Fear of looking bad: Othering of students requiring a reasonable adjustment within professional practice placements
DOI:
https://doi.org/10.56433/ag5ahd50Keywords:
reasonable adjustments, placement, disability , othering, accommodationsAbstract
The research project was a cross disciplinary multi-methods research study to explore the effectiveness of reasonable adjustments in professional practice placements in one British university. The aim of the research was to understand the lived experience of procedural and practical use of reasonable adjustments on practice placement. The objective was to enable the facilitation of recommendations to enhance student outcomes including continuation and degree classification.
Thirty-four undergraduate and postgraduate students completed questionnaires and n=9 students attended n=2 focus groups. The research participants were students undertaking professional degrees in occupational therapy, social work, childhood studies, biomedical science, sport and exercise therapy, dietetics, nursing, education and therapeutic counselling who had a diagnosis or self-disclosure of mental health, physical health, physical disability or neurodivergence.
The data were subjected to a thematic analysis, and the themes of ‘need for clearer procedures’, ‘looking bad: stigma and negative perceptions of students’, and ‘experience on placement’ emerged. The article presents the research findings and discusses the othering of students in practice placement. It concludes by first recommending that the procedural response to reasonable adjustments could be reviewed to incorporate practice accommodations. Secondly, it recommends that placement providers discuss students’ reasonable adjustments more openly to align learning opportunities with those experienced by able-bodied and neurotypical students, to support the development of knowledge and skills of all students.
References
Baker, C., Ellis, J., & Peddle, M. (2022). Experiences of undergraduate nursing students with a learning access plan. Teaching and Learning in Nursing, 17(1), 61–67. https://doi.org/10.1016/j.teln.2021.09.002
de Beauvoir S. (1949). The Second Sex. France, Libraire.
Beck., S. (2022). Evaluating the use of reasonable adjustment plans for students with a specific learning difficulty. British Journal of Special Education, 49(3), 399-419. https://doi.org/10.1111/1467-8578.12412
Beddoe, L., Baker, M., Cox, K., & Ballantyne, N. (2024). Mental health struggles of social work students: Distress, stigma, and perseverance. Qualitative Social Work, 23(5), 813–832. https://doi.org/10.1177/14733250231212413
Beesley, P., McGurn, G. Walkden, A., & Porter, E. (np). Ensuring effective transitions for social work students with a reasonable adjustment plan.
Beesley, P., & Walkden, A. (2024). Supporting a social work student with a complex reasonable adjustment plan. In: Przeperski, J., & Baikady, R. (eds) Routledge International Handbook of Social Work Teaching (pp. 548-555). Routledge. ISBN 9781032727622
Botham, K. A., & Nicholson, J. (2013). Supporting the transition of disabled students from university to practice placement. Disability and Society, 29(3), 460–476. https://doi.org/10.1080/09687599.2013.823078
Braun, V., & Clarke, V. (2022). Thematic Analysis. A practical guide. London, Sage. ISBN 1473953243
Brewer, G., Urwin, E., & Witham, B. (2025). Disabled student experiences of Higher Education. Disability & Society, 40(1), 108-127. https://doi.org/10.1080/09687599.2023.2263633
Brown, K., James, C. & MacKenzie, L. (2006). The Practice Placement Education Experience: An Australian Pilot Study Exploring the Perspectives of Health Professional Students with a Disability. British Journal of Occupational Therapy, 69(1), 31-37. https://doi.org/10.1177/030802260606900106
Casali, N., Meneghetti, C., Tinti, C., Re, A. M., Sini, B., Passolunghi, M. C.,Valenti, A., Montesano, L., Pellegrino, G., & Carretti, B. (2023). Academic achievement and satisfaction among university students with specific learning disabilities: The roles of soft skills and study-related factors. Journal of Learning Disabilities, 57(1), 16-29. https://doi.org/10.1177/00222194221150786
Chronopoulou, E., & Polychronopoulou, S. (2024). Self-Esteem of Higher Education Students with Mobility Impairments: The Impact of Social Support and Transition Skills. International Journal of Disability, Development and Education, 1-12. https://doi.org/10.1080/1034912X.2024.2382370
Craig, A.M., Wakefield, A., & Pryjmachuk, S. (2023). An exploration of the concept of reasonable adjustments in pre-registration nursing education in Scotland. Science Talks, 6. Available at: https://doi.org/10.1016/j.sctalk.2023.100200
Davis, M.T., Watts, G.W., & López, E.J. (2021). A systematic review of firsthand experiences and supports for students with autism spectrum disorder in higher education. Research in Autism Spectrum Disorders, 84, 1-12, https://doi.org/10.1016/j.rasd.2021.101769
Disabled Students’ Commission (DSC) (2023). The Disabled Student Commitment. Advance HE The Disabled Student Commitment | Advance HE (advance-he.ac.uk)
Edwards, M., Poed, S., Al-Nawab, H., & Penna, O. (2022). Academic accommodations for university students living with disability and the potential of universal design to address their needs. Higher Education, 84(4), 779-799. https://doi.org/10.1007/s10734-021-00800-w
Equality Act (2010). United Kingdom. https://www.legislation.gov.uk/ukpga/2010/15/contents
Fink, A. (2010). Survey Research Methods. In: Peterson, P., Baker, E., & McGaw, B. (eds.) International Encyclopedia of Education (pp.152-160). Elsevier. ISBN 0080448933
Gow, MA., Mostert, Y., & Dreyer, L. (2020). The promise of equal education not kept: specific learning disabilities – the invisible disability. African Journal of Disability, 9(0), 1-10. 10.4102/ajod.v9i0.647
Goodley, D. (2014). Dis/ability Studies: Theorising Disablism and Ableism. Routledge.
Griffiths, L., Worth, P., Scullard, Z., & Gilbert, D. (2010). Supporting disabled students in practice: a tripartite approach. Nurse Education in Practice, 10(3), 132-137. doi: 10.1016/j.nepr.2009.05.001
Freire, P. (1970). Pedagogy of the Oppressed. Seabury Press.
Higher Education Statistics Agency (HESA) (2025). Higher Education Student Statistics: UK, 2023/24 - Student numbers and characteristics. Higher Education Student Statistics: UK, 2023/24 - Student numbers and characteristics | HESA
Hill, S., & Roger. A. (2016). The Experience of Disabled and Non-Disabled Students on Professional Practice Placements in the United Kingdom. Disability and Society, 31(9), 1205-1225. doi:10.1080/09687599.2016.1236718
Johnston, K.N., Mackintosh, S., Alcock, M., Conlon-Leard, A., & Manson, S. (2016). Reconsidering inherent requirements: a contribution to the debate from the clinical placement experience of a physiotherapy student with vision impairment,” BMC Medical Education, 16(74), 1-7. https://doi.org/10.1186/s12909-016-0598-0
Kendall, L. (2016). Higher education and disability: Exploring student experiences. Cogent Education, 3(1), 1-12. doi: 10.1080/2331186X.2016.1256142
King, L. (2019). Exploring student nurses' and their link lecturers' experiences of reasonable adjustments in clinical placement. British Journal of Nursing, 28(17), 1130-1134. doi: 10.12968/bjon.2019.28.17.1130
King., L. (2024). Practice Tutors’ Readiness to Support Nursing Students who Require Reasonable Adjustments for Clinical Placement. British Journal of Nursing, 33(4), 200-204. https://doi.org/10.12968/bjon.2024.33.4.200
Mik-Mayer, N. (2016). Othering, ableism and disability: A discursive analysis of co-workers’ construction of colleagues with visible impairments. Human Resources, 69(6), 1341-1363. https://doi.org/10.1177/0018726715618454
Moriña, A. (2024). When what is unseen does not exist: disclosure, barriers and supports for students with invisible disabilities in higher education. Disability & Society, 39(4), 914–932. https://doi.org/10.1080/09687599.2022.2113038
Moriña, A., & Biagiotti, G. (2021). Inclusion at university, transition to employment and employability of graduates with disabilities: A systematic review, International Journal of Educational Development, 93, 1-8. https://doi.org/10.1016/j.ijedudev.2022.102647
Mullins, L., & Preyde, M. (2013). The lived experience of students with an invisible disability at a Canadian university, Disability and Society, 28 (2), 147-160. 10.1080/09687599.2012.752127
Nolan, C., Gleeson, C., Treanor, D., & Madigan. S. (2015). Higher education students registered with disability services and practice educators: issues and concerns for professional placements. International Journal of Inclusive Education, 19(5), 487–502. https://doi.org/10.1080/13603116.2014.943306
Office for Students (OfS) (2023). Meeting the mental health needs of students. Office For Students https://www.officeforstudents.org.uk/media/8812/insight-brief-20-meeting-the-mental-health-needs-of-students.pdf
Oliver, M. (1983). Social Work with Disabled People. Palgrave Macmillan. ISBN 0333327071
Oliver, M. (2004). The social model in action: If I had a hammer? In: Barnes, C. and Mercer, G. (eds) Implementing the Social Model of Disability: Theory and Research (pp. 18-31) Disability Press.
Sapey, B., Turner. R., Lancaster University, & Orton, S. (2004). Access to Practice. Overcoming the barriers to practice learning for disabled social work students. https://s3.eu-west-2.amazonaws.com/assets.creode.advancehe-document-manager/documents/hea/private/overcoming-barriers-disabled_1568036636.pdf
Shaw, A. (2024). Inclusion of disabled Higher Education students: why are we not there yet? International Journal of Inclusive Education, 28(6), 820–838. https://doi.org/10.1080/13603116.2021.1968514
Spivak G. C. (1985). The Rani of Sirmur: an essay in reading the archives. History and Theory, 24(3), 247-272. https://doi.org/10.2307/2505169
Special Educational Needs and Disability Act (2001). United Kingdom. https://www.legislation.gov.uk/ukpga/2001/10/contents
University of Bristol v Dr Robert Abrahart (2024). https://www.judiciary.uk/wp-content/uploads/2024/02/The-University-of-Bristol-v-Dr-Robert-Abrahart.pdf
Van Herpen, G., Meeuwisse, M., Hoffman, A., & Severiens, S. (2020). A Head Start in Higher Education: the effect of a transition intervention on interaction, sense of belonging, and academic performance. Studies in Higher Education, 45(4), 862-877. https://doi.org/10.1080/03075079.2019.1572088
Wray, J., Fell, B., Stanley, N., Manthorpe, J., & Coyne, E. (2005). The PEdDS Project: Disabled Social Work Students and Placements. University of Hull.
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