Stokes Emma K, O'Neill Desmond
Emma K. Stokes, Dip Stat, BSc (PT), MSc (research), PhD : Senior Lecturer, Department of Physiotherapy, School of Medicine, Trinity College, Dublin, Ireland.
Physiother Can. 2008 Spring;60(2):109-16. doi: 10.3138/physio.60.2.109. Epub 2008 Oct 10.
The purposes of this study were to examine changes in the use of standardized outcome measures by practising physiotherapists in Ireland and to compare those trends to the results of a similar survey conducted previously in Canada.
A survey methodology was employed. The review of practice occurred at two points in time. Senior clinical physiotherapists working with older people participated. Questions were asked about the use of standardized outcome measures, the nature and pattern of their use, and the level of confidence the respondents had in using such measures.
The results chart the changes in practice over a 5-year period. Although there was an increase in the use of standardized outcome measures, the respondents acknowledged barriers to their systematic use in routine practice (e.g., lack of time, resources/administrative support). There was a lack of professional consensus on what instruments to use in general, as well as which to use for particular client groups. Concern was expressed that none of the available instruments met their clients' needs. Where possible and appropriate, comparison was made between the data from the 2003 Irish study and a survey of Canadian physiotherapists conducted in 1998.
This review of practice illustrates that changes that have occurred in Ireland in the use of standardized outcome measures are similar to those that have occurred in Canada, but barriers remain to their complete integration into clinical practice and clinical decision making.
本研究旨在调查爱尔兰执业物理治疗师使用标准化结局指标的变化情况，并将这些趋势与之前在加拿大进行的类似调查结果进行比较。
采用调查方法。在两个时间点对实践进行回顾。参与研究的是为老年人提供服务的资深临床物理治疗师。询问了有关标准化结局指标的使用情况、使用的性质和模式，以及受访者使用这些指标的信心水平。
结果描绘了5年期间的实践变化。尽管标准化结局指标的使用有所增加，但受访者承认在常规实践中系统使用这些指标存在障碍（例如，缺乏时间、资源/行政支持）。对于一般使用哪些工具以及针对特定客户群体使用哪些工具，缺乏专业共识。有人担心现有的工具都无法满足他们客户的需求。在可能且合适的情况下，将2003年爱尔兰研究的数据与1998年对加拿大物理治疗师进行的一项调查的数据进行了比较。
本次实践回顾表明，爱尔兰在标准化结局指标使用方面发生的变化与加拿大类似，但将这些指标完全整合到临床实践和临床决策中仍存在障碍。
