An exploration of physiotherapists' perceived benefits and barriers towards using psychosocial strategies in their practice

Driver, Cynthia R.; Oprescu, Florin; Lovell, Geoff P.

doi:10.1002/msc.1437

Cited by 15 publications

(14 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Content analysis [36,37] was used for the three open-ended questions which looked at why staff were currently still working during lockdown (if applicable), the impact of lockdown restrictions on their working practices, and any recommendations for improvements. The first author familiarised themselves with the textual data and engaged in constant comparison to chunk the text into segments [38]. During the organisation phase, an inductive approach was used to generate and apply descriptive codes to the comments according to the content.…”

Section: Accommodationmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of COVID-19 on Staff Working Practices in UK Horseracing

Davies

McConn-Palfreyman

Williams

et al. 2020

Animals

Self Cite

View full text Add to dashboard Cite

Due to COVID-19, horseracing was required to cease all activity in March 2020; however, little is known about the pandemic’s impact on staff working practices. This study investigated the impact of COVID-19 on staff working practices during the initial lockdown phases. An online survey about working conditions during lockdown was answered by 287 participants. Chi-squared tests for independence and binary logistic regression (BLR) analysis was undertaken. A total of 53.7% (n = 154) of staff were working during lockdown. Pandemic-specific workplace changes were reported as effective by 87.8% (n = 115) of staff. Flat grooms reported workplace changes as less effective (χ2 (52, n = 131) = 92.996, p < 0.001). A total of 67.2% (n = 193) of staff were positive about job security. Trainers and grooms were significantly less likely to report jobs as secure (χ2 (52, n = 287) = 75.653, p < 0.05). The findings suggest that most of the racing industry positively received changes made by their employers to tackle the pandemic, and for staff still working during lockdown, their health and safety was prioritised. Continued development of employee support structures to promote job security and workforce stability is advised, which will minimise the disruption of staff changes on the care and welfare of the horses.

show abstract

Section: Accommodationmentioning

confidence: 99%

“…Related codes were combined to produce subcategories and summarised into key categories based on the content [39]. This analysis was repeated across all three open-ended questions and evaluated by the remaining authors to ensure objectivity and rigor [38].…”

Section: Accommodationmentioning

confidence: 99%

The Impact of COVID-19 on Staff Working Practices in UK Horseracing

Davies

McConn-Palfreyman

Williams

et al. 2020

Animals

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nicholls [ 65 , p. 256] argued that physiotherapists "may find that they need to explore territory occupied by others [such as] … those in the arts, humanities, physical and social sciences" in the future. Recently, there has been a push for physiotherapists to consider the holistic needs of their clients and to integrate psychosocial approaches to practice in line with the biopsychosocial model of care [ 24 , 66 ]. Theme three: the middle space casts considerable doubt over the preparedness of physiotherapists to work with clients with suicidal thoughts and behaviours and who are at a low to medium risk of suicide, particularly early in their careers.…”

Section: Findings and Discussionmentioning

confidence: 99%

Trust, conversations and the ‘middle space’: A qualitative exploration of the experiences of physiotherapists with clients with suicidal thoughts and behaviours

et al. 2020

View full text Add to dashboard Cite

In Australia, physiotherapists are registered healthcare practitioners who possess the knowledge and skills to care for clients with poor physical health as a result of musculoskeletal, neurological, and respiratory conditions. Although physiotherapists are not considered a primary profession in the Australian mental health workforce, the association between suicide and poor physical health suggests that they may encounter clients with suicidal thoughts and behaviours. We used a qualitative approach inspired by phenomenology to explore the experiences of nine physiotherapists who encountered clients with suicidal thoughts and behaviours. We used a combination of focus groups and in-depth interviews to collect this data. The data were analysed inductively using framework analysis. The main themes identified in the data were: i) the importance of trust, ii) the mechanism of conversation, and iii) the 'middle space'. The middle space refers to the experience of working with clients at risk of low or medium risk of suicide. A trusting practitioner-client relationship was reported to be essential in facilitating the disclosure of suicidal thoughts and behaviours. Physiotherapists also reported that less structured subjective assessments encourage clients to talk more openly, which in turn facilitates the disclosure of suicidal thoughts and behaviours. Once the disclosure of suicidal thoughts and behaviours occurred, physiotherapists reported a lack of confidence regarding role clarity and issues associated with this. Difficulties were most evident during encounters with clients with low to medium suicide risk due to a lack of confidence in the accuracy of assessment of these clients. The findings suggest that physiotherapists are well placed to detect and/or receive disclosure of suicidal thoughts and behaviours, as well as the need for physiotherapists to be trained in how to support clients who disclose suicidal thoughts and behaviours.

show abstract

“…Physiotherapists report using a range of psychosocial strategies in their practice, and perceive such strategies to be beneficial for managing psychosocial factors that can hinder rehabilitation outcomes (Driver, Oprescu, & Lovell, 2020). Psychosocial strategies refer to treatment approaches that include cognitive, behavioral, and interpersonal methods (Barlow & Durand, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Physiotherapists report using strategies such as goal setting, positive reinforcement, cognitive behavioral approaches, relaxation, and motivational interviewing (Driver, Lovell, & Oprescu, 2019). Physiotherapists have described improved needs assessment and reduced therapist load as practitioner benefits of utilizing psychosocial strategies in rehabilitation (Driver et al, 2020). Further, physiotherapists reported perceived patient benefits of enhanced rehabilitation experience and patient well‐being, improvement of psychosocial responses, and enriched therapeutic alliance (Driver et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial strategies for physiotherapy: A qualitative examination of physiotherapists' reported training preferences

Driver

Lovell

Oprescu

2020

Nursing & Health Sciences

Self Cite

View full text Add to dashboard Cite

Physiotherapists report using a range of psychosocial strategies in their practice, yet, barriers to implementation include lack of time, limited knowledge, and minimal training. This research aimed to establish what training physiotherapists have had with regards to psychosocial strategies, why they think they would benefit from more training, what training they want, and delivery preferences. Content analysis of answers to four open-ended, online survey questions collected from Australian physiotherapists (N = 208) was conducted. Physiotherapists reported having minimal training specific to psychosocial strategies. Physiotherapists reported wanting training in assessment and management of psychosocial issues, and practical application of specific psychosocial strategies. Didactic and interactive training delivered by experts who understand the psychosocial needs of their patients, and the constraints of physiotherapy practice was preferred. These findings suggest that training in psychosocial strategies at the undergraduate level and continued professional development are necessary. Specifically, training in the assessment and management of psychosocial factors, and in referral processes is warranted, and should be applicable and appropriate for rehabilitation settings. Training should be both didactic and interactive as outlined in the proposed framework.

show abstract

An exploration of physiotherapists' perceived benefits and barriers towards using psychosocial strategies in their practice

Cited by 15 publications

References 32 publications

The Impact of COVID-19 on Staff Working Practices in UK Horseracing

The Impact of COVID-19 on Staff Working Practices in UK Horseracing

Trust, conversations and the ‘middle space’: A qualitative exploration of the experiences of physiotherapists with clients with suicidal thoughts and behaviours

Psychosocial strategies for physiotherapy: A qualitative examination of physiotherapists' reported training preferences

Contact Info

Product

Resources

About