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物理治疗师对跨专业合作实践的看法:一项定性研究。

Physiotherapy private practitioners' opinions regarding interprofessional collaborative practice: A qualitative study.

机构信息

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.

College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia.

出版信息

J Interprof Care. 2024 Jan 2;38(1):10-21. doi: 10.1080/13561820.2023.2221687. Epub 2023 Jun 8.

DOI:10.1080/13561820.2023.2221687
Abstract

Physiotherapy private practitioners comprise a growing proportion of Australia's primary care workforce, yet their views and experiences of interprofessional collaborative practice (IPCP) are poorly documented. The aim of this study was to explore Australian physiotherapy private practitioners' opinions regarding IPCP. Twenty-eight semi-structured interviews were conducted with physiotherapists in 10 private practice sites in Queensland, Australia. Interviews were analyzed using reflexive thematic analysis. Data analysis produced five themes that characterized physiotherapists' perceptions of IPCP: (a) quality of care considerations; (b) not a one-size-fits-all approach; (c) the need for effective interprofessional communication; (d) fostering a positive work culture; and (e) fear of losing clientele. The findings from this study suggest that physiotherapy private practitioners value IPCP because it can deliver superior client outcomes, can strengthen interprofessional relationships, and has the potential to enhance the professional reputation of the organizations within which they work. Physiotherapists also claimed that IPCP can contribute to poor client outcomes when performed inappropriately, while some reported approaching interprofessional referrals with caution following instances of lost clientele. The mixed views toward IPCP in this study highlight the need to explore the facilitators and barriers to IPCP in the Australian physiotherapy private practice setting.

摘要

物理治疗师私人执业者在澳大利亚的初级保健劳动力中所占比例越来越大,但他们对跨专业协作实践(IPCP)的看法和经验却鲜有记录。本研究旨在探讨澳大利亚物理治疗师私人执业者对 IPCP 的看法。在澳大利亚昆士兰州的 10 个私人执业场所对 28 名物理治疗师进行了半结构化访谈。使用反思性主题分析对访谈进行了分析。数据分析产生了五个主题,这些主题描绘了物理治疗师对 IPCP 的看法:(a)护理质量考虑因素;(b)不是一刀切的方法;(c)需要有效的跨专业沟通;(d)培养积极的工作文化;和(e)担心失去客源。这项研究的结果表明,物理治疗师私人执业者重视 IPCP,因为它可以提供更好的客户结果,可以加强跨专业关系,并有可能增强他们工作所在组织的专业声誉。物理治疗师还声称,当 IPCP 不恰当时,可能会导致客户的不良结果,而一些人则报告在失去客户后,在进行跨专业转介时会谨慎行事。本研究中对 IPCP 的混合看法突出表明,需要在澳大利亚物理治疗师私人执业环境中探讨 IPCP 的促进因素和障碍。

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