Thursday 26 June 2014

Is there a theory-practice gap in professional training? A critical analysis of attempts to prepare undergraduates as professionals in Medical Imaging.

Tony Ward


The theory practice gap has been much reported in health science degrees (Maben, 2006, Baxter, 2007, Mackay et al 2008 and Ferrara 2010). However, little research has been undertaken within the field of Diagnostic Radiography and that which has been undertaken has focused on gaps in the curriculum. This study considered the phenomena of the theory practice gap from a different perspective - that of student experience. This has been done by exploring how students acquire, develop and experience professional knowledge during the early years of their undergraduate training at the University of Liverpool. This case study has illustrated how professional knowledge is conceptualised, developed, transferred and experienced within the work placement.

   The methodological approach chosen for this case study was phenomenography. The rationale for this approach is that an interpretivist methodology allows the research to focus on the qualitatively different ways that students experience, perceive and conceptualise the phenomena of linking theory to practice (Marton, 1996).
   A multi method approach to data collection was adopted and it included focus groups and semi-structured interviews. The sample included eighteen students; nine from both years one and two of the undergraduate programme in Diagnostic Radiography.
   This study has exposed a complex derivation of knowledge and this has been illustrated using Sfard’s (1998) and Engeström and Sanninio’s (2010) learning metaphors of acquisition, participation and expansion. During the student group’s professional development, they cognitively acquire knowledge within the university; knowledge is then acquired through social participation in practice and between these two learning contexts knowledge is expansively developed. Expansion occurs through considering the contradictions between the university and the clinical placement. It has also been identified that the student group personalise knowledge and this is an important feature in the student group becoming professionals. To help illustrate this, Bourdieu’s (1977) concept of habitus has been used.     
References

Baxter, P. (2007) 'The CCARE model of clinical supervision: bridging the theory -- practice gap... (Communication, collaboration, application, reflection, evaluation)', Nurse Education in Practice, 7(2), 103-111.

Bourdieu, P. (1977). Outline of a theory of practice [by] Pierre Bourdieu; translated by Richard Nice: Cambridge: Cambridge University Press.

Engeström, Y., & Sannino, A. (2010). Studies of expansive learning: Foundations, findings and future challenges. Educational Research Review, 5(1), 1-24.

Ferrara, L. R. (2010) 'Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: bridging the theory practice gap', Research & Theory for Nursing Practice, 24(4), 213-216.

Maben, J., Latter, S. and Clark, J. M. (2006) 'The theory-practice gap: impact of professional-bureaucratic work conflict on newly-qualified nurses', Journal of Advanced Nursing, 55(4), 465-477.

Mackay, S. J., Anderson, A. C. and Hogg, P. (2008) 'Preparedness for clinical practice -- perceptions of graduates and their work supervisors', Radiography, 14(3), 226-232.

Marton, F. and Booth, S. A. (1997) Learning and awareness, Mahwah, NJ US: Lawrence Erlbaum Associates Publishers.

Sfard, A. (1998). On two metaphors for learning and the dangers of choosing just one. Educational Researcher, 27(2), 4-13.