Advanced practice physiotherapy in paediatric orthopaedics: innovation and collaboration to improve service delivery

Mir, M. O; O’Sullivan, Cliona

doi:10.1007/s11845-017-1611-2

Cited by 9 publications

(2 citation statements)

References 57 publications

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“…The international physiotherapy literature provides many examples of ACPs delivering new models of care, particularly in musculoskeletal services, and across different settings, including emergency, primary and secondary care. [20][21][22][23][24][25][26][27] Many of these examples involved the physiotherapy ACPs assessing and treating patients for musculoskeletal conditions, instead of medical practitioners, both in routine clinics and emergency care. These models consistently evaluate well, providing not only an equivalent quality but also additional benefits, such as increased accessibility and wider range of strategies.…”

Section: Discussionmentioning

confidence: 99%

<p>The Role and Development of Advanced Clinical Practice Within Allied Health Professions: A Mixed Method Study</p>

Stewart-Lord¹,

Beanlands²,

Khine³

et al. 2020

JMDH

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Objective: To investigate the profiles of advanced clinical practitioners (ACPs) in the allied health professions (AHPs) and their skills, attributes, experiences and involvement in new models of care. Methods: A 2 phase, cross sectional, mixed method survey of AHP ACPs across London was conducted in 2018-2019. Online questionnaires were completed by 127 AHP ACPs and then semi-structured interviews were conducted with 15 AHP ACPs. Results: The survey results gave a comprehensive overview of the attributes of AHPs in ACP roles across London. There was considerable variability between role titles, types and levels of qualification, and evolution of the roles. The respondents predominately worked in clinical practice, and less frequently in other ACP domains (research, leadership and management, education). The interview findings provided in-depth insights into the AHP ACP roles within four themes: being advanced, career pathways, outcomes of the advanced practitioner role and influencing and transforming. The "Being advanced" theme highlighted that expert practice comprised confident and autonomous practice, leadership, and applying specialist and expert decision-making skills. "Career pathways" highlighted the diversity within the participants' roles, titles, career opportunities and development. In the "Outcomes of the advanced clinical practitioner role" theme, the ACPs described their services as prompter, more accessible and providing an improved patient journey. The "Influencing and transforming" theme highlighted networking and dissemination and ideas for innovation, influencing and transforming services. Conclusion: This is the first comprehensive profile of ACP roles across AHPs and indicates that these roles are already having a positive impact on healthcare services and supporting new models of care. However, establishing the necessary infrastructure, standardization and governance for ACP roles across sectors, along with the career pathways, funding, sustainability and education, could increase impact in the future.

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Section: Discussionmentioning

confidence: 99%

<p>The Role and Development of Advanced Clinical Practice Within Allied Health Professions: A Mixed Method Study</p>

Stewart-Lord¹,

Beanlands²,

Khine³

et al. 2020

JMDH

View full text Add to dashboard Cite

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“…In musculoskeletal (MSK) practice, the AP role is well established, as the first Extended Scope Practitioner (ESP) roles appeared in the United Kingdom over 30 years ago (Byles & Ling, 1989). APs have now expanded into many aspects of MSK practice: secondary care orthopaedics (Aiken et al., 2008), Emergency Departments (McClellan et al., 2012), rheumatology (Caffrey et al., 2019), paediatrics (Mír & O'Sullivan, 2018) and primary care MSK services (Moffatt et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

The advanced practitioners’ perspective. Exploring the decision‐making process between musculoskeletal advanced practitioners and their patients: An interpretive phenomenological study

Thompson

Gabriel

Yoward

et al. 2021

Musculoskeletal Care

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Introduction Advanced practice roles for allied health professionals continue to expand and provide key services within pathways of care for patients with musculoskeletal conditions. Despite the extensive utilisation of these roles and previously reported high patient satisfaction, little is understood about how these practitioners interact with their patients and the factors that influence decision‐making conversations. Study A qualitative study utilised Interpretive Phenomenological Analysis (IPA) to explore the decision‐making process occurring between Advanced Practitioners (APs) and their patients in a musculoskeletal service. AP data were collected through focus groups and analysed using IPA methodology. Conclusions Advanced practice decision‐making is a complex process and APs exhibit a range of styles, from paternalistic to shared decision‐making. APs may have a personal preference, but exhibit the ability to flex between styles in consultations. Multiple themes emerged from the data that influenced the decision‐making process, including AP staff understanding the importance of patient expectations and the complex factors that influence patient interactions. It is important that clinicians have an awareness of the multiple factors that contribute to the decision‐making process.

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Advanced practice in physiotherapy: a global survey

et al. 2021

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Advanced practice physiotherapy in paediatric orthopaedics: innovation and collaboration to improve service delivery

Cited by 9 publications

References 57 publications

<p>The Role and Development of Advanced Clinical Practice Within Allied Health Professions: A Mixed Method Study</p>

<p>The Role and Development of Advanced Clinical Practice Within Allied Health Professions: A Mixed Method Study</p>

The advanced practitioners’ perspective. Exploring the decision‐making process between musculoskeletal advanced practitioners and their patients: An interpretive phenomenological study

Advanced practice in physiotherapy: a global survey

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