Background:Physiotherapists play an inherent role in the multidisciplinary palliative care team. Existing knowledge, attitudes, beliefs and experiences influence their team participation in palliative care.Aims:The objective of this study was to assess the changes in knowledge, attitudes, beliefs and experiences among student physiotherapists who attended a palliative care training program.Settings and Design:Preliminary quasi-experimental study design, conducted at an academic institution.Materials and Methods:Fifty-two student physiotherapists of either gender (12 male, 40 female) of age (20.51±1.78 years) who attended a palliative care training program which comprised lectures and case examples of six-hours duration participated in this study. The study was performed after getting institutional approval and obtaining participants’ written informed consent. The lecture content comprised WHO definition of palliative care, spiritual aspects of life, death and healing, principles, levels and models of palliative care, and role of physiotherapists in a palliative care team. The physical therapy in palliative care-knowledge, attitudes, beliefs and experiences scale (PTiPC-KABE Scale)- modified from palliative care attitudes scale were used for assessing the participants before and after the program.Statistical Analysis:Paired t-test and Wilcoxon signed rank test at 95% confidence interval using SPSS 11.5 for Windows.Results:Statistically significant differences (P<0.05) were noted for all four subscales- knowledge (7.84±4.61 points), attitudes (9.46±8.06 points), beliefs (4.88±3.29 points) and experiences (15.8±11.28 points) out of a total score of 104 points.Conclusions:The focus-group training program produced a significant positive change about palliative care in knowledge, attitudes, beliefs and experiences among student physiotherapists.
Context:Studies have documented that nurses and other health care professionals are inadequately prepared to care for patients in palliative care. Several reasons have been identified including inadequacies in nursing education, absence of curriculum content related to pain management, and knowledge related to pain and palliative care.Aims:The objective of this paper was to assess the knowledge about palliative care amongst nursing professionals using the palliative care knowledge test (PCKT).Settings and Design:Cross-sectional survey of 363 nurses in a multispecialty hospital.Materials and Methods:The study utilized a self-report questionnaire- PCKT developed by Nakazawa et al., which had 20 items (statements about palliative care) for each of which the person had to indicate ‘correct’, ‘incorrect’, or ‘unsure.’ The PCKT had 5 subscales (philosophy- 2 items, pain- 6 items, dyspnea- 4 items, psychiatric problems- 4 items, and gastro-intestinal problems- 4 items).Statistical Analysis Used:Comparison across individual and professional variables for both dimensions were done using one-way ANOVA, and correlations were done using Karl-Pearson's co-efficient using SPSS version 16.0 for Windows.Results:The overall total score of PCKT was 7.16 ± 2.69 (35.8%). The philosophy score was 73 ± .65 (36.5%), pain score was 2.09 ± 1.19 (34.83%), dyspnea score was 1.13 ± .95 (28.25%), psychiatric problems score was 1.83 ± 1.02 (45.75%), and gastro-intestinal problems score was 1.36 ± .97 (34%). (P = .00). The female nurses scored higher than their male counterparts, but the difference was not significant (P > .05).Conclusions:Overall level of knowledge about palliative care was poor, and nurses had a greater knowledge about psychiatric problems and philosophy than the other aspects indicated in PCKT.
Context:Mechanism-based classification (MBC) was established with current evidence and physical therapy (PT) management methods for both cancer and for noncancer pain.Aims:This study aims to describe the efficacy of MBC-based PT in persons with primary complaints of cancer pain.Settings and Design:A prospective case series of patients who attended the physiotherapy department of a multispecialty university-affiliated teaching hospital.Material and Methods:A total of 24 adults (18 female, 6 male) aged 47.5 ± 10.6 years, with primary diagnosis of heterogeneous group of cancer, chief complaints of chronic disabling pain were included in the study on their consent for participation The patients were evaluated and classified on the basis of five predominant mechanisms for pain. Physical therapy interventions were recommended based on mechanisms identified and home program was prescribed with a patient log to ensure compliance. Treatments were given in five consecutive weekly sessions for five weeks each of 30 min duration.Statistical Analysis Used:Pre–post comparisons for pain severity (PS) and pain interference (PI) subscales of Brief pain inventory-Cancer pain (BPI-CP) and, European organization for research and treatment in cancer-quality of life questionnaire (EORTC-QLQ-C30) were done using Wilcoxon signed-rank test at 95% confidence interval using SPSS for Windows version 16.0 (SPSS Inc, Chicago, IL).Results:There were statistically significant (P < 0.05) reduction in pain severity, pain interference and total BPI-CP scores, and the EORTC-QLQ-C30.Conclusion:MBC-PT was effective for improving BPI-CP and EORTC-QLQ-C30 scores in people with cancer pain.
Background and purpose: The American Physical Therapy Association (APTA) developed the core values of leadership, administration, management and professionalism for physical therapists. The aim of this study was to assess the levels of professionalism among physical therapists in India. Materials and methods:This cross-sectional study was done using a survey questionnaire-Professionalism In Physical Therapy-Core Values (PPTCV) instrument that consisted of sample indicators for each of the seven core values-accountability (10 indicators), altruism (5 indicators), compassion/caring (11 indicators), excellence (11 indicators), integrity (12 indicators), professional duty (7 indicators), and social responsibility (12 indicators). Each sample indicator was to be rated using a 5-point Likert scale from 'never, rarely, occasionally, frequently and rarely.' 771 eligible questionnaires out of 889 participants with a response rate of 91.33% were analyzed and computed based upon individual-and profession-related variables. Descriptive analysis was done using SPSS version 11.5 (SPSS Inc, IL) at 95% confidence interval. Results:Overall, high levels of professionalism was reported by post-graduate students, followed by researchers and teaching faculty. Younger male physical therapy students were more likely to report high levels of professionalism. Individually, accountability was high among teaching faculty, altruism, compassion/caring and social responsibility among clinician-therapists, and integrity and professional duty was high among researchers. No single professional category showed high levels of professionalism in all seven core values. Conclusion:Overall levels of professionalism among Indian physical therapists were moderate, and altruism and compassion levels were also low. Other indicators of professionalism were fairly evenly distributed among the students and therapists, and between genders. The study findings are of importance to develop curricular and educational modifications to improve levels of professionalism among physical therapists in India and future studies are warranted around the world.undergone continuing professional development programmes had improved levels of professionalism and they chose supervision as a method for self-directed professional development [32].
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