Safety in Occupational Therapy Education: Student Perceptions of Emotional and Physical Safety Beyond the Classroom

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Publicado en:Journal of Allied Health vol. 54, no. 4 (Winter 2025), p. E537-E543
Autor principal: Buban, Gina, OTD OTR/L
Otros Autores: Armstrong-Heimsoth, Amy, OTD OTR/L, Lockmiller, Catherine, MLIS, Stephenson, Sara, OTD OTR/L
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Association of Schools of Allied Health Professions
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100 1 |a Buban, Gina, OTD OTR/L  |u Assistant Clinical Faculty and the Director of Fieldwork Education in the Occupational Therapy Program 
245 1 |a Safety in Occupational Therapy Education: Student Perceptions of Emotional and Physical Safety Beyond the Classroom 
260 |b Association of Schools of Allied Health Professions  |c Winter 2025 
513 |a Journal Article 
520 3 |a BACKGROUND: This study investigates the perceptions of safety among entry-level doctoral occupational therapy (OT) students during their Level II fieldwork and capstone experiences. The significance of safety, defined as emotional comfort and the ability to express oneself authentically, is emphasized in fostering learning outcomes and mental health. The paper highlights that institutions providing safe spaces enhance acceptance and conversely, a lack of emotional safety, often due to microaggressions, adversely affects student retention and mental health. METHOD: An author-created survey was utilized at the conclusion of the program to 45 third-year OT students. The 10-item survey assessed perceived physical and emotional safety during fieldwork/clinical rotations and capstone, occurrences of microaggressions, and possible solutions to improve student's sense of safety. RESULTS: The majority of respondents reported feeling physically (95%) and emotionally (72%) safe overall. However, Level II fieldwork/clinicals was identified as the setting where students reported the most frequent lack of safety. Six main themes impacting safety perceptions were identified: expectations, reflection/advocacy, education/preparation, communication, coping strategy, and the acknowledgment that some students may not require interventions. CONCLUSION: Findings suggest that allied health academic programs should take steps to ensure that the safe spaces created during didactic portions of the curriculum extend into clinical and experiential settings. This approach will not only improve learning outcomes but also support students' mental health and their ability to provide quality healthcare. Future research should focus on evidence-based practices to support student safety in clinical education. J Allied Health 2025; 54(4):e537-e542. 
653 |a Fieldwork 
653 |a Mental health 
653 |a Curricula 
653 |a Capstone projects 
653 |a Teachers 
653 |a Field study 
653 |a Emotions 
653 |a Inclusion 
653 |a Science education 
653 |a Student retention 
653 |a Education 
653 |a Occupational safety 
653 |a Didacticism 
653 |a Safety 
653 |a Learning 
653 |a Students 
653 |a Microaggressions 
653 |a Student attitudes 
653 |a Genetic counseling 
653 |a Supervisors 
653 |a Occupational therapy 
653 |a Classrooms 
653 |a Perceptions 
653 |a Educational objectives 
653 |a Surveys 
653 |a Evidence-based practice 
653 |a Health care 
653 |a Mentors 
653 |a Health Programs 
653 |a Doctoral Programs 
653 |a Researchers 
653 |a Likert Scales 
653 |a Communication (Thought Transfer) 
653 |a Mental Health Programs 
653 |a Program Evaluation 
653 |a Evidence Based Practice 
653 |a Curriculum Evaluation 
653 |a Course Content 
653 |a School Holding Power 
653 |a Health Sciences 
653 |a Coping 
653 |a Clinical Experience 
653 |a Social 
653 |a Reflection 
653 |a Capstone Experiences 
653 |a Feedback (Response) 
653 |a Expectation 
653 |a Data Analysis 
653 |a Outcomes of Education 
653 |a Science Curriculum 
700 1 |a Armstrong-Heimsoth, Amy, OTD OTR/L  |u Chair and Associate Clinical Faculty, Occupational Therapy Program 
700 1 |a Lockmiller, Catherine, MLIS  |u Health Science Librarian, Cline Library 
700 1 |a Stephenson, Sara, OTD OTR/L  |u Associate Clinical Faculty and Capstone Coordinator, Occupational Therapy Program, all at Northern Arizona University, Phoenix, AZ 
773 0 |t Journal of Allied Health  |g vol. 54, no. 4 (Winter 2025), p. E537-E543 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3289963482/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3289963482/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3289963482/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch