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Quality Supervision Theory and practice for clinical supervisors by Dawn Best and Miranda Rose. W B Saunders,Philadelphia (British distributor Harcourt Brace, Foots Cray High Street, Sidcup, Kent DA4 5HP), 1996 (ISBN 0 7020 2121 0). 160 pages. Illus. E22.50. The theme of this book, written by Australian authors, is the education of health care students in the clinical setting, and it aims to provide a user-friendly resource for clinical educators. I t gives a broad background t o ‘supervision’ and details specific guidelines in the skills needed. The use of the word ‘supervision’ may deter British physiotherapy clinical educators from reading this book but the authors do state that terminology may differ in other countries and request that readers are flexible in their interpretation. The style of writing is often in the second person, addressing the reader as ‘you’,which may encourage some clinical educators to read it, while others may find it irritating. The book is well organised in six parts, each with several chapters. The first part introduces the goals of clinical education along with quality and financial resource issues. Part 2 discusses different models of supervision and the different roles that a clinical educator needs to adopt such as manager, observer, instructor, counsellor and assessor, and the potential conflict that can ensue from these different roles. Part 3 deals with teaching and learning styles and strategies and aims to enable the clinical educator to facilitate students’ leaning. However, this chapter is disappointingly short. Part 4 looks a t challenges in clinical education and discusses ethical and legal issues, sex and cultural differences, and challenging students. There are some practical tips on how t o deal with difficult situations which may arise with students, but the examples are few and this part would have benefited from more detail. Part 5 deals with collaboration with other clinical educators and prevention of burnout. Quality and evaluation strategies are discussed in part 6, along with standards for clinical education programmes. This part is fairly
Stress!!! (a student reflection) comprehensive and gives good examples of how t o address quality issues. The information is presented in a clear style using short paragraphs, bullet points to illustrate the given topics, activities for educators to facilitate their own learning, and some direct quotes from students. This presentation would allow clinicians to use this book for quick reference purposes. A concern is that there is very little mention of research and evidence-based practice, and how this links theory with patient management. Also, the emphasis does seem t o be more on supervision and less on education of students. However, the book is a reasonable reference source (especially for new clinical educators), is easy t o read, and would be a useful adjunct to a cIinicaI department or university library.
Yvonne Watkins MSc MCSP MMACP
Agricultural Health and Safety Recent Advances edited by K J Donham, R Rautiainen, S H Schuman and J A Lay. Haworth Press, 10 Alice Street, Binghamton, N Y 13904-1580,USA, 1997 (ISBN 0 7890 0312 0). 428 pages. $60.
Do you have a rural patient population? If you do, this book may be of interest t o you as it deals with agricultural health and safety. Naturally, with a topic like this, it has implications for the prevention of ill health in farm workers. Agricultural occupational injuries and illnesses are an important public health concern. In the United States the recognition of this concern began in 1988 and led to the current National Institute of Occupational Safety and Health (NIOSH) Agricultural Health and Safety Programmes. This book is the
proceedings of the third NIOSH Agricultural Health and Safety Conference. It is interesting to note that in the United States, NIOSH was the lead agency in carrying out the mandate of the legislation and implementing the National Agricultural Health and Safety initiative. Some major programmes emerged out of NIOSH, including agricultural health and safety centres, occupational health nurses in agricultural communities, farm family health and hazard surveillance. Reading this book raises the question of what the situation may be in the United Kingdom. The text has four editors who come from faculties which deal with preventive medicine and environmental health, agricultural health, and agro-medicine a s well as occupational and environmental medicine. Main sections of the book cover airborne exposure, lung disease and exposure assessment; training, intervention and communication; pesticides, ergonomics and priority assessment; stress, mental health, risk assessment and community health; injury, enforcement and machinery; and children. The majority of chapters are by contributors working in the United States. The only UK contribution is a chapter on ‘The Hazards of Organophosphates’ (pages 157-167). For diversity, the following chapter is on the ‘Ergonomics of Cow Milking in Sweden’. The chapters are generally short and reasonably easy to read. There are no photographs but there is a range of figures and tables to support the written word. Each section starts with a report from the rapporteur and most chapters are supported by references. This is a interesting but specialist book reporting a conference held in March 1996. It is not a book for generalist physiotherapists. However, those with an interest in health and safety, especially in the agricultural sector, may find it of value - particularly in terms of how another country deals with the problems of ill health in the agricultural sector.
Jeffrey D Boyling MSc BPhty MCSP MErgS GradDipAdvManipTher
Physiotherapy, March 1998, vol84,
no 3