The ‘lone ranger’: a descriptive study of physiotherapy practice in Australian emergency departments

Kilner, Emily; Sheppard, Lorraine

doi:10.1016/j.physio.2010.01.002

Cited by 28 publications

(50 citation statements)

References 18 publications

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“…7,8,20,21,[23][24][25][26][27][30][31][32][33][34][35]37,39,40 The most commonly reported task was imaging prescription (nine out of 17 studies, 52%). 7,8,20,21,[23][24][25][26][27][30][31][32][33][34][35]37,39,40 The most commonly reported task was imaging prescription (nine out of 17 studies, 52%).…”

Section: Roles and Tasks Of Ed Physiotherapistsmentioning

confidence: 99%

“…Of the 27 studies, there were five randomised controlled trials (RCTs) [20][21][22][23][24] (n = 1434), 12 prospective observational studies [6][7][8][25][26][27][28][29][30][31][32][33] (n = 153 767), six retrospective studies [34][35][36][37][38][39] (n = 9968), two survey studies 9,40 (n = 61), one case report 41 (n = 3) and one qualitative study 42 (n = 11). ED physiotherapists acted in primary contact roles in 18 studies (66%), 7,8,20,21,[23][24][25][26][27][30][31][32][33][34][35]37,39,40 and in secondary contact roles in seven studies (26%). 6,9,22,28,38,41,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Data on the roles and tasks performed by ED physiotherapists were available for 18 studies (66%). 7,8,20,21,[23][24][25][26][27][30][31][32][33][34][35]37,39,40 The most commonly reported task was imaging prescription (nine out of 17 studies, 52%). Review of medications (e.g.…”

Section: Roles and Tasks Of Ed Physiotherapistsmentioning

confidence: 99%

“…21 Five out of 27 studies (18%) reported that physiotherapists had undertaken additional professional training. 7,26,28,39,40 Examples of training were plaster casting, 26 imaging interpretation, 26,28 commonly prescribed analgesia 7,26 and screening for visceral red flags. 26 Overall, the type of training was poorly reported.…”

Section: Roles and Tasks Of Ed Physiotherapistsmentioning

confidence: 99%

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Review article: A scoping review of physiotherapists in the adult emergency department

Ferreira

Traeger

Maher

2018

Emerg Medicine Australasia

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To provide an overview of the literature that considers physiotherapists working in the ED in relation to their roles, training levels, patient profile, safety, effectiveness, efficiency, cost-effectiveness and the provision of low-value care. We performed a scoping review of the literature. Four databases (PubMed, EMBASE, CINAHL and Cochrane CENTRAL) were searched from their inception to December 2016 and we updated searches on PubMed in September 2017. Two reviewers independently screened studies for eligibility. We performed a narrative synthesis of quantitative data. We included 27 studies: five randomised controlled trials (n = 1434), 12 prospective observational studies (n = 153 767), six retrospective studies (n = 9968), two survey studies (n = 61), one case report (n = 3) and one qualitative study (n = 11). Physiotherapists primarily managed patients with low urgency musculoskeletal conditions. Physiotherapists appeared to have similar clinical effectiveness and costs compared to other health providers (four randomised controlled trials). Physiotherapists were associated with increased efficiency (eight observational studies) and reduced low-value care (one observational study). Three observational studies reported very low adverse event rates. However, none of the studies followed participants to measure adverse events that became apparent after the ED visit, nor did they consider unsafe discharge decisions or suboptimal follow-up care. The available evidence suggests that physiotherapists may be as effective as other health providers in managing low urgency musculoskeletal conditions in the ED. There is uncertainty about appropriate training and a lack of robust studies investigating the efficiency, safety and cost-effectiveness of this model of care.

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Section: Roles and Tasks Of Ed Physiotherapistsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Roles and Tasks Of Ed Physiotherapistsmentioning

confidence: 99%

Section: Roles and Tasks Of Ed Physiotherapistsmentioning

confidence: 99%

See 2 more Smart Citations

Review article: A scoping review of physiotherapists in the adult emergency department

Ferreira

Traeger

Maher

2018

Emerg Medicine Australasia

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“…Other possible reasons for non‐extension of practice include different payment mechanisms for healthcare (i.e. public health is not reimbursed for physiotherapists ordering diagnostics), a shortage of physiotherapists or lack of medical acceptance for substitution of roles (McPherson and Reid, ; Kilner and Sheppard, ; Flannery and Waterford, ).…”

Section: Introductionmentioning

confidence: 99%

General Practitioners' Views About an Orthopaedic Clinical Assessment Service

Burn

May

Edwards³

2014

Physiotherapy Res Intl

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GPs saw OCAS as another referral choice for patients suffering orthopaedic pathologies. GPs identified some difficulty in understanding the different services including the various professional roles involved. To assist with their understanding, they described requesting advertising of the different services and the clinicians involved or streamlining of services by provider services. Further detailed research addressing the limitations in this research design is indicated to investigate GP's thoughts and behaviours in relation to referral patterns especially as GPs in the UK took on commissioning for services from April 2013.

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Core competencies for first contact physiotherapists in a direct access model of care for adults with musculoskeletal disorders: A scoping review

Vervaeke,

Lafrance,

Demont

2023

Musculoskeletal Care

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IntroductionTo optimise the management of Musculoskeletal disorders (MSKDs), many countries have implemented direct access to physiotherapy; however, the core competencies required for first contact physiotherapists (PTs) have not been precisely defined. The aim of this scoping review is to identify and describe the core competencies required for first contact PTs treating adults with MSKDs.MethodsWe conducted a scoping review of the literature by searching eight databases and grey literature up to July 2023. We performed a thematic analysis of the competencies identified based on predefined themes relevant to first contact physiotherapy in direct access models in primary or emergency care settings.ResultsSixty‐five articles were included. Seventeen core competencies were identified and grouped into 5 themes: (1) Assessment and examination; (2) Management and interventions; (3) Communication; (4) Cooperation and collaboration; and (5) Professionalism and leadership.ConclusionsOur findings provide an international perspective on the core competencies required for first contact PTs.

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The ‘lone ranger’: a descriptive study of physiotherapy practice in Australian emergency departments

Cited by 28 publications

References 18 publications

Review article: A scoping review of physiotherapists in the adult emergency department

Review article: A scoping review of physiotherapists in the adult emergency department

General Practitioners' Views About an Orthopaedic Clinical Assessment Service

Core competencies for first contact physiotherapists in a direct access model of care for adults with musculoskeletal disorders: A scoping review

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