Andrea Greisberger, S. Mayer, Lisa Barthelmes, Gudrun Diermayr
Abstract Ziel Leitlinienbasiertes Arbeiten hat Vorteile für Patient*innen und das Gesundheitssystem. Trotz dieser Vorteile arbeiteten in der Vergangenheit nur ca. 10 % der österreichischen Physiotherapeut*innen leitlinienbasiert. Zur Behandlung von Mobilitätseinschränkungen nach Schlaganfall empfehlen aktuelle, internationale Leitlinien aufgabenorientiertes Training sowie den Einsatz standardisierter Assessments. Das Ziel dieser Studie ist es, die Arbeitsweise von in der ambulanten Schlaganfallversorgung tätigen Physiotherapeut*innen in Österreich bezüglich dieser Leitlinienempfehlungen darzustellen. Methode Ein bereits in einer Umfrage in Deutschland verwendeter Fragebogen wurde an den österreichischen Kontext adaptiert. Der Fragebogen beinhaltete ein Fallbeispiel, anhand dessen je drei Untersuchungsmethoden und Behandlungsmaßnahmen genannt und begründet werden sollen. Eingeschlossen wurden Physiotherapeut*innen, die mindestens drei Personen nach Schlaganfall pro Jahr behandeln. Die Datenanalyse erfolgte über eine qualitative Inhaltsanalyse und deskriptive Statistik. Ergebnisse Dreißig Physiotherapeut*innen füllten den Fragebogen vollständig aus und nannten je 88 Untersuchungsmethoden und Behandlungsmaßnahmen. Die Untersuchungsmethoden wurden zu 34,1 % der Kategorie „standardisierte Assessments“ und zu 65,9 % der Kategorie „physiotherapeutische Basisuntersuchung (nicht standardisiert)“ zugeordnet. Die Behandlungsmaßnahmen wurden zu 30,7 % den „traditionellen Behandlungskonzepten“ Bobath und Propriozeptive Neuromuskuläre Fazilitation zugeordnet. Die häufigste „andere Maßnahme“ war das gerätegestützte Kraft- und Ausdauertraining (22,7 %). Gründe für die Auswahl waren positive Erfahrung, Wissen aus Fortbildungen, Praktikabilität und Vereinbarkeit mit individuellen Zielen der Personen nach Schlaganfall. Diskussion Die ambulante physiotherapeutische Versorgung von Personen nach Schlaganfall ist aktuell geprägt von Untersuchungsmethoden und Behandlungsmaßnahmen, die in Leitlinien großteils nicht empfohlen werden. Da die Auswahl u. a. mit Wissen aus Fortbildungen begründet wird, könnten Fortbildungen ein möglicher Ansatzpunkt für die Förderung leitlinienkonformer Physiotherapie sein. Die geringe Teilnehmer*innenzahl limitiert die Aussagekraft der Studie.
{"title":"Current practice of physiotherapists in outpatient stroke rehabilitation: a cross-sectional survey in Austria / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Österreich","authors":"Andrea Greisberger, S. Mayer, Lisa Barthelmes, Gudrun Diermayr","doi":"10.2478/ijhp-2022-0012","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0012","url":null,"abstract":"Abstract Ziel Leitlinienbasiertes Arbeiten hat Vorteile für Patient*innen und das Gesundheitssystem. Trotz dieser Vorteile arbeiteten in der Vergangenheit nur ca. 10 % der österreichischen Physiotherapeut*innen leitlinienbasiert. Zur Behandlung von Mobilitätseinschränkungen nach Schlaganfall empfehlen aktuelle, internationale Leitlinien aufgabenorientiertes Training sowie den Einsatz standardisierter Assessments. Das Ziel dieser Studie ist es, die Arbeitsweise von in der ambulanten Schlaganfallversorgung tätigen Physiotherapeut*innen in Österreich bezüglich dieser Leitlinienempfehlungen darzustellen. Methode Ein bereits in einer Umfrage in Deutschland verwendeter Fragebogen wurde an den österreichischen Kontext adaptiert. Der Fragebogen beinhaltete ein Fallbeispiel, anhand dessen je drei Untersuchungsmethoden und Behandlungsmaßnahmen genannt und begründet werden sollen. Eingeschlossen wurden Physiotherapeut*innen, die mindestens drei Personen nach Schlaganfall pro Jahr behandeln. Die Datenanalyse erfolgte über eine qualitative Inhaltsanalyse und deskriptive Statistik. Ergebnisse Dreißig Physiotherapeut*innen füllten den Fragebogen vollständig aus und nannten je 88 Untersuchungsmethoden und Behandlungsmaßnahmen. Die Untersuchungsmethoden wurden zu 34,1 % der Kategorie „standardisierte Assessments“ und zu 65,9 % der Kategorie „physiotherapeutische Basisuntersuchung (nicht standardisiert)“ zugeordnet. Die Behandlungsmaßnahmen wurden zu 30,7 % den „traditionellen Behandlungskonzepten“ Bobath und Propriozeptive Neuromuskuläre Fazilitation zugeordnet. Die häufigste „andere Maßnahme“ war das gerätegestützte Kraft- und Ausdauertraining (22,7 %). Gründe für die Auswahl waren positive Erfahrung, Wissen aus Fortbildungen, Praktikabilität und Vereinbarkeit mit individuellen Zielen der Personen nach Schlaganfall. Diskussion Die ambulante physiotherapeutische Versorgung von Personen nach Schlaganfall ist aktuell geprägt von Untersuchungsmethoden und Behandlungsmaßnahmen, die in Leitlinien großteils nicht empfohlen werden. Da die Auswahl u. a. mit Wissen aus Fortbildungen begründet wird, könnten Fortbildungen ein möglicher Ansatzpunkt für die Förderung leitlinienkonformer Physiotherapie sein. Die geringe Teilnehmer*innenzahl limitiert die Aussagekraft der Studie.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"5 1","pages":"151 - 163"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86815748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eline E.W. Belgraver, R. Coppoolse, Lia van Doorn, Cok Bakker
Abstract Introduction With a shift in healthcare from diagnosis-centered to human- and interprofessional-centered work, allied health professionals (AHPs) may encounter dilemmas in daily work because of discrepancies between values of learned professional protocols and their personal values, the latter being a component of the personal dimension. The personal dimension can be defined as a set of personal components that have a substantial impact on professional identity. In this study, we aim to improve the understanding of the role played by the personal dimension, by answering the following research question: What is known about the personal dimension of the professional identity of AHPs in (allied) health literature? Methods In the scoping review, databases, CINAHL, ERIC, Medline, PubMed, and PsychINFO were searched for studies focusing on what is regarded as ‘the personal dimension of professional identity’ of AHPs in the health literature; 81 out of 815 articles were included and analyzed in this scoping review. A varying degree of attention for the personal dimension within the various allied health professions was observed. Result After analysis, we introduce the concept of four aspects in the personal dimension of AHPs. We explain how these aspects overlap to some degree and feed into each other. The first aspect encompasses characteristics like gender, age, nationality, and ethnicity. The second aspect consists of the life experiences of the professional. The third involves character traits related to resilience and virtues. The fourth aspect, worldview, is formed by the first three aspects and consists of the core beliefs and values of AHPs, paired with personal norms. Discussion These four aspects are visualized in a conceptual model that aims to make AHPs more aware of their own personal dimension, as well as the personal dimension of their colleagues intra- and interprofessionally. It is recommended that more research be carried out to examine how the personal dimension affects allied health practice.
{"title":"The personal dimension of allied health professional identity: A scoping review in health sciences literature / Die persönliche Dimension der beruflichen Identität von Gesundheitsfachkräften: ein Scoping-Review in der gesundheitswissenschaftlichen Literatur","authors":"Eline E.W. Belgraver, R. Coppoolse, Lia van Doorn, Cok Bakker","doi":"10.2478/ijhp-2022-0004","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0004","url":null,"abstract":"Abstract Introduction With a shift in healthcare from diagnosis-centered to human- and interprofessional-centered work, allied health professionals (AHPs) may encounter dilemmas in daily work because of discrepancies between values of learned professional protocols and their personal values, the latter being a component of the personal dimension. The personal dimension can be defined as a set of personal components that have a substantial impact on professional identity. In this study, we aim to improve the understanding of the role played by the personal dimension, by answering the following research question: What is known about the personal dimension of the professional identity of AHPs in (allied) health literature? Methods In the scoping review, databases, CINAHL, ERIC, Medline, PubMed, and PsychINFO were searched for studies focusing on what is regarded as ‘the personal dimension of professional identity’ of AHPs in the health literature; 81 out of 815 articles were included and analyzed in this scoping review. A varying degree of attention for the personal dimension within the various allied health professions was observed. Result After analysis, we introduce the concept of four aspects in the personal dimension of AHPs. We explain how these aspects overlap to some degree and feed into each other. The first aspect encompasses characteristics like gender, age, nationality, and ethnicity. The second aspect consists of the life experiences of the professional. The third involves character traits related to resilience and virtues. The fourth aspect, worldview, is formed by the first three aspects and consists of the core beliefs and values of AHPs, paired with personal norms. Discussion These four aspects are visualized in a conceptual model that aims to make AHPs more aware of their own personal dimension, as well as the personal dimension of their colleagues intra- and interprofessionally. It is recommended that more research be carried out to examine how the personal dimension affects allied health practice.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"13 1","pages":"39 - 58"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87666241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phylicia Osterwalder, Marion Huber, Emanuel Feusi, A. Gerber-Grote, Claudia M. Witt, Stefan Gysin
Abstract Interprofessionelle Lehre (IPL) bedeutet, dass Studierende verschiedener Professionen mit-, von- und übereinander lernen. 2019 wurde im Kanton Zürich ein interprofessioneller Ausbildungstag (IPE-Tag) mit 68 Studierenden und acht Dozierenden über acht Lektionen durchgeführt mit dem Ziel, interprofessionelle Kompetenzen zu verbessern. Studierende aus sechs Fachbereichen des Gesundheitswesens und PhD-Studierende mit unterschiedlichem fachlichem Hintergrund mussten gemeinsam in Gruppen zwei Fälle mit Simulationspatienten/-innen bearbeiten. Zur Evaluation des IPE Tages wurde eine Prä-Post-Online-Befragung durchgeführt. Sie umfassten unter anderem eine Selbsteinschätzung mittels Items aus dem Kompetenzrahmen der Zürcher InterProfessionellen AusbildungsStation (ZIPAS®) und dem Interprofessional Collaborative Competency Attainment Survey (ICCAS) sowie offene Fragen zum IPE-Tag. Dabei wurden ZIPAS®-Kompetenzrahmen und ICCAS quantitativ, die offenen Fragen qualitativ ausgewertet. Es zeigten sich statistisch signifikante Verbesserungen in den meisten Subskalen des ZIPAS®-Kompetenzrahmens, aber nur in einem Drittel der Subskalen des ICCAS. Außerdem zeigten sich in der qualitativen Analyse der Aussagen insbesondere Verbesserungen in der Kollaboration sowie positive Aussagen zum Austausch mit Studierenden anderer Professionen, wobei viele Studierende dem Thema «Interprofessionalität» eine große Bedeutung zugeschrieben und ihren Blick bereits auf die Zukunft und ihren Alltag gerichtet haben. Der IPE-Tag könnte eine gute Methode sein, um die Zusammenarbeit und Kommunikation mit Studierenden anderer Professionen aus dem Gesundheitsbereich zu verbessern.
{"title":"Evaluation of the Interprofessional Education Day 2019 / Evaluation des Interprofessional Education Day 2019","authors":"Phylicia Osterwalder, Marion Huber, Emanuel Feusi, A. Gerber-Grote, Claudia M. Witt, Stefan Gysin","doi":"10.2478/ijhp-2022-0013","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0013","url":null,"abstract":"Abstract Interprofessionelle Lehre (IPL) bedeutet, dass Studierende verschiedener Professionen mit-, von- und übereinander lernen. 2019 wurde im Kanton Zürich ein interprofessioneller Ausbildungstag (IPE-Tag) mit 68 Studierenden und acht Dozierenden über acht Lektionen durchgeführt mit dem Ziel, interprofessionelle Kompetenzen zu verbessern. Studierende aus sechs Fachbereichen des Gesundheitswesens und PhD-Studierende mit unterschiedlichem fachlichem Hintergrund mussten gemeinsam in Gruppen zwei Fälle mit Simulationspatienten/-innen bearbeiten. Zur Evaluation des IPE Tages wurde eine Prä-Post-Online-Befragung durchgeführt. Sie umfassten unter anderem eine Selbsteinschätzung mittels Items aus dem Kompetenzrahmen der Zürcher InterProfessionellen AusbildungsStation (ZIPAS®) und dem Interprofessional Collaborative Competency Attainment Survey (ICCAS) sowie offene Fragen zum IPE-Tag. Dabei wurden ZIPAS®-Kompetenzrahmen und ICCAS quantitativ, die offenen Fragen qualitativ ausgewertet. Es zeigten sich statistisch signifikante Verbesserungen in den meisten Subskalen des ZIPAS®-Kompetenzrahmens, aber nur in einem Drittel der Subskalen des ICCAS. Außerdem zeigten sich in der qualitativen Analyse der Aussagen insbesondere Verbesserungen in der Kollaboration sowie positive Aussagen zum Austausch mit Studierenden anderer Professionen, wobei viele Studierende dem Thema «Interprofessionalität» eine große Bedeutung zugeschrieben und ihren Blick bereits auf die Zukunft und ihren Alltag gerichtet haben. Der IPE-Tag könnte eine gute Methode sein, um die Zusammenarbeit und Kommunikation mit Studierenden anderer Professionen aus dem Gesundheitsbereich zu verbessern.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"41 1","pages":"116 - 126"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75715863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Background Complex interprofessional programs in health care are dependent on the valid measurement of outcomes. The iMTA Productivity Costs Questionnaire (iPCQ) is one of the few instruments measuring productivity in a comprehensive way which is available in German language. This study explores the validity of the German-language iPCQ with a focus on test content and response processes. The aim of this study is to validate the German version of the iPCQ for the use with people with chronic conditions in Switzerland and to make suggestions for adaptation to the developers. Method This study is a qualitative validation study. We conducted cognitive interviews with people with chronic illnesses and with other experts and analysed them based on the framework method. Results Participants had problems understanding many items and explanations and remembering correct answers. Furthermore, the study revealed construct-related problems in measuring the productivity of people with partial incapacity for work. Conclusions The results show that German version of the questionnaire needs improvement in order to guarantee validity and reliability.
{"title":"Testing the iMTA Productivity Costs Questionnaire (iPCQ) for the use with chronic disease patients in Switzerland / Prüfung des iMTA Productivity Costs Questionnaire (iPCQ) für den Einsatz bei Patienten/-innen mit chronischen Krankheiten in der Schweiz","authors":"T. Friedli, Brigitte Gantschnig","doi":"10.2478/ijhp-2022-0003","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0003","url":null,"abstract":"Abstract Background Complex interprofessional programs in health care are dependent on the valid measurement of outcomes. The iMTA Productivity Costs Questionnaire (iPCQ) is one of the few instruments measuring productivity in a comprehensive way which is available in German language. This study explores the validity of the German-language iPCQ with a focus on test content and response processes. The aim of this study is to validate the German version of the iPCQ for the use with people with chronic conditions in Switzerland and to make suggestions for adaptation to the developers. Method This study is a qualitative validation study. We conducted cognitive interviews with people with chronic illnesses and with other experts and analysed them based on the framework method. Results Participants had problems understanding many items and explanations and remembering correct answers. Furthermore, the study revealed construct-related problems in measuring the productivity of people with partial incapacity for work. Conclusions The results show that German version of the questionnaire needs improvement in order to guarantee validity and reliability.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"1 1","pages":"25 - 38"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89215139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Campos Silva, L. Salminen, Imane Elonen, Pilar Fuster Linares, Maria Cassar, Elaine Haycock-Stuart, Terhi Saaranen, Dana Zrubcová, M. Ewers
Abstract Objectives Information on nurse educator education is scarce. The present study thus aims to provide an overview of the requirements for and standards of nurse educator education in six European countries in order to enable further reflection and promote discourse on the topic. Methods: A descriptive international cross-sectional comparative study was conducted across six European countries. Data were collected via an online questionnaire completed by experts in nurse educator education or in organisations with specialist knowledge about nurse educator preparation (n = 11). The data were analysed, compared, and condensed. Results The participating countries differ in terms of their educational requirements and the working environments they provide for nurse educators. Formal nurse educator education is available in three of the six countries. Furthermore, in the countries with formal education for nurse educators, differences exist in terms of the regulation and implementation of the education. The educational requirements of nurse educators in higher education are mostly not specific to nursing and are instead general requirements for professional (tertiary) or higher education. Conclusions The analysis reveals heterogeneous regulations, standards, and pathways in the education of nurse educators in the six different counties included in the study. Despite some formal and content-related similarities, no uniform picture of the educational requirements, programmes, or standards was identified. The results of this international comparative research confirm the need for further research that examines whether the education of nurse educators meets the global need both for skilled nurses and for more Europe-wide collaboration in nurse educator education.
{"title":"Nurse educator education in six European countries: a descriptive study / Ausbildung von Pflegepädagog/-innen in sechs europäischen Ländern – eine deskriptive Studie","authors":"Simone Campos Silva, L. Salminen, Imane Elonen, Pilar Fuster Linares, Maria Cassar, Elaine Haycock-Stuart, Terhi Saaranen, Dana Zrubcová, M. Ewers","doi":"10.2478/ijhp-2022-0006","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0006","url":null,"abstract":"Abstract Objectives Information on nurse educator education is scarce. The present study thus aims to provide an overview of the requirements for and standards of nurse educator education in six European countries in order to enable further reflection and promote discourse on the topic. Methods: A descriptive international cross-sectional comparative study was conducted across six European countries. Data were collected via an online questionnaire completed by experts in nurse educator education or in organisations with specialist knowledge about nurse educator preparation (n = 11). The data were analysed, compared, and condensed. Results The participating countries differ in terms of their educational requirements and the working environments they provide for nurse educators. Formal nurse educator education is available in three of the six countries. Furthermore, in the countries with formal education for nurse educators, differences exist in terms of the regulation and implementation of the education. The educational requirements of nurse educators in higher education are mostly not specific to nursing and are instead general requirements for professional (tertiary) or higher education. Conclusions The analysis reveals heterogeneous regulations, standards, and pathways in the education of nurse educators in the six different counties included in the study. Despite some formal and content-related similarities, no uniform picture of the educational requirements, programmes, or standards was identified. The results of this international comparative research confirm the need for further research that examines whether the education of nurse educators meets the global need both for skilled nurses and for more Europe-wide collaboration in nurse educator education.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"20 1","pages":"67 - 77"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82600734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Guggenberger, Birgit Jocham, Lukas Maul, Andreas J. Jocham
Abstract Background New technologies, for example, telerehabilitation (TR) tools, can support physiotherapists’ work. Even though studies have demonstrated their potential, TR is not yet fully implemented in Austrian outpatient physiotherapy. As a result of the Coronavirus pandemic and the associated lockdowns, physiotherapists in Austria were confronted with the challenge of offering therapies without physical contact. This study aims to investigate opinions and experiences of physiotherapists in Austria regarding TR and its implementation in different clinical fields. Methods A qualitative research design with expert interviews and a focus group discussion were conducted. Data were analysed using content analysis. The categories were formed following a deductive-inductive approach. Results The interview partners considered opportunities for using synchronous TR in internal medicine as well as orthopaedics and traumatology, especially in later, exercise-dominated stages. In addition, using TR can be supportive for patient education. In the field of neurology, synchronous TR is viewed with some criticism, especially when used for people with severe neuropsychological disorders. Asynchronous TR is considered useful across all disciplines and could support physical therapy from the first therapy session and throughout the treatment. Important questions regarding liability, billing, or data protection still need to be clarified. Interdisciplinary approaches in TR should also be pursued to improve care. Conclusion The use of asynchronous TR in addition to regular physiotherapy is seen as promising in all clinical fields. In general, when implementing TR, the needs and requirements of different fields should be considered. Moreover, various framework conditions still need to be clarified for further implementation of TR.
{"title":"Implementation of telerehabilitation in Austrian outpatient physiotherapy – A qualitative study / Implementierung von Telerehabilitation in der ambulanten Physiotherapie in Österreich – Eine qualitative Studie","authors":"B. Guggenberger, Birgit Jocham, Lukas Maul, Andreas J. Jocham","doi":"10.2478/ijhp-2022-0007","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0007","url":null,"abstract":"Abstract Background New technologies, for example, telerehabilitation (TR) tools, can support physiotherapists’ work. Even though studies have demonstrated their potential, TR is not yet fully implemented in Austrian outpatient physiotherapy. As a result of the Coronavirus pandemic and the associated lockdowns, physiotherapists in Austria were confronted with the challenge of offering therapies without physical contact. This study aims to investigate opinions and experiences of physiotherapists in Austria regarding TR and its implementation in different clinical fields. Methods A qualitative research design with expert interviews and a focus group discussion were conducted. Data were analysed using content analysis. The categories were formed following a deductive-inductive approach. Results The interview partners considered opportunities for using synchronous TR in internal medicine as well as orthopaedics and traumatology, especially in later, exercise-dominated stages. In addition, using TR can be supportive for patient education. In the field of neurology, synchronous TR is viewed with some criticism, especially when used for people with severe neuropsychological disorders. Asynchronous TR is considered useful across all disciplines and could support physical therapy from the first therapy session and throughout the treatment. Important questions regarding liability, billing, or data protection still need to be clarified. Interdisciplinary approaches in TR should also be pursued to improve care. Conclusion The use of asynchronous TR in addition to regular physiotherapy is seen as promising in all clinical fields. In general, when implementing TR, the needs and requirements of different fields should be considered. Moreover, various framework conditions still need to be clarified for further implementation of TR.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"33 1","pages":"78 - 88"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81566751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher Golz, Fabienne Josefine Renggli, C. Gurtner, K. Peter
Abstract Introduction Stress and poor working conditions can affect the health and satisfaction of health professionals. Until now, the perspective of the staff has not been sufficiently considered in the development of solutions. The aim was to capture the wishes and recommendations of health professionals that could contribute to an improvement of the work situation from their perspective. Method Semistructured focus group interviews with health professionals (nurses, midwifes, medical-technical-therapeutic professions and physicians) were conducted and analyzed using knowledge mapping and a deductive approach. Results Between June and November 2018, 128 health professionals from Swiss acute hospitals, psychiatric hospitals, nursing homes, and outpatient services participated in a total of 24 focus group interviews. They expressed the need to incorporate wishes into staff scheduling and to address vacation planning at an early stage. Other suggestions were to be able to take advantage of further training opportunities and to live a positive feedback and error culture, as well as to establish a clear division of roles and tasks. Conclusions The healthcare staff interviewed showed clear ideas about what should be improved to reduce workload. There is a great need for action in the general conditions as well as in leadership and management.
{"title":"Measures to reduce stress in the workplace – results from focus group interviews with health professionals / Maßnahmen zur Reduktion von Stress am Arbeitsplatz – Resultate aus Fokusgruppeninterviews mit Gesundheitsfachpersonen","authors":"Christopher Golz, Fabienne Josefine Renggli, C. Gurtner, K. Peter","doi":"10.2478/ijhp-2022-0002","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0002","url":null,"abstract":"Abstract Introduction Stress and poor working conditions can affect the health and satisfaction of health professionals. Until now, the perspective of the staff has not been sufficiently considered in the development of solutions. The aim was to capture the wishes and recommendations of health professionals that could contribute to an improvement of the work situation from their perspective. Method Semistructured focus group interviews with health professionals (nurses, midwifes, medical-technical-therapeutic professions and physicians) were conducted and analyzed using knowledge mapping and a deductive approach. Results Between June and November 2018, 128 health professionals from Swiss acute hospitals, psychiatric hospitals, nursing homes, and outpatient services participated in a total of 24 focus group interviews. They expressed the need to incorporate wishes into staff scheduling and to address vacation planning at an early stage. Other suggestions were to be able to take advantage of further training opportunities and to live a positive feedback and error culture, as well as to establish a clear division of roles and tasks. Conclusions The healthcare staff interviewed showed clear ideas about what should be improved to reduce workload. There is a great need for action in the general conditions as well as in leadership and management.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"7 1","pages":"13 - 24"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87605479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Die digitale Transformation erfasst das Gesundheitswesen und führt zu veränderten professionellen Anforderungen an die Heilberufe. In diesem Beitrag stellen wir ein Lehrkonzept zur Förderung der berufsspezifischen digitalen Kompetenzen in den Gesundheitsfachberufen vor. Basierend auf systematischer Literaturrecherche, Analysen bestehender Curricula und Expertengesprächen identifizieren wir Anforderungen an das Lehrkonzept sowie relevante Themengebiete. Hieraus leiten wir Lernziele ab und konzipieren ein in sich geschlossenes Modul, welches innerhalb eines Hochschulsemesters durchgeführt werden kann. Das Modul gliedert sich in vier aufeinander aufbauende Lerneinheiten, welche sich am Vier-Komponenten-Instructional-Design-Modell und dem Ansatz des problemorientierten Lernens orientieren und sich durch eine sukzessive Steigerung der Komplexität der Lernaufgaben auszeichnen. Da das Lehrkonzept individuelle Schwerpunktsetzungen sowohl durch die Lehrenden als auch durch die Lernenden berücksichtigt, erlaubt es eine einfache Adaptation für die verschiedenen Gesundheitsfachberufe. Mit unserem Lehrkonzept wollen wir den Lehrenden einen Leitfaden an die Hand geben, um die Themen der Digitalisierung im Gesundheitswesen systematisch in die Lehre zu integrieren und mit diesem Artikel eine Diskussionsgrundlage zur interprofessionellen Weiterentwicklung des Lehrkonzeptes schaffen.
{"title":"Systematically promoting job-specific digital competencies in the health professions: A teaching concept / Berufsspezifische digitale Kompetenzen in den Gesundheitsfachberufen systematisch fördern: Ein Lehrkonzept","authors":"P. Nordholt, S. Busch","doi":"10.2478/ijhp-2022-0010","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0010","url":null,"abstract":"Abstract Die digitale Transformation erfasst das Gesundheitswesen und führt zu veränderten professionellen Anforderungen an die Heilberufe. In diesem Beitrag stellen wir ein Lehrkonzept zur Förderung der berufsspezifischen digitalen Kompetenzen in den Gesundheitsfachberufen vor. Basierend auf systematischer Literaturrecherche, Analysen bestehender Curricula und Expertengesprächen identifizieren wir Anforderungen an das Lehrkonzept sowie relevante Themengebiete. Hieraus leiten wir Lernziele ab und konzipieren ein in sich geschlossenes Modul, welches innerhalb eines Hochschulsemesters durchgeführt werden kann. Das Modul gliedert sich in vier aufeinander aufbauende Lerneinheiten, welche sich am Vier-Komponenten-Instructional-Design-Modell und dem Ansatz des problemorientierten Lernens orientieren und sich durch eine sukzessive Steigerung der Komplexität der Lernaufgaben auszeichnen. Da das Lehrkonzept individuelle Schwerpunktsetzungen sowohl durch die Lehrenden als auch durch die Lernenden berücksichtigt, erlaubt es eine einfache Adaptation für die verschiedenen Gesundheitsfachberufe. Mit unserem Lehrkonzept wollen wir den Lehrenden einen Leitfaden an die Hand geben, um die Themen der Digitalisierung im Gesundheitswesen systematisch in die Lehre zu integrieren und mit diesem Artikel eine Diskussionsgrundlage zur interprofessionellen Weiterentwicklung des Lehrkonzeptes schaffen.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"5 1","pages":"89 - 103"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85240544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Conca, D. Koch, Katharina Regez, Alexander Kutz, S. Haubitz, P. Schuetz, Beat Mueller, C. Schindler, R. Spirig, H. Petry
Abstract A systematic screening of patients with a need for post-acute care is a helpful support for interprofessional discharge planning teams. We aimed to test self-care abilities, measured by the self-care index (SPI) as predictors of post-acute care transfer and to update the existing SPI prediction model. We analysed data from a prospective, observational cohort study conducted at the Kantonsspital Aarau between February and October 2013. We updated the SPI model, adding age and gender using a training and validation data set. Logistic regression models were run on the outcome “transfer to a post-acute care facility” and judged based on their AUC (area under curve), AIC (Akaike information criterion), and BIC (Bayesian information criteria) values. ROC curves (receiver operating characteristic) were derived from the models; and cut-points for the linear predictors of the models were defined (thus defining the new scores). Sensitivities and specificities were calculated. This study included 1372 adult internal medicine in-patients admitted from home, who either returned home or were transferred to a post-acute care institution. The total SPI score was a significant predictor for post-acute care referral (p < 0.001). Including age and gender in the SPI model increased the AUC to 0.85 (training) and 0.84 (validation). An improvement in the AUC by 3% (0.81 [95% CI: 0.77–0.85] to 0.84 [95% CI: 0.80–0.87]), compared to the original SPI was achieved (p = 0.004). The new score reached a sensitivity of 81% and specificity of 74% compared to a sensitivity of 64% and specificity of 84% for the original score. The extended SPI can be used as a tool for individualised discharge organisation of internal medicine patients with higher accuracy.
{"title":"Extension and Validation of the Self-care Index to Predict Transfer to a Post-acute Care Institution in Internal Medicine Patients / Erweiterung und Validierung des Selbstpflegeindexes bei internistischen Patienten mit dem Ziel eine Verlegung in eine post-akute Nachsorgeinstitution vorauszusagen","authors":"A. Conca, D. Koch, Katharina Regez, Alexander Kutz, S. Haubitz, P. Schuetz, Beat Mueller, C. Schindler, R. Spirig, H. Petry","doi":"10.2478/ijhp-2022-0005","DOIUrl":"https://doi.org/10.2478/ijhp-2022-0005","url":null,"abstract":"Abstract A systematic screening of patients with a need for post-acute care is a helpful support for interprofessional discharge planning teams. We aimed to test self-care abilities, measured by the self-care index (SPI) as predictors of post-acute care transfer and to update the existing SPI prediction model. We analysed data from a prospective, observational cohort study conducted at the Kantonsspital Aarau between February and October 2013. We updated the SPI model, adding age and gender using a training and validation data set. Logistic regression models were run on the outcome “transfer to a post-acute care facility” and judged based on their AUC (area under curve), AIC (Akaike information criterion), and BIC (Bayesian information criteria) values. ROC curves (receiver operating characteristic) were derived from the models; and cut-points for the linear predictors of the models were defined (thus defining the new scores). Sensitivities and specificities were calculated. This study included 1372 adult internal medicine in-patients admitted from home, who either returned home or were transferred to a post-acute care institution. The total SPI score was a significant predictor for post-acute care referral (p < 0.001). Including age and gender in the SPI model increased the AUC to 0.85 (training) and 0.84 (validation). An improvement in the AUC by 3% (0.81 [95% CI: 0.77–0.85] to 0.84 [95% CI: 0.80–0.87]), compared to the original SPI was achieved (p = 0.004). The new score reached a sensitivity of 81% and specificity of 74% compared to a sensitivity of 64% and specificity of 84% for the original score. The extended SPI can be used as a tool for individualised discharge organisation of internal medicine patients with higher accuracy.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"4 1","pages":"59 - 66"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90574648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Introduction International research shows high levels of job demands and psychological resources for physical therapists, and job strain is considered to be moderate. So far, publications are based on therapists with varying length of service. Little is known about job strain during the first year in the profession. Aim To investigate the level of job strain of German novice physical therapists and to identify common workplace stressors. Methods We conducted a web-based survey among physical therapists who had been working for 12 month or less. Using a self-administrated questionnaire, job strain was measured by its effects on work commitment, general health, job satisfaction, burnout and turnover intention. Subgroup analyses based on age, sex and rating of professional training were performed. Stressors at work were evaluated by priority and frequency of appearance. Results Data of 153 physical therapists was analysed. Low levels of job strain were reported. Novice physical therapists showed high levels of workplace commitment and general health, and low levels of turnover. Moderate ratings were recorded for job satisfaction and symptoms of burnout. Inadequate compensation for work, high caseload, time pressure and physical stress were the most common stressors mentioned. Therapists who rated their professional training as positive reported lower levels of job strain. No significant differences between women and men or between therapists of different age were found. Conclusion Although many workplace stressors are reported, novice physical therapists show low levels of job strain. Vocational training may be one important protective factor with regard to job strain.
{"title":"Job strain in German novice physical therapists / Psychische Beanspruchung am Arbeitsplatz von Berufsanfängern in der Physiotherapie","authors":"Julia Stadelmaier, Bernhard Reichert, J. Räbiger","doi":"10.2478/ijhp-2021-0002","DOIUrl":"https://doi.org/10.2478/ijhp-2021-0002","url":null,"abstract":"Abstract Introduction International research shows high levels of job demands and psychological resources for physical therapists, and job strain is considered to be moderate. So far, publications are based on therapists with varying length of service. Little is known about job strain during the first year in the profession. Aim To investigate the level of job strain of German novice physical therapists and to identify common workplace stressors. Methods We conducted a web-based survey among physical therapists who had been working for 12 month or less. Using a self-administrated questionnaire, job strain was measured by its effects on work commitment, general health, job satisfaction, burnout and turnover intention. Subgroup analyses based on age, sex and rating of professional training were performed. Stressors at work were evaluated by priority and frequency of appearance. Results Data of 153 physical therapists was analysed. Low levels of job strain were reported. Novice physical therapists showed high levels of workplace commitment and general health, and low levels of turnover. Moderate ratings were recorded for job satisfaction and symptoms of burnout. Inadequate compensation for work, high caseload, time pressure and physical stress were the most common stressors mentioned. Therapists who rated their professional training as positive reported lower levels of job strain. No significant differences between women and men or between therapists of different age were found. Conclusion Although many workplace stressors are reported, novice physical therapists show low levels of job strain. Vocational training may be one important protective factor with regard to job strain.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"4 1","pages":"3 - 19"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83384212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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