Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, and Behaviors That Reflect Acute Care Practice

Gorman, Sharon L.; Hakim, Ellen Wruble; Johnson, W.; Bose, Sujoy; Harris, Katherine S.; Crist, Molly H.; Holtgrefe, Karen; Ryan, Jennifer; Simpson, Michael; Coe, Jean Bryan

doi:10.2522/ptj.20090385

Cited by 50 publications

(27 citation statements)

References 3 publications

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“…We believe that our survey have succeeded in profiling the general status of ICU physical therapy practice in Jordan in a similar way Norrenberg and Vincent did regarding participants' demographics, training, and education, but our study neither explore the specific interventions used by therapists, nor show the availability of exclusive ICU physical therapists. A survey study in the United States was done to validate the knowledge, skills, and behaviour for acute care physical therapy practice (Gorman et al, ), to help in the foundation of residence or fellowships in acute care practice. Our results, although limited to the participating hospitals, provides basic information regarding acute care physical therapy in Jordan that can be used in future plans for the establishment of a residency or a fellowship programme.…”

Section: Discussionmentioning

confidence: 99%

Physical therapy practice in intensive care units in Jordanian hospitals: A national survey

Al-Nassan

Alshammari

Al-Bostanji

et al. 2018

Physiotherapy Res Intl

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Section: Discussionmentioning

confidence: 99%

Physical therapy practice in intensive care units in Jordanian hospitals: A national survey

Al-Nassan

Alshammari

Al-Bostanji

et al. 2018

Physiotherapy Res Intl

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“…First, physiotherapists working in community‐orthopaedics specialize in musculoskeletal conditions as opposed to other employment settings, such as hospital wards or rehabilitation facilities, which require a more holistic and heterogeneous knowledge, based on different disciplines in medicine and treating a variable mix of patients . Second, community practice is usually held in separate settings, where physiotherapists are the exclusive professional authority, whereas in acute care hospital wards, rehabilitation facilities, and child development clinics, physiotherapists are a part of a multidisciplinary team, working under various constraints that may influence their treatment approaches . Third, the convenience sample consisted of a large group of community‐orthopaedics physiotherapists (58%) and a few small groups that specialized in hospital practice (22%), rehabilitation (7%), and other (11%).…”

Section: Methodsmentioning

confidence: 99%

Physiotherapists' attitudes toward low back pain treatment: Do work setting and clinical experience with low back patients matter?

Roitenberg

2018

Evaluation Clinical Practice

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Rationale, aims, and objectives: Physiotherapists' attitudes toward low back pain (LBP) are linked to patients' attitudes toward pain, chronicity, and disability. Nevertheless, there is a scarcity of studies exploring the variables associated with physiotherapists' attitudes. The present study seeks to explore whether there is an association between the physiotherapists' work setting and their attitudes toward LBP, whether there is an association between the physiotherapists' clinical experience with LBP patients and their attitudes toward LBP, and which variable best predicts physiotherapists' attitudes toward LBP.Method: A self-administered questionnaire was used to collect the data which included a socio-demographic section, self-reports about the work setting, and a clinical experience section. Participants also completed the 15-item Health Care Providers' Pain and Impairment Relationship Scale (HC-Pairs) questionnaire. The HC-Pairs is scored on a 7-point Likert scale, a high score indicating a stronger belief that pain limits daily function.Results: A total of 213 physiotherapists completed the questionnaire. The mean HC-Pairs score of community-orthopaedics physiotherapists was significantly lower than that of non community-orthopaedics physiotherapists (mean 44.02-+ 9.44 vs 48.69-+ 10.89, t = −3.29, P < 0.001) indicating that community-orthopaedics physiotherapists hold a weaker belief that pain limits daily function. Analysis suggests that there is a statistically significant difference in the mean HC-Pairs scores between the high-frequency and the low-frequency group (F = 4.688, P < 0.05) implicating that as physiotherapists experience more frequent encounters with LBP patients, their belief that pain limits daily function of these patients weakens. Work setting is the only variable that predicts the HC-Pairs scores.Conclusions: There is an association between physiotherapists' work setting and clinical experience with LBP patients and their attitudes toward LBP. These findings have implications for future educational programs for physiotherapists and suggest the need to adapt programs to the work setting of physiotherapists and to their level of clinical experience.

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“…Recent studies have identified physiotherapy (PT) competencies required for the ICU setting and recommendations have been made to define a professional profile specifically for ICU physiotherapists (ICU-PTs) [1,[11][12][13][14][15]. Across these studies, consensus exists on the necessity for ICU-PTs to have knowledge and understanding of medication interaction, pathophysiology, ICU equipment (including mechanical ventilation modes), laboratory testing and imaging investigations.…”

Section: Introductionmentioning

confidence: 99%

“…Across these studies, consensus exists on the necessity for ICU-PTs to have knowledge and understanding of medication interaction, pathophysiology, ICU equipment (including mechanical ventilation modes), laboratory testing and imaging investigations. ICU-PTs should also be familiar with practicing PT within safety parameters and based on sound clinical reasoning [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Preparing undergraduate students for clinical work in a complex environment: evaluation of an e-learning module on physiotherapy in the intensive care unit

et al. 2020

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Background: Intensive Care Units (ICUs) are daunting environments for physiotherapy (PT) students performing clinical rotations. To prepare students for this environment, a newly developed, evidence-based e-learning module was designed and implemented in the undergraduate curriculum. The aim of this study was to investigate whether e-learning is a feasible method in preparing PT students for clinical work in complex ICU environments, as perceived by students and experts. Methods: A mixed methods proof of concept study was undertaken. Participants were final-year students of an international curriculum, and experts from didactic and clinical fields. An e-learning module consisting of 7 separate chapters based on the latest scientific evidence and clinical expertise was developed, piloted and incorporated into the undergraduate curriculum as a compulsory course to be completed prior to clinical ICU rotations. Data were collected through 3 focus group meetings and 5 semi-structured interviews; these meetings and interviews were audio recorded, transcribed verbatim and analyzed. Results:The study sample comprised of 14 students and 5 experts. Thematic analysis revealed three themes: expected competencies of PT students in ICU, feeling prepared for ICU clinical work and dealing with local variety. The elearning module enabled students to anticipate clinical situations and PT tasks in the ICU. Higher level clinical reasoning skills, handling of lines and wires and dealing with out-of-textbook situations could not be achieved with the e-learning module alone. Conclusions: An e-learning module can sufficiently prepare PT students for their clinical tasks in the ICU, as long as it is integrated with, or closely connected to, the students' clinical placement.

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Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, and Behaviors That Reflect Acute Care Practice

Cited by 50 publications

References 3 publications

Physical therapy practice in intensive care units in Jordanian hospitals: A national survey

Physical therapy practice in intensive care units in Jordanian hospitals: A national survey

Physiotherapists' attitudes toward low back pain treatment: Do work setting and clinical experience with low back patients matter?

Preparing undergraduate students for clinical work in a complex environment: evaluation of an e-learning module on physiotherapy in the intensive care unit

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