Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Bernhardsson, Susanne

doi:10.3384/diss.diva-122558

Cited by 2 publications

(3 citation statements)

References 178 publications

(293 reference statements)

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“…Mobilization could thus be interpreted as a power game concerning the distribution of tasks and responsibilities between different professions [51]; a game that was particularly evident in the relationship between the physiotherapists and the nurses. Physiotherapists did not see mobilization as a task related to their professional identity but as a nursing task; instead they considered older medical patients’ rehabilitation plans as a core task [17]. Therefore, many physiotherapists in our study focused on supporting mobility by evaluating the patient’s dependency and the potential need for aids to support independent basic mobility.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…A potential organization-level barrier for physiotherapists is restricted time to examine patients and support their mobility due to changes in health care systems, which have led to expectations for a higher patient turnover [17]. The organization of physiotherapy presents another potential organizational barrier for mobility of patients [17]. In most Danish hospitals, physiotherapists belong to a central physiotherapy department, which means that the physiotherapists are not part of the permanent staff employed in the medical departments, and they therefore have limited contact with patients.…”

Section: Introductionmentioning

confidence: 99%

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Disentangling the complexity of mobility of older medical patients in routine practice: An ethnographic study in Denmark

Kirk

Bodilsen²,

Sivertsen

et al. 2019

PLoS ONE

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Aim Many older medical patients experience persistent functional limitations after hospitalization, such as dependency in activities of daily living, recurring fall incidents and increased mortality. Therefore, increased activity and mobilization during hospitalization are essential to prevent functional decline in older medical patients. No previous studies have explored how the social context influences how health professionals decide whether or not to mobilize patients. This qualitative study aimed to explore how social contextual circumstances affect the mobility of older medical patients in medical departments. Methods An ethnographic field study was conducted in six medical departments in three public hospitals in the capital region of Copenhagen, Denmark. Participant observations were carried out from January to June 2017. The researchers were present for up to 14 days (range, 8–14 days) in the six departments. A total of 210 pages of field notes were produced. The participants were health professionals involved in the care of older medical patients: physiotherapists, registered nurses, nursing assistants and physicians. A content analysis was conducted. Findings Five themes concerning mobility of patients emerged: (1) materialities; (2) professional roles; (3) encouraging moments; (4) patients and relatives; and (5) organization and management. Of these, professional roles seem to be the most important because it pervaded all themes. Different health professionals in the medical departments recognized, spoke and acted based on different cultural models. Conclusion It was found that mobility of older medical patients is entangled in a complex network of social contextual circumstances. Mobility of older medical patients is based on health professionals’ different cultural models, which shape distinct professional identities and lead to contradictions and blurring of the priorities and responsibilities among the health professionals involved in mobilization. The consequence is that no profession “owns” the responsibility for mobilization, thus restricting mobilization of the patients during hospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Disentangling the complexity of mobility of older medical patients in routine practice: An ethnographic study in Denmark

Kirk

Bodilsen²,

Sivertsen

et al. 2019

PLoS ONE

View full text Add to dashboard Cite

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Mirror Therapy for Lower-Extremity Hemiparesis: A Knowledge Translation Study Using an Educational Module to Change Physiotherapists’ Perceptions

Roy

Daburger

Goodfellow

et al. 2021

Physiotherapy Canada

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Purpose: Despite growing evidence that mirror therapy (MT) is effective for improving lower-extremity (LE) function in patients with stroke, it is not commonly used by physiotherapists. The purpose of this study was to determine whether change would occur in physiotherapists’ knowledge of, confidence in performing, and willingness to use MT for LE stroke rehabilitation after participating in a 1-hour educational module. Method: A convenience sample of physiotherapists working in neurorehabilitation was recruited for a single-group quasi-experimental pre–post study. Participants attended a 1-hour educational module on MT. Therapists’ perceptions of the use of MT were assessed by questionnaire before and after they participated in the module. A follow-up telephone survey was conducted after 3 months to determine how many participants had actually used MT in their practice. Results: Nine physiotherapists participated in this study. Statistically significant increases were found in their perceived knowledge of, confidence in, and willingness to use MT. At the 3-month follow-up, three participants had used MT with patients with LE hemiparesis. Conclusions: Therapists’ knowledge of and attitudes toward MT for LE stroke rehabilitation changed favourably after participating in a 1-hour educational module. The module also led some therapists to make a change in practice at 3 months.

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Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Cited by 2 publications

References 178 publications

Disentangling the complexity of mobility of older medical patients in routine practice: An ethnographic study in Denmark

Disentangling the complexity of mobility of older medical patients in routine practice: An ethnographic study in Denmark

Mirror Therapy for Lower-Extremity Hemiparesis: A Knowledge Translation Study Using an Educational Module to Change Physiotherapists’ Perceptions

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