Beyond the safe and censored: outcomes from student experiences within a pedagogy of discomfort.

Educators continue to seek teaching and learning strategies to augment student self-empowerment, agency and professional skills. This qualitative study analysed students' own evolving perspectives when Boler's pedagogy of discomfort was used to redevelop curriculum. Changes over time were examined regarding personal and professional development in public health and health promotion, including those most significant to the students themselves. Participants were final-year Australian undergraduate health students (n = 91) who applied a thematic analysis to their regular online 'blogs', articulating their thoughts and opinions about what they observed regarding unit content and tasks throughout the trimester. The researchers then conducted their own analysis to identify patterns and trends within the depth and breadth of student perceptions. Findings revealed that the personal and professional growth educators seek to instil arose spontaneously from students' increasing self-awareness, rather than classroom prompting or instruction and occurred in specific ways. This study chartered the course of how students challenged their own typical values and limiting beliefs, becoming more aligned and reflective of health promotion competencies. Other positive self-transformation was also identified, such as cultivating an open mind, shifts from victim-blaming to increasing compassion and empathy, through to the importance of finding their own voice. Future comparable studies including postgraduate students and diverse student groups are encouraged.

This qualitative study analysed students' own evolving perspectives when Boler's pedagogy of discomfort was used to redevelop curriculum. Changes over time were examined regarding personal and professional development in public health and health promotion, including those most significant to the students themselves. Participants were final-year Australian undergraduate health students (n = 91) who applied a thematic analysis to their regular online 'blogs', articulating their thoughts and opinions about what they observed regarding unit content and tasks throughout the trimester. The researchers then conducted their own analysis to identify patterns and trends within the depth and breadth of student perceptions. This study chartered the course of how students challenged their own typical values and limiting beliefs, becoming more aligned and reflective of health promotion competencies. Other positive self-transformation was also identified, such as cultivating an open mind, shifts from victim-blaming to increasing compassion and empathy, through to the importance of finding their own voice.

Cultural proficiency starts here: Drawing on staff and student perceptions to Indigenise curricula.

ISSUE ADDRESSED: This study reports outcomes from initial steps taken to promote cultural proficiency among our next generation, nonclinical health workforce, including addressing any tendencies towards stereotyping, biases and discrimination, when redeveloping and Indigenising curricula. METHODS: This qualitative study involved purposive sampling of undergraduate students enrolled in a final-year health promotion unit (subject), as well as staff within the Faculty of Health. Thematic analysis was applied to two datasets: (i) outcomes from a staff survey examining insights and reactions to delivering Indigenous content (n = 16) and (ii) a collection of online student posts describing their observations and reflections during delivery of an Indigenous health module (n = 91). RESULTS: Staff survey data highlighted the need for targeted professional development and support. Findings from student data emphasised the need to embed course content that has the capacity to (i) help students understand health within an equity, social justice and human rights context and (ii) encourage students to self-identify any conscious and unconscious biases that work against these principles in the workplace. CONCLUSIONS: This study demonstrates the usefulness of conducting a preliminary analysis prior to initiating changes to curriculum design and delivery. Strategies were identified to provide and implement renewed initiatives and directions for professional development for staff. Similarly, there was a clear need to effectively train students in cultural awareness, sensitivity and knowledges through specific and targeted resources and support throughout the span of the course. SO WHAT: Lack of knowledge and confidence among staff can negatively impact content and delivery, and ultimately, student learning outcomes. However, this was balanced by an appetite for collaboration and guidance. Findings contribute to current discourses exploring effective approaches to Indigenising discrete unit and course-wide curricula and provide a useful template for others seeking evidence-based approaches and ideas when aiming to improve cultural proficiency.

What just happened? Student perspectives on health promotion placements during COVID-19.

ISSUE ADDRESSED: The emergence of COVID-19 forced the health industry to re-imagine its role and drove Work Integrated Learning (WIL) practicums into virtual spaces, adding complexity for students in these programs. Studies documenting the impact of these outcomes as well as the student experience during these tumultuous times are few, and therefore this study investigated students' lived experience using data sourced from personal observations and insights and subsequent analysis of their own narratives. METHODS: This qualitative study involved researchers applying a thematic analysis to online student blogs which documented their experiences as posted in the discussion forums. Recruitment resulted in a final dataset of 27 providing informed consent, representing a total 36% response rate. RESULTS: Several themes were identified, including: (a) a need for guidance regarding the shift from group work as assignments to teamwork as a workplace practice, (b) to further develop effective communication and technology skills, (c) learn more about productive time management and (d) further understand transitioning from student to practitioner. CONCLUSIONS: This study affirmed that working virtually has a comparable capacity to foster positive, pre-professional identity and thinking more as a practitioner, despite the absence of a face-to-face setting. SO WHAT?: Findings revealed (a) what educators can expect now that approaches to WIL have expanded, (b) how to prepare students for more diverse experiences in circumstances requiring sudden change and (c) how to reconfigure the curriculum and procedures to provide more supportive resources for students and agencies alike.

Impact evaluation of a five-day Short Course in Health Promotion: workforce development in action.

ISSUE ADDRESSED: This paper reports on impact evaluation of a series of five-day Short Courses in Health Promotion that have been delivered to more than 2,000 people since 2002 as part of a state-wide workforce development strategy. METHODS: A triangulated mixed methods research design was selected for the evaluation. Data were collected through a mail survey, key informant interviews, focus groups and organisational case studies. Stakeholder and participant involvement were central to the evaluation. RESULTS: Organisational change emerged as a key theme. Impacts of the short course were felt in relation to health promotion practice and on organisational capacity to conduct health promotion, while the development of confidence and skills of participants to engage in collaborative opportunities was a not-unexpected, but important, benefit of the course. CONCLUSIONS: A short course is effective if attention is given to quality delivery, adult learning methods, participant involvement, appropriate targeting, good planning, and adequate funding. However, respondents commonly report the need for organisational change in order for health promotion practice to be embedded into organisations and for practitioners to be supported in their efforts to re-orient services towards health promotion.