探索当前肺移植潜在供体人群护理中的物理治疗实践：一项定性研究。
Exploring current physiotherapy practices in the care of people who are potential lung donors: A qualitative study.
机构信息
Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Monash University, Frankston 3199, Victoria, Australia; Department of Physiotherapy, Western Health, Footscray 3011, Victoria, Australia.
Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Monash University, Frankston 3199, Victoria, Australia.
出版信息
Aust Crit Care. 2024 Jul;37(4):539-547. doi: 10.1016/j.aucc.2023.12.003. Epub 2024 Feb 15.
OBJECTIVE
The aim of this study was to determine physiotherapists' current practices and perspectives regarding their role in caring for people who are potential lung donors in the intensive care unit (ICU).
METHODS
A qualitative descriptive design was used. Qualitative data were collected through audio-recorded, semistructured focus groups with a purposive sample of physiotherapists with experience working with people who are potential lung donors in ICUs. Two investigators completed independent thematic analysis to identify themes.
RESULTS
Seven focus groups were completed with 27 physiotherapists at six metropolitan health services in Victoria, Australia. Six key themes were identified: (i) physiotherapists' involvement in care was highly variable; (ii) physiotherapists were not aware of existing evidence or guidelines for the care of people who are potential donors and followed usual practices; (iii) a consistent vision of the physiotherapy role was lacking; (iv) physiotherapists' engagement with the team routinely involved in care of people who are potential donors varied considerably; (v) physiotherapists faced practice challenges associated with delivering care to potential donors; and (vi) several enablers could support a role for physiotherapy in this patient population.
CONCLUSIONS
Variability in physiotherapy practice is associated with local ICU culture, physiotherapy leadership capabilities, knowledge, and experience. The spectrum of practice ranged from physiotherapists being highly engaged to being completely uninvolved. Physiotherapists held mixed perspectives regarding whether physiotherapists should have a role in managing people who are potential lung donors. It would benefit the profession to develop consensus and standardisation of the role of physiotherapists in caring for these patients.
TWEETABLE ABSTRACT
Variability in views and practices amongst physiotherapists who provide care to patients who are potential lung donors in the ICU.
目的
本研究旨在确定物理治疗师在重症监护病房（ICU）中照顾潜在肺供体患者的当前实践和观点。
方法
采用定性描述设计。通过对具有 ICU 中潜在肺供体患者护理经验的物理治疗师进行有针对性的小组访谈，以音频记录的方式收集定性数据。两名研究人员完成了独立的主题分析，以确定主题。
结果
在澳大利亚维多利亚州的六家大都市卫生服务机构完成了七组焦点小组，共 27 名物理治疗师参加。确定了六个关键主题：（i）物理治疗师的参与度差异很大；（ii）物理治疗师不知道现有的潜在供体护理证据或指南，而是遵循常规做法；（iii）缺乏一致的物理治疗角色愿景；（iv）物理治疗师与常规参与潜在供体患者护理的团队的参与程度差异很大；（v）物理治疗师在提供潜在供体护理方面面临实践挑战；（vi）有几个促进因素可以支持物理治疗在这一患者群体中的作用。
结论
物理治疗实践的变异性与当地 ICU 文化、物理治疗领导能力、知识和经验有关。实践范围从物理治疗师高度参与到完全不参与。物理治疗师对物理治疗师是否应在管理潜在肺供体患者方面发挥作用持混合观点。为该专业制定共识和规范物理治疗师在照顾这些患者中的作用将是有益的。
推特摘要
在 ICU 中为潜在肺供体患者提供护理的物理治疗师观点和实践存在差异。
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