Survey of neurodevelopmental allied health teams in Australian and New Zealand neonatal nurseries: Staff profile and standardised neurobehavioural/neurological assessment

Allinson, Leesa G; Doyle, Lex W.; Denehy, Linda; Spittle, Alicia J

doi:10.1111/jpc.13484

Cited by 12 publications

(12 citation statements)

References 24 publications

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“…The questionnaire items were developed and modified with reference to previous studies in Canada, Australia, and Korea. 7,[10][11][12] The finalized questionnaire consisted of 3 sections. The cover explained the purpose, structure, filling out, and retrieval of the questionnaire.…”

Section: Development Of Questionnaire Itemsmentioning

confidence: 99%

“…An Australian study also reported that the percentage of highly educated physical therapists with a master's degree or higher is particularly high among professions involved in the NICU. 10 As the field of neonatal intensive care also requires ad- In regard to the allocation of neonatal PT related work in Korea, there was a difference in the duration of neonatal PT (per session)…”

Section: General Characteristics Of the Study Hospitalsmentioning

confidence: 99%

“…The criteria for this fee include performing the therapy for "10 minutes or longer," and this code is applied to treatments such as range of motion exercises. General hospitals, or their equivalents, seem to have designated the duration of treatment to 10 10,11 More diverse professionals were found to participate in the reha- As preterm birth and low birth weight are risk factors for slow growth and developmental delay in infancy, these infants are generally subject to periodic follow-ups in an outpatient setting. 15 Parents are considered the core of pediatric rehabilitation 16 and practical scientific evidence demonstrating the significance of family-centered treatment has being reported.…”

Section: Limitations Of Current Neonatal Pt and Suggestionsmentioning

confidence: 99%

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A Survey on the Current Status of Neonatal Physical Therapy in South Korea

Kim

Lee

2020

J Kor Phys Ther

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This study aimed to investigate and report the current status of physical therapy (PT) performed in Korean neonatal intensive care units (NICU) to present foundational data that promotes the advances in neonatal PT in Korea. Methods: Based on the Health Insurance Review and Assessment (HIRA) data, we administered a questionnaire survey to 74 hospitals (39 tertiary and 35 general hospitals) in Korea equipped with a NICU and pediatric PT unit. We developed a 32-item questionnaire with reference to previous Korean studies. The questionnaires were distributed and retrieved via regular mail and an online system. Results: Of the 74 hospitals, 58 (78%) practiced neonatal PT and the duration of each session significantly differed according to the hospital rating. PT was given, depending on clinical symptoms, to infants who were preterm and low birth-weight (96.5%), had brain and spinal cord diseases (84.5%), had pathological tonus (94.8%), with respiratory problems (65.5%), for range of motion exercises (82.8%), for neurodevelopment approaches (72.4%), and for positioning (70.7%). Interdisciplinary meetings were held to share clinical decisionmaking in 17.2% of the hospitals surveyed and parent-participating education to ensure a family-centered approach was offered in 63.8% of the hospitals. The barriers of neonatal PT included low insurance fees, insufficient awareness of colleagues, and the severity of the patient. Conclusion: This study is the first report of the current status of neonatal PT in Korea. The findings of this study will serve as foundational data to review the current neonatal PT practice and promote further advances.

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Section: Development Of Questionnaire Itemsmentioning

confidence: 99%

Section: General Characteristics Of the Study Hospitalsmentioning

confidence: 99%

Section: Limitations Of Current Neonatal Pt and Suggestionsmentioning

confidence: 99%

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A Survey on the Current Status of Neonatal Physical Therapy in South Korea

Kim

Lee

2020

J Kor Phys Ther

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“…These significant long-term ramifications highlight the importance of early intervention to ameliorate long term impacts and include neuroprotective developmental care strategies and therapeutic interventions in NNU (Altimier & Phillips, 2013;AOTA, 2018;Nightlinger, 2011;RCOT, 2017). Evidence based practices such as individualised developmental care, and allied health team interventions, including Occupational Therapy, have become an integral part of NNU practice (Allinson et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Neonatal Occupational Therapy in Australia: A Survey and Recommendations for Developing Guidelines for Clinical Practice

McPharlin

Stewart

Gibbs

et al. 2020

tahs

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Aim and Background: Occupational Therapists form an essential part of the development and care of infants and families in Neonatal Units (NNU) across the world, however, little is documented about their practice in Australia. This article aims to develop a greater understanding of the role of Occupational Therapy in NNU in Australia, compared with international practice guidelines, and recommends the adoption of UK guidelines until Australia specific guidelines emerge. Method: An online questionnaire was developed from a systematic scoping review and piloted by an expert panel. Invitations were sent to thirty Occupational Therapists working in NNUs around Australia. Data analysis included using descriptive statistics and qualitative themes. Results: Twenty two (73%) of NNU Occupational Therapists responded to the survey, representing all levels of NNU. Results describe the current Occupational Therapy role in Australia as encompassing assessment, intervention, teamwork and a variety of ‘other’ activities, all of which required advanced knowledge, skills and paediatric experience, and involved ongoing high-level professional development. Occupational Therapy has a unique role to play in neonatal units. Future development of the role is reliant upon good advocacy and promotion, specialised training opportunities, prospects for networking, support and mentorship for the many Therapists working part-time, and ongoing research. The Australian Occupational Therapy NNU role compares similarly with those cited internationally (UK & US). The development of guidelines for evidence based clinical practice of neonatal Occupational Therapy in Australia was highly sought by clinicians. The adoption of the ‘Occupational Therapy in neonatal services and early intervention: practice guideline’ (RCOT 2017) is proposed until the emergence of specific Australian guidelines.

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“…The authors reflect that the literature is currently limited, given factors mentioned above. Correspondingly, language intervention (as a component of neurodevelopmental care) and speech‐language pathology services are not standard in neonatal hospital contexts . Yet, if the growing number of publications is any indication, interest is increasing, and a more robust evidence base will soon emerge.…”

mentioning

confidence: 99%