chapter
“It Comes Down to the People More Than the Place” The understanding of workplace learning (e.g. clinical education activities) as participation in authentic workplace activities underscores the importance of explicating the relational nature of workplaces in clinical education. This chapter draws on Narelle’s doctoral research to illuminate the cen...
Article
Background: Reflection has become an accepted element of physiotherapy education. Reflection is a cognitive, emotional, and embodied activity that remains largely invisible as individuals undertake their professional work. The use of reflection has been related to a number of positive benefits for practitioners such as to develop their capacity for...
Article
Reflective practice is widely taught within higher education and is regarded as beneficial to developing graduates' ability to practise effectively within professional environments. In spite of widespread acceptance of the merits of reflective practice, a comprehensive understanding of teaching reflective practice remains incomplete and contested....
Article
In this paper, we examine workplace educators’ interpretations of their assessment practices. We draw on a critical practice lens to conceptualise assessment practice as a social, relational and situated practice that becomes critical through critique and emancipation. We conducted semi-structured interviews followed by roundtable discussions with...
Conference Paper
Full-text available
This paper presents findings from a doctoral interpretive research project that explored the development of physiotherapy students’ professional practice capabilities in a clinical education context from the perspective of physiotherapy students and clinical educators. These findings build on the understanding of the work of professionals as comple...
Article
Clinical education has long been accepted as integral to the education of physiotherapy students and their preparation for professional practice. The clinical environment, through practice immersion, situates students in a powerful learning context and plays a critical role in students' construction of professional knowledge. Despite this acknowled...
Chapter
This chapter narrates and critically reflects upon our experience designing and delivering an educational development program for professionals supervising students during periods of workplace learning (WPL). Since the program focuses on educational skills and knowledge rather than profession-specific skills and knowledge, we use the terms educatin...
Article
Full-text available
Clinical supervision is presented as a complex set of skills that may broadly apply to any and all allied health professions. However, it is also noted that a clear understanding of clinical supervision and how to implement it in allied health is currently lacking. It is argued that there is a need to reflect upon current approaches to clinical sup...
Article
Reflective practice in practice settings can enhance practice knowledge, self-assessment and lifelong learning, develop future practice capability and professional identity, and critically appraise practice traditions rather than reproduce them. The inherent power imbalance between student and educator runs the risk for the reflective practice pote...
Chapter
Full-text available
This chapter focuses on increased options for learning in health education through supporting the mobility of learners with appropriate technologies with particular emphasis on developing contexts.
Chapter
Assessment in practice-based education (PBE) can have many different purposes: assuring the public that graduates are safe and responsible practitioners, complying with professional accreditation bodies’ requirements, certifying achievement of learning, stimulating further learning, or informing curriculum development and program reviews. Assessmen...
Article
In this paper we critically discuss the latest research in clinical reasoning, and apply the recommendations drawn from this research to realistic scenarios faced by physiotherapy educators in university and clinical settings. We argue that the explicit development of clinical reasoning is a foundation requirement of entry level practice education...
Article
This article investigates clinical decision making in acute care hospitals by cardiorespiratory physiotherapists with differing degrees of clinical experience. Participants were observed as they engaged in their everyday practice and were interviewed about their decision making. Texts of the data were interpreted by using a hermeneutic approach tha...
Chapter
This book provides comprehensive coverage of the key issues and perspectives in the current practice of physiotherapy, focusing on the issues that are not taught in 'clinical' texts yet that underpin professional practice. The book helps students gain a good understanding of the physiotherapy profession. It will introduce students to the key practi...
Article
Physiotherapists have been increasingly interested in investigating physiotherapy clinical reasoning and decision-making processes. Cardiorespiratory physiotherapy has received little attention within this increasing body of research. This study aimed to investigate characteristics and processes of cardiorespiratory physiotherapy decision making an...
Chapter
his book provides comprehensive coverage of the key issues and perspectives in the current practice of physiotherapy, focussing on the issues that are not taught in 'clinical' texts yet that underpin professional practice. The book helps students gain a good understanding of the physiotherapy profession. It will introduce students to the key practi...
Article
What factors influence the decision making of cardiorespiratory physiotherapists in acute care? How do cardiorespiratory physiotherapists manage multiple factors in their decision making? Qualitative study using observation and semi-structured interviews. Fourteen physiotherapists working in acute cardiorespiratory care. Cardiorespiratory physiothe...
Article
In theory, educational materials should reflect the underlying source and evidence base of the curricula. The purpose of the present study was to identify the levels of evidence represented within the cardiothoracic curricula in undergraduate (entry-level) physiotherapy programmes within Australia. Using a retrospective document review, all tertiar...
Article
Full-text available
Cardiovascular complications are the main cause of death in people with diabetes. Early, asymptomatic changes are due to autonomic nervous system dysfunction, which if identified can lead to improved health. This study used detrended fluctuation analysis to identify changes in heart rate variability (HRV) associated with short-time electrocardiogra...
Article
It is a commonly held assumption that retained airway mucus places the postoperative patient at greater risk of developing clinically significant atelectasis or pneumonia. This assumption is supported by this review of the available literature. However, not all postoperative patients are equally at risk of developing retained mucus. Factors such as...
Article
Full-text available
Results of an online survey of FCs, based on the Learning and Teaching Leaders Survey (Scott et al 2008), will be verified with symposia participants. Key challenges of the FC role will be examined with participants to enable the refinement of the leadership development program.

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