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Titre : | Implementation of a protocol facilitates evidence-based physiotherapy practice in intensive care units (2013) |
Auteurs : | S. Hanekom ; Q.A. Louw ; A.R. Coetzee |
Type de document : | Article |
Dans : | Physiotherapy (2013/2, 2013) |
Article en page(s) : | pp. 139-145 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adhésion aux directives ; Kinésithérapie (spécialité) ; Pratique factuelle (EBP) ; Soins de réanimation ; Unités de soins intensifs |
Mots-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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940612000533 |