Department of Health Professions, Faculty Health and Education, Manchester Metropolitan University, Manchester M15 6GX, UK.
Department of Health Professions, Faculty Health and Education, Manchester Metropolitan University, Manchester M15 6GX, UK; Bolton NHS Foundation Trust, Orthopaedic Interface Service, Bolton One, Bolton, Manchester BL3 5BN, UK.
Physiotherapy. 2024 Sep;124:126-134. doi: 10.1016/j.physio.2024.02.007. Epub 2024 Mar 4.
To investigate the extent and impact of litigation on the UK physiotherapy profession.
An online cross-sectional questionnaire survey design was used. The survey was open to all qualified physiotherapists who have practiced in the UK, from any speciality, of any grade and from any setting including NHS, non-NHS, and private practice.
688 respondents completed the survey (96% CI). All UK nations were represented. 73% were female, 44% were qualified >20 Years. Most worked in the NHS (74%) and worked in a neuromusculoskeletal setting (62%). 10% of respondents had been involved in litigation. 128 claims were reported with some respondents being involved in more than 1 case. Litigation was a highly stressful experience for those who experienced it and was a source of concern for many others. The personal impact was stress (76%) and worry and anxiety (67%). The most common professional impact was defensive practice (68%). Most respondents incorrectly identified who should provide their legal support. 46% were not satisfied with the support received. Most (77%) reported that litigation training should be included in pre-registration, as well as postgraduate (68%) programs.
This is the first UK survey that has investigated the experiences of litigation on the UK physiotherapy profession. Ten percent of physiotherapists in our survey had been involved in litigation. Litigation impacted physiotherapists' physical and mental wellbeing and their clinical practice. Improved support, both emotional and legal is required. Clinical negligence training should be included in pre-registration and postgraduate programs. CONTRIBUTION OF THE PAPER.
调查诉讼对英国物理治疗专业的影响程度。
采用在线横断面问卷调查设计。调查对象为在英国执业的所有合格物理治疗师，无论专业、职称和工作环境如何，包括 NHS、非 NHS 和私人执业。
688 名受访者完成了调查（96%CI）。所有英国地区均有代表。73%为女性，44%为 20 年以上资质。大多数人在 NHS 工作（74%），在神经肌肉骨骼环境中工作（62%）。10%的受访者曾参与过诉讼。报告了 128 起索赔，一些受访者参与了不止一起案件。诉讼对经历过诉讼的人来说是一种高度紧张的体验，也是许多其他人关注的问题。个人影响是压力（76%）和担忧（67%）。最常见的职业影响是防御性实践（68%）。大多数受访者错误地确定了应该为他们提供法律支持的人。46%对收到的支持不满意。大多数人（77%）报告称，诉讼培训应纳入注册前和研究生课程（68%）。
这是首次调查英国物理治疗师诉讼经历的调查。我们调查中的 10%的物理治疗师曾参与过诉讼。诉讼影响了物理治疗师的身心健康和临床实践。需要提供更好的支持，包括情感和法律支持。临床过失培训应纳入注册前和研究生课程。
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