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1
Hargreaves, Julian P. "Learning as participation in early clinical experience : its meaning for student physiotherapists". Thesis, University of Sussex, 2014. http://sro.sussex.ac.uk/id/eprint/49396/.
Testo completoAbstract (sommario):
This research explores the meaning of learning as a process of social participation in clinical practice. The study focused on six first‐year student physiotherapists during a period of early clinical experience on a work integrated learning programme. The programme was unique at the time of the study in that it placed students in clinical settings from the first week of their undergraduate experience. The research applied a case study design and qualitative data were gathered from each student via on‐line learning journals, reflection lines and pre/post experience interviews. Data were analysed, between and within cases, to develop a sense of progressive narrative through the experiences made significant by each participant over the course of the clinical experience. An abductive logic was applied to develop a more theoretical explanation of learning as participation in clinical practice for each participant. The study concludes that these individuals adopted an agentic approach and recognised the benefit to their learning of proactively seeking opportunities to get involved in practice. Interaction with a range of co‐participants was valued, for a variety of reasons. Students were more willing to discuss their own deficits and ask questions of junior clinicians. Interactions with senior clinicians were more likely to challenge and extend the students' practice. Interactions with non‐physiotherapy colleagues in the multidisciplinary team were valued for the different perspectives they offered. Students valued participation in situations where they could assume greater responsibility, as long as their efforts were recognised by the clinical educator. Participants did not always see value in “routine” practice where there was little opportunity to be involved in decision making or discussion, describing their involvement as being “an extra pair of hands”. Participants described their performance of secondary Discourses of practice in the construction of their respective identities, which I describe as productive worker, trustworthy student, engaged student and junior professional. These Discourses supported participants' bids for recognition and progressive involvement in communities of clinical practice. However, where the participant identity was associated too strongly with a particular Discourse the educator could restrict access to learning opportunities. Participants dis‐identified themselves from Discourses that conflicted with individual habitus and conveyed lack of care or unethical behaviour. Where power relations challenged the possibility of overt rejection, participants were strategic and excluded these Discourses from their future, rather than current repertoires. At the start of their early clinical experience, participants expressed a desire to “learn by doing” and “learn on the job”. These cases demonstrate that even at an early stage of experience, participants were contributing to the productivity of the workplace and they felt valued when their contributions were recognised. These cases demonstrate that mutual relations support participation but require ongoing negotiation. Considering mutuality as a mechanism for participation in early clinical experience can support analysis of the ways in which social relations support both learning and work objectives. Mutuality as a mechanism for participation requires the learner and educator to recognise these dual objectives. Changing conditions of practice can threaten mutuality. Where a threat occurs, it is countered by adaptive practices that continue to support mutuality in terms of engagement, repertoire and enterprise with the community of clinical practice.
2
Price, Lee Ronald. "The Experience of Occupational Therapists and Physiotherapists Working with Patients with Medically Unexplained Symptoms". Thesis, University of Southampton, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503145.
Testo completo
3
Foster-Seargeant, Elaine. "The lived experience of new graduate physiotherapists in the first year of practice, mentorship and program management". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ60841.pdf.
Testo completo
4
Henderson, Bernadette. "Experienced cardiorespiratory physiotherapists' understandings of their interactive behaviours with chronically breathless patients". Thesis, University of Brighton, 2011. https://research.brighton.ac.uk/en/studentTheses/a532f5d8-1368-4708-8fed-22d9a3d612fd.
Testo completoAbstract (sommario):
The physiotherapist-patient interaction is the medium through which physiotherapy is practiced. However, to date little physiotherapy research literature reports on physiotherapists' interactive behaviours in clinical practice. The objectives of this study were to explore, interpret and describe experienced cardiorespiratory physiotherapists' understandings of their interactive behaviours when treating chronically breathless patients and to make recommendations for practice. The study is located in the interpretive research paradigm. It has adopted a hermeneutic phenomenological approach underpinned by a relativist ontological stance and Gadamerian philosophy (1975/2004). Five experienced cardiorespiratory physiotherapists' were video recorded in a natural treatment setting with a chronically breathless patient. Data were generated through a video-cued recall and reflection, and a follow-up interview with each physiotherapist. Three themes were derived from the physiotherapists' accounts: 'Creating a facilitative space', 'Accessing and attending to your world' and 'Sharing my world'. These were considered to be key dimensions of physiotherapists' understandings of their interactive behaviours. The concept of 'Merging Worlds - facilitating the journey to a shared understanding and purpose, and safe achievement of purpose' draws together these key dimensions and represents the nature of the interactional behaviours of experienced physiotherapists when managing chronically breathless patients. The challenge of explicating tacit practice knowledge was observed during the process of data generation. This issue was considered alongside the thematic interpretation and the concept of 'Merging Worlds' to inform the development of a new model of physiotherapy practice: Mindful, Reciprocal Interaction. A series of questions to facilitate explication of, and critical reflection on interactive behaviours were developed for use by physiotherapists to enhance their interactive behaviours during encounters with patients. The findings of this study provide new knowledge for physiotherapy practice.
5
Naylor, Sandra. "Newly qualified physiotherapists' expectations and experiences of their first posts - A qualitative study". Thesis, Brunel University, 2007. http://bura.brunel.ac.uk/handle/2438/5331.
Testo completoAbstract (sommario):
This research was based on the premise that an exploration of the experiences of newly qualified physiotherapists could lead to a better preparation for the rapidly changing workplace by identifying the tensions and dilemmas newly qualified practitioners face. The initial review of the literature revealed limited research in physiotherapy relevant to an understanding of experiences of newly qualified physiotherapists. In consequence the literature relevant to professional socialisation, identity formation, and professionalism was also reviewed. The physiotherapy profession's reliance on the biomedical model of healthcare and positivistic research approaches was reviewed in order to highlight the lack of qualitative physiotherapy research. The research in this study is essentially illuminative and has adopted an inductive, phenomenological approach. Semi-structured interviews and reflective field notes were utilised to collect the data. Ten newly qualified physiotherapists were interviewed three times. All data collected was analysed using an inductive and interpretive approach. Three main themes were identified - doing the job; becoming a professional; and the future. The evidence suggested that they 'learnt the ropes' of the dominant culture and conformed in order to be seen to be doing a good job and thereby socialised into the professional. There was little time for CPD activities or any involvement in research. In this way the culture within physiotherapy departments was maintained. It is concluded that if physiotherapy is to adapt to the many changes in the NHS, then it must foster a working environment where newly qualified physiotherapists are encouraged to develop further their graduate skills and implement relevant research findings into their practice to provide patient care.
6
Potter, Margaret J. "Evaluating the efficacy of a program developed to optimise the physiotherapist-patient interaction". University of Western Australia. School of Human Movement and Exercise Science, 2003. http://theses.library.uwa.edu.au/adt-WU2004.0012.
Testo completoAbstract (sommario):
[Truncated abstract] This PhD project was comprised of three major studies. Study 1 utilised the Nominal Group Technique (NGT) to identify a typology of difficult patients in private practice physiotherapy and to determine strategies physiotherapists use and would like to improve, when dealing with such patients. Physiotherapists (n=37) also shared their expectations of patients and their perceptions of patient expectations of physiotherapy. Results showed that the two areas most difficult to manage were behavioural problems of patients followed by patient expectations. To assist in their interaction with difficult patients, physiotherapists identified communication skills and behaviour modification techniques as strategies they would most like to learn. While physiotherapists expressed the greatest number of expectations in the behavioural domain, identification of patient expectations was not elicited as a strategy to manage difficult patients. Results of this qualitative study contribute to the evolving literature relating to physiotherapist-patient interactions and form a useful basis for educational programs directed at improving the therapeutic relationship in private practice physiotherapy. Study 2 involved applying the NGT with separate groups of patients (n=26) to identify patient expectations of the qualities of a ‘good’ physiotherapist, and to ascertain the characteristics of good and bad experiences in private practice physiotherapy. Findings indicated that the qualities of a ‘good’ physiotherapist related to their communication ability, professional behaviour and organisational ability, and characteristics of the service provided. The most important expectations of patients were for example, symptomatic relief, self-management strategies and ‘hands on’ treatment; associated with the physical domain. When comparing equivalent groups from Study 1, with patient expectations, most patient groups identified that the most important expectations of physiotherapists would relate to patient behaviours such as; compliance, honesty, payment of their account, being punctual, cooperating, trusting and showing respect for their physiotherapist. However, physiotherapists’ rankings of the most important expectations held by patients were not congruent with patient rankings providing an explanation as to why problems may arise in the physiotherapistpatient interaction from the patient’s perspective. Based on the findings of Study 2 it was suggested that physiotherapists should actively seek to involve patients in their management. To do this effectively, physiotherapists would benefit from further training in communication skills to ensure that they can successfully adopt a patientcentred approach and to optimise the physiotherapist-patient interaction in private practice physiotherapy.
7
Igo, Simon. "The essential structure of practising evidence based practice : a phenomenological description of the experiences of physiotherapists". Thesis, University of Bath, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.646146.
Testo completoAbstract (sommario):
Evidence based practice (EBP) is an educational paradigm that espouses that clinical decision making should be made through the judicious and conscientious use of best evidence. EBP is predicated on a fundamental principle that therapeutic knowledge is appraised and applied into practice with the ethical imperative to use such knowledge for the good of patient care. Despite the ubiquitous nature of EBP in health care little is known about how physiotherapists use this clinical decision making process and it is not clear as to which theoretical frameworks of practice and knowledge paradigms underpin physiotherapists application of EBP. Phenomenology seeks to uncover the internal consciousness of phenomena by describing and exploring the lived experience and explores the relationship between what exists in one’s consciousness and what exists in the objective world. Descriptive phenomenology was used in this thesis to gain an in depth understanding of how twelve physiotherapists applied EBP in the real and complex world of clinical practice with the objective to explore their experiences and to understand the essence of its practice. The findings in this study revealed a complex picture comprising of three separate but interrelated themes. Physiotherapists had developed a personal theory of EBP (Theme 1) that guided their behaviour and comprised of an ontological, epistemological and methodological structure. This theoretical and practice framework was uniquely individual and required a complex set of cognitive processes that included knowledge identification, transformation, translation and implementation in specific client situations and practice contexts (Theme 2: translation into practice). To add to this complexity this framework took place within intrapersonal, social and cultural milieus which influenced behaviour (Theme 3). The study concludes by conceptualising the findings and experiences of physiotherapists into models that could be used to assist educationalists, practitioners and researchers to promote evidence based practice in a pragmatic way.
8
Dunder, Elin, e Susanna Hovgard. "Fysioterapeuters syn på orsaker till skador samt hur dessa kan förebyggas, inom svensk elitfotboll - en intervjustudie". Thesis, Uppsala universitet, Fysioterapi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-351803.
Testo completoAbstract (sommario):
Bakgrund: Fotboll är en av världens största idrotter och står för en stor del av alla sportrelaterade skador. Skadorna kan leda till nedsatt hälsa, kostnader för samhället samt slutet av en spelarkarriär. Hittills har forskningen främst fokuserats på träning när det gäller skadeförebyggande åtgärder. Det finns även andra faktorer som kan minska skaderisken men som i dagsläget inte utforskats i samma utsträckning. Syfte: Syftet var att undersöka uppfattningar och erfarenheter, hos fysioterapeuter till elitfotbollslag, rörande orsaker till skador samt viktiga komponenter för skadeförebyggande arbete inom elitfotboll. Metod: Studien har en kvalitativ ansats med deskriptiv design. Fem semistrukturerade intervjuer genomfördes och bearbetades genom en kvalitativ innehållsanalys. Resultat: Inom ”Orsaker till skador” identifierades fem kategorier; ”Fysisk belastning”, ”Psykisk- och social press”, ”Tränartyp”, ”Spelsituation” och ”Social situation”. ”Komponenter för skadeförebyggande arbete” genererade sex kategorier; ”Lagets resurser”, ”Planera belastning”, ”Kommunikation mellan medicinska teamet, tränarna och spelarna”, ”Utbildning av medicinska teamet, tränarna och spelarna”, ”Hitta balans i spelarnas vardag” och ”Hur spelarna mår fysiskt och psykiskt”. Konklusion: Flera aspekter påverkar uppkomsten av skador och därav behöver flera komponenter tas i beaktning vid förebyggandet av dessa. Vidare studier behövs för att täcka in ytterligare områden och för att kunna dra slutsatser om vilka av de möjliga komponenterna som bör prioriteras.Background: Soccer is the world´s biggest sport and is responsible for a lot of all the sports related injuries. These injuries can result in impaired health, expenses for the society and the end of a career. The main focus of today´s research regarding injury preventions are different types of training. There may also be other components that might reduce the risk of getting injured that hasn´t been explored as much. Purpose: The aim was to investigate the perceptions and experiences of physiotherapists working for elite soccer clubs, regarding causes of injuries and important injury preventive methods. Method: A qualitative descriptive design was used in this study. Five semi structured interviews were performed and a qualitative content analysis was used. Result: Based on ”Causes of injuries”, five categories were identified; "Physical load", "Psychological and social pressure", "Type of trainer", "Game situation" and "Social situation". ”Injury prevention methods” generated six categories; "The team´s resources", "Planning Load", "Communication between the medical team, coaches and players", "Education of the medical team, coaches and players", "Finding balance in players' everyday life," and "How the players feel physically and psyochologically." Conclusion: Several aspects affect the occurrence of injuries, and therefore several components need to be taken into account in the prevention of these. Further studies are needed to cover additional areas and to draw conclusions about which of the possible components that should be prioritized.
9
Bergmark, Fanny. "Experiences and Future Needs of Primary Care Physiotherapists Encountering Asylum-seeking Patients in Västerbotten County : A pilot study". Thesis, Umeå universitet, Epidemiologi och global hälsa, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-152746.
Testo completoAbstract (sommario):
Introduction: Currently, there are one billion migrants worldwide, with Sweden being a common host country. In Swedish primary care, physiotherapists are usually the first instance for patients with musculo-skeletal complaints, ASPs included. Currently, there are no physiotherapeutic guidelines addressing the management and treatment for ASPs. Furthermore, there are some qualitative studies discussing the interaction between health care providers and ASPs or migrant patients, however, none of them are exclusively exploring the phenomenon from the physiotherapists’ perspective. The aim of this study was to explore Swedish primary care physiotherapists’ experiences and professional needs when encountering ASPs. Methods: Using a qualitative methodology with an inductive approach, a case-study consisting of four semi-structured interviews with primary care physiotherapists located in Västerbotten county were conducted between the 13th of March and the 6th of April 2018. Thematic analysis (TA) was used to analyze data. Results: Two main themes were identified; Our most challenging patient group and Demand for knowledge and frameworks. These were discussing the reasons behind the challenges when encountering ASPs, and the desire for an increased organization on a higher level to prepare physiotherapists for their encounters with ASPs. Conclusion: Findings suggest there are challenges and a request for an increased knowledge among primary care physiotherapists when encountering ASPs. These findings serve as a foundation for further research in the matter and for future adjustments in how the physiotherapeutic bachelor program is designed, how employers and the Physiotherapy union (Fysioterapeuterna) provide their employees and members with adequate knowledge, preparing them for encountering ASPs in the best possible way.
10
Creegan, Peter. "An interpretative phenomenological study exploring the experiences of extended scope physiotherapists : does viewing them as institutional entrepreneurs engaged in institutional work provide an understanding of these experiences?" Thesis, University of Huddersfield, 2017. http://eprints.hud.ac.uk/id/eprint/34137/.
Testo completoAbstract (sommario):
Objectives: To understand the experiences of physiotherapists as Extended Scope Practitioners (ESPs) working in acute NHS hospitals using the concepts of Institutional Entrepreneurs engaged in Institutional Work. Design: A qualitative study using an interpretative phenomenological framework. Methods: In depth, semi-structured interviews which were analysed thematically using the steps suggested by Van Manen (1992). Themes which emerged represented the experiences of all the participants. Once the themes were identified the concepts of Institutional Entrepreneurs and Institutional work were applied to provide an understanding of the ESPs` experiences. Participants: 12 ESPs from three acute hospitals from a variety of clinical specialties (2 gynaecology, 3 neurology, 2 orthopaedics, 2 paediatrics, 1 pain management, 1 cardiology, 1 respiratory). Results: The first theme identified the motivation of the participants to extend their remit and create opportunities for the new role. The impact of this, for some participants, was a confused professional identity not aligned with physiotherapy. They felt different to physiotherapists in the way they thought clinically and their methods of practice. This manifested itself in their refusal to wear a uniform. The second theme explored negotiation and agreements of clinical boundaries between the participants, consultants, managers and other clinical staff. The ESPs were proactive and astute basing their actions on both a professional and business logic. They knew when to propose or create an opportunity, when to consider alternatives and when not to act based on the professional relationships with other professions, NHS pressures or likelihood of success. The final theme identified the adaptive nature of ESP roles. The participants were sensitive, and felt vulnerable, to NHS change. They voiced concerns over the sustainability of such posts in terms of succession planning and a lack of framework to develop such roles in the future. Using the typography of Institutional Work provided an understanding of the ESPs` experiences. It identified successful and less successful types of work and enabled discussion on what can be achieved at the micro, individual level, what needs input from the macro, profession level and how the two can support each other. It also identified weaknesses to be addressed that would benefit the professions development. Conclusion: The results from this study address the dearth of literature on the experiences of ESPs and provides details which will have resonance with physiotherapists and insight for other professions. It is recommended that a more robust ESP professional network, to champion and diffuse new practice into the NHS, is needed. Secondly there is a need for a recognised and nationally validated education programme for extended practice. This study refines the institutional work concept and highlights the inter-relationships between diverse types of work. It challenges the assertion of a sequential order of institutional work and illustrates how individuals embedded in the institutions of the NHS and physiotherapy can stimulate change through strands of institutional work that are sympathetic to the workplace environment and culture. This study provides empirical evidence that institutional work is performed by ordinary individuals which can diffuse through a profession. In doing so it provides insight for physiotherapists and other professions as to ways and means this can be achieved.
11
Hallberg, Amanda, e Mikaela Kristoffersson. "Fysioterapeutens upplevelser av skadeförebyggande träning inom svenska damfotbollslag på elitnivå". Thesis, Uppsala universitet, Åsenlöf: Fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-430850.
Testo completoAbstract (sommario):
Bakgrund: Fotboll bidrar till en stor andel idrottsskador och damfotbollsspelare löper generellt högre risk att drabbas av vissa skador samt har ett annat skademönster än manliga spelare. Existerande skadeförebyggande program har visat minskad förekomst av skador. Dock är färre studier gjorda på kvinnliga än manliga fotbollsspelare och studier kring fysioterapeutens syn på skadeförebyggande träning i damlag saknas. Syfte: Syftet var att undersöka fysioterapeutens tankar om, erfarenheter av och roll kring skadeförebyggande träning i svenska damfotbollslag på elitnivå. Metod: En kvalitativ metod med deskriptiv design tillämpades. Datainsamlingen genomfördes med fem semistrukturerade intervjuer och bearbetades med kvalitativ innehållsanalys. Resultat: Resultatet visar att fysioterapeuterna anser att orsaker till skador ofta beror på personalbrist, för hög belastningsmängd samt spelares mående och livssituation. Fysioterapeutens ansvarsområden innefattar att ta beslut, göra individuella bedömningar, kommunicera med involverade i det skadeförebyggande arbetet samt att utforma den skadeförebyggande träningen. Viktiga faktorer som påverkar det skadeförebyggande arbetet lyfts fram som spelarens eget ansvar och ekonomiska resurser. Det skadeförebyggande arbetet i damfotbollslag kan utvecklas genom forskning, mer resurser samt förändrat arbetssätt gällande skadeförebyggande träning. Konklusion: Orsaker till skador, fysioterapeutens ansvarsområden, åtgärder samt begränsande faktorer bör tas i beaktning inom det skadeförebyggande arbetet i damfotbollsklubbar. Vidare behöver dessa delar utvecklas och få högre prioritet i klubbarna för att optimera det skadeförebyggande arbetet. Även mer forskning behövs inom ämnet för att täcka in alla områden och för att styrka fysioterapeutens roll i det skadeförebyggande arbetet.Background: Football generates a large proportion of injuries and female football players are generally at higher risk of suffering certain injuries and have a different injury pattern than male players. Existing injury prevention programs have shown a reduced incidence of injuries. However, fewer studies have been done on female than male football players and studies regarding physiotherapist’s view of injury prevention in women’s teams are lacking. Purpose: The aim was to investigate the physiotherapist’s thoughts about, experiences of and role in injury prevention training in Swedish women’s football teams at the elite level. Method: A qualitative method with descriptive design was applied. The data collection was conducted with five semi-structured interviews and processed with qualitative content analysis. Results: The results showed that the physiotherapist’s believed that the causes of injuries are often due to shortage of staff, high total load and players well-being and life situation. The physiotherapist’s areas of responsibility include decisions, individual assessments, communication with those involved in the injury prevention work and designing the injury prevention training. Important factors that affect the injury prevention work are highlighted as the players own responsibility and financial resources in the team. The injury prevention work in women’s football teams can be developed through research, more resources and a changed way of working regarding injury prevention training. Conclusion: Causes of injuries, the physiotherapist’s areas of responsibility, interventions and limiting factors should be taken into account regarding injury prevention work in women’s football clubs. Furthermore, these factors need to be developed and given higher priority in the clubs in order to optimize the injury prevention work. More research is also needed regarding the subject to cover all the areas and to strengthen the physiotherapist’s role in injury prevention work.
12
Fagerberg, Emelie, e Stina Sandström. "“We could get them to become normal sooner than if they don’t receive Physical Therapy” : A qualitative interview study reflecting Thai physiotherapists thoughts and experiences regarding stroke rehabilitation". Thesis, Uppsala universitet, Fysioterapi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384268.
Testo completoAbstract (sommario):
Background: Stroke affects 15 million people worldwide each year. The rehabilitation should be equal everywhere but that is not the case. Most evidence comes from research in high income countries and those circumstances may not be applied everywhere in the world. Aim: The aim of this study was to investigate the views of important elements of rehabilitation after stroke in clinical working physiotherapist and in lecturers in physiotherapy education in Thailand. Design: This study had a qualitative exploratory research design due to collection of data through six individual semi-structured in-person interviews. The data analysis was preceded by a content analysis and had an inductive approach. Result: The analysis terminated in eight categories and 30 subcategories that reflected what the interviewees considered important. Examples on these categories were physiotherapeutic modalities, education, cooperation and patients’ characteristics. It was of high importance the care was individualized and planned together with the patient. Education throughout the carrier were crucial to be able to give the patients the best care possible. Conclusion: This study showed that physiotherapists in Thailand perceived many different important elements in stroke rehabilitation in Thailand. The outcome was not just depending on the treatment itself, but on several factors that surrounded the patient and the rehabilitation. These studies need to be done to be able to see the variations in treatment and the approach the health-care have on stroke rehabilitation in different countries.Bakgrund: Stroke drabbar ungefär 15 miljoner människor världen över varje år. Alla ska ha samma chans till rehabilitering och lika vård vart man än bor i världen, detta är dock inte fallet. Mycket utav den evidens som finns idag är framtagen i höginkomstländer och situationen där kan inte appliceras globalt. Syfte: Syftet med denna studie var att undersöka åsikter hos thailändska kliniskt arbetande fysioterapeuter och lärare inom fysioterapeutisk utbildning angående viktiga element vid rehabilitering efter stroke. Design: Studien bestod av sex individuella semistrukturerade intervjuer och hade en kvalitativ explorativ forskningsdesign. Insamlad data analyserades genom innehållsanalys med en induktiv inriktning. Resultat: I databearbetningen framtogs åtta kategorier och 30 subkategorier som speglade de intervjuobjekten ansåg var viktigt. Exempel på kategorier var fysioterapeutiska modaliteter, utbildning, samarbete samt patientens tillgångar. Det var av yttersta vikt att behandlingen var individualiserad och planerad tillsammans med patienten. Utbildning genom det yrkessamma livet var viktigt för att ge den bästa möjliga vården för patienten. Konklusion: Studien visade att fysioterapeuter i Thailand anser att det finns många viktiga element inom strokerehabilitering. Utfallet på rehabiliteringen berodde inte endast på själva behandlingen utan även på en mängd andra faktorer som fanns i patientens omgivning samt inom rehabiliteringen. Fler studier inom ämnet behövs för att se hur synen på rehabilitering och vården samt hur själva rehabiliteringen skiljer sig mellan olika länder.
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Berglund, Julia, e Hanna Larsson. "Fysioterapeutens roll inom teamet vid behandling av psykisk ohälsa hos unga vuxna : - En kvalitativ studie". Thesis, Umeå universitet, Avdelningen för fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178497.
Testo completoAbstract (sommario):
Introduktion: Psykisk ohälsa är i dagens samhälle vanligt, framförallt rapporteras det att allt fler barn och ungdomar får vård och behandling för psykiatriska diagnoser. Detta medför att vårdköerna växer och därmed ställs höga krav på hälso- och sjukvården. Det finns god evidens för fysioterapeutisk behandling vid psykisk ohälsa men fysioterapeuter inom området är fortfarande relativt få och deras roll i teamet behöver stärkas. Syfte: Syftet med denna studie var att utforska hur fysioterapeuten ser på sin roll inom teamet vid behandling av psykisk ohälsa hos unga vuxna. Metod: Tolv kvinnliga fysioterapeuter med arbetserfarenhet inom psykisk ohälsa intervjuades om sina upplevelser av att arbeta som fysioterapeut i ett team. Intervjuerna analyserades med kvalitativ innehållsanalys. Resultat: Analyserna resulterade i temat: Betydelsefull behandlare och kollega - med ambitionen att förbli en självklar del av teamet och med tre kategorier: Ständig kamp att vara ambassadör för fysioterapi, En del av en helhet, samt Stärker det psykologiska via kropp och hälsa. Temat innebär att fysioterapeuten ansåg sig vara en betydelsefull behandlare som kunde stärka det psykiska måendet för patienter. Fysioterapeuten ansåg sig även vara en betydelsefull kollega som bidrog med ett kroppsligt perspektiv. Bristande kunskap från övriga professioner om fysioterapi och att känna sig ensam i sin roll bidrog till ambitionen att förbli en självklar del av teamet. Konklusion: Fysioterapeuten såg på sin roll i teamarbetet som betydelsefull både för patienten och kollegorna, där ambitionen var att förbli en självklar del av teamet. För att uppnå detta behövs fler fysioterapeutkollegor och ökad kännedom om fysioterapeutens kompetens. Ökad medvetenhet om alla professioners kompetenser skulle inte enbart stärka fysioterapeutens roll utan även bidra till ett välfungerande teamarbete.
14
Stenmark, Julia, e Teresa Selin. "Med hästen som arbetskollega : Fysioterapeuters syn på hästunderstödd terapi". Thesis, Umeå universitet, Avdelningen för fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181628.
Testo completoAbstract (sommario):
Introduktion: Hästunderstödd terapi är en behandlingsform där man ägnar sig åt ridning och andra aktiviteter med hästen för att främja fysisk och psykisk hälsa. Hästen har en central roll och bidrar till en icke-dömande och trygg plats för patienterna. Vidare har stallet och naturen positiva effekter inom behandlingen. Syfte: Belysa synen på hästunderstödd terapi hos fysioterapeuter som arbetar eller har arbetat med hästunderstödd terapi som behandlingsmetod. Metod: Fyra semistrukturerade intervjuer med legitimerade fysioterapeuter/sjukgymnaster, med erfarenhet av hästunderstödd terapi, genomfördes via telefon. Intervjuerna analyserades sedan med kvalitativ innehållsanalys utifrån en induktiv ansats. Resultat: Analysen resulterade i temat “Hästen ger möjlighet till en unik och omfattande behandling”, som beskriver bredden av behandlingen, hur kroppen och psyket påverkas samt vilken roll hästen, stallet och naturen har inom behandlingen. De fem kategorierna som identifierades var Mångsidig behandling som möter olika behov, Stallet och naturen blir ett annorlunda behandlingsrum, Hästen som stöttande behandlare, Personlighet och kropp tar stora steg framåt samt Ökad dialog och delaktighet genom hästen. Kategorierna inkluderar delar av behandlingsmetoden, vilka patientgrupper man kan komma i kontakt med, vilken roll hästen har samt effekterna av behandlingen. Konklusion: Hästunderstödd terapi lyftes fram som en bred behandlingsform av fysioterapeuterna. De upplevde behandlingen som speciell i förhållande till annan behandling genom dess möjlighet att påverka flera delar samtidigt, både för kroppen och psyket. Fler studier bör genomföras med större undersökningsgrupper; både fler fysioterapeuter, men även patienters erfarenheter bör lyftas fram.
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Enberg, Birgit. "Work experiences among healthcare professionals in the beginning of their professional careers a gender perspective /". Doctoral thesis, Umeå : Umeå University, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-25771.
Testo completo
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Decoyna, Jovie Ann Alawas. "Interdisciplinary health team’s experience in mobilising postoperative orthopaedic patients with altered mental status in a private hospital setting: a phenomenological study". Thesis, 2016. http://hdl.handle.net/2440/101326.
Testo completoAbstract (sommario):
Achievement of patients’ pre-morbid functional level or improvement of their functional ability is a major postoperative goal for orthopaedic surgical patients. A change in a patient’s mental state has a multifactorial aetiology which can impact patient outcomes and influence the delivery of care. Patient mobilisation is a role shared by both nurses and physiotherapists. Mobilising orthopaedic patients with altered mental status require both professional groups to work in close collaboration. The study aims to enhance the understanding of the experience of nurses and physiotherapists in mobilising postoperative orthopaedic patients who have altered mental status using the hermeneutic phenomenological research methodology. It also seeks to explore the differences/ similarities of their experience, describe any challenges encountered, interpret and give meaning to their experience, contribute to literature, and impact health practices. Three nurses and three physiotherapists were recruited through purposive sampling. Data was analysed using Burnard’s 14 stages of thematic content analysis. Four main categories emerged from the study: altruism, interprofessional specialist practice, patient dynamics and challenges. The findings of this study demonstrated that nurses and physiotherapists experience numerous challenges from both patient and resources related factors that influence the mobilisation of this patient group with the potential to impact the relationship between the two professional groups. Nurses and physiotherapists maintain a symbiotic relationship; their interprofessional collaboration enables achievement of mobilisation goals and their experience of the phenomenon is comparable. Patient and staff safety takes precedence over mobilisation. Participants believe that safety risks can be mitigated by having adequate resources, competence, and teamwork. The study recommends an evaluation of the resources and strategies required to ensure that this patient group are mobilised optimally to improve patient outcomes and experience.Thesis (M. Nurs. Sc.) -- University of Adelaide, School of Nursing, 2016
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Ntinga, Mahitsonge Nomusa. "Physiotherapists' experiences of interactions with inter-professional team members in the adult intensive care unit (ICU) setting". Thesis, 2017. https://hdl.handle.net/10539/25823.
Testo completo
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Balluchi, Tiago de Carvalho. "Characterization of physiotherapists practice and perceptions regarding patient education of patients with chronic low back pain". Master's thesis, 2021. http://hdl.handle.net/10400.26/37626.
Testo completoAbstract (sommario):
Enquadramento: A dor lombar crónica é das causas principais de anos vividos com
incapacidade. As guidelines recomendam a utilização de um modelo biopsicossocial para
a avaliação e intervenção nesta condição, com recurso a abordagens activas, onde a
educação sobre a dor assume especial relevância. A literatura existente tem demonstrado
que a prática clíncia neste âmbito é heterogénea, não só entre países mas entre os
profissionais de cada país, o que pode comprometer os resultados clínicos obtidos.
Adicionalmente, pouco é conhecido sobre a diferença, na implementação desta
modalidade terapêutica, entre fisioterapeutas recém-formados e com mais anos de
experiência.
Objetivo: Este estudo teve como objectivo investigar a percepção e uso da educação,
enquanto modalidade de terapêutica no tratamento de utentes com dor lombar crónica,
pelos fisioterapeutas em Portugal. Teve também o objectivo de investigar a influência da
experiência dos fisioterapeutas, procurando diferenças entre a prática auto-reportada de
educação e os anos de experiência no tratamento de indivíduos com dor lombar crónica.
Metodologia: Realizou-se um estudo transversal, com recurso a um questionário online
onde os fisioterapeutas portugueses auto-reportaram a sua prática clínica no que diz
respeito à educação de utentes com dor lombar crónica. Numa segunda fase, os dados
recolhidos foram divididos em 2 grupos: recém-formados (5 ou menos de 5 anos de
experiência) e experientes (6 ou mais anos de experiência).
Resultados: 112 fisioterapeutas reportaram formas distintas de implementar a educação
no contexto da dor lombar crónica, a maioria não seguindo consistentemente as
guidelines. Verificou-se uma diferença entre a prática de profissionais recém formados e
com mais anos de experiência, onde os primeiros reportaram menor uso de abordagens
educativas centradas no utente. Os fisioterapeutas com menos experiência identificaram
mais barreiras à educação, especialmente barreiras relacionadas com características dos
utentes.
Conclusões: Este estudo constituíu um contributo para a investigação sobre a percepção
e caracterização da educação, enquanto modalidade terapêutica utilizada pelos
fisioterapeutas portugueses no tratamento de indivíduos com dor lombar crónica. Os
resultados apontam para uma divergência entre a prática clínica em Portugal e as
recomendações internacionais para abordagem da dor lombar crónica e chamam a atenção
para diferenças importantes na atuação dos fisioterapeutas em função do número de anos
de experiência profissional.Background: Chronic low back pain is one of the leading causes of years lived with disability. Clinical guidelines have recommended the use of a biopsychosocial model to assess and address chronic low back pain, with a focus on active approaches, where patient education plays a role of the utmost importance. The existing literature has indicated heterogeneous approaches to chronic low back pain, not only between countries, but amidst one’s country, and this diversity may compromise the clinical outcomes. Additionally, little is known about the implementation of patient education among novice and non-novice physiotherapists. Objective: This study aimed to investigate the perception and use of patient education, by physiotherapists in Portugal, in the context of chronic low back pain. It also aimed to investigate the influence of physiotherapists` experience on self-reported patient education practice, looking for differences between the self-reported practice of patient education and physiotherapists` years of experience working with individuals with chronic low back pain. Methods: A transversal study was carried out based on an online questionnaire where Portuguese physiotherapists self-reported their practice regarding patient education in the scope of chronic low back pain. The data were divided in 2 groups: novices (5 or less years of experience) and non-novices (6 or more years of experience). Results: 112 physiotherapists reported quite distinct ways of managing chronic low back pain, most not consistent with guidelines regarding patient education. There were differences between the practice of novice and non-novice physiotherapists, whith the former reporting less use of patient-centred approaches to education. Novice physiotherapists reported more barriers to patient education, especially those related to patient`s characteristics. Conclusions: This study contributed to research on the Portuguese physiotherapists` perceptions and characterization of clinical practice in the scope of patient education of patients with chronic low back pain. Results showed a divergency between the participants` clinical practice and the international guidelines for management of chronic low back pain, and highlighted important differences in the physioterapists’ approaches, according to their years of experience
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Carus, Catherine, e S. J. Hunter. "What can we bring to the therapeutic relationship? A qualitative study of the beliefs and experiences of physiotherapists working with people with chronic pain". 2017. http://hdl.handle.net/10454/13843.
Testo completoAbstract (sommario):
YesObjectives: To explore experienced physiotherapists’ attitudes, beliefs and experiences regarding their personal role in contributing to effective therapeutic relationships when working with people with chronic musculoskeletal pain. Design: Descriptive qualitative design using semi-structured interviews. Setting: Within physiotherapy departments in two National Health Service acute secondary care trusts in the North West of England. Participants: Six experienced physiotherapists working with people with chronic musculoskeletal pain. Data Analysis: Thematic coding analysis of transcribed interview recordings Main outcomes: Four overarching themes emerged from the data: Listening to the person; a caring understanding of the person’s situation; engaging the person and coming together; and moving forwards. Results: Participants emphasized the importance of building effective therapeutic relationships when working with people with chronic pain, seeking to create these by engaging with the person, to promote a strong collaborative partnership. Participants highlighted the themes of listening to the person’s story and showing a caring understanding of their situation through empathy and belief with validation. The final theme of moving forward emphasized how positive therapeutic relationships aid the rehabilitation process in enabling people to make positive changes in their lives. Conclusions: A clearer understanding of how physiotherapists engender positive therapeutic relationships has the potential to improve training and service development priorities for physiotherapists working in the area of chronic musculoskeletal pain. Future studies should seek to further define the core dimensions impacting therapeutic relationships, from the perspectives of both physiotherapists and people with chronic musculoskeletal pain.
Health Education Yorkshire and the Humber
The full-text of this article will be released for public view at the end of the publisher embargo 6 months after publication.
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Mncube, Nomzamo. "A study to determine the practices, attitudes and experiences of public sector physiotherapists and occupational therapists in the post operative rehabilitation of flexor tendons of the hand". Thesis, 2013. http://hdl.handle.net/10413/10044.
Testo completoAbstract (sommario):
The management of flexor tendon injuries in the hand is complex and requires skill not only on the part of the surgeon but also the rehabilitation therapists and compliance on the part of the patient. Anecdotally it is clear that therapists (occupational therapists and physiotherapists) gain their skills and knowledge as practitioners through hands-on experience, since very little specialized training is available in the field of hand therapy. Therapists should equip themselves with the knowledge of the surgical management of the patient, since post-operative rehabilitation depends on it. Ideally the hand surgeons should advise the therapists or dictate the post-operative management based on the surgical technique performed. The actual practices, attitudes and experiences of South African therapists in the management of flexor tendons are not known. The purpose of this study was to determine the practices, attitudes and experiences of the public sector physiotherapists and occupational therapists in the postoperative rehabilitation of patients post repair of flexor tendons surgery in the hand. The first part of the study consisted of a cross sectional survey which explored the postoperative rehabilitation practices, attitudes, and experiences regarding flexor tendon rehabilitation. The second part which was a focus group discussion sought in
depth information on the attitudes and experiences of the therapists. Sixty three therapists from different public hospital settings in two districts of KwaZulu-Natal completed a validated questionnaire. The therapists were accessed from randomly selected hospitals located in two conveniently selected health districts in KwaZulu- Natal. The findings suggest that the use of the Kleinert-type and immobilisation protocols is widely used. Overall there was no significant differences in the choice of rehabilitation protocol, but this differed by hospital setting. Therapists in the tertiary hospital preferred the Duran protocol (53.6%, p = 0.003). Regional hospitals utilized the immobilization protocol (74.1%, p=0.045) and district hospitals treated presenting postoperative symptoms mostly (20% p=0.75).There was no statistical (p=0.196) difference on the decision to initiate therapy amongst different hospital settings. Frequency of therapy visits varied, but was not statistically different (p=0.16) amongst different hospital settings. More respondents (29.2%) reported typically initiating active ROM exercises on the
fourth post-operative week. There was a significant difference (p=0.002) in the initiation of active range of movement amongst different hospital settings.
Approximately 37% of the respondents discontinue protective splinting at five weeks. There was a significant difference (p=0.004) by hospital setting regarding when the protective splinting should be discontinued. Initiation of resistance exercises varied between four and six weeks. Nearly half (49%) of the therapists reported that they are sometimes apprehensive about how to progress patients through rehabilitation. The focus group revealed that there is poor communication between therapists and surgeons, lack of protocol
guidance, lack of knowledge of the flexor tendon protocols of the newly qualified therapists and doctors. During the focus group discussion therapist’s attitudes and experiences were revealed through the eight themes that emerged namely challenges experienced during flexor tendon (FT) rehabilitation, the patient's socio-economic background, patient’s home environment, compliance with flexor tendon rehabilitation protocol, multidisciplinary team approach, clinical experience, university undergraduate
curriculum on flexor tendon rehabilitation, outcomes of flexor tendon postoperative rehabilitation. Conclusion. The rehabilitation protocols that are commonly used include the Kleinert -type and the immobilisation protocols. Duran type protocol was used less frequently, only when it was the best option for that particular patient according to the surgeon or the surgical
management of that patient. The focus group discussion revealed that rural hospital therapists modify the protocols, due to lack of resources and the poor compliance of the patients. rehabilitation practices, flexor tendon experiences, hospital settingsThesis (M.Physio.)-University of KwaZulu-Natal, Westville, 2013.