Physical therapy patients' perceptions of their relationships with health care professionals

1998 ◽  
Vol 14 (4) ◽  
pp. 211-221 ◽  
Author(s):  
Otto D. Payton ◽  
Craig E. Nelson ◽  
Michelle St Clair Hobbs
Author(s):  
Olaide Oluwole-Sangoseni ◽  
Michelle Jenkins-Unterberg

Background: Attempts to address health and health care disparities in the United States have led to a renewed focus on the training of healthcare professionals including physical therapists. Current health care policies emphasize culturally competent care as a means of promoting equity in care delivery by health care professionals. Experts agree that cultural insensitivity has a negative association with health professionals’ ability to provide quality care. Objective: To evaluate the cultural awareness and sensitivity of physical therapy (PT) students in a didactic curriculum aimed to increase cultural awareness. Methods: Using the Multicultural Sensitivity Scale (MSS), a cross-sectional survey was conducted to assess cultural sensitivity among three groups of students, (N = 139) from a doctor of physical therapy (DPT) program at a liberal arts university in Saint Louis, MO. Results: Response rate was 76.3%. Participants (n=100) were students in first (DPT1, n=36), third (DPT3, n=36), and sixth (DPT6, n=28) year of the program. Mean ranked MSS score was DPT1 = 45.53, DPT3 = 46.60 DPT6 = 61.91. Kruskal-Wallis analysis of the mean ranked scores showed a significant difference among three groups, H = 6.05 (2, N=100), p ≤ .05. Discussion: Students who have completed the cultural awareness curriculum, and undergone clinical experiences rated themselves higher on the cultural sensitivity/awareness. Results provide initial evidence that experiential learning opportunities may help PT students to more effectively integrate knowledge from classroom activities designed to facilitate cultural competence.


2006 ◽  
Vol 86 (9) ◽  
pp. 1203-1220 ◽  
Author(s):  
Monika E Finger ◽  
Alarcos Cieza ◽  
Juerg Stoll ◽  
Gerold Stucki ◽  
Erika O Huber

Abstract Background and Purpose. Disability or limitations in human functioning are universal experiences that concern all people. Physical therapists aim to improve functioning and prevent disability. With the approval of the new International Classification of Functioning, Disability and Health (ICF), we can now rely on a globally recognized framework and classification to be used in different health care situations by all health care professionals in multidisciplinary teams. The objective of this study was to identify ICF categories that describe the most relevant and common patient problems managed by physical therapists in acute, rehabilitation, and community health care situations taking into account 3 major groups of health conditions: musculoskeletal, neurological, and internal. Subjects. The subjects were physical therapists who were identified as possible participants by the heads of physical therapy departments who were members of the Swiss Association of Physical Therapy Department Heads or who were recruited from the membership of the Swiss Association of Physiotherapy. Methods. A consensus-building, 3-round, electronic-mail survey with 9 groups of physical therapists was conducted using the Delphi technique. Results. Two hundred sixty-three physical therapists participated in at least one round of the Delphi exercise. They had consensus levels of 80% or higher for categories in all ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors 1 and 2). Discussion and Conclusion. This study is a first step toward identifying a list of intervention categories relevant for physical therapy according to the ICF. The ICF, designed as a common language for multidisciplinary use, is also a very helpful framework for defining the core competence for the physical therapy profession.


2018 ◽  
Vol 36 (12) ◽  
pp. 1229-1236 ◽  
Author(s):  
Roberta Pineda ◽  
Jessica Roussin ◽  
Elizabeth Heiny ◽  
Joan Smith

Objective The main objective of this article is to define perceptions of health care professionals regarding current use of sensory-based interventions in the neonatal intensive care unit (NICU). Study Design A multidisciplinary group of NICU health care professionals (n = 108) defined the types of sensory-based interventions used in their NICU, the postmenstrual age (PMA) sensory-based interventions are administered, conditions under which sensory-based interventions are used, and personnel who administer sensory-based interventions. Results The most commonly reported tactile intervention was infant holding (88% of respondents), the most common auditory intervention was recorded music/singing (69% of respondents), the most common kinesthetic intervention was occupational and physical therapy (85% of respondents), and the most common vestibular intervention was infant swings (86% of respondents). Tactile interventions were initiated most often at 24 to 26 weeks PMA (74% of respondents), auditory interventions at 30 to 32 weeks (60% of respondents), kinesthetic interventions at 30 to 32 weeks (76% of respondents), vestibular interventions at 33 to 34 weeks (86% of respondents), and visual interventions at 32 to 36 weeks (72% of respondents). Conditions under which sensory-based interventions were administered, and personnel who provided them, varied across settings. Conclusion Varied use of sensory-based interventions in the NICU were reported. While this study was limited by biased sampling and the identification of health care professionals' perceptions but not real-world practice, this information can be used to build a comprehensive approach to positive sensory exposures in the NICU.


2019 ◽  
Vol 87 (2) ◽  
pp. 9-11
Author(s):  
Iyad Al-Nasri ◽  
Shahan Salim

Adherence to physical therapy can have a significant positive impact on the outcome of treatment, but remains a challenge for both clinicians and patients. Ubiquitous and accessible technologies such as video games and virtual reality (VR) can help to increase adherence in physical therapy, but adoption of these technologies is a barrier in itself. As such, health care professionals must play a larger role in game and simulation design in order for these interventions to be used in removing barriers to adherence. 


Author(s):  
Elaine Keane ◽  
Ingrid Provident

PURPOSE: Although international service learning has the capacity to promote a variety of important professional behaviors, merely visiting another country does not automatically result in these benefits. METHODS: This article describes an evidenced-based course which used pre-trip preparation in combination with a nine day service learning trip to Ecuador to develop cultural competence among 6 occupational and 6 physical therapy students. Pre-trip preparation included online and in-person components to increase self-awareness, awareness of other cultures, knowledge about Ecuadorian culture and skill-building. On-site activities included exploration of the physical and social context in addition to providing occupational and physical therapy treatment in a variety of settings. The authors collected qualitative information by reviewing responses to prompts on an online forum. A pre-test/post-test format using the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV) was used to gather quantitative information. RESULTS: A paired-samples t-test was used to compare the group’s pre-test and post-test scores on the IAPCC-SV. There was a statistically significant difference in the scores between the pre-test (M=57.72, SD+ 6.66) and post-test (M=67.54, SD+ 3.55) with the change in mean score of 9.81 resulting in t= -491, df = 10 and p ≤.001. DISCUSSION: The results showed a change in students from the level of culturally aware to culturally competent based on the scale provided in IAPCC-SV. The experience resulted in an increased desire to continue intercultural practice. Health care professionals have a responsibility to be culturally competent. This article will assist health care professionals to reflect on the advantages of joining an international service learning trip to expand their self-awareness and awareness of other cultures. Professors may reflect on how pre-trip preparation may enhance existing service learning experiences.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19067-e19067
Author(s):  
Catherine Elizabeth Crandell ◽  
Christopher Jon Wingard ◽  
Sarah Elizabeth Quinn ◽  
Kate Elise Amin ◽  
Katie Marie Brownschidle ◽  
...  

e19067 Background: Individuals with cancer experience fatigue, pain and decline in function. The Bellarmine Norton Assessment Tool (BNAT) was developed to give an objective measure identifying a person’s overall functional ability through a variety of physical assessments focused on mobility and strength. The purpose of this study was to develop a referral tool to provide health care professionals an easy determinant for physical therapy referrals. The referral tool was designed as a Red, Yellow, Green light for easy interpretation and use. Methods: The BNAT is composed of 1 self-reported physical activity question and 4 objective tests: 2-Minute Step Test (2MST); 30-Second Sit-to-Stand; Timed Arm Curl; and Timed Up and Go. A previously collected data set of BNAT scores was utilized to develop the referral tool with the poorest performance corresponding to Red and the best corresponding to Green. Three variations of normative scaling examined optimal distribution for classification. The first model averaged normative data of 70-74 age group of healthy individuals. No participants in our study achieved 50% of population norms. Therefore, the Green light represented 35% of the normative values, the Yellow light ranged from 15-34% and the Red light identified < 15%. A second model used frequency histograms for each BNAT elements. Groupings were made based on the natural break of the data to depict the Red, Yellow or Green light. A third approach combined normative and frequency distribution for each element as compared to the respective BNAT scores. The outcome assigned BNAT score of 1 and 2 to Red light, 3 to Yellow light and 4 and 5 to Green light. Except for the 2MST, these models were similar for the cutoff between color categories. The third model best fit the study population with respect to the individual’s total BNAT score. Results: Of the 161 subjects, 47 subjects (29%) fell into the Red category, 81 (50%) into Yellow and 33 (21%) into Green. Using this scaling system for the total BNAT score, 13 score combinations result in Red light, 6 scores for Yellow light and 6 scores for Green light. Regardless of the model, most individuals were assigned a Yellow light. Conclusions: The literature is void of functional cut off scores and normative distributive data for the oncology population. We defined a referral tool with scaling based off normative scores and functional assessments that reflect the distribution of oncology patients. The third model may be used as a simple referral tool among multiple health care professionals aiding in a referral for physical therapy.


Author(s):  
Robin Washington

Culture in Rehabilitation from Competency to Proficiency provides pertinent information geared specifically towards health care professionals, educators, and students working in various settings with a culturally diverse population of patients and clients. The textbook is also applicable for all individuals interested in a general perspective of culture and ethnicity as related to health care issues. Contributors of this book represent a variety of healthcare professions that include occupational therapy, physical therapy, speech therapy, nursing, psychology, and pharmacy.


2021 ◽  
Vol 15 (7) ◽  
pp. 2132-2135
Author(s):  
Samaneh Rahmani ◽  
Peigham Heidarpoor ◽  
Soleiman Ahmady ◽  
Lida Shams

Purpose: This study aimed to gain insight into physical therapy clinician faculties' perspectives on the perceived challenges of physical therapy in Iranian health care systems. Method: A qualitative descriptive approach consisting of semi-structured face-to-face or telephone interviews was used. Interviews were audio-recorded, transcribed verbatim, and checked by interviewers to ensure trustworthiness. Data were analyzed using thematic content analysis. Results: Eight participants were interviewed, representing physiotherapists from diverse demographics and geographical regions in Iran. Our 3 key findings were (1) revision of physical therapists curriculum (2) promotion of physical therapists, authority (3) successful coordination of physical therapist in the Iranian health care system, especially primary health care. Conclusions: Physical therapy and physical therapists in Iranian health care system faced many challenges ranging from individual to policy levels. The success of physical therapy would be enhanced by a greater understanding of the role of physiotherapy in Iranian health care system by physiotherapists, other health care professionals, and policymakers. Keywords: Interdisciplinary health team, physical therapy, Iranian health care system


2010 ◽  
Vol 90 (5) ◽  
pp. 726-734 ◽  
Author(s):  
Julia Chevan ◽  
Esther M. Haskvitz

BackgroundPhysical therapy practitioners are among the many health care professionals who can counsel their patients to address the public health care concern of physical inactivity. Health care providers who are physically active themselves are more likely to counsel patients on the benefits of activity.ObjectiveThe purposes of this study were: (1) to examine the leisure-time physical activity habits of physical therapists, physical therapist assistants, and student physical therapists in the United States using Centers for Disease Control and Prevention and American College of Sports Medicine (CDC-ACSM) recommendations and (2) to compare these habits with those of the general population and other health care professionals.DesignA cross-sectional survey design was used.MethodsThere were 2 data sources. A random sample of American Physical Therapy Association members completed an online survey that included questions about physical activity habits worded in same manner as the leisure-time activities section of the 2005 National Health Interview Survey (NHIS). The final study sample comprised 1,238 participants: 923 physical therapists, 210 student physical therapists, and 105 physical therapist assistants. The 2005 NHIS public use data files were the source for the same information about the general US population and for a subset of health care professionals. Rates of participation in vigorous and moderate physical activity were analyzed.ResultsPhysical therapists, physical therapist assistants, and student physical therapists exercised at higher rates than adults and health-diagnosing professionals in the 2005 NHIS.LimitationsThe study may be limited by sampling and response bias.ConclusionsThis study identified that physical therapists, physical therapist assistants, and student physical therapists are meeting CDC-ACSM physical activity guidelines at higher rates than the US adult population and health-diagnosing professionals. These rates exceed the physical activity targets set for adults in Healthy People 2010.


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