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Mention de date : 2013
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Ajouter le résultat dans votre panierPhysiotherapists in emergency departments: responsibilities, accountability and education / Jacqueline Crane in Physiotherapy, 2013/2 (2013)
Titre : Physiotherapists in emergency departments: responsibilities, accountability and education Type de document : Article Auteurs : Jacqueline Crane ; Clare Delany Année de publication : 2013 Article en page(s) : pp. 95-100 Langues : Anglais (eng) Descripteurs : HE Vinci
Déontologie ; Kinésithérapie (spécialité) ; Service hospitalier d'urgencesMots-clés : Physical Therapy Specialty Ethics Professional Emergency Service Hospital Résumé : 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. Suggestions for education in areas of clinical skills, ethical understanding and legal and professional knowledge are highlighted as important areas to support physiotherapists moving into this area of practice.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.003 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134110
in Physiotherapy > 2013/2 (2013) . - pp. 95-100[article]
Titre : Airway clearance techniques in acute exacerbations of COPD: a survey of Australian physiotherapy practice Type de document : Article Auteurs : Christian R. Osadnik ; Christine F. McDonald ; Anne E. Holland Année de publication : 2013 Article en page(s) : pp. 101-106 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructiveMots-clés : Pulmonary Disease Chronic Obstructive Physical Therapy Modalities Techniques de physiothérapie Mucociliary Clearance Clairance mucociliaire Résumé : To identify airway clearance techniques (ACTs) used to treat patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) and identify factors underpinning their utilisation, including therapists’ knowledge of the literature.
Design
Cross-sectional postal survey using Likert scales and multiple-choice responses.
Setting
112 ‘large’ or ‘principal referral’ Australian public hospitals.
Participants
189 physiotherapists from 89 hospitals (response rate 81%).
Main outcome measures
Purpose designed survey measuring self-reported rate of ACT prescription; perception of ACT indications, aims, importance and effectiveness; factors influencing ACT choice; and knowledge of the evidence.
Results
Most physiotherapists (123/189, 65%) prescribed ACTs for 60–100% of patients with AECOPDs. The most frequently prescribed ACTs were physical exercise (169/189, 89%), the forced expiratory technique (153/189, 81%) and the active cycle of breathing technique (149/189, 79%). Most were rated highly effective. Physiotherapists who perceived the role of ACTs to be important to patients’ overall management (137/189, 73%) and those with less than 5 years cardiorespiratory experience (113/189, 60%) prescribed ACTs significantly more frequently than others. The main factors influencing ACT choice were precautions/contraindications to individual techniques (148/189, 78%) and degree of dyspnoea (136/189, 72%). The primary aim of ACT prescription was to clear sputum (178/189, 94%). Understanding of the evidence for ACTs in AECOPDs was mixed, with 43% citing it as supportive, 30% inconclusive and 19% unsure.
Conclusions
Australian physiotherapists frequently prescribe ACTs for patients with AECOPDs and perceive their role to be important. Physical exercise is frequently prescribed for airway clearance and warrants further investigation.DOI : http://dx.doi.org/10.1016/j.physio.2012.01.002 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134111
in Physiotherapy > 2013/2 (2013) . - pp. 101-106[article]
Titre : Airflow distribution with manual hyperinflation as assessed through gamma camera imaging: a crossover randomised trial Type de document : Article Auteurs : H. van Aswegen ; A. van Aswegen ; H. Du Raan Année de publication : 2013 Article en page(s) : pp. 107-112 Langues : Anglais (eng) Mots-clés : Airway Resistance Résistance des voies aériennes Pulmonary Ventilation Ventilation pulmonaire Positive-Pressure Respiration Intrinsic Respiration avec pression positive intrinsèque Résumé : Objectives
Manual hyperinflation (MHI) has been shown to improve lung compliance, reduce airway resistance, and enhance secretion removal and peak expiratory flow. The aims of this study were to investigate whether there is a difference in airflow distribution through patients’ lungs when using the Laerdal and Mapleson-C circuits at a set level of positive end-expiratory pressure (PEEP), and to establish whether differences in lung compliance and haemodynamic status exist when patients are treated with both these MHI circuits.
Design
Crossover randomised controlled trial.
Setting
Adult multidisciplinary intensive care unit (ICU) at an academic hospital.
Participants
Fifteen adult patients were recruited and served as their own controls.
Intervention
In the Nuclear Medicine Department, MHI with PEEP 7.5 cmH2O was performed in the supine position (Day 1) with either Laerdal or Mapleson-C circuits, in a random order, while technetium-99m (Tc-99m) aerosol was administered and images were taken with a gamma camera. Changes in heart rate (HR), mean arterial pressure (MAP) and dynamic lung compliance (CD) were documented at baseline, immediately after return to ICU, and 10, 20 and 30 minutes after return to ICU. The alternative circuit was used on Day 2.
Results
Tc-99m deposition was greater in the right lung field (62% and 63% for Laerdal and Mapleson-C circuits, respectively) than the left lung field (38% and 37%, respectively) for all patients, and least deposition occurred in the left lower segments (6% and 6%, respectively). No differences in Tc-99m deposition in the lungs, HR, MAP or CD were noted between the two MHI circuits.
Conclusion
Airflow distribution through patients’ lungs was similar when the Laerdal and Mapleson-C MHI circuits were compared using a set level of PEEP in the supine position.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.007 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134112
in Physiotherapy > 2013/2 (2013) . - pp. 107-112[article]
Titre : PhysioDirect: Supporting physiotherapists to deliver telephone assessment and advice services within the context of a randomised trial Type de document : Article Auteurs : Annette Bishop ; Jill Gamlin ; Jeanette Hall Année de publication : 2013 Article en page(s) : pp. 113-118 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Appareil locomoteur ; Kinésithérapie (spécialité) ; TélémédecineMots-clés : Musculoskeletal System Telemedicine Physical Therapy Specialty Health Services Accessibility Résumé : Physiotherapy-led telephone assessment and advice services for patients with musculoskeletal problems have been developed in many services in the UK, but high quality trial data on clinical and cost effectiveness has been lacking. In order to address this ‘The PhysioDirect trial’ (ISRCTN55666618), was a pragmatic randomised trial of a PhysioDirect telephone assessment and advice service. This paper describes the PhysioDirect system used in the trial and how physiotherapists were trained and supported to use the system and deliver the PhysioDirect service. The PhysioDirect system used in the trial was developed in Huntingdon and now serves a population of 350,000 people. When initiating or providing physiotherapy-led telephone assessment and advice services training and support for physiotherapists delivering care in this way is essential. An enhanced skill set is required for telephone assessment and advice particularly in listening and communication skills. In addition to an initial training programme, even experienced physiotherapists benefit from a period of skill consolidation to become proficient and confident in assessing patients and delivering care using the telephone. A computer-based system assists the delivery of a physiotherapy-led musculoskeletal assessment and advice service. DOI : http://dx.doi.org/10.1016/j.physio.2012.08.002 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134113
in Physiotherapy > 2013/2 (2013) . - pp. 113-118[article]
Titre : Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study Type de document : Article Auteurs : K.J. Haines ; E.H. Skinner ; S. Berney Année de publication : 2013 Article en page(s) : pp. 119-125 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Kinésithérapie (spécialité) ; LaparotomieMots-clés : Postoperative Complications Early Ambulation Lever précoce Physical Therapy Specialty Pneumonia Pneumopathie infectieuse Laparotomy General Surgery Chirurgie générale Résumé : Objectives
Previous Australian studies reported that postoperative pulmonary complications affect 13% of patients undergoing upper abdominal laparotomy. This study measured the incidence of postoperative pulmonary complications, risk factors for the diagnosis of postoperative pulmonary complications and barriers to physiotherapy mobilisation in a cohort of patients undergoing high-risk abdominal surgery.
Design
Prospective, observational cohort study.
Setting
Two surgical wards in a tertiary Australian hospital.
Participants
Seventy-two patients undergoing high-risk abdominal surgery (participants in a larger trial evaluating a novel model of medical co-management).
Main outcome measures
Incidence of, and risk factors for, postoperative pulmonary complications, barriers to mobilisation and length of stay.
Results
The incidence of postoperative pulmonary complications was 39%. Incision type and time to mobilise away from the bed were independently associated with a diagnosis of postoperative pulmonary complications. Patients were 3.0 (95% confidence interval 1.2 to 8.0) times more likely to develop a postoperative pulmonary complication for each postoperative day they did not mobilise away from the bed. Fifty-two percent of patients had a barrier to mobilisation away from the bed on the first postoperative day, with the most common barrier being hypotension, although cessation criteria were not defined objectively by physiotherapists. Development of a postoperative pulmonary complication increased median hospital length of stay (16 vs 13 days; P = 0.046).
Conclusions
This study demonstrated an association between delayed postoperative mobilisation and postoperative pulmonary complications. Randomised controlled trials are required to test the role of early mobilisation in preventing postoperative pulmonary complications in patients undergoing high-risk upper abdominal surgery.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.013 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134114
in Physiotherapy > 2013/2 (2013) . - pp. 119-125[article]
Titre : Dose–response effects of medical exercise therapy in patients with patellofemoral pain syndrome: a randomised controlled clinical trial Type de document : Article Auteurs : Berit Osteras ; Havard Osteras ; Tom Arild Torstensen Année de publication : 2013 Article en page(s) : pp. 126-131 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Exercice physique ; PainMots-clés : Patellofemoral Pain Syndrome Syndrome fémoro patellaire Exercise Recovery of Function Récupération fonctionnelle Résumé : Objectives
To evaluate two different therapeutic exercise regimens in patients with patellofemoral pain syndrome (PFPS).
Design
Multicentre, randomised controlled clinical trial.
Setting
Three primary healthcare physiotherapy clinics.
Participants
Forty-two patients with PFPS were assigned at random to an experimental group or a control group. Forty participants completed the study.
Interventions
Both groups received three treatments per week for 12 weeks. The experimental group received high-dose, high-repetition medical exercise therapy, and the control group received low-dose, low-repetition exercise therapy. The groups differed in terms of number of exercises, number of repetitions and sets, and time spent performing aerobic/global exercises.
Main outcome measures
Outcome parameters were pain (measured using a visual analogue scale) and function [measured using the step-down test and the modified Functional Index Questionnaire (FIQ)].
Results
At baseline, there were no differences between the groups. After the interventions, there were statistically significant (P Conclusion
The results indicate that exercise therapy has a dose–response effect on pain and functional outcomes in patients with PFPS. This indicates that high-dose, high-repetition medical exercise therapy is more efficacious than low-dose, low-repetition exercise therapy for this patient group.
Registered on http://www.clinicaltrials.gov (identifier: NCT01290705).DOI : http://dx.doi.org/10.1016/j.physio.2012.05.009 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134115
in Physiotherapy > 2013/2 (2013) . - pp. 126-131[article]
Titre : An exploration of the professional identity embedded within UK cardiorespiratory physiotherapy curricula Type de document : Article Auteurs : Carolyn Roskell Année de publication : 2013 Article en page(s) : pp. 132-138 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Enseignement professionnel ; Kinésithérapie (spécialité) ; Recherche qualitativeMots-clés : Physical Therapy Specialty Professional Qualitative Research Cardiorespiratory Fitness Capacité cardiorespiratoire Résumé : Objectives
To explore whether consensus exists about content and professional identity represented within pre-registration cardiorespiratory physiotherapy (CPT) curricula, and to establish whether the curricula feature contemporary themes evident in policy and professional guidance in order to test whether CPT education is demonstrating responsiveness and relevance to practice.
Design
An exploratory qualitative case study design employing documentary analysis of curricula materials related to CPT.
Participants
Fourteen UK higher education institutions offering undergraduate physiotherapy qualifying programmes agreed to participate.
Intervention
Relevant curriculum documentation was requested, such as student module guides, programme handbooks and institutional module descriptors, encompassing information including indicative content, teaching and learning methods, and modes of assessment. Document analysis combined deduction (through content analysis) and induction (through thematic analysis).
Results
Consensus was observed on core content, underpinning philosophy and professional identity across institutions. The projected identity appeared to be strongly biomedical in focus, and was less well influenced by some of the contemporary aspects promoted by the Chartered Society of Physiotherapy, such as promotion of a patient-centred model of practice and acknowledgement of the emotional challenges existing within this area of work.
Conclusion
Continuing critical review of the content and approach promoted within curricula is needed to ensure that learning remains relevant and responsive to current agendas. This study supports the need for course teams to reconsider the emphasis within individual curricula to ensure that responsiveness and relevance to the practice setting are made explicit.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.008 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134116
in Physiotherapy > 2013/2 (2013) . - pp. 132-138[article]
Titre : Implementation of a protocol facilitates evidence-based physiotherapy practice in intensive care units Type de document : Article Auteurs : S. Hanekom ; Q.A. Louw ; A.R. Coetzee Année de publication : 2013 Article en page(s) : pp. 139-145 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion aux directives ; Kinésithérapie (spécialité) ; Pratique factuelle (EBP) ; Soins de réanimation ; Unités de soins intensifsMots-clés : Guideline Adherence Physical Therapy Specialty Critical Care Intensive Care Units Résumé : Objectives
To compare the physiotherapy service provided when therapists’ decisions are guided by an evidence-based protocol with usual care (i.e. patient management based on therapists’ clinical decisions).
Design
Exploratory, controlled, pragmatic sequential time block clinical trial.
Setting
Level 3 surgical unit in a tertiary hospital in South Africa.
Participants
All patients admitted consecutively to the surgical unit over a 3-month period were allocated to usual or protocol care based on date of admission.
Interventions
Usual care was provided by clinicians from the hospital department, and non-specialised physiotherapists were appointed as locum tenens to provide evidence-based protocol care.
Main outcome measures
Patient waiting time, frequency of treatment sessions, tasks performed and adverse events.
Results
During protocol-care periods, treatment sessions were provided more frequently (P Conclusions
Physiotherapy services provided in intensive care units (ICUs) when the decisions of non-specialised therapists are guided by an evidence-based protocol are safe, differ from usual care, and reflect international consensus on current best evidence for physiotherapy in ICUs. Non-specialised therapists can use this protocol to provide evidence-based physiotherapy services to their patients. Future trials are needed to establish whether or not this will improve patient outcome.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.005 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134117
in Physiotherapy > 2013/2 (2013) . - pp. 139-145[article]
Titre : Profiling physiotherapy student preferred learning styles within a clinical education context Type de document : Article Auteurs : Steve Milanese ; Susan Gordon ; Aya Pellatt Année de publication : 2013 Article en page(s) : pp. 146-152 Langues : Anglais (eng) Descripteurs : HE Vinci
Apprentissage ; Étudiants des professions de santé ; Kinésithérapie (spécialité)Mots-clés : Students Health Occupation Étudiants Physical Therapy Specialty Learning Clinical Competence Compétence clinique Résumé : Objectives
This study investigated the preferred learning styles, related to clinical education of a cohort of final year physiotherapy students.
Design
A cross sectional observation study using a questionnaire survey.
Setting
Undergraduate physiotherapy program at James Cook University, Townsville, Queensland.
Participants
48 final year physiotherapy students representing 89% of the total cohort (48/54).
Interventions
Survey questionnaire using Kolb's Learning Style Inventory (Version 3.1).
Results
The preferred learning styles were spread uniformly across the three learning styles of Converging, Assimilating and Accommodating, with the least preferred method of learning style the Diverging style. This suggests that in the clinical environment this student cohort are least likely to prefer to develop their learning from actually experiencing the scenario i.e. in front of a real life patient (concrete experience), and were more likely prefer this learning to come from a theoretical perspective, allowing them to consider the problem/scenario before experiencing it. When transforming this experience into knowledge, they prefer to use it on a ‘real life’ patient (active experimentation).
Conclusion
Whilst understanding learning styles have been promoted as a means of improving the learning process, there remains a lack of high level evidence. The findings of this study reinforce those of other studies into the learning styles of physiotherapy students suggesting that physiotherapy students share common learning style profiles.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.004 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134118
in Physiotherapy > 2013/2 (2013) . - pp. 146-152[article]
Titre : Service users’ perceptions regarding their involvement in a physiotherapy educational programme in the UK: a qualitative study Type de document : Article Auteurs : Di Thomson ; Ros Hilton Année de publication : 2013 Article en page(s) : pp. 153-158 Langues : Anglais (eng) Descripteurs : HE Vinci
Education pour la santé ; Participation des patientsMots-clés : Health Education Patient Participation Résumé : Background
The impact of user involvement in allied healthcare education is complicated by a lack of understanding of this concept both practically and ideologically. It is important to analyse whether service users perceive taking part as an ‘honour’ or as ‘agents of change’.
Objective
This study explored service users’ perspectives of their involvement in a UK college-based physiotherapy educational programme.
Method
A Grounded Theory approach utilising semi-structured interviews was conducted with eight of the service users who took part in the physiotherapy programme. The analysis of the interviews was carried out according to a grounded theory framework.
Results
All the service users wished to foster a sense of a partnership and communicate what it was like on the ‘other side’. Their personal agendas and possible motivation for taking part were to challenge the students assumptions regarding disability, to give something back for their healthcare and to communicate their dissatisfaction with present healthcare provision.
Conclusion
The participants felt that they could be instrumental in a process of change. One way to address this is to include this programme as an integral element of the current move towards life-long learning that supports their professional development in a range of authentic situations. Their reflexive dialogues with the service users can be documented as part of a reflexive portfolio with the service users as mentors.DOI : http://dx.doi.org/10.1016/j.physio.2012.07.004 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134119
in Physiotherapy > 2013/2 (2013) . - pp. 153-158[article]
Titre : Getting fit for practice: An innovative paediatric clinical placement provided physiotherapy students opportunities for skill development Type de document : Article Auteurs : Nora Shields ; Andrea Bruder ; Nicholas Taylor Année de publication : 2013 Article en page(s) : pp. 159-164 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité)Mots-clés : Students Étudiants Physical Therapy Specialty Résumé : Objectives
Negative attitudes to disability among physiotherapy students in paediatric placements might be addressed by providing clinical placement opportunities for students early in their course. The aim of this qualitative research study was to explore what physiotherapy students reported learning from an innovative paediatric placement option.
Design
Qualitative research with in-depth interviews.
Participants
Seventeen first and second year physiotherapy students (15 women, 2 men; mean age 19.9 (SD 1.4) years) who took part in the clinical education experience.
Interventions
The experience comprised a student-led progressive resistance training programme performed twice a week for 10 weeks at a community gymnasium with an adolescent with Down syndrome.
Methods
In-depth interviews were completed after the 10-week programme and were audio-recorded, transcribed verbatim and independently coded by two researchers. Data were analysed using thematic analysis.
Results
Two themes emerged from the data, one about being a student mentor and the second about skill development and application. The physiotherapy students indicated the programme was a challenging yet rewarding experience, and that they gained an increased appreciation of disability. They reported developing and applying a range of communication, professional and physiotherapy specific skills.
Conclusions
The results suggest that the clinical experience provided physiotherapy students with opportunities to learn clinical skills, generic professional skills, and better understand disability in young people. Many of the learning outcomes identified by the participating students align with desired graduate capabilities and required professional competencies.DOI : http://dx.doi.org/10.1016/j.physio.2012.02.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134120
in Physiotherapy > 2013/2 (2013) . - pp. 159-164[article]
Titre : Associations between executive function and physical function poststroke: a pilot study Type de document : Article Auteurs : Sara Hayes ; Claire Donnellan ; Emma Stokes Année de publication : 2013 Article en page(s) : pp. 165-171 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Fonctions exécutives ; Kinésithérapie (spécialité)Mots-clés : Stroke Executive Function Physical Therapy Specialty Résumé : Objectives
Associations between executive function and physical function poststroke have not been extensively studied. More complex physiotherapy interventions poststroke require a greater degree of cognitive ability, especially executive function. This pilot study aimed to inform the methodology of a larger study by examining the associations between executive function and the performance of basic and complex gait tasks in people poststroke.
Design
A cross-sectional pilot study was conducted in a convenience sample of 20 participants recruited from a community-based voluntary stroke organisation and from the outpatient services of two urban hospitals.
Main outcome measures
A battery of tests was used to measure executive function (Trail Making Test, Stroop Word-Colour Test, Zoo Map test, Frontal Assessment Battery and Digit Span backward test). Basic and complex 10 metre gait tests were used to mimic aspects of physiotherapy intervention poststroke. Other measures included the Mini-Mental State Examination (MMSE) and the Motor Assessment Scale (MAS).
Results
Observational comparisons between participant executive function scores and age- and/or education-matched normative data demonstrated that executive dysfunction ranged between 55% and 100%. Poorer performance in measures of executive function was more frequently associated with poorer performance in complex gait tests compared with basic gait tests. The MAS was not significantly associated with any measure of executive function.
Conclusions
Executive dysfunction is a common sequel poststroke which may negatively affect physical performance. Physiotherapists should consider executive dysfunction when developing rehabilitation strategies to improve physical function poststroke.DOI : http://dx.doi.org/10.1016/j.physio.2012.05.002 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134121
in Physiotherapy > 2013/2 (2013) . - pp. 165-171[article]
Titre : The experiences of overseas trained physiotherapists working in the United Kingdom National Health Service Type de document : Article Auteurs : Hilary Kyle ; Raija Kuisma Année de publication : 2013 Article en page(s) : pp. 172-177 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Enseignement professionnel ; Formation professionnelle ; Kinésithérapie (spécialité)Mots-clés : Physical Therapy Specialty Professional Corporations Corporations professionnelles Professional Vocational Education Résumé : Objectives
To develop a greater understanding of the personal experiences of overseas trained physiotherapists working in the NHS.
Design
Qualitative research design using Phenomenological research approach.
Method
Semi-structured individual interviews were conducted which were voice recorded, transcribed verbatim and analysed using thematic analysis.
Setting
Physiotherapy services across two NHS Trusts.
Participants
Ten overseas trained physiotherapists who were employed in the NHS on a permanent contract for a minimum of 1 year.
Results
Three themes were developed: feeling superior, adapting to NHS physiotherapy practice and gaining identity.
Conclusion
Participants had mostly had a positive experience of working in the NHS. Owing to the heterogeneous nature of these participants’ education in their home countries and experiences in the NHS, a tailored approach to induction and training may be required to support overseas trained physiotherapists adaptation to the NHS.DOI : http://dx.doi.org/10.1016/j.physio.2012.08.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134122
in Physiotherapy > 2013/2 (2013) . - pp. 172-177[article]
Titre : Physiotherapy students’ experiences of bullying on clinical internships: an exploratory study Type de document : Article Auteurs : Brendon Stubbs ; Andy Soundy Année de publication : 2013 Article en page(s) : pp. 178-180 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Kinésithérapie (spécialité)Mots-clés : Bullying Brimades Students Étudiants Physical Therapy Specialty Résumé : Objectives
To consider the prevalence and type of bullying behaviours experienced whilst on clinical placement in a cohort of final-year BSc undergraduate students.
Design
Cross-sectional survey.
Setting
University in the West Midlands, UK.
Participants
Fifty-two final-year undergraduate students.
Main outcome
Prevalence of incivility and bullying behaviours.
Results
Twenty-five percent of students reported at least one incident of bullying behaviour. The perpetrator of the bullying behaviour was most often the clinical educator (8/13, 62%). Despite the negative effects caused, the majority of students (11/13, 84%) did not report this experience to the university.
Conclusion
Bullying behaviour may take many forms and can have a negative effect on the well-being of students. It should be addressed by all stakeholders including universities, National Health Service trusts and researchers. Possible strategies to move forwards and better protect the future of the physiotherapy profession are briefly considered.DOI : http://dx.doi.org/10.1016/j.physio.2013.01.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134123
in Physiotherapy > 2013/2 (2013) . - pp. 178-180[article]
