Abstract
Background Community Engagement (CE) is cornerstone to South Africa’s higher education transformative agenda. Teaching disciplines across faculties have adopted varied CE implementation strategies, due to different theoretical interpretations. Undergraduate health science students are traditionally exposed to CE experiential learning programs, preparing them for professional practice. This study investigated final year students’ awareness of the critical factors which shape CE in the health science disciplines at a South African university.Method An exploratory descriptive qualitative study was conducted at an engaged university located in the Western Cape. Five discipline- specific focus group discussions were conducted with twenty seven final year students, purposively selected from five health sciences faculties, using an adaption of Furco’s self-assessment rubric. Thematic analysis was conducted on the transcribed data to identify the factors deemed critical for CE using Furco’s self-assessment tool as the coding framework. Trustworthiness of the data and findings were ensured. Ethics approval was obtained indicating that the research satisfied the ethics principles related to informed consent, respect for the participants ‘rights in terms of privacy, autonomy, beneficence and confidentiality.Results The a priori t hemes identified were the university’s philosophy and mission related to CE, student involvement, faculty involvement, community participation and partnerships and institutional support for CE. The cross-cutting themes that emerged across these critical factors of Furco’ included: siloism in the university, interprofessional education and monitoring and evaluation for impact. These health science students indicated that CE awareness was limited to discipline-based programs, indicative of a siloed approach. In addition, varied theoretical interpretations of CE emerged. Interprofessional education was lacking across the disciplines, even though it underpins professional practice. Participants reiterated that a central CE unit is required to co-ordinate and evaluate CE programs. Occupational therapy participants, however, reflected a critical consciousness that is congruent with an assets-based approach to CE.Conclusion The University of the Western Cape should facilitate stewardship in implementing Boyer’s 'scholarship of engagement' to ensure consistency in CE approach in the health science curriculum. Such an approach would deepen students understanding and application of CE.
Interprofessional education: effects on professional practice and healthcare outcomes