Differences in delivery of respiratory treatments by on-call physiotherapists in mechanically ventilated children: a randomised crossover trial

Shannon, Harriet; Stocks, Janet; Gregson, R; Hines, Sarah; Peters, Mark; Main, Eleanor

doi:10.1016/j.physio.2014.12.001

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…6 In a separate study, the clinically important differences between the treatment provided by the non-respiratory and specialist respiratory physiotherapists illustrates the significance of training and proficiency of non-respiratory on-call physiotherapists, particularly in delivering physiotherapy treatments in the critical care environment. 7 Inferring from these ideas, it is therefore only sensible to establish the minimum standards of clinical practice relevant to the local critical care settings. Furthermore, there are currently no standardised local training guidelines to acquaint physiotherapists with this highly specialised domain.…”

Section: Introductionmentioning

confidence: 99%

Minimum standards of clinical practice for physiotherapists working in adult intensive care units in Singapore

Lee

Tiew

Lim

et al. 2022

Proceedings of Singapore Healthcare

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Background Physiotherapists play a crucial role in rehabilitating critically ill patients in intensive care units (ICU). However, variations are found in clinical practice amongst physiotherapists working in the ICU, both locally and internationally, due to the lack of minimum clinical standards and varying knowledge on critical care rehabilitation resulting in inconsistent quality of care. Purpose To establish a framework of the minimum standards of clinical practice for physiotherapists working in ICU in Singapore and compare the standards with existing literature. Methods A three-round modified Delphi questionnaire survey technique collated responses from ICU physiotherapists. The questionnaire contained 222 items, categorised into assessments, conditions and treatments. Responses to the items were either: “Yes, it is essential”, “No, it is not essential”, or “I am not sure”. Consensus for an item was reached when 70% of participants ranked it essential or non-essential. Participants comprised registered physiotherapists who have worked in the ICU for at least six months in the last 12 months and are currently working in the ICU. Results 23 physiotherapists (median ICU-experience 7.0 (4.3–9.8) years) gave consent and completed the initial survey. 13 completed all three rounds of questionnaires. Overall, 163 items were regarded as essential, 21 as non-essential, and 38 did not reach consensus. The identified 163 items varied from similar studies due to different scopes of physiotherapy practice and professional autonomy. Conclusion This framework may guide the content of the physiotherapy education curriculum on critical care rehabilitation and minimise variability in clinical practice across different healthcare institutions in Singapore.

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Section: Introductionmentioning

confidence: 99%

Minimum standards of clinical practice for physiotherapists working in adult intensive care units in Singapore

Lee

Tiew

Lim

et al. 2022

Proceedings of Singapore Healthcare

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“…Sendo assim deve ser realizada de forma humana e sutil. Andreazza et al (2019), Shannon et al (2015), para que seja feita de forma a trazer benefícios para os neonatos o fisioterapeuta deve ter conhecimento e treinamento para que assim seja aplicada de forma correta.…”

Section: Discussionunclassified

Atuação da fisioterapia respiratória na Unidade de Terapia Intensiva Neonatal

Medeiros

Oliveira²,

Neves³

et al. 2023

RSD

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Introdução: O recém-nascido prematuro apresenta uma imaturidade do sistema pulmonar o que o leva a uma necessidade de atenção integral e cuidados para evitar possíveis complicações, o fisioterapeuta atua junto a uma equipe multidisciplinar na Unidade de Terapia Intensiva Neonatal, utilizando técnicas respiratórias com o objetivo de contribuir na recuperação e prevenção dos neonatos visando a independência e melhora da capacidade respiratória, para assim diminuir o tempo de internação e aumentar a qualidade de vida. Objetivo: Analisar com base na literatura cientifica disponível o benefício do Fisioterapeuta na Unidade de Terapia Intensiva Neonatal ao utilizar as técnicas de terapia respiratória. Metodologia: Trata-se de uma revisão de literatura do tipo integrativa com busca realizada nas seguintes bases de dados: BVS, PEDro, PubMed, Scielo no período de 2012 a 2022. Resultados: Foram capturados 6 artigos que retratam técnicas de fisioterapia respiratória para assim analisar o benefício da terapia respiratória nos neonatos. Conclusão: A partir dos resultados obtidos no presente estudo, é possível concluir que a fisioterapia respiratória pode atuar em diversos casos diferentes, com múltiplas técnicas visando melhora do desconforto respiratório e do estado hemodinâmico.

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“…The perceived lack of consistency in the level of clinical competence, required skills and content of training between hospitals is compounded by the absence of a national policy, procedure or clinical framework for physiotherapists working in critical care. Previous research found clinically important differences in the treatment administered by the critical care physiotherapist compared with the on-call physiotherapists including duration of assessment, treatment selection and execution [3]. This indicates a need to standardise training.…”

Section: Introductionmentioning

confidence: 99%

“…The study conducted in South Africa [7] investigated the minimum standards required for physiotherapists working in critical cares, adopting qualitative methodology completing focus group sessions with experienced physiotherapists, both clinicians and academics [8]. While the study conducted in South Africa [7] differed in design to the Australasian, UK and Japanese studies [3][4][5] all studies identified the need to develop national standards and clinical frameworks to support education and reduce variability in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Minimum standards of clinical practice for physiotherapists working in critical care units in Ireland: a modified Delphi technique

O’Malley

O’Neill

2022

PPR

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INTRODUCTION: Physiotherapists in Irish hospitals with critical care units deliver physiotherapy services 24 hours a day, seven days a week. There is a perceived lack of consistency in the level of clinical competence, required skills and content of training between hospitals, compounded by the absence of a national policy, procedure or clinical framework for physiotherapists working in critical care. The study aimed to identify the minimum standards of clinical practice expected of physiotherapists working in critical care settings in Ireland. METHODS: A modified Delphi technique was used to survey a panel of senior and clinical specialist physiotherapists working in critical care units in Ireland to obtain consensus of items. The questionnaire of 214 items was completed over three rounds. Items were determined ‘Essential/Not Essential/Unsure’ by participants. Items that did not reach consensus were included in the subsequent round with additional items suggested by participants. RESULTS: 25/46(54%) physiotherapists completed the first round, with 17 and 13 completing round 2 and round 3 respectively. A total of 220 items were included, 120 of which were deemed essential for a minimum standards of independent clinical practice in Irish critical care units. Fifty-six items were considered not essential while consensus was not reached on 44 items. CONCLUSIONS: This study identified 120 items of knowledge and clinical skills considered essential as a minimum standard by physiotherapists working in Irish critical care units. Further discussion is required to determine how these results can be applied to guide clinical practice for physiotherapists working in critical care in Ireland.

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Differences in delivery of respiratory treatments by on-call physiotherapists in mechanically ventilated children: a randomised crossover trial

Abstract: Clinicaltrials.gov NCT01999426.

Cited by 9 publications

References 20 publications

Minimum standards of clinical practice for physiotherapists working in adult intensive care units in Singapore

Minimum standards of clinical practice for physiotherapists working in adult intensive care units in Singapore

Atuação da fisioterapia respiratória na Unidade de Terapia Intensiva Neonatal

Minimum standards of clinical practice for physiotherapists working in critical care units in Ireland: a modified Delphi technique

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