Career intentions of physiotherapy and occupational therapy students in Ukraine: a cross-sectional study

Authors

DOI:

https://doi.org/10.32782/2077-6594/2025.2/20

Keywords:

education, motivation, rehabilitation, management, development, workforce

Abstract

Despite a significant number of graduates in the specialty of "Therapy and Rehabilitation" (a common specialty for students of physical therapy, occupational therapy, and their assistants in Ukraine), there are still hundreds of vacancies for these specialists in state and municipal healthcare facilities and existing demand for personnel remains unmet. Moreover, there is still limited understanding of the intentions and motivation of students in this field.The purpose of our research is to determine the intentions of students majoring in "Therapy and Rehabilitation" regarding their future professional pathways. Materials and methods. The study had a cross-sectional design. The data collection was conducted in May 2024 through an online survey of students of the specialty "Therapy and Rehabilitation" of all years of study.Results. We analyzed data from 340 respondents from 10 higher education institutions in Ukraine. Only 58% of respondents were ready to work in state or municipal healthcare facilities. 28% of respondents intended to use non-evidence-based rehabilitation methods, such as osteopathy or energy manipulation. More than half of the respondents were dissatisfied with the quality of knowledge and skills obtained at the university. Orthopedic rehabilitation was selected by 51% of respondents, while other areas, including oncology, burns and intensive care units, were selected by less than 10%.Conclusions. The unmet staffing needs in municipal and state facilities may indicate that specialists seek independent practice or better working conditions than those currently available at these institutions. Furthermore, the limited commitment of students to scientific and evidence-based practices could worsen the ongoing shortage of qualified personnel. It will be important to implement changes in the training program to encourage students’ interest both in evidence-based practice and engagement in less popular fields.

References

Панковець А, Юрочко Т. Стан кадрового забезпечення системи реабілітації у сфері охорони здоров’я в Україні. Україна. Здоров’я нації [Інтернет]. 22, Жовтень 2024 [цит. за 07, Травень 2025];(3):94-100. Доступно на: https://journals.uzhnu.uz.ua/index.php/health/article/view/1047

Кривоконь М. Концептуальна записка з розвитку людського капіталу в реабілітації [Інтернет]. Київ; 2023 [цит. за 18, Квітень 2024]. Доступно на: https://www.undp.org/sites/g/files/zskgke326/files/2023-10/conceptnote_2023-10-3.pdf

Президент України. Про активізацію роботи щодо забезпечення прав людей з інвалідністю [Інтернет]. Україна: Президент України; 2015 [цит. за 18, Квітень 2024]. Доступно на: https://zakon.rada.gov.ua/laws/show/678/2015

Міністерство освіти і науки України. Єдина державна електронна база з питань освіти [Інтернет]. Кількість осіб, які закінчили навчання [цит. за 18, Квітень 2024]. Доступно на: https://registry.edbo.gov.ua/opendata/graduate

Міністерство охорони здоров’я. Про внесення змін до Довідника кваліфікаційних характеристик професій працівників. Випуск 78 «Охорона здоров’я» [Інтернет]. Україна: Міністерство охорони здоров’я; 2018 [цит. за 18, Квітень 2024]. Доступно на: https://zakon.rada.gov.ua/rada/show/v2331282-18

Міністерство охорони здоров’я України. Про внесення змін до наказу Міністерства охорони здоров’я України від 28 жовтня 2002 року № 385 [Інтернет]. Україна: Міністерство охорони здоров’я України; 2019 [цит. за 18, Квітень 2024]. Доступно на: https://zakon.rada.gov.ua/laws/show/z0417-19

Верховна Рада України. Про реабілітацію у сфері охорони здоров’я [Інтернет]. Україна: Верховна Рада України; 2020 [цит. за 18, Квітень 2024]. Доступно на: https://zakon.rada.gov.ua/laws/show/1053-20

Кабінет Міністрів України. Деякі питання оплати праці медичних, фармацевтичних працівників та фахівців з реабілітації державних та комунальних закладів охорони здоров’я [Інтернет]. Україна: Кабінет Міністрів України; 2023 [цит. за 18, Квітень 2024]. Доступно на: https://zakon.rada.gov.ua/laws/show/28-2023-п

Ільницька Г, Ільницька Л, Очередько Л, Улаєва Л, Спузяк В. Дослідження факторів, що впливають на вибір професії фізичного терапевта. Освітній дискурс: збірник наукових праць [інтернет]. 13, Січень 2020 [цит. за 18, Квітень 2024];(18(11-12)):105–13. Доступно на: https://journal-discourse.com/files/pdf/2019_18(11-12)-8.pdf

Захаров С, Неханевич О, Русакова О, Смолянова О. Соціально-демографічний портрет вступника й основні мотиви вибору спеціальності «Терапія та реабілітація». Медичні перспективи [інтернет]. 16, Жовтень 2024 [цит. за 07, Травень 2025];29(3):183–92. Доступно на: https://doi.org/10.26641/2307-0404.2024.3.313675 .

Gamage SW, De Zoysa P. Perception of physiotherapy students regarding their chosen career: an exploratory study on leveling the playing field. University of Colombo Review [Internet]. 2022 Aug 2 [cited 2025 Jan 5];3(1):20. Available from: https://doi.org/10.4038/ucr.v3i1.57

Wallis L, Locke R, Harden B. Motivations for career choice for physiotherapy students in the UK: findings from a national questionnaire. Physiotherapy [Internet]. 2022 Feb [cited 2025 Jan 5];114:e12–e13. Available from: https://doi.org/10.1016/j.physio.2021.12.254

Fuente-Vidal A, March-Amengual JM, Bezerra De Souza DL, Busquets-Alibés E, Sole S, Cañete S, Jerez-Roig J. Factors influencing student choice of a degree in physiotherapy: a population-based study in Catalonia (Spain). PeerJ [Internet]. 2021 Apr 1 [cited 2025 Jan 5];9:e10991. Available from: https://doi.org/10.7717/peerj.10991

Fabunmi̇ A, Adebajo B, AkiṄola T. Factors influencing study of physiotherapy and preferred choice of specialisation among final year physiotherapy students in Nigeria. Journal of Health Sciences and Medicine [Internet]. 2020 Mar 19 [cited 2025 Jan 5];3(2):102-8. Available from: https://doi.org/10.32322/jhsm.632717

Bacopanos E, Edgar S. Identifying the factors that affect the job satisfaction of early career Notre Dame graduate physiotherapists. Australian Health Review [Internet]. 2016 [cited 2025 Jan 5];40(5):538. Available from: https://doi.org/10.1071/AH15124

Paynter S, Iles R, Hodgson WC, Hay M. Career intentions and satisfaction influences in early career Australian physiotherapists. Physiotherapy Theory and Practice [Internet]. 2024 Sep [cited 2025 Jan 5];40(9):2065-82. Available from: https://doi.org/10.1080/09593985.2023.2233100

Arkwright L, Edgar S, Debenham J. Exploring the job satisfaction and career progression of musculoskeletal physiotherapists working in private practice in Western Australia. Musculoskeletal Science and Practice [Internet]. 2018 Jun [cited 2025 Jan 5];35:67-72. Available from: https://doi.org/10.1016/j.msksp.2018.03.004

Öhman A, Solomon P, Finch E. Career choice and professional preferences in a group of canadian physiotherapy students. Advances in Physiotherapy [Internet]. 2002 Jan [cited 2025 Jan 6];4(1):16-22. Available from: https://doi.org/10.1080/140381902317303177

Öhman A, Stenlund H, Lars D. Career choice, professional preferences and gender? The case of swedish physiotherapy students. Advances in Physiotherapy [Internet]. 2001 Jan [cited 2025 Jan 6];3(3):94-107. Available from: https://doi.org/10.1080/140381901750475348

Hall M, Mori B, Norman K, Proctor P, Murphy S, Bredy H. How do I choose a job? Factors influencing the career and employment decisions of physiotherapy graduates in Canada. Physiotherapy Canada [Internet]. 2021 Apr 1 [cited 2025 Jan 6];73(2):168-77. Available from: https://doi.org/10.3138/ptc-2019-0059

Johanson MA. Sex differences in career expectations of physical therapist students. Physical Therapy [Internet]. 2007 Sep 1 [cited 2025 Jan 10];87(9):1199-211. Available from: https://doi.org/10.2522/ptj.20060285

Forbes R, Wilesmith S, Dinsdale A, Neish C, Wong J, McClymont D, Lu A. Exploring the workplace and workforce intentions of early career physiotherapists in Australia. Physiotherapy Theory and Practice [Internet]. 2024 Dec [cited 2025 Jan 5];40(12):2851-64. Available from: https://doi.org/10.1080/09593985.2023.2286333

Cosgrave C. Context matters: findings from a qualitative study exploring service and place factors influencing the recruitment and retention of allied health professionals in rural australian public health services. International Journal of Environmental Research and Public Health [Internet]. 2020 Aug 11 [cited 2025 Jan 5];17(16):5815. Available from: https://doi.org/10.3390/ijerph17165815

Cantu R, Carter L, Elkins J. Burnout and intent-to-leave in physical therapists: a preliminary analysis of factors under organizational control. Physiotherapy Theory and Practice [Internet]. 2022 Nov 18 [cited 2025 Jan 5];38(13):2988-97. Available from: https://doi.org/10.1080/09593985.2021.1967540

Reid A. Physiotherapy. Workforce retention and attrition [Internet]. [place unknown]: BERL; 2019. 34 p. 6024. Available from: https://pnz.org.nz/Folder?Action=View%20File&Folder_id=472&File=PNZ%20workforce%20retention%20and%20attrition%20report.pdf

Davies JM, Edgar S, Debenham J. A qualitative exploration of the factors influencing the job satisfaction and career development of physiotherapists in private practice. Manual Therapy [Internet]. 2016 Sep [cited 2025 Jan 5];25:56-61. Available from: https://doi.org/10.1016/j.math.2016.06.001

Davies JM, Edgar S, Debenham J. A qualitative exploration of the factors influencing the job satisfaction and career development of physiotherapists in private practice. Manual Therapy [Internet]. 2016 Sep [cited 2025 Jan 5];25:56-61. Available from: https://doi.org/10.1016/j.math.2016.06.001

Sharma A, Minh Duc NT, Luu Lam Thang T, Nam NH, Ng SJ, Abbas KS, Huy NT, Marušić A, Paul CL, Kwok J, Karbwang J, De Waure C, Drummond FJ, Kizawa Y, Taal E, Vermeulen J, Lee GH, Gyedu A, To KG, Verra ML, Jacqz-Aigrain ÉM, Leclercq WK, Salminen ST, Sherbourne CD, Mintzes B, Lozano S, Tran US, Matsui M, Karamouzian M. A consensus-based checklist for reporting of survey studies (CROSS). Journal of General Internal Medicine [Internet]. 2021 Oct [cited 2025 Jan 7];36(10):3179-87. Available from: https://doi.org/10.1007/s11606-021-06737-1

Boshnjaku A; Solveig A. Arnadottir; Pallot A, Wagener M, Äijö M. Improving the evidence-based practice skills of entry- level physiotherapy students through educational interventions: a scoping review of literature. International Journal of Environmental Research and Public Health [Internet]. 2023 Aug;20(16):6605. Available from: https://doi.org/10.3390/ijerph20166605

Olsen NR, Lygren H, Espehaug B, Nortvedt MW, Bradley P, Bjordal JM. Evidence-based practice exposure and physiotherapy students' behaviour during clinical placements: a survey. Physiotherapy Research International [Internet]. 2014 Mar;19(4):238-47. Available from: https://doi.org/10.1002/pri.1590

Helgøy KV, Bonsaksen T, Røykenes K. Research-based education in undergraduate occupational therapy and physiotherapy education programmes: a scoping review. BMC Medical Education [Internet]. 2022 May;22(1). Available from: https://doi.org/10.1186/s12909-022-03354-2

Waiserberg N, Katz Leurer M, Feder-Bubis P. “I feel like this is an area where one can feel a lot of satisfaction”: physiotherapy students’ preferences for their prospective area of practice. Physiotherapy Theory and Practice [Internet]. 2024 Jul 2 [cited 2025 Jan 5];40(7):1492-500. Available from: https://doi.org/10.1080/09593985.2023.2171270

Harman K, Sim M, LeBrun J, Almost J, Andrews C, Davies H, Khalili H, Sutton E, Price S. Physiotherapy: an active, transformational, and authentic career choice. Physiotherapy Theory and Practice [Internet]. 2019 Jul:1-14. Available from: https://doi.org/10.1080/09593985.2019.1639230

Byrne N. Exposure to occupational therapy as a factor influencing recruitment to the profession. Australian Occupational Therapy Journal [Internet]. 2015 Aug [cited 2025 Jan 5];62(4):228-37. Available from: https://doi.org/10.1111/1440-1630.12191

Torres Sánchez I, López López L, Rodríguez Torres J, Prados Román E, Granados Santiago M, Valenza MC. Influence of cardiorespiratory clinical placements on the specialty interest of physiotherapy students. Healthcare [Internet]. 2019 Nov 17 [cited 2025 Jan 6];7(4):148. Available from: https://doi.org/10.3390/healthcare7040148

Hussey L, Sredic D, Bucci C, Barrett IR, McLeod R, Janaudis-Ferreira T, Brooks D. To be or not to be a cardiorespiratory physiotherapist: factors that influence career choice in a sample of canadian physiotherapists. Physiotherapy Canada [Internet]. 2017 Aug [cited 2025 Jan 6];69(3):226-32. Available from: https://doi.org/10.3138/ptc.2016-22

Reeve J, Skinner M, Lee A, Wilson L, Alison JA. Investigating factors influencing 4th-year physiotherapy students' opinions of cardiorespiratory physiotherapy as a career path. Physiotherapy Theory and Practice [Internet]. 2012 Jul [cited 2025 Jan 6];28(5):391-401. Available from: https://doi.org/10.3109/09593985.2011.619249.

Downloads

Published

2025-06-30

How to Cite

Панковець, А., Вернігор, Ю., Юрочко, Т., & Лазарєва, О. (2025). Career intentions of physiotherapy and occupational therapy students in Ukraine: a cross-sectional study. Ukraine. Nation’s Health, (2), 144–152. https://doi.org/10.32782/2077-6594/2025.2/20

Issue

Section

Physical therapy and rehabilitation