Davies Luke, Hinman Rana S, Russell Trevor, Lawford Belinda, Bennell Kim
Centre for Health, Exercise & Sports Medicine, The University of Melbourne, Melbourne, Australia.
RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia.
J Physiother. 2022 Apr;68(2):136-141. doi: 10.1016/j.jphys.2022.02.002. Epub 2022 Mar 10.
What are the core capabilities that physiotherapists need in order to deliver quality telephone-based care?
Three-round modified e-Delphi survey.
An international Delphi panel comprising experts in the field, including consumers, physiotherapy researchers, physiotherapy clinicians and representatives of physiotherapy organisations.
A modified e-Delphi survey was conducted. A draft framework was adapted from a previously developed core capability framework for physiotherapists delivering care via videoconferencing. The panel considered the draft framework of 39 individual capabilities across six domains. Over three rounds, panellists rated their agreement (via Likert or 0-to-10 numerical rating scales) on whether each capability was essential (core) for physiotherapists to deliver telephone-based care. Capabilities achieving consensus, defined as 75% of the panel rating the item at least 7 out of 10 in Round 3, were retained.
Seventy-one panellists from 17 countries participated in Round 1, with retention of 89% in Round 2 and 82% in Round 3. The final framework comprised 44 capabilities across six domains: compliance (n = 7 capabilities); patient privacy and confidentiality (n = 4); patient safety (n = 7); telehealth delivery (n = 9); assessment and diagnosis (n = 7); and care planning and management (n = 10).
This framework outlines the core capabilities that physiotherapists need to provide telephone-based care. It can help inform content of physiotherapy curricula and professional development initiatives in telehealth delivery and provide guidance for physiotherapists providing care over the telephone.
物理治疗师提供高质量电话护理需要具备哪些核心能力？
三轮改良电子德尔菲调查。
一个国际德尔菲专家小组，成员包括该领域的专家，其中有消费者、物理治疗研究人员、物理治疗临床医生以及物理治疗组织的代表。
开展了一项改良电子德尔菲调查。一个框架草案改编自之前为通过视频会议提供护理的物理治疗师制定的核心能力框架。专家小组审议了涵盖六个领域的39项个人能力的框架草案。在三轮调查中，小组成员就每项能力对于物理治疗师提供电话护理是否至关重要（核心能力）进行评分（通过李克特量表或0至10的数字评分量表）。达成共识的能力（定义为在第三轮中75%的小组成员对该项目的评分至少为7分）被保留下来。
来自17个国家的71名小组成员参与了第一轮调查，第二轮保留率为89%，第三轮为82%。最终框架包括六个领域的44项能力：合规性（7项能力）；患者隐私和保密（4项）；患者安全（7项）；远程医疗服务（9项）；评估与诊断（7项）；护理计划与管理（10项）。
该框架概述了物理治疗师提供电话护理所需的核心能力。它有助于为物理治疗课程内容以及远程医疗服务中的专业发展举措提供参考，并为通过电话提供护理的物理治疗师提供指导。
