Sheppard Lorraine A, Anaf Sophie, Gordon Jane
University of South Australia, School of Health Sciences, Adelaide, South Australia, Australia.
Int Emerg Nurs. 2010 Oct;18(4):196-202. doi: 10.1016/j.ienj.2009.11.008. Epub 2010 Feb 6.
This research aims to explore patient satisfaction with ED physiotherapy within the Australian context by providing a qualitative perspective with in-depth exploration of the factors underlying patients' satisfaction. The physiotherapist was part of the Emergency Department Allied Health Team of social worker and occupational therapist.
A qualitative, interpretive, field-based study using face-to-face interviews were carried out post-physiotherapy treatment within the emergency department, followed-up 2-3 weeks later with telephone interviews.
Twenty two participants took part in the face-to-face interviews and 15 in the follow-up interviews. Of the 22 participants who took part in the initial interviews 19 were over 65 years of age, with a mean age of 78 years. Within the category 'Physiotherapy in the emergency department' the themes were; expectations, bedside manner, physiotherapy management (i.e. assessment, advice, hands-on, exercise, follow-up/referral) and satisfaction. The physiotherapist at the Australian emergency department appeared to make an impact on patients' experiences in the emergency department through his thorough subjective assessment of the patients' home environment, coping skills and social supports, his assessment of functional mobility, his provision of exercises, advice and hands-on treatment, as well as his involvement in organising follow-up or referral to other services. The physiotherapist's bedside manner shaped patients' perceptions throughout their assessment and treatment, reassuring and comforting patients within the emergency environment.
Participants were satisfied with the experience of attending the physiotherapist in the emergency department and commented the blend of skills of the physiotherapists enhanced the service provision and self reported patient outcomes.
本研究旨在通过提供定性视角，深入探讨澳大利亚急诊科物理治疗患者满意度的潜在因素。物理治疗师是急诊科联合健康团队（包括社会工作者和职业治疗师）的一员。
采用基于实地的定性解释性研究，在急诊科物理治疗后进行面对面访谈，并在2至3周后进行电话随访。
22名参与者参加了面对面访谈，15名参加了随访访谈。在参加初次访谈的22名参与者中，19名年龄超过65岁，平均年龄为78岁。在“急诊科物理治疗”类别中，主题包括：期望、床边态度、物理治疗管理（即评估、建议、实践操作、锻炼、随访/转诊）和满意度。澳大利亚急诊科的物理治疗师似乎通过对患者家庭环境、应对技能和社会支持的全面主观评估、对功能活动能力的评估、提供锻炼、建议和实践操作治疗，以及参与组织随访或转诊至其他服务，对患者在急诊科的体验产生了影响。物理治疗师的床边态度在整个评估和治疗过程中塑造了患者的认知，在急诊环境中让患者安心并感到舒适。
参与者对在急诊科接受物理治疗师治疗的体验感到满意，并表示物理治疗师的综合技能提升了服务质量和患者自我报告的治疗效果。
