Impact and feasibility of a tailor-made patient communication quality improvement programme for hospital-based physiotherapists: a mixed-methods study

Steenbruggen, Rudi A; Heusden‐Scholtalbers, Linda Ag van; Hoogeboom, Thomas J.; Maas, Marjo; Brand, Paul; Wees, Philip van der

doi:10.1136/bmjoq-2020-001286

Cited by 6 publications

(17 citation statements)

References 30 publications

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“…The effects and feasibility of each QI method mentioned by the panel have been described previously in the literature. Overall, these studies suggest positive effects and reasonable feasibility, but also make reservations about each method ranging from the degree of effect, reliability, and validity to efforts with and conditions under which application could be successfull [17][18][19][20][21][22][23][24][25][26][27][28]. The results of these studies suggest that, when designing a QI framework for hospital-based physiotherapy, a mixture of these methods may be most appropriate.…”

Section: Relation To Similar Studiesmentioning

confidence: 99%

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A framework to improve quality of hospital-based physiotherapy: a design-based research study

Steenbruggen

Maas

Hoogeboom³

et al. 2023

BMC Health Serv Res

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Background A quality framework for hospital-based physiotherapy is lacking. This study aims to design a framework, building on the currently available literature, to improve the quality of hospital-based physiotherapy. Methods A multidisciplinary panel of six representatives of hospital-based physiotherapy and their key stakeholders (patients, medical specialists, hospital management and professional association) was set up. We used brainwriting to sample ideas and the ‘decision-matrix’ to select the best ideas. Results The first round of brainwriting with an online panel of six experienced participants yielded consensus on seven possible methods for quality improvement of hospital-based physiotherapy [1]: continuing education [2] ,feedback on patient reported experience measures and patient reported outcome measures [3] ,a quality portfolio [4] ,peer observation and feedback [5] ,360 degree feedback [6] ,a management information system, and [7] intervision with intercollegiate evaluation. Placing these methods in a decision matrix against four criteria (measurability, acceptability, impact, accessibility) resulted in a slight preference for a management information system, with almost equal preference for five other methods immediately thereafter. The least preference was given to a 360-degree feedback. Conclusions In the design of a framework for improving the quality of hospital-based physiotherapy, all seven suggested methods were perceived as relevant but differed in terms of advantages and disadvantages. This suggests that, within the framework, a mixture of these methods may be desirable to even out respective advantages and disadvantages.

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Section: Relation To Similar Studiesmentioning

confidence: 99%

“…Especially if techniques that are already used in the hospital world, such as the tracer method with peer observation and feedback, are used [25].…”

Section: Relation To Similar Studiesmentioning

confidence: 99%

A framework to improve quality of hospital-based physiotherapy: a design-based research study

Steenbruggen

Maas

Hoogeboom³

et al. 2023

BMC Health Serv Res

Self Cite

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“…The second most common service level involved QI efforts in orthopedics (n 5 11, 15.7%). 30,31,50,60,61,64,69,70,79,89,99 The service level described as "system" comprised seven studies (10%), 36,37,48,58,81,88,105 and included QI projects related to system processes or outcomes in PT practice that were not specific to a given service level.…”

Section: Service Levelmentioning

confidence: 99%

“…Of the 70 total included studies in this review, 18 (26%) 28,37,39,40,[43][44][45]48,52,60,68,70,73,74,77,79,96,102 were approved by local ethics boards, 19 (27%) [32][33][34]36,41,46,47,49,50,53,55,56,58,63,64,67,81,97,100 sought approval but were considered exempt, 15 (21%) 19,35,38,42,57,59,61,62,65,71,72,75,78,80,…”

Section: Qi Models or Toolsmentioning

confidence: 99%

“…Qualitative analysis was used alone in one study (1.8%), 71 but was combined with additional analytic techniques in seven other studies (10%). 49,60,63,66,68,69,81 Statistical process control charts were used as the lone analytic method in three studies (4.3%) 38,53,93 and were combined with descriptive statistics in five (7.1%) others. 42,48,57,73,78 Reporting Guidelines and Quality Assessment Only nine studies 19,38,42,50,52,56,62,77,96 referenced a reporting guideline, all mentioning the Standards for QI Reporting Excellence 2.0 (SQUIRE 2.0).…”

Section: Analytical Plan Reportedmentioning

confidence: 99%

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The Use of Quality Improvement in the Physical Therapy Literature: A Scoping Review

Crick¹,

Rethorn²,

Beauregard³

et al. 2023

J Healthc Qual

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Introduction: Quality improvement (QI) is a useful methodology for improving healthcare, often through iterative changes. There is no prior review on the application of QI in physical therapy (PT). Purpose and Relevance: To characterize and evaluate the quality of the QI literature in PT. Methods: We searched four electronic databases from inception through September 1, 2022. Included publications focused on QI and included the practice of PT. Quality was assessed using the 16-point QI Minimum Quality Criteria Set (QI-MQCS) appraisal tool. Results: Seventy studies were included in the review, 60 of which were published since 2014 with most (n = 47) from the United States. Acute care (n = 41) was the most prevalent practice setting. Twenty-two studies (31%) did not use QI models or approaches and only nine studies referenced Revised Standards for QI Reporting Excellence guidelines. The median QI-MQCS score was 12 (range 7–15). Conclusions/Implications: Quality improvement publications in the PT literature are increasing, yet there is a paucity of QI studies pertaining to most practice settings and a lack of rigor in project design and reporting. Many studies were of low-to-moderate quality and did not meet minimum reporting standards. We recommend use of models, frameworks, and reporting guidelines to improve methodologic rigor and reporting.

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Experience and Hospital Context Influence Fall Prevention Practice by Physical Therapists: A Survey Study

et al. 2023

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Background: Falls in and following hospitalization are common and problematic. Little is understood about the factors that impede or promote effective implementation of fall prevention practices. Purpose and Relevance: Physical therapists are commonly consulted for acute care patients at risk for falling. The purpose of this study is to understand therapist perceptions of their effectiveness in fall prevention and to explore the impact of contextual factors on practice patterns to prevent falls surrounding hospitalization. Methods: Survey questions were tailored to the constructs of hospital culture, structural characteristics, networks and communications, and implementation climate, in addition to inquiries regarding practice patterns and attitudes/beliefs. Results: Overall, 179 surveys were analyzed. Most therapists (n 5 135, 75.4%) affirmed their hospital prioritizes best practices for fall prevention, although fewer agreed that therapists other than themselves provide optimal fall prevention intervention (n 5 105, 58.7%). Less practice experience was associated with greater odds of affirming that contextual factors influence fall prevention practice (odds ratio 3.90, p , .001). Respondents who agreed that their hospital system prioritizes best practices for fall prevention had 14 times the odds of believing that their system prioritizes making improvements (p 5 .002). Conclusions/Implications: As experience influences fall prevention practice, quality assurance and improvement initiatives should be used to ensure minimum specifications of practice.

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Impact and feasibility of a tailor-made patient communication quality improvement programme for hospital-based physiotherapists: a mixed-methods study

Cited by 6 publications

References 30 publications

A framework to improve quality of hospital-based physiotherapy: a design-based research study

A framework to improve quality of hospital-based physiotherapy: a design-based research study

The Use of Quality Improvement in the Physical Therapy Literature: A Scoping Review

Experience and Hospital Context Influence Fall Prevention Practice by Physical Therapists: A Survey Study

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