The experience of physiotherapy extended scope practitioners in orthopaedic outpatient clinics

Dawson, Lesley; Ghazi, Fery

doi:10.1016/j.physio.2004.06.001

Cited by 29 publications

(42 citation statements)

References 19 publications

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“…36,37 In addition, therapists and medics reported concerns in terms of litigation, lack of confidence and fear of adverse reactions when giving injections, variations in training, and the reservation that the ESP service is 'only as good as the therapist employed'. 33,36,37 A further qualitative study (concerning ESP therapist experiences in orthopaedics) 38 reported that therapists find the job stressful but satisfying.…”

Section: Radiography (7 Papers)mentioning

confidence: 99%

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A systematic review of evidence about extended roles for allied health professionals

McPherson

Kersten

George

et al. 2006

J Health Serv Res Policy

124

130

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Section: Radiography (7 Papers)mentioning

confidence: 99%

“…Initial direct hospital costs in using ESP physiotherapists was cheaper than sub-consultant surgeons performing the same triage role (see text for methodological limits). Dawson 38 Qualitative research…”

Section: Physiotherapy (5 Studies)mentioning

confidence: 99%

A systematic review of evidence about extended roles for allied health professionals

McPherson

Kersten

George

et al. 2006

J Health Serv Res Policy

124

130

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“…(13)(14)(15) Concerns were expressed about litigation, lack of confidence and fear of adverse reactions when using injection skills, variations in training, and the notion that the ESP service is 'only as good as the therapist employed'(8;14;16) and one study suggested that being an ESP can be both stressful and satisfying. (12) In summary, this recent systematic review showed that evidence about the effectiveness of physiotherapy ESP is very limited and further research is needed to ensure patients are cared for most effectively. The review also aimed to define the range of extended or enhanced practitioner roles within allied health.…”

Section: Introductionmentioning

confidence: 98%

Physiotherapy extended scope of practice – who is doing what and why?

et al. 2007

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Objectives: To explore the range, drivers and perspectives of extended or enhanced practitioner roles within physiotherapy.Data sources: Nineteen electronic databases, hand searches, bibliography scanning and personal contact were used to identify published and unpublished resources. Review methods:A systematic review using an expanded approach. Resources were included if they discussed extended scope of practice (ESP, intervention) in physiotherapy (profession) and outcome (for patients, other health professionals, and health services delivery) irrespective of patient group, language, year of publication (up to 2005), study design, or health care systems evaluated. All resources were screened against formal inclusion criteria for relevance. Information from relevant resources was extracted and details were entered into an Access database. Results:152 Physiotherapy-related resources were identified, including seven which met appropriate quality standards (using Cochrane methodology). A meta-analysis was not performed due to the paucity of RCTs. ConclusionsDrivers for the roles in the 152 resources mainly included local or national service demands (34%). Most ESP roles reported included a form of non-invasive assessment (47%) or non-invasive treatment (37%) of patients that was more traditionally carried out by medical colleagues. None of the resources including data were a) unsupportive of ESP or b) mainly expressing concerns. This review has demonstrated overwhelming support 4 for ESP; the vast majority of resources were supportive of ESP despite being largely descriptive or discursive in nature (76%). There is an urgent need for robust research in order to evaluate the expansion of ESP roles, underpin further development of those roles and, strengthen the evidence base of ESP in physiotherapy.

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“…As a consequence and given the ever-increasing needs for orthopaedic clinics, the range of responsibilities of the pivot nurse is likely to grow. To avoid incoherencies in the functioning of the clinic and a risk of reduced quality of care, many authors recommend establishing a protocol of care, clearly describing the responsibilities, implementing interdisciplinarity, and organizing regular contacts between these new practitioners and orthopaedic doctors to discuss the cases of all patients (Dawson & Ghazi, 2004;Gardiner & Wagstaff, 2001;Hourigan & Weatherley, 1995;Weatherley & Hourigan, 1998). Moreover, to best fulfill his or her role and provide quality care, the pivot nurse must also be autonomous and possess the knowledge, experience, and ability to expand one's role and learn new skills (Pickergill, 1995).…”

Section: Discussionmentioning

confidence: 99%