scholarly journals Perceptions of Australian physiotherapy students about the potential implementation of physiotherapist prescribing in Australia: a national survey

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026327
Author(s):  
Timothy David Noblet ◽  
John F Marriott ◽  
Taryn Jones ◽  
Catherine Dean ◽  
Alison B Rushton

ObjectivesTo explore the perceptions of Australian physiotherapy students about (1) the potential implementation and use of non-medical prescribing by physiotherapists in Australia and (2) how physiotherapist prescribing might impact the care that the physiotherapy profession can provide in the future.DesignA cross-sectional descriptive survey of physiotherapy students across Australia was completed using an online questionnaire developed by subject-experts and pretested (n=10) for internal consistency. A hyperlink to the questionnaire was emailed to all students enrolled in any accredited, entry-level Australian university physiotherapy programme. A reminder email was sent 4 weeks later.SettingParticipants completed an online questionnaire.Participants526 physiotherapy students from universities across all states with entry-level programmes.Outcome measuresQuantitative data underwent primary descriptive analysis. Thematic analysis was used to synthesise qualitative data.Results87% of participants supported the introduction of physiotherapist prescribing in Australia. 91% of participants stated that they would train to prescribe following introduction. Participants identified improvements in clinical and cost effectiveness, timely access to appropriate prescription medicines and optimisation of quality healthcare as key drivers for the introduction.ConclusionsStudent physiotherapists support the introduction of physiotherapist prescribing in Australia, reporting potential benefits for patients, health services and the physiotherapy profession. Stakeholders should use the results of this study in conjunction with supporting literature to inform future decisions regarding physiotherapist prescribing in Australia.

2021 ◽  
pp. e20200018
Author(s):  
Sarah Wojkowski ◽  
Kathleen E. Norman ◽  
Paul Stratford ◽  
Brenda Mori

Purpose: This research examines 1 year of cross-sectional, Canada-wide ratings from clinical instructors using the Canadian Physiotherapy Assessment of Clinical Performance (ACP) and analyzes the performance profiles of physiotherapy students’ performance ratings over the course of their entry-to-practice clinical placements. Method: Canadian physiotherapy programmes that use the ACP were invited to submit anonymized, cross-sectional data for placements completed during 2018. Descriptive analyses and summary statistics were completed. Mixed-effects modelling was used to create typical performance profiles for each evaluation criterion in the ACP. Stepwise ordered logistic regression was also completed. Results: Ten programmes contributed data on 3,290 placements. Profiles were generated for each ACP evaluative item by means of mixed-effects modelling; three profiles are presented. In all cases, the predicted typical performance by the end of 24 months of study was approximately the rating corresponding to entry level. Subtle differences among profiles were identified, including the rate at which a student may be predicted to receive a rating of “entry level.” Conclusions: This analysis identified that, in 2018, the majority of Canadian physiotherapy students were successful on clinical placements and typically achieved a rating of “entry level” on ACP items at the end of 24 months.


2018 ◽  
Vol 39 (2) ◽  
pp. 107-116
Author(s):  
Toni Haapa ◽  
Tarja Suominen ◽  
Anna-Maija Koivisto ◽  
Jari Kylmä

Some dimensions such as stigmatization have been identified in the previous literature regarding experiences of living with a sexually transmitted disease (STD). However, relatively little is known about the generic experiences of those infected. The aim of this study was to describe the experiences of living with an STD, as evaluated by those infected. Data ( n = 213) were collected via an online questionnaire and analysed using statistical methods. The experiences of living with an STD varied overall. The immutability of everyday life, a thirst for knowledge, a responsible attitude towards treatment of an STD and the dilemma of disclosing the STD were considered to best describe the experiences of living with an STD. The most recently diagnosed STD and its phase were most often statistically significantly associated with the experiences. We conclude that the diversity of these experiences should be recognized in healthcare, and used in the prevention of STDs.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e024991 ◽  
Author(s):  
Timothy David Noblet ◽  
John F Marriott ◽  
Taryn Jones ◽  
Catherine Dean ◽  
Alison B Rushton

ObjectivesTo explore: (1) the views of Australian physiotherapists regarding potential implementation of non-medical prescribing in Australia, (2) how the geographical location and health sector in which a clinician works may influence their perceptions and (3) the perceptions of Australian physiotherapists about how physiotherapist prescribing might impact the care that the profession can provide.DesignA cross-sectional descriptive survey using open and closed questions.SettingParticipants completed an online questionnaire.Participants883 Australian Health Professionals Registration Authority (AHPRA)-registered physiotherapists, working across all states and territories.Outcome measuresAn online questionnaire was developed by a panel of subject experts and pretested (n=10) for internal consistency. A hyperlink to the questionnaire was emailed to all members of the Australian Physiotherapy Association. A reminder email was sent 4 weeks later. Quantitative data were analysed descriptively, with use of absolute risk reductions (ARRs) and 95% CIs to determine the likelihood that health sector or geographical location were associated with specific views. Thematic analysis enabled synthesis of the qualitative data.Results79.0% participants felt that physiotherapist prescribing should be introduced in Australia, with 71.2% wanting to train as prescribers. Clinical governance, risk management, regulation of clinicians and the development of an education framework were identified as priorities for implementation. Participants working in the private sector were significantly more likely to train as prescribers than those in the public sector (ARR 9.9%; 95% CI 3.5 to 16.4) or educational/research institutions (ARR 23.3%; 95% CI 12.8 to 33.8), with city dwellers significantly more likely to train compared with physiotherapists in remote regions (ARR 19.8%; 95% CI 0.8 to 39.2). Physiotherapist prescribing was predicted to improve efficiency of healthcare delivery, access to medicines and reductions in healthcare costs.ConclusionsAHPRA-registered physiotherapists perceive that the introduction of autonomous physiotherapist prescribing would be beneficial for the Australian population and should be introduced. Decision makers should consider the results of this survey in conjunction with cost–benefit and risk analysis when planning the introduction of physiotherapist prescribing.


2021 ◽  
Author(s):  
Charles Oluwatemitope Olomofe ◽  
Victor Kehinde Soyemi ◽  
Bolaji Felicia Udomah ◽  
Adeyinka Olabisi Owolabi ◽  
Emmanuel Eziashi Ajumuka ◽  
...  

ABSTRACTBackgroundThe Coronavirus diseases (COVID-19) pandemic is not abating and there is no approved treatment yet. The development of vaccines is hoped to help in addressing this disease outbreak. However, in the face of anti-vaccines uprise, it is important to understand the factors that may influence the uptake of COVID-19 vaccines as this will influence how successful the fight against COVID-19 will be in the long term.MethodsA cross-sectional study among 776 adult Nigerians (age ≥18 years) was conducted in the 36 States of Nigeria and the Capital City with online questionnaire. The questionnaire consisted of 5 sections: socio-demographic characteristics of respondents, respondent’s knowledge of COVID-19, respondents risk perception of COVID-19, vaccination history of respondents, and willingness to receive COVID-19 vaccine. Descriptive analysis of variables was done and multivariate analysis using logistic regression was carried out to determine the predictors of uptake of a potential COVID-19 vaccine. The level of significance was predetermined at a p-value < 0.05. Data analysis was done with SPSS version 21.ResultsMost of the respondents were male (58.1%). Most participants were willing to take a potential COVID-19 vaccine (58.2%), while 19.2% would not take it with 22.6% indecisive. 53.5% would prefer a single dose COVID-19 vaccine. For vaccine uptake, being male (p= 0.002) and the perception that “vaccines are good” (p< 0.001) were the positive predictor of uptake of a potential COVID-19 vaccine.ConclusionMost Nigerians were willing to take a potential COVID-19 vaccine with the male gender and perception that “vaccines are good” being positive predictors. There is a need for public enlightenment aim at encouraging those that are indecisive or averse to receiving COVID-19 vaccines.


2021 ◽  
Author(s):  
Grania Mackey ◽  
Thomas Rhys Evans

Purpose: Adult third-culture kids (ATCKs), or adults who were living abroad in expatriated families during childhood, have been theorised to possess resources to meet the increased stressors and demands of overseas assignments due to their higher cross-cultural competency, adjustment, and security in risk-taking. This research sought to compare the turnover intention of ATCKs with that of adults with mono-cultural backgrounds, in expatriate roles, and to see whether this experience provides incremental predictive validity for turnover intention over and above demographic and adjustment factors.Design: This research used a quantitative, cross-sectional design implemented through an online questionnaire (n = 206).Findings: Results reported that ATCKs showed significantly higher levels of turnover intention than those with mono-cultural backgrounds. Furthermore, this background predicted an additional 3.3% of variance in turnover intentions above that of various adjustment indices.Originality: This research provides initial evidence to dispute the claim that adults who are expatriated in childhood are more likely to be retained in traditional expatriate work and suggests future research to investigate leveraging ATCK skills in alternative expatriate contexts.Practical implications: These results may allow international organisations to better understand the potential benefits of ATCK employment as expatriates and their role in a global environment in need of increased retention and mobility.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Mohmed Isaqali Karobari ◽  
Shahnawaz Khijmatgar ◽  
Rahul Bhandary ◽  
U. S. Krishna Nayak ◽  
Massimo Del Fabbro ◽  
...  

Objectives. The objective of the study was to understand and analyze the prescription patterns of dentists across various demographic locations for managing oral infections and pain with antibiotics and explore the evidence-based practices by clinicians as well as the need for further education. Materials and methods. This cross-sectional study was carried out using an online questionnaire framed to explore the knowledge, attitude, and practices among dentists with varying levels of experience and qualifications, regarding antimicrobial prescription. The questions were validated from previous published studies that explored the knowledge, attitude, and practice (KAP) with respect to antimicrobial prescription. In total, N = 300 of dentists from four different countries responded to the online questionnaire out of which 53% were specialists while 47% were general dentists. After data collection, descriptive analysis was carried out along with a one-sided hypothesis test to depict the power of the sample. Results. It was seen from the results of the study that the first-choice antibiotics for 67.8% of dentists were found to be the β-lactam group while sulfonamides and tetracyclines at 20% were the second most prescribed group. Another important finding was that 45.6% of dentists ignored hypersensitivity testing before prescription of antibiotics even though 83.3% of the total dentists interviewed were aware of the increase in antibiotic resistance. Conclusion. In conclusion, the dentists are partially aware of the guidelines but need further training and education on antimicrobial prescription that enables evidence-based decision-making for better practices and outcomes.


Author(s):  
James E. Snow ◽  
Matthew J. Leach ◽  
Bevin A. Clare

AbstractBackgroundEvidence-based practice (EBP) has been the focus of increasing attention in the teaching and delivery of both complementary and conventional healthcare. Western herbal medicine (WHM) is a system of complementary healthcare rooted in tradition. How WHM practitioners perceive, are prepared for, and use EBP, has to date been largely ignored. We therefore examined the use, opinion, skills, and training in EBP, and barriers and facilitators of EBP uptake, among herbal practitioners in the United States (US).MethodsThe study utilized a cross-sectional, descriptive survey design. A sample of US clinical herbalists was invited to complete a validated online questionnaire, the Evidence-Based practice Attitude and utilization SurvEy (EBASE).ResultsSeventy-four US herbal practitioners completed the survey (response rate=35 %). Participants demonstrated a generally positive attitude toward EBP (median attitude subscore 31 [possible range=8–40]), a moderate to high level of self-assessed skill in EBP (median skill subscore 46 [13–65]) and a moderate level of EBP uptake (median use subscore 12 [0–24]). Apart from a lack of clinical evidence in herbal medicine, there were few perceived barriers to EBP uptake among herbal practitioners. Access to the Internet, online databases and full-text journal articles were considered most useful in facilitating the uptake of EBP in WHM practice.ConclusionsRespondents’ attitudes, skill level, and uptake of EBP were generally consistent with other complementary and alternative medicine providers. Educational initiatives, including those focused on the appraisal and application of evidence, may help to optimize the use of EBP among WHM practitioners.


2002 ◽  
Vol 21 (2) ◽  
pp. 13-20 ◽  
Author(s):  
Linda Franck ◽  
Holly Bernal ◽  
Gay Gale

Purpose: To describe neonatal unit policies and practices regarding the holding of infants by parents.Design: U.S. national cross-sectional descriptive survey.Sample: Nurses representing 215 neonatal units providing regional-level (22 percent), community-level (45 percent), and intermediate-level (33 percent) care.Main Outcome Variable: Proportion of respondents who reported neonatal intensive care unit criteria permitting parents and family members to hold their infant by conventional and skin-to-skin methods.Results: All but one of the neonatal units offered parents the chance to hold their extubated infants conventionally; 73 percent offered parents to hold their extubated infants skin-to-skin. Sixty-four percent of neonatal units offered parents the option to hold their intubated infants conventionally. In contrast, only 45 percent of the units offered parents to hold their intubated infants skin-to-skin. Factors that influenced parental holding practices included potential benefits to infants and parents, concerns about infant safety, and level of support from neonatal staff members.


2009 ◽  
Vol 65 (3) ◽  
Author(s):  
M. Rowe ◽  
P. Struthers

The global shift toward the use of information and commu -nication technology (ICT) in health education and practice has been shown toenhance both the educational opportunities and the support provided to studentsand healthcare professionals.  This study aimed to investigate the use of ICTby South A frican physiotherapy students and what their experiences and perceptions were regarding their use of ICT as part of their studies.  The studydesign was a cross-sectional, descriptive survey using a self-administered questionnaire.  The survey populationincluded all of the undergraduate physiotherapy students from six of the eight universities offering the physiotherapydegree in South A frica (N=1105).  The sample size consisted of 529 students from the survey population who completed and returned questionnaires, indicating a response rate of 48%.  The results of the study showed that the useof ICT by South A frican physiotherapy students varied according to task, racial group and university attended.Furthermore, the reported use of ICT for communication, research and continuing professional development was low.In conclusion, this study indicates that with a move toward the use of ICT to enhance health education and practice in South A frica, certain groups of physiotherapy students may be at a disadvantage if required to make use of ICT asa means of improving communication, enhancing education, participating in lifelong learning opportunities andaccessing support.


2020 ◽  
Vol 6 (5) ◽  
pp. 34 ◽  
Author(s):  
Jennifer Galloway ◽  
Damian J.J. Farnell ◽  
Stephen Richmond ◽  
Alexei I. Zhurov

This cross-sectional study aims to assess the influence of maternal smoking and alcohol consumption during pregnancy on the facial shape of non-syndromic English adolescents and demonstrate the potential benefits of using multilevel principal component analysis (mPCA). A cohort of 3755 non-syndromic 15-year-olds from the Avon Longitudinal Study of Parents and Children (ALSPAC), England, were included. Maternal smoking and alcohol consumption during the 1st and 2nd trimesters of pregnancy were determined via questionnaire at 18 weeks gestation. 21 facial landmarks, used as a proxy for the main facial features, were manually plotted onto 3D facial scans of the participants. The effect of maternal smoking and maternal alcohol consumption (average 1–2 glasses per week) was minimal, with 0.66% and 0.48% of the variation in the 21 landmarks of non-syndromic offspring explained, respectively. This study provides a further example of mPCA being used effectively as a descriptive analysis in facial shape research. This is the first example of mPCA being extended to four levels to assess the influence of environmental factors. Further work on the influence of high/low levels of smoking and alcohol and providing inferential evidence is required.


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