Exploration of therapists’ views of practice within critical care

Abstract

IntroductionTherapists are increasing recognised as core members of the critical care multiprofessional team. Each therapy profession provides specialist assessments and interventions, but also work collaboratively across the rehabilitation pathway. Despite inclusion in several national guidance documents, there remains a lack of evidence regarding the perceived role of therapists working within critical care, the unique contributions of each profession and opinion on the day-to-day tasks and responsibilities of each therapy profession.MethodA descriptive qualitative methodology was used involving seven focus groups. Purposeful sampling was used to recruit therapists via professional specialist interest groups. All focus groups were uniprofessional and discussions based on a predesigned framework. Data were analysed thematically.ResultsParticipants (n=65) from across the UK were recruited to seven focus groups with an average of 18.3 years postgraduate clinical experience of which 11.6 years was within critical care. Three core themes were generated from 875 codes and 237 potential subthemes. The final themes were (1) professional characteristics; (2) multidisciplinary team and (3) staffing. An additional theme of ‘COVID-19 pandemic’ was also identified. Findings were similar across all profession groups particularly regarding the need for holistic, patient-centred care. Expected variation was observed for professional characteristics especially regarding specific assessments and interventions.DiscussionTherapy services are an essential component to the delivery of critical care especially regarding recovery and rehabilitation. Through three core themes, this qualitative study has provided new evidence of the perceptions and opinions of the role that therapists undertake within critical care.

Standards for research in NHS Wales critical care units: A modified Delphi study

“…These standards may help to overcome a major barrier to R&D activity previously highlighted in the literature, particularly regarding the involvement of nursing and AHP members of the MDT. [26][27][28] Strengths of this study were that a high proportion of participants (81%) completed all three rounds, with representation in all three rounds from across all health boards with a critical care unit in Wales. 15 Furthermore, participants represented a range of multi-disciplinary professions and grades, and included staff involved with all aspects of local R&D activity.…”

“…These standards may help to overcome a major barrier to R&D activity previously highlighted in the literature, particularly regarding the involvement of nursing and AHP members of the MDT. 26 –28…”