Physiotherapy student clinical placements in Australian private practice: Patient-reported outcomes with supervised student care.


Journal

Physiotherapy research international : the journal for researchers and clinicians in physical therapy
ISSN: 1471-2865
Titre abrégé: Physiother Res Int
Pays: United States
ID NLM: 9612022

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 30 08 2021
received: 19 02 2021
accepted: 09 10 2021
pubmed: 1 11 2021
medline: 11 1 2022
entrez: 31 10 2021
Statut: ppublish

Résumé

The sustainability of physiotherapy clinical placements is an ongoing challenge, yet there is potential to increase placement capacity within the private practice sector. Barriers to hosting students, including perceived impacts on patient care, reportedly limit the uptake of hosting students within this setting. This study aimed to evaluate the effect of physiotherapy student involvement on patient-reported Global Rating of Change (GRoC) in Australian physiotherapy private practice care. A cross-sectional, patient survey study was conducted in three private physiotherapy practices over two 5-week periods. At their completion of care, participants completed the survey seeking demographic information, GRoC and aspects of care including number of consultations involving students, proportion of physiotherapy time involving students and frequency of student involvement in treatment delivery. After accounting for clinic-level differences, ordinal logistic regression analyses were performed to explore the impact of supervised student care on GRoC. 119 participants across three practices completed the survey. There were no significant associations between patient-reported GRoC and: (1) student involvement in patient care; (2) number of consultations involving students; (3) proportion of physiotherapy time involving students; or (4) frequency of student involvement in treatment delivery (p > 0.05). Supervised student care in private physiotherapy practice does not appear to have a detrimental impact on patient-reported outcomes. These findings may address concerns relating to student involvement in patient care within this setting. Future research should address economic and service delivery impacts of supervised student care on private practices.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
The sustainability of physiotherapy clinical placements is an ongoing challenge, yet there is potential to increase placement capacity within the private practice sector. Barriers to hosting students, including perceived impacts on patient care, reportedly limit the uptake of hosting students within this setting. This study aimed to evaluate the effect of physiotherapy student involvement on patient-reported Global Rating of Change (GRoC) in Australian physiotherapy private practice care.
METHODS METHODS
A cross-sectional, patient survey study was conducted in three private physiotherapy practices over two 5-week periods. At their completion of care, participants completed the survey seeking demographic information, GRoC and aspects of care including number of consultations involving students, proportion of physiotherapy time involving students and frequency of student involvement in treatment delivery. After accounting for clinic-level differences, ordinal logistic regression analyses were performed to explore the impact of supervised student care on GRoC.
RESULTS RESULTS
119 participants across three practices completed the survey. There were no significant associations between patient-reported GRoC and: (1) student involvement in patient care; (2) number of consultations involving students; (3) proportion of physiotherapy time involving students; or (4) frequency of student involvement in treatment delivery (p > 0.05).
CONCLUSIONS CONCLUSIONS
Supervised student care in private physiotherapy practice does not appear to have a detrimental impact on patient-reported outcomes. These findings may address concerns relating to student involvement in patient care within this setting. Future research should address economic and service delivery impacts of supervised student care on private practices.

Identifiants

pubmed: 34719081
doi: 10.1002/pri.1929
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1929

Subventions

Organisme : Health and Behavioural Sciences faculty at The University of Queensland
Organisme : Queensland Government

Informations de copyright

© 2021 John Wiley & Sons Ltd.

Références

Atkinson, R., & McElroy, T. (2016). Preparedness for physiotherapy in private practice: Novices identify key factors in an interpretive description study. Manual Therapy, 22, 116-121. https://doi.org/10.1016/j.math.2015.10.016
Australian Health Practitioner Regulation Agency. (2013). Approved programs of study. https://www.ahpra.gov.au/Education/Approved-Programs-of-Study.aspx?ref=Physiotherapist
Australian Physiotherapy Association. (2018). National Physiotherapy Service Descriptors. https://australian.physio/sites/default/files/tools/APA_Service%20Descriptors_v5_FA.PDF
Australian Physiotherapy Council. (2017). Guidelines for accreditation of entry-level physiotherapy practitioner programs of study V1.2. https://physiocouncil.com.au/wp-content/uploads/2018/11/GUIDELINES-FOR-ACCREDITATION-V1.2-18052018.pdf
Bobos, P., Macdermid, J., Nazari, G., & Furtado, R. (2019). Psychometric properties of the global rating of change scales in patients with neck disorders: A systematic review with meta-analysis and meta-regression. BMJ Open, 9(11), e033909. https://doi.org/10.1136/bmjopen-2019-033909
Costa, O. P. L., Maher, G. C., Latimer, H. J., Ferreira, L. P., Ferreira, C. M., Pozzi, M. A. G., & Freitas, M. A. L. (2008). Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: Which one is the best? Spine, 33(22), 2459-2463. https://doi.org/10.1097/BRS.0b013e3181849dbe
Daher, A., Carel, R. S., Tzipi, K., Esther, H., & Dar, G. (2020). The effectiveness of an aerobic exercise training on patients with neck pain during a short- and long-term follow-up: A prospective double-blind randomized controlled trial. Clinical Rehabilitation, 34(5), 617-629. https://doi.org/10.1177/0269215520912000
Dalton, M., Davidson, M., & Keating, J. (2011). The assessment of physiotherapy practice (APP) is a valid measure of professional competence of physiotherapy students: A cross-sectional study with Rasch analysis. Journal of Physiotherapy, 57(4), 239-246. https://doi.org/10.1016/s1836-9553(11)70054-6
Doubt, L., Paterson, M., & O'Riordan, A. (2004). Clinical education in private practice: An interdisciplinary project. Journal of Allied Health, 33(1), 47-50. https://search.proquest.com/docview/211061754?accountid=14723
Ehlers, A. P., Khor, S., Cizik, A. M., Leveque, J.-C. A., Shonnard, N. S., Oskouian, R. J., Jr, Flum, D. R., & Lavallee, D. C. (2017). Use of patient-reported outcomes and satisfaction for quality assessments. The American Journal of Managed Care, 23(10), 618-622. https://pubmed.ncbi.nlm.nih.gov/29087633
Forbes, R., Dinsdale, A., Brauer, S., Dunwoodie, R., Fooken, J., Khanna, D., & Birch, S. (2021). Hosting pre-registration physiotherapy students in Australian private practices does not change service and economic outcomes; an economic analysis. Musculoskeletal Science and Practice, 52, 102318. https://doi.org/10.1016/j.msksp.2021.102318
Forbes, R., & Nolan, D. (2018). Factors associated with patient-satisfaction in student-led physiotherapy clinics: A qualitative study. Physiotherapy Theory and Practice, 34(9), 705-713. https://doi.org/10.1080/09593985.2018.1423592
Gorrindo, P., Peltz, A., Ladner, T. R., Reddy, I., Miller, B. M., Miller, R. F., & Fowler, M. J. (2014). Medical students as health educators at a student-run free clinic: Improving the clinical outcomes of diabetic patients. Academic Medicine: Journal of the Association of American Medical Colleges, 89(4), 625-631. https://doi.org/10.1097/ACM.0000000000000164
Hall, M., Poth, C., Manns, P., & Beaupre, L. (2016). An exploration of Canadian physiotherapists' decisions about whether to supervise physiotherapy students: Results from a national survey. Physiotherapy Canada, 68(2), 141-148. https://doi.org/10.3138/ptc.2014-88E
Health Workforce Australia. (2014a). Australia's health workforce series-Physiotherapists in focus. http://iaha.com.au/wp-content/uploads/2014/03/HWA_Australia-Health-Workforce-Series_Physiotherapists-in-focus_vF_LR.pdf
Health Workforce Australia. (2014b). Clinical training profile: Physiotherapy. https://acdhs.edu.au/wp-content/uploads/2018/05/Clinical-Training-Profiles-Project-Physiotherapy.pdf
Jaeschke, R., Singer, J., & Guyatt, G. H. (1989). Measurement of health status. Ascertaining the minimal clinically important difference. Controlled Clinical Trials, 10(4), 407-415. https://doi.org/10.1016/0197-2456(89)90005-6
Kamper, S. J., Maher, C. G., & Mackay, G. (2009). Global rating of change scales: A review of strengths and weaknesses and considerations for design. Journal of Manual & Manipulative Therapy, 17(3), 163-170. https://doi.org/10.1179/jmt.2009.17.3.163
Kamper, S. J., Ostelo, R. W. J. G., Knol, D. L., Maher, C. G., de Vet, H. C. W., & Hancock, M. J. (2010). Global Perceived Effect scales provided reliable assessments of health transition in people with musculoskeletal disorders, but ratings are strongly influenced by current status. Journal of Clinical Epidemiology, 63(7), 760-766.e1. https://doi.org/10.1016/j.jclinepi.2009.09.009
Kent, F., Richards, K., Haines, T., Morgan, P., Maloney, S., & Keating, J. L. (2015). Patient and practitioner perceptions of student participation in private practice consultations: A mixed-methods study. Focus on Health Professional Education, 16(2), 42-54. https://doi.org/10.11157/fohpe.v16i2.72
Koontz, A. M., Mallory, J. L., Burns, J. A., & Chapman, S. (2010). Staff nurses and students: The good, the bad, and the ugly. Medsurg Nursing, 19(4), 240-244, 246.
Litwin, M. S. (1995). How to measure survey reliability and validity. https://doi.org/10.4135/9781483348957
Maloney, P., Stagnitti, K., & Schoo, A. (2013). Barriers and enablers to clinical fieldwork education in rural public and private allied health practice. Higher Education Research and Development, 32(3), 420-435. https://doi.org/10.1080/07294360.2012.682255
McBride, L.-J., Fitzgerald, C., Costello, C., & Perkins, K. (2018). Allied health pre-entry student clinical placement capacity: Can it be sustained? Australian Health Review, 44(1), 39-46. https://doi.org/10.1071/AH18088
Mintken, P. E., Glynn, P., & Cleland, J. A. (2009). Psychometric properties of the shortened disabilities of the arm, shoulder, and hand questionnaire (QuickDASH) and numeric pain rating scale in patients with shoulder pain. Journal of Shoulder and Elbow Surgery, 18(6), 920-926. https://doi.org/10.1016/j.jse.2008.12.015
Mulcahy, A. J., Jones, S., Strauss, G., & Cooper, I. (2010). The impact of recent physiotherapy graduates in the workforce: A study of Curtin University entry-level physiotherapists 2000-2004. Australian Health Review, 34(2), 252-259. https://doi.org/10.1071/ah08700
Newstead, C., Johnston, C. L., Nisbet, G., & McAllister, L. (2018). Physiotherapy clinical education in Australia: An exploration of clinical educator characteristics, confidence and training requirements. Australian Health Review, 43(6), 696-705. https://doi.org/10.1071/AH18094
Ngo, T., Stupar, M., Côté, P., Boyle, E., & Shearer, H. (2010). A study of the test-retest reliability of the self-perceived general recovery and self-perceived change in neck pain questions in patients with recent whiplash-associated disorders. European Spine Journal, 19(6), 957-962. https://doi.org/10.1007/s00586-010-1289-x
Peiris, C., Wells, C., Reubenson, A., Lawton, V., Francis-Cracknell, A., & Dunwoodie, R. (2019). Moving forward-Private practice placement capacity and quality. In Paper presented at the APA momentum 2019 physiotherapy vonference; 2019 Oct 17-19; Adelaide, Australia.
Physiotherapy Business Australia (PBA). (2010). Submission to council of physiotherapy deans of Australia and New Zealand: Students in private practice. Australian Physiotherapy Association.
Pivko, S., Abbruzzese, L., Duttaroy, P., Hansen, R., & Ryans, K. (2016). Effect of physical therapy students’ clinical experiences on clinician productivity. Journal of Allied Health, 45(1), 33-40.
Recker-Hughes, C., Wetherbee, E., Buccieri, K., Fitzpatricktimmerberg, J., & Stolfi, A. (2014). Essential characteristics of quality clinical education experiences: Standards to facilitate student learning. Journal of Physical Therapy Education, 28, 48-55. https://doi.org/10.1097/00001416-201400001-00009
Stiller, K., Sorich, M., & Roberts, K. (2013). Evaluating patients' attitudes towards being assessed and treated by undergraduate physiotherapy students in a rehabilitation centre. The Internet Journal of Allied Health Sciences and Practice, 11(1).
Stuhlmiller, C. M., & Tolchard, B. (2015). Developing a student-led health and wellbeing clinic in an underserved community: Collaborative learning, health outcomes and cost savings. BMC Nursing, 14, 32. https://doi.org/10.1186/s12912-015-0083-9
Wells, C., Olson, R., Bialocerkowski, A., Carroll, S., Chipchase, L., Reubenson, A., Scarvell, J., & Kent, F. (2021). Work readiness of new graduate physical therapists for private practice in Australia: Academic faculty, employer, and graduate perspectives. Physical Therapy, 101(6), 1-12. https://doi.org/10.1093/ptj/pzab078
Wells, C., Olson, R., Kent, F., Bialocerkowski, A., Chipchase, L., Scarvell, J., Carroll, S., & Reubenson, A. (2017). Are new graduate physiotherapists ready for private practice? In Paper presented at: The APA momentum 2017 physiotherapy conference; 2017 Oct 19-21; Sydney, Australia.

Auteurs

Ruo Xin Chia (RX)

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Sjaan R Gomersall (SR)

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Jonas Fooken (J)

Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia.

Stephen Birch (S)

Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia.

Alana Dinsdale (A)

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Ruth Dunwoodie (R)

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Roma Forbes (R)

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH