Xulu-Kasaba Zamadonda N, Hoosen Firdous B, Mlanji Tina, Moosa Naadira, Ngcobo Sthembile, Nelwamondo Idani B, Baloyi Olivia B
Department of Optometry, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Health SA. 2025 Jun 11;30:2836. doi: 10.4102/hsag.v30i0.2836. eCollection 2025.
Effective clinical teaching in tertiary institutions relies heavily on clinical preceptors who supervise undergraduate students. While many health science disciplines have explored clinical supervisors' perceptions of their roles, limited evidence exists in optometry.
This study aimed to explore optometry clinical supervisors' views on their effectiveness as clinical teachers.
One-on-one interviews were conducted online via Zoom.
Interviews were conducted in English and transcribed verbatim. Using a social constructivist paradigm and the inductive approach of content analysis, the data were analysed. Twelve of 22 eligible clinical supervisors (aged 21 years -50 years; 75% female) participated in the study.
Two main categories emerged: (1) Roles and responsibilities of optometry preceptors, and (2) Intervening conditions that facilitate or hinder effective supervision. Participants described the clinic as a nurturing learning environment, with supervisors modelling professional behaviour, prioritising learning, and fostering psychological safety. Supervisors supported students in developing higher-order thinking. Facilitating factors included collaboration with academic staff and institutional support. However, high workloads, lack of adequate remuneration, and human resource challenges were identified as barriers to effective supervision.
Optometry clinical supervisors were committed to delivering effective preceptorship and creating a supportive clinical learning environment. Addressing workload, remuneration, and administrative challenges could enhance the supervision experience and sustain high-quality clinical teaching.
This study identifies key enablers and barriers to effective clinical supervision, offering insights to improve the clinical training experience for undergraduate optometry students.
高等院校有效的临床教学在很大程度上依赖于指导本科生的临床带教老师。虽然许多健康科学学科都探讨了临床带教老师对其角色的看法,但验光领域的相关证据有限。
本研究旨在探讨验光临床带教老师对其作为临床教师有效性的看法。
通过Zoom在线进行一对一访谈。
访谈用英语进行,并逐字转录。采用社会建构主义范式和内容分析的归纳法对数据进行分析。22名符合条件的临床带教老师中有12名(年龄21岁至50岁;75%为女性)参与了该研究。
出现了两个主要类别:(1)验光带教老师的角色和职责,以及(2)促进或阻碍有效监督的干预条件。参与者将诊所描述为一个培育性的学习环境,带教老师树立专业行为榜样,将学习放在首位,并营造心理安全感。带教老师支持学生培养高阶思维。促进因素包括与学术人员的合作和机构支持。然而,高工作量、缺乏足够报酬和人力资源挑战被确定为有效监督的障碍。
验光临床带教老师致力于提供有效的带教指导并营造支持性的临床学习环境。解决工作量、报酬和行政方面的挑战可以提升监督体验并维持高质量的临床教学。
本研究确定了有效临床监督的关键促进因素和障碍,为改善本科验光专业学生的临床培训体验提供了见解。