A century-long struggle towards professionalism. Key factors in the growth of the physiotherapists’ role in the United States, from subordinated practitioners to autonomous professionals

Fornasier, Roberto

doi:10.1080/17449359.2017.1329090

Cited by 7 publications

(7 citation statements)

References 107 publications

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“…Like many other occupational groups that are not considered to be ‘true professions’, therapists engage in a field with competing groups of semi‐professionals and privately educated entrepreneurs such as body‐therapists, chiropractors etc. Therapists therefore see professionalism as an ongoing project, which may take different directions (Evetts, 2011; Fornasier, 2017). During the last two decades, physiotherapists have tried intensely to establish professional closure (Nicholls et al., 2020).…”

Section: Establishing the Logic Of Trainingmentioning

confidence: 99%

Training the ageing bodies: New knowledge paradigms and professional practices in elderly care

Kamp

Dybbroe

2023

Sociology Health & Illness

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In the Scandinavian countries, reablement has become a principle permeating all parts of elderly care, hence potentially transforming care and care work. This article explores the advent of new knowledge paradigms and practices of physiotherapists and occupational therapists transforming reabling care in particular ways, leading to what we term a logic of training emerging in the field. These professional groups have obtained a dominant position as reablement specialists in Norway and Denmark, where our extensive fieldwork was performed as part of a 3‐year research project. Taking inspiration from Annemarie Mol’s concept of logic, we study how professional practices are organised and infused with specific values, meanings and ideals in situated contexts. We hence explore the logic of training, its abstracted image of the body and rational goal‐oriented model for progress measurement and its ramifications when addressing ageing bodies in a complex field marked by the unpredictabilities of the social and lived bodies, administrative rules and temporalities and the quest for empowering and involving clients. The paper concludes by pointing at new contradictions arising when practicing reabling care and particularly points out the tensions arising in care relations, where ambitions on empowering and disciplining the client and the elderly body may collide.

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Section: Establishing the Logic Of Trainingmentioning

confidence: 99%

Training the ageing bodies: New knowledge paradigms and professional practices in elderly care

Kamp

Dybbroe

2023

Sociology Health & Illness

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“…Many allied health professions (eg. physiotherapy, occupational therapy, chiropractic) grew as professions in the early half of the 20th century and, depending on the jurisdiction, generally established regulatory frameworks in the post-World War II period (13)(14)(15).…”

Section: Other Professions and Regulationmentioning

confidence: 99%

Perceptions and Knowledge of Self-Regulation of Paramedics in Australia

Reed

Cowin

O’Meara

et al. 2021

Australasian Journal of Paramedicine

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Introduction Since 2018, paramedics in Australia have been self-regulated under the National Registration and Accreditation Scheme (NRAS) for health professionals. While paramedics and other health practitioners are self-regulated in many jurisdictions internationally, there has been little study of the impact on practitioners of the introduction of new regulatory frameworks. Method Paramedics undertook a survey in the month leading up the commencement of self-regulation collecting both qualitative and quantitative data. The survey was completed by 419 participants. This paper explores the analysis of quantitative data. Key results were cross-tabulated with demographic factors. Results Participants indicated they had good broad knowledge of the regulatory scheme but were less confident on more detailed aspects. Most believed that patient safety and practitioner accountability will improve with registration however results were less clear on changes in scope, remuneration or employment opportunities. Questions on identity indicated that the primary factors in paramedic identity construction were employment status, qualifications and scope with impending registration the least important factor. Overall, 59% of participants supported self-regulation, however 25% indicated they held negative views. When cross-tabulated with demographics, years of service and initial qualification (vocational vs university) showed relationships with support for regulation. Conclusion The introduction of self-regulation represents significant change to both the governance of paramedics and entry to the profession. Uncertainty By some is indicative of the unique nature and impact of the change. However, there is wide agreement that the scheme will increase safety and accountability which are the key aims of professional regulation.

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“…It is thought that the division in identity has arisen as scientific investigation started to challenge historical chiropractic paradigms, and some authors have suggested that such divisions in identity centre around the idea, significance, and practice of science itself [24]. Despite these apparent divisions, it is worth observing that divergent factions related to identity are not isolated to chiropractic and is observed in other professional groups also, such as physiotherapy [25] and counselling [26].…”

Section: Professional Identitymentioning

confidence: 99%

“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors

Derbyshire¹,

Field

Vennik

et al. 2021

Chiropr Man Therap

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Background Remote consultations (RCs) enable clinicians to continue to support patients when face-to-face appointments are not possible. Restrictions to face-to-face care during the COVID-19 pandemic has accelerated a pre-existing trend for their adoption. This is true for many health professionals including some chiropractors. Whilst most chiropractors in the UK have used RCs in some form during the pandemic, others have not. This study seeks to understand the views of chiropractors not using RCs and to explore perceived potential barriers. Methods A national online survey was completed by 534 registered practicing UK chiropractors on the use of RCs. Respondents had the opportunity of providing open-ended responses concerning lack of engagement in RCs during the COVID-19 pandemic. Textual responses obtained from 137 respondents were coded and analysed using thematic analysis. Results The use of RCs provided an opportunity for chiropractors to deliver ongoing care during the COVID-19 pandemic. However, many chiropractors expressed concern that RCs misaligned with their strong professional identity of providing ‘hands-on’ care. Some chiropractors also perceived that patients expected physical interventions during chiropractic care and thus considered a lack of demand when direct contact is not possible. In the absence of a physical examination, some chiropractors had concerns about potential misdiagnosis, and perceived lack of diagnostic information with which to guide treatment. Clinic closures and change in working environment led to practical difficulties of providing remote care for a few chiropractors. Conclusions The COVID-19 pandemic may have accelerated changes in the way healthcare is provided with RCs becoming more commonplace in primary healthcare provision. This paper highlights perceived barriers which may lead to reduced utilisation of RCs by chiropractors, some of which appear fundamental to their perceived identity, whilst others are likely amenable to change with training and experience.

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A century-long struggle towards professionalism. Key factors in the growth of the physiotherapists’ role in the United States, from subordinated practitioners to autonomous professionals

Cited by 7 publications

References 107 publications

Training the ageing bodies: New knowledge paradigms and professional practices in elderly care

Training the ageing bodies: New knowledge paradigms and professional practices in elderly care

Perceptions and Knowledge of Self-Regulation of Paramedics in Australia

“Chiropractic is manual therapy, not talk therapy”: a qualitative analysis exploring perceived barriers to remote consultations by chiropractors

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