Physiotherapists in emergency departments: responsibilities, accountability and education

Jr., J. L. Crane; Delany, Clare

doi:10.1016/j.physio.2012.05.003

Cited by 32 publications

(21 citation statements)

References 25 publications

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“…There are some studies relating to physiotherapy practice in the emergency department; however the consensus appears to be that this is not ESP, merely a different context. 23 , 41 , 42 …”

Section: Resultsmentioning

confidence: 99%

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Extended roles for allied health professionals: an updated systematic review of the evidence

Saxon¹,

Gray²,

Oprescu³

2014

JMDH

130

114

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BackgroundInternationally, health care services are under increasing pressure to provide high quality, accessible, timely interventions to an ever increasing aging population, with finite resources. Extended scope roles for allied health professionals is one strategy that could be undertaken by health care services to meet this demand. This review builds upon an earlier paper published in 2006 on the evidence relating to the impact extended scope roles have on health care services.MethodsA systematic review of the literature focused on extended scope roles in three allied health professional groups, ie, physiotherapy, occupational therapy, and speech pathology, was conducted. The search strategy mirrored an earlier systematic review methodology and was designed to include articles from 2005 onwards. All peer-reviewed published papers with evidence relating to effects on patients, other professionals, or the health service were included. All papers were critically appraised prior to data extraction.ResultsA total of 1,000 articles were identified by the search strategy; 254 articles were screened for relevance and 21 progressed to data extraction for inclusion in the systematic review.ConclusionLiterature supporting extended scope roles exists; however, despite the earlier review calling for more robust evaluations regarding the impact on patient outcomes, cost-effectiveness, training requirements, niche identification, or sustainability, there appears to be limited research reported on the topic in the last 7 years. The evidence available suggests that extended scope practice allied health practitioners could be a cost-effective and consumer-accepted investment that health services can make to improve patient outcomes.

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“…There are some studies relating to physiotherapy practice in the emergency department; however the consensus appears to be that this is not ESP, merely a different context. 23 , 41 , 42 …”

Section: Resultsmentioning

confidence: 99%

“…It is becoming more common to see these context-dependent roles described as advanced scope practice, such as physiotherapists working within musculoskeletal, orthopedic, and emergency pathways of care, and occupational therapists or physiotherapists working with arthritis. 21 , 23 , 25 , 28 , 38 , 40 , 42 …”

Section: Discussionmentioning

confidence: 99%

Extended roles for allied health professionals: an updated systematic review of the evidence

Saxon¹,

Gray²,

Oprescu³

2014

JMDH

130

114

View full text Add to dashboard Cite

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“…The scope of professional practice provides health professionals with a framework for duties to be performed as defined by a professional body and based on the relevant academic qualifications obtained. Each health professional remains accountable for the appropriateness and quality of the various tasks he or she performs (Crane & Delany, 2013).…”

Section: Resultsmentioning

confidence: 99%

“So You Are Running Between”—A Qualitative Study of Nurses' Involvement With Diagnostic Imaging in South Africa

Makanjee¹,

Bergh²,

Hoffmann³

2014

Journal of Radiology Nursing

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ABSTRACT:Nurses caring for patients in radiology departments is a relatively recent phenomenon. Only a few fragmented studies appear in the literature on the interprofessional nursing domain in these departments. This paper attempts to give a more holistic picture of nurses" experiences of patient care related to diagnostic imaging and interprofessional interactions and relations with radiographers and radiologists. Focus groups were held, among others, with nurses at a district hospital and an adjacent academic hospital in South Africa. Participants were questioned about their experiences regarding referrals for diagnostic imaging, their professional roles, views on the roles of other professions, multidisciplinary interaction and radiation awareness. Three main themes emerged. (1) Patient care and communication include the sub-themes of "being there" for patients and communicating with them. (2) Scope of professional practice is divided into activities around the request form, preparation for diagnostic imaging and further education needs. (3) Interprofessional interactions relate to hierarchical-and power relations and interprofessional communication and conflict. The study illustrates the collaborative and mediating roles of nurses at various points in the health system, from referral of patients for diagnostic imaging investigations up to discharge from the healthcare facility. More studies are needed on 2 interprofessional relations between radiographers, radiologists and nurses and nurses" ability to make appropriate judgments with regard to the completion and interpretation of request forms and preparing patients for specialized investigations.

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“…The primary goal of OT is to enable people to participate in the activities of everyday life, achieving outcomes by working with individuals and communities to enhance their ability to engage in the occupations they want to, need to, or are expected to do or by modifying the occupation or the environment to better support their occupational engagement [25]. In studies from developed and some SSA countries, it was suggested that it would be advantageous to SSA countries facing critical shortage of healthcare workers to train and deploy OT and PT as mid-level healthcare practitioners who might be as effective as physicians for certain services [23, 26–30]. For instance, in South Africa, physiotherapists are recognized as autonomous healthcare professionals who can diagnose, treat, and refer patients to medical practitioners and specialists and order X-ray and other imaging studies, as well as issue a certificate of illness [23, 31].…”

Section: Introductionmentioning

confidence: 99%

Occupational therapy and physiotherapy education and workforce in Anglophone sub-Saharan Africa countries

Agho

John

2017

Hum Resour Health

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BackgroundSub-Saharan Africa (SSA) countries are faced with the challenge of educating a critical mass of occupational therapists (OTs) and physiotherapists (PTs) to meet the growing demand for health and rehabilitation services. The World Federation of Occupational Therapy (WFOT) and World Confederation of Physical Therapy (WCPT) have argued for the need of graduate-level training for OTs and PTs for decades. However, very few studies have been conducted to determine the availability of OT and PT training programs and practitioners in SSA countries.MethodsInitial data were collected and compiled from an extensive literature search conducted using MEDLINE and PubMed to examine the availability of OT and PT education and training programs in SSA countries. Additional data were collected, compiled, and collated from academic institutions, ministries of health, health professions associations, and licensing authorities in SSA countries. Secondary data were also collected from the websites of organizations such as the World Bank, World Health Organization (WHO), WFOT, and WCPT.ResultsThis investigation revealed that there are limited number of OT and PT training programs and that these training programs in Anglophone SSA countries are offered at or below the bachelor’s level. More than half of the countries do not have OT or PT training programs. The number of qualified OTs and PTs appears to be insufficient to meet the demand for rehabilitation services. Nigeria and South Africa are the only countries offering post-entry-level masters and doctoral-level training programs in physiotherapy and occupational therapy.ConclusionsHigher learning institutions in SSA countries need to collaborate and partner with other regional and foreign universities to elevate the educational training and increase the supply of PTs and OTs in the region.

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Physiotherapists in emergency departments: responsibilities, accountability and education

Cited by 32 publications

References 25 publications

Extended roles for allied health professionals: an updated systematic review of the evidence

Extended roles for allied health professionals: an updated systematic review of the evidence

“So You Are Running Between”—A Qualitative Study of Nurses' Involvement With Diagnostic Imaging in South Africa

Occupational therapy and physiotherapy education and workforce in Anglophone sub-Saharan Africa countries

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