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extended scope physiotherapy

Jonathan Thompson, Samantha Yoward, Pamela Dawson
OBJECTIVE: Physiotherapy extended scope practitioner (ESP) roles are widely utilized in the management of musculoskeletal conditions. The present article reviews the current literature, with particular emphasis on the decision-making process, patient/clinician interaction and clinical outcomes. METHODS: A systematic review of musculoskeletal extended scope practice was carried out. The review focused on the outcome of interventions, and the interactions and decision-making processes between ESPs and their patients...
June 21, 2016: Musculoskeletal Care
Marie O Mir, Ciara Cooney, Cliona O'Sullivan, Catherine Blake, Paula Kelly, Pat Kiely, Jacques Noel, David Moore
BACKGROUND: The demand for paediatric orthopaedic care is growing, and providing the service required is an increasingly challenging task. Physiotherapist-led triage clinics are utilised in adult orthopaedics to enable the provision of care to patients who may not require a surgical consult. The Physiotherapy Orthopaedic Triage Clinic (POTC) was established in Our Lady's Children's Hospital Crumlin in response to increasing demands on the paediatric orthopaedic service. The clinic is run by physiotherapists working in an advanced practice role (APP), and is the first paediatric clinic of its type and scale in the Republic of Ireland...
April 2016: Journal of Children's Orthopaedics
K Grimmer, J Morris, S Kim, S Milanese, W Fletcher
BACKGROUND AND PURPOSE: Physiotherapy or Physical Therapy (PT) is the most commonly practised allied health discipline globally. International PT workforce reforms are underway to deal with increasing patient numbers, shrinking medical and nursing workforces and lengthy waiting lists. It is timely to consider international differences in PT, with the aims of identifying opportunities for shared learning and forming stronger international alliances to support consistent and evidence-based workforce reforms...
February 16, 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Eleni Bacopanos, Susan Edgar
Objective Previous studies have highlighted the short career intentions and high attrition rates of physiotherapists from the profession. The aim of the present study was to examine the job satisfaction and attrition rates of early career physiotherapists graduating from one Western Australian university.Methods A self-administered online survey was conducted of 157 Notre Dame physiotherapy graduates (2006-2012), incorporating a job satisfaction rating scale.Results Results showed that lowered job satisfaction was related to working in the cardiorespiratory area of physiotherapy and working in multiple jobs since graduation...
January 18, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Vijay Rajanna, Patrick Vo, Jerry Barth, Matthew Mjelde, Trevor Grey, Cassandra Oduola, Tracy Hammond
A carefully planned, structured, and supervised physiotherapy program, following a surgery, is crucial for the successful diagnosis of physical injuries. Nearly 50 % of the surgeries fail due to unsupervised, and erroneous physiotherapy. The demand for a physiotherapist for an extended period is expensive to afford, and sometimes inaccessible. Researchers have tried to leverage the advancements in wearable sensors and motion tracking by building affordable, automated, physio-therapeutic systems that direct a physiotherapy session by providing audio-visual feedback on patient's performance...
March 2016: Journal of Medical Systems
Jo Jennings
Physiotherapists work with patients to restore, improve or maintain their function and enhance their quality of life. They work autonomously but in conjunction with patients and, if necessary, the rest of each multidisciplinary team to assess, diagnose and create treatment plans. Some physiotherapists have extended their scope of practice to order and interpret investigations, such as X-rays and blood tests, and to perform joint injections and prescribe medications ( Chartered Society of Physiotherapy (CSP) 2015 )...
November 2015: Nursing Older People
J Morris, K Vine, K Grimmer
BACKGROUND: Physiotherapists working in advanced and extended scope roles internationally make a difference to workflow, performance targets, and patient satisfaction in areas traditionally served by medicine and nursing. AIM: To assess the impact of an advanced scope of practice physiotherapist (ASoP-PT) service in a large Australian hospital emergency department (ED) by measuring national service and triage category indicators, patient and staff satisfaction. METHODS: Consecutive patients consulting the ASoP-PT were recruited over 53 weeks following service inception...
2015: Patient related Outcome Measures
Ahmad Alghadir, Hamayun Zafar, Zaheen Ahmed Iqbal, Shahnawaz Anwer
[Purpose] To review the physical therapy educational program model, professional curriculum, and gender representation at major universities, as well as the quality and scope of physical therapy practice in Saudi Arabia. [Methods] Information regarding course curriculum, gender representation, and the quality and scope of physical therapy practice was collected from six universities in Saudi Arabia, the Saudi Physical Therapy Association, and the Saudi Health Commission. [Results] The first bachelor's degree course of physical therapy was started in Saudi Arabia more than 30 years ago...
May 2015: Journal of Physical Therapy Science
Elizabeth H Skinner, J Haines Kimberley, Kate Hayes, Daniel Seller, Jessica C Toohey, Julie C Reeve, Clare Holdsworth, Terry P Haines
Allied health professions have developed specialised advanced and extended scope roles over the past decade, for the benefit of patient outcomes, allied health professionals' satisfaction and to meet labour and workforce demands. There is an essential need for formalised, widely recognised training to support these roles, and significant challenges to the delivery of such training exist. Many of these roles function in the absence of specifically defined standards of clinical practice and it is unclear where the responsibility for training provision lies...
June 2015: Australian Health Review: a Publication of the Australian Hospital Association
Caroline Oakley, Carol Shacklady
BACKGROUND: Extended-scope physiotherapists (ESPs) are working in musculoskeletal (MSK) triage clinics to assess, diagnose and refer patients for appropriate management. However, there is inadequate appraisal of their clinical effectiveness. OBJECTIVES: The aim of the present systematic review was to appraise the evidence on the diagnostic ability of ESPs in MSK triage, and patient and general practitioner (GP) satisfaction when seen by an ESP in a MSK clinic. METHOD: CINAHL, AMED, MEDLINE and EMBASE databases were searched from 1989 to February 2014 using the keywords 'physiotherapy', 'extended practitioner' and 'musculoskeletal disease'...
December 2015: Musculoskeletal Care
Neil Langridge, Lisa Roberts, Catherine Pope
INTRODUCTION: Employing allied health professionals in extended scope roles has developed relatively recently in health-care. Within physiotherapy, the extended role has provided clinicians with autonomy to use knowledge and clinical acumen to request investigations such as Magnetic Resonance Imaging (MRI) and X-ray as part of the diagnostic process, a practice beyond the traditional scope of physiotherapy. In these advancing roles, little is written about the clinical reasoning processes that clinicians use in managing patients with musculoskeletal pain and knowledge of these processes would advance training for new recruits to this arena...
December 2015: Manual Therapy
Robyn L Saxon, Marion A Gray, Florin I Oprescu
BACKGROUND: Internationally, health care services are under increasing pressure to provide high quality, accessible, timely interventions to an ever increasing aging population, with finite resources. Extended scope roles for allied health professionals is one strategy that could be undertaken by health care services to meet this demand. This review builds upon an earlier paper published in 2006 on the evidence relating to the impact extended scope roles have on health care services. METHODS: A systematic review of the literature focused on extended scope roles in three allied health professional groups, ie, physiotherapy, occupational therapy, and speech pathology, was conducted...
2014: Journal of Multidisciplinary Healthcare
Robyn Adams, Lorraine Sheppard, Anne Jones, Sophie Lefmann
OBJECTIVE: To obtain stakeholder perspectives on factors influencing rural physiotherapy service provision and insights into decision making about service provision. DESIGN: Purposive sampling, open-ended survey questions and semi-structured interviews were used in this exploratory, qualitative study. SETTING: A rural centre and its regional referral centre formed the pilot sites. PARTICIPANTS: Nine participant perspectives were obtained on rural physiotherapy services...
June 2014: Australian Journal of Rural Health
Joanne Morris, Karen Grimmer, Lisa Gilmore, Chandima Perera, Gordon Waddington, Greg Kyle, Bryan Ashman, Karen Murphy
Sustainable implementation of new workforce redesign initiatives requires strategies that minimize barriers and optimize supports. Such strategies could be provided by a set of guiding principles. A broad understanding of the concerns of all the key stakeholder groups is required before effective strategies and initiatives are developed. Many new workforce redesign initiatives are not underpinned by prior planning, and this threatens their uptake and sustainability. This study reports on a cross-sectional qualitative study that sought the perspectives of representatives of key stakeholders in a new workforce redesign initiative (extended-scope-of-practice physiotherapy) in one Australian tertiary hospital...
2014: Journal of Multidisciplinary Healthcare
Barbara Sassen, Gerjo Kok, Ilse Mesters, Rik Crutzen, Anita Cremers, Luc Vanhees
BACKGROUND: Patients with cardiovascular risk factors can reduce their risk of cardiovascular disease by increasing their physical activity and their physical fitness. According to the guidelines for cardiovascular risk management, health professionals should encourage their patients to engage in physical activity. OBJECTIVE: In this paper, we provide insight regarding the systematic development of a Web-based intervention for both health professionals and patients with cardiovascular risk factors using the development method Intervention Mapping...
2012: JMIR Research Protocols
Jacqueline Crane, Clare Delany
Emergency physiotherapy roles have evolved within the UK and are increasingly being adopted in Australia in response to a need for greater workforce flexibility and improved service provision to meet growing patient demand. This paper discusses the need for the physiotherapy profession to develop evidence-based regulatory, ethical and educative frameworks to keep pace with the changing clinical environment and service delivery in emergency departments. Definitions of Emergency Physiotherapy as either advanced practice or extended scope of practice are identified, and the implications for both regulation of practice and education are highlighted...
June 2013: Physiotherapy
François Desmeules, Jean-Sébastien Roy, Joy C MacDermid, François Champagne, Odette Hinse, Linda June Woodhouse
BACKGROUND: The convergence of rising health care costs and physician shortages have made health care transformation a priority in many countries resulting in the emergence of new models of care that often involve the extension of the scope of practice for allied health professionals. Physiotherapists in advanced practice/extended scope roles have emerged as key providers in such new models, especially in settings providing services to patients with musculoskeletal disorders. However, evidence of the systematic evaluation of advance physiotherapy practice (APP) models of care is scarce...
2012: BMC Musculoskeletal Disorders
Jessica Stanhope, Karen Grimmer-Somers, Steve Milanese, Saravana Kumar, Joanne Morris
PURPOSE: This systematic review updates one conducted in 2008 into extended scope practice (ESP) in physiotherapy in orthopedics. METHODS: A comprehensive open-ended search was conducted using electronic library data-bases and Google Scholar to identify any primary study design reporting on physiotherapists working in ESP roles within orthopedic settings. Studies were allocated to the National Health and Medical Research Council hierarchy of evidence, although only studies in levels I, II, or III_1 were critically appraised using a purpose-built critical appraisal tool...
2012: Journal of Multidisciplinary Healthcare
Julie Sellars, Lynn Clouder
OBJECTIVE: To provide a critically reflective account of clinical educators' experiences of the Accreditation of Clinical Educators (ACE) scheme, launched by the Chartered Society of Physiotherapy in 2004, and its impact on practice. DESIGN: A qualitative methodology with three elements: focus group interviews during the accreditation process, and completion of a questionnaire at its conclusion and 6 months following completion. All data were transcribed and analysed using the constant comparative method...
December 2011: Physiotherapy
Emily Kilner, Lorraine Sheppard
OBJECTIVES: Physiotherapy services have recently been introduced to Australian emergency departments in an attempt to address service delivery issues such as access block. This study aimed to determine the roles, including those relating to extended scope practice, currently undertaken by physiotherapists in Australian emergency departments. DESIGN: Descriptive cross-sectional design. An Internet-based survey, containing 37 items to access demographic and perceptual data, was distributed to Australian emergency department physiotherapists between 8 February and 30 April 2009...
September 2010: Physiotherapy
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