scholarly journals Impact of Work-Related Pain on Physical Therapists and Occupational Therapists

2010 ◽  
Vol 90 (6) ◽  
pp. 905-920 ◽  
Author(s):  
Marc Campo ◽  
Amy R. Darragh

BackgroundPhysical therapists and occupational therapists experience high rates of work-related pain. Although most therapists continue to work through this pain, it interferes with work and alters therapists’ work habits. However, the effects on productivity, quality of patient care, and therapists’ quality of life and long-term career plans are unknown.ObjectivesThe purpose of this study was to determine the impact of working with work-related pain on physical therapists and occupational therapists.DesignMultiple methods were used in this study. It was primarily a phenomenological study.MethodsA phenomenological approach was used to explore the meaning of work-related pain in therapists. Focus group interviews were used as the method of data collection. A questionnaire was used to supplement the qualitative analysis.ResultsNineteen therapists participated in 4 focus groups ranging from 2 to 7 participants each. The participants noted substantial effects of work-related pain at work, at home, and in their career plans. All of the therapists were concerned about their potential clinical longevity. The professional culture complicated these effects by forcing therapists into a professional ideal.ConclusionsWork-related pain affects therapists in several personal and professional domains. It also may affect career plans. Strategies to reduce the risk of injury and physical loading of jobs are needed.

2016 ◽  
Vol 25 (5) ◽  
pp. 653-664 ◽  
Author(s):  
Mohaddeseh Mohsenpour ◽  
MohammadAli Hosseini ◽  
Abbas Abbaszadeh ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
HamidReza Khankeh

Background: Patient safety, which is a patient’s right, can be threatened by nursing errors. Furthermore, nurses’ feeling of “being a wrongdoer” in response to nursing errors can influence the quality of care they deliver. Research objectives: To explore the meaning of Iranian nurses’ experience of “being a wrongdoer.” Research design: A phenomenological approach was used to explore nurses’ lived experiences. Nurses were recruited purposively to take part in semistructured interviews, and the data collected from these interviews were analyzed using Van Manen’s thematic analysis. Participants and research context: Eight nurses working in three private or governmental hospitals in Tehran, Iran. Ethical consideration: The research design was approved in each participating hospital, and all interviews were carried out at a predetermined time in a private place. Findings: Five themes were extracted from the data: “wandering in unpleasant feelings” (with two subthemes: “unpleasant physical feelings” and “unpleasant emotions”), “wandering in the conscience court” (with three subthemes: “being the accused,” “being the victim,” and “being the judge”), “being arrested in time,” “time for change” (with three subthemes: “promoting accountability,” “promoting learning,” and “strengthening supportive relationships”), and “spiritual exercise.” Discussion: Some of our results are supported by the model of self-reconciliation and the recovery trajectory of “second victims” theory. Conclusion: The meaning of “being a wrongdoer” has positive and negative aspects. Feelings of wandering provide nurses the opportunity to reflect on and re-embrace the professional and moral responsibility of nursing. Nursing managers can convert their “defeats” into a prelude to learning, increase their accountability, and improve the quality of nursing care.


2012 ◽  
Vol 92 (10) ◽  
pp. 1292-1305 ◽  
Author(s):  
Leti van Bodegom-Vos ◽  
John Verhoef ◽  
Margot Dickmann ◽  
Marjon Kleijn ◽  
Ingrid van Vliet ◽  
...  

Background Although the increasing complexity and expansion of the body of knowledge in physical therapy have led to specialized practice areas to provide better patient care, the impact of specialization on guideline implementation has been scarcely studied. Objectives The objective of this study was to identify the similarities and differences in barriers to the implementation of a Dutch rheumatoid arthritis (RA) guideline by generalist and specialist physical therapists. Design This observational study consisted of 4 focus group interviews in which 24 physical therapists (13 generalist and 11 specialist physical therapists) participated. Methods Physical therapists were asked to discuss barriers to the implementation of the RA guideline. Data were analyzed qualitatively using a directed approach to content analysis. Both the interviews and the interview analysis were informed by a previously developed conceptual framework. Results Besides a number of similarities (eg, lack of time), the present study showed important, although subtle, differences in barriers to the implementation of the RA guideline between generalist physical therapists and specialist physical therapists. Generalist physical therapists more frequently reported difficulties in interpreting the guideline (cognitive barriers) and had less favorable opinions about the guideline (affective barriers) than specialist physical therapists. Specialist physical therapists were hampered by external barriers that are outside the scope of generalist physical therapists, such as a lack of agreement about the roles and responsibilities of medical professionals involved in the care of the same patient. Conclusions The identified differences in barriers to the implementation of the RA guideline indicated that the effectiveness of implementation strategies could be improved by tailoring them to the level of specialization of physical therapists. However, it is expected that tailoring implementation strategies to barriers that hamper both generalist and specialist physical therapists will have a larger effect on the implementation of the RA guideline.


2000 ◽  
Vol 31 (1) ◽  
pp. 78-96 ◽  
Author(s):  
William Gomes ◽  
Marco Teixeira

AbstractSeven informants (4 women and 3 men), aged between 32 and 42, who had experienced at least one career change in their lives were interviewed about the history of their career trajectories. The interviews were analyzed according to the systematic and systemic reflexivity proposed by the phenomenological tradition: description, reduction and interpretation. The findings point to the need for professional guidance practice giving attention not only to professional information but also to a reflection of individual and work-related values. This would help both young people and adults to see their own objectives more clearly and to be capable of formulating their own career plans and following them through.


1996 ◽  
Vol 16 (3) ◽  
pp. 147-165 ◽  
Author(s):  
Anna-Lena Bellner

This article is a descriptive study of 356 occupational therapists and 346 physical therapists in Sweden regarding their perceptions of professional status. These groups were compared according to educational level to determine whether the transfer of their education to a university level had made a difference in their perception of their own professional status and that of others. The status differences between the groups remained, and the structure of professional status seemed stable through time and not dependent on educational level. Professionals with a more positivistic knowledge base—physical therapists—tended to perceive increased professional status of themselves and of other team members, and professionals with a more humanistic knowledge base—occupational therapists—tended to perceive a decreased status. A plausible explanation might be that university schooling and certification reinforce a positivistic view, which is most prevalent in physical therapy. The ongoing process of professionalization within occupational and physical therapy might be more influenced by the medical profession than expected. Whether or not these findings apply to therapists in other countries is worth continued exploration through similar research investigations. As the therapy professions are becoming more global, information about educational and professional concerns of peers in different countries can provide increased insights into the professions.


Author(s):  
Gunawan Widjaja

The HR crisis has affected the health system, but there is little research into how this HR disruption affects medical workers. Understanding the impact on the health of medical personnel is essential; the COVID-19 outbreak is still sweeping the world. With the empirical literature, we have succeeded in summarizing the impact of the HR crisis on the health of medical personnel. Exploratory systematic reviews have identified qualitative, theory-based empirical evidence against practitioners. We have searched a database of relevant HR crises and health issues. Then we analyzed it in depth with a phenomenological approach. A total of 40 peer-reviewed publications were reviewed, referring to the HR crisis and its impact on the health of medical personnel. Finally, this study confirms that the human resource crisis is transmitted to medical personnel through several models: (1) a decrease in the quality of health services; (2) the impact of inadequate service measures; and (3) increasing demands for health services from patients; (4) A wave of community protests for treatment; (5) service and budget inefficiency.


2020 ◽  
Vol 6 (2) ◽  
pp. 87-96
Author(s):  
Anahita Khodabakhshi-koolaee ◽  
◽  
Mahsa Aghaei Malekabadi ◽  

Background: Following the spread of new coronavirus disease (COVID-2019) in Iran, people began a new lifestyle in quarantine to survive the disease. Mother-child relationships were affected by this new lifestyle. This phenomenological study was conducted to explore the experiences of Iranian mothers in caring for their children during COVID-19 outbreak. Methods: This qualitative study was conducted with an interpretive phenomenological approach. The participants were selected using purposive sampling among mothers living in Tehran in 2020. The data were collected through semi-structured interviews. The participants were mothers with 7- to 9-year-old children with the experience of living in quarantine.  The collected data were theoretically saturated after 17 interviews. All the interviews were recorded and transcribed, and the resulting data were analyzed using van Manen’s phenomenological approach. Results: Four main themes were extracted from the collected data: the mother’s health and physical concerns, confusion in playing the motherhood role, concerns about educational quality and wasting learning opportunities, and concerns about the impact of financial disputes on children.  Conclusion: The experiences of the mothers as the main caregivers in home quarantine were very unique. Understanding the complexities of their experiences, beliefs, and attitudes about motherhood and caring for children in quarantine can provide useful insights for decision-makers, healthcare professionals, and mental health professionals.


2017 ◽  
Vol 2 (3) ◽  

Various studies have been discussed in the past time to predispose the contact of work place stressors on work quality of nurse. Most of the studies focused on the work place stressors and their relationship between work related quality of life of nurses that how stressors can affect the work quality of nurses and what are the reasons or is there any negative or positive relation between stressors and work quality. This study seeks to analyze the impact of work place stressors among nurses in their work quality by acquiring a quantitative testing method of administering questionnaires to the nurses in the health work place in Northern Cyprus. If the stressors that alter the task quality of nurses are low in the work place, there can be a positive relation between them and can make nurses work more comfortable and relaxed. The main findings suggests that there is a symbolic negative relationship of job place stressors with work nature and aspect of nurses. The results discloses that the frequency of job place stressors have a eloquent contact on work quality of nurses and there is a statistically expressive negative linear contingency within job related element of life and Nurses stress. In health care organization, designing and creating work to be more important and meaningful in their performance and in the manner at which their contributions are acknowledged.


Author(s):  
Chris Deighton

Influential guidelines on rheumatoid arthritis (RA) management agree on most key recommendations. Early diagnosis of persistent synovitis, and identification of poor prognostic markers, is essential. Rapid intervention is vital with drugs to suppress inflammation, slow down damaging disease components, and prevent disability. The label of RA covers a broad spectrum of disease severity, and there is controversy on: • whether the same interventions are needed for all patients • whether monotherapy or combination treatment is appropriate • the role of steroids in RA • the appropriate introduction of biological therapies. Treating to specified targets is optimal evidence-based practice, where patients are reviewed regularly for disease activity assessments, and inadequate control rectified. Aiming for remission is the ultimate goal, though for some patients minimal disease activity may be appropriate. Patient education addressing self-management is important, and the multidisciplinary team (MDT: specialist nurses, physiotherapists, occupational therapists, podiatrists, psychologists) needs to be involved from the start to minimize the impact on quality of life of the patient. For established disease, rapid access is important for flares, and to consider whether disease management could be improved. An intermittent overview of established disease is important with access to the MDT, and assessments for comorbidities such as ischaemic heart disease, osteoporosis, and depression, as well as complications of the disease itself such as cervical spine disease, vasculitis, and lung and eye complications. An informed patient needs to be central to all decision making.


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