Canadian Physiotherapists Integrate Virtual Care during the COVID-19 Pandemic.

IF 0.9 4区医学 Q4 REHABILITATION Physiotherapy Canada Pub Date : 2023-05-01 DOI:10.3138/ptc-2022-0092

Allison M Ezzat, Jean-Francois Esculier, Sarah Lord Ferguson, Christopher Napier, Sabrina T Wong

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Abstract

Purpose: To examine Canadian physiotherapists' experiences in adapting their delivery of patient care during the COVID-19 pandemic. We examine the level of strain on the profession and barriers and enablers to virtual care and provide strategies to support future virtual care implementation.

Methods: From May to October 2020, a series of eight cross-sectional survey cycles were distributed every 2-4 weeks through branches and divisions of the Canadian Physiotherapy Association, social media, and personal networks. Descriptive statistics summarized the main findings. Open ended questions were first analyzed inductively using thematic analysis, then deductively mapped to the Capability-Opportunity-Motivation Behavioural (COM-B) Model.

Results: Between 1,820 (cycle 1) and 334 (cycle 7) physiotherapists responded. Median strain level was 5/5 (cycle 1) and dropped to median 3/5 (cycles 5-8). In cycle 1, 55% of physiotherapists had ceased in-person care, while 41% were providing modified in-person care. Of these physiotherapists, 79% were offering virtual care. As modified in-person care increased, virtual care continued as a substantial aspect of practice. Physiotherapists identified barriers (e.g., lack of hands-on care) and enabling factors (e.g., greater accessibility to patients) for virtual care. In-depth examination of the barriers and enablers through the COM-B lens identified potential interventions to support future virtual care implementation, including education and training resources for physiotherapists and communication and advocacy to patients and the public on the value of virtual care.

Conclusions: Canadian physiotherapists exhibited high adaptability in response to COVID-19 through the rapid and widespread use of virtual care. By creating an in-depth understanding of the barriers and enablers to virtual care, along with potential interventions, this work will facilitate future opportunities to support and enhance physiotherapists' delivery of virtual care.

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加拿大物理治疗师在新冠肺炎大流行期间整合虚拟护理。

目的：研究加拿大理疗师在新冠肺炎大流行期间调整患者护理的经验。我们研究了虚拟护理的职业压力水平、障碍和推动者，并提供了支持未来虚拟护理实施的策略。方法：从2020年5月到10月，每2-4周通过加拿大理疗协会的分支机构、社交媒体和个人网络分发一系列八个横断面调查周期。描述性统计总结了主要发现。开放式问题首先使用主题分析进行归纳分析，然后演绎映射到能力-机会-动机-行为（COM-B）模型。结果：1820年（第1周期）至334年（第7周期），物理治疗师做出了回应。中位应变水平为5/5（周期1），降至中位3/5（周期5-8）。在周期1中，55%的理疗师停止了亲自护理，41%的理疗员提供改良的亲自护理。在这些理疗师中，79%提供虚拟护理。随着改良的面对面护理的增加，虚拟护理继续成为实践的一个重要方面。物理治疗师确定了虚拟护理的障碍（例如，缺乏动手护理）和促成因素（例如，患者更容易获得）。通过COM-B视角对障碍和促成因素进行深入研究，确定了支持未来虚拟护理实施的潜在干预措施，包括物理治疗师的教育和培训资源，以及向患者和公众宣传虚拟护理的价值。结论：加拿大物理治疗师通过快速和广泛使用虚拟护理，在应对新冠肺炎时表现出了高度的适应性。通过深入了解虚拟护理的障碍和促成因素，以及潜在的干预措施，这项工作将促进未来支持和加强物理治疗师提供虚拟护理的机会。

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来源期刊

Physiotherapy Canada REHABILITATION-

CiteScore

1.90

自引率

20.00%

发文量

审稿时长

>12 weeks

期刊介绍： Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association (CPA), giving direction to excellence in clinical science and reasoning, knowledge translation, therapeutic skills and patient-centred care. Founded in 1923, Physiotherapy Canada meets the diverse needs of national and international readers and serves as a key repository of inquiries, evidence and advances in the practice of physiotherapy. Physiotherapy Canada publishes the results of qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice guidelines, and case reports. Key messages, clinical commentaries, brief reports and book reviews support knowledge translation to clinical practice. In addition to delivering authoritative, original scientific articles and reports of significant clinical studies, Physiotherapy Canada’s editorials and abstracts are presented in both English and French, expanding the journal’s reach nationally and internationally. Key messages form an integral part of each research article, providing a succinct summary for readers of all levels. This approach also allows readers to quickly get a feel for ‘what is already known’ and ‘what this study adds to’ the subject. Clinician’s commentaries for key articles assist in bridging research and practice by discussing the article’s impact at the clinical level. The journal also features special themed series which bring readers up to date research supporting evidence-informed practice. The Canadian Physiotherapy Association (CPA) is the national professional association representing almost 15,000 members distributed throughout all provinces and territories. CPA’s mission is to provide leadership and direction to the physiotherapy profession, foster excellence in practice, education and research, and promote high standards of health in Canada.

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