Perceptions about the implementation of physiotherapist prescribing in Australia: a national survey of Australian physiotherapists

Noblet, Tim; Marriott, John; Jones, Taryn; Dean, Catherine M.; Rushton, Alison

doi:10.1136/bmjopen-2018-024991

Cited by 7 publications

(8 citation statements)

References 24 publications

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“…The findings of this research provide learning opportunities for other non-medical professions currently attempting to gain endorsement, such as physiotherapy. Physiotherapists have identified similar priorities (such as training and educational opportunities) for the successful implementation and uptake of endorsement [ 31 ]. The identification of a commonality of needs across professions attempting to gain endorsement suggests a collaborative approach may be of benefit.…”

Section: Discussionmentioning

confidence: 99%

Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study

Graham

Banwell

Causby

et al. 2021

Journal of Foot and Ankle Research

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Background Australian podiatrists and podiatric surgeons who have successfully completed the requirements for endorsement for scheduled medicines, as directed by the Podiatry Board of Australia, are eligible to prescribe a limited amount of schedule 2, 3, 4 or 8 medications. Registration to become endorsed for scheduled medicines has been available to podiatrists for over 10 years, yet the uptake of training has remained low (approximately 2% of registered podiatrists/podiatry surgeons). This study aimed to explore barriers to and facilitators of engagement with endorsement for scheduled medicines by podiatrists. Methods Qualitative descriptive methodology informed this research. A purposive maximum variation sampling strategy was used to recruit 13 registered podiatrists and a podiatric surgeon who were either endorsed for scheduled medicines, in training or not endorsed. Semi-structured interviews were employed to collate the data which were analysed using thematic analysis. Results Three overarching super-ordinate themes were identified which encompassed both barriers and facilitators: (1) competence and autonomy, (2) social and workplace influences, and (3) extrinsic motivators. Within these, several prominent sub-themes emerged of importance to the participants including workplace and social networks role in modelling behaviours, identifying mentors, and access to supervised training opportunities. Stage of life and career often influenced engagement. Additionally, a lack of financial incentive, cost and time involved in training, and lack of knowledge of training requirements were influential barriers. Rural podiatrists encountered a considerable number of barriers in most of the identified areas. Conclusion A multitude of barriers and facilitators exist for podiatrists as part of the endorsement for scheduled medicines. The findings suggest that a lack of engagement with endorsement for scheduled medicines training may be assisted by a more structured training process and increasing the number of podiatrists who are endorsed to increase the numbers of role models, mentors, and supervision opportunities. Recommendations are provided for approaches as means of achieving, and sustaining, these outcomes.

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Section: Discussionmentioning

confidence: 99%

Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study

Graham

Banwell

Causby

et al. 2021

Journal of Foot and Ankle Research

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“…This article reports the data collected from student physiotherapists within a larger study evaluating the views and perceptions of Australian physiotherapists and physiotherapy students about the potential implementation of physiotherapist prescribing in Australia 15. The data from Australian registered physiotherapists arefound in the related manuscript; perceptions about the implementation of physiotherapist prescribing in Australia: a national survey of Australian physiotherapists 18…”

Section: Methodsmentioning

confidence: 99%

Perceptions of Australian physiotherapy students about the potential implementation of physiotherapist prescribing in Australia: a national survey

et al. 2019

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ObjectivesTo explore the perceptions of Australian physiotherapy students about (1) the potential implementation and use of non-medical prescribing by physiotherapists in Australia and (2) how physiotherapist prescribing might impact the care that the physiotherapy profession can provide in the future.DesignA cross-sectional descriptive survey of physiotherapy students across Australia was completed using an online questionnaire developed by subject-experts and pretested (n=10) for internal consistency. A hyperlink to the questionnaire was emailed to all students enrolled in any accredited, entry-level Australian university physiotherapy programme. A reminder email was sent 4 weeks later.SettingParticipants completed an online questionnaire.Participants526 physiotherapy students from universities across all states with entry-level programmes.Outcome measuresQuantitative data underwent primary descriptive analysis. Thematic analysis was used to synthesise qualitative data.Results87% of participants supported the introduction of physiotherapist prescribing in Australia. 91% of participants stated that they would train to prescribe following introduction. Participants identified improvements in clinical and cost effectiveness, timely access to appropriate prescription medicines and optimisation of quality healthcare as key drivers for the introduction.ConclusionsStudent physiotherapists support the introduction of physiotherapist prescribing in Australia, reporting potential benefits for patients, health services and the physiotherapy profession. Stakeholders should use the results of this study in conjunction with supporting literature to inform future decisions regarding physiotherapist prescribing in Australia.

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“…This provided a cross‐section of the physical therapy profession who were likely to offer detailed, relevant and diverse reporting of their clincal practice (Tong et al., 2007 ). Considering this, an arbitrary target of 50 survey responses was set, given that a previous survey of Australian physical therapists revealed that a very limited number of physical therapists (1.1%, n = 10) indicated ‘amputees’ as their predominate physical therapy practice (Noblet et al., 2019 ). Therefore, including physical therapists with experience in amputation management was needed to preserve purposive sampling whilst achieving the target survey responses.…”

Section: Methodsmentioning

confidence: 99%

Physical therapists demonstrate clinical behaviors consistent with established clinical practice guidelines in managing individuals following amputation

Salcedo

Treacy

Noblet

et al. 2022

Physiotherapy Res Intl

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Background and Purpose Investigating physical therapy in amputation management offers insights into clinical practice. This study explores the self‐reported clinical practice of physical therapists in amputation management and compares it to established clinical practice guidelines to determine whether physical therapists are delivering care that is considered recommended clinical practice. Method An online survey of Australian physical therapists with limited or extensive experience in managing individuals following amputation. Results A total of 110 responses were received. The majority of Australian physical therapists (83%) reported their skills were adequate however, reported a lack of professional development opportunities. Physical therapists reported coordinating care with other health and medical professionals across all phases of care. They report providing comprehensive care in the following areas: residual limb management, pain management, falls prevention, education, counselling, psychological and peer support, and discharge planning. The majority of physical therapists were not aware if a comprehensive care plan was in place following a transition of care from a previous health service. Discussion Overall, physical therapists displayed clinical practice meeting the guidelines across most areas of amputation management. Future research into alternate data collection of clinical practice, and the development of physical therapy‐specific clinical practice guidelines is needed.

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Perceptions about the implementation of physiotherapist prescribing in Australia: a national survey of Australian physiotherapists

Cited by 7 publications

References 24 publications

Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study

Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study

Perceptions of Australian physiotherapy students about the potential implementation of physiotherapist prescribing in Australia: a national survey

Physical therapists demonstrate clinical behaviors consistent with established clinical practice guidelines in managing individuals following amputation

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