Ó Mír Marie, Casey Máire-Bríd, Smart Keith M
Irish Society of Chartered Physiotherapists (ISCP), Irish Society of Chartered Physiotherapists, Royal College of Surgeons, Dublin, Ireland.
Department of Public Health & Primary Care, Institute of Population Health, School of Medicine, Trinity College Dublin, Dublin, Ireland.
Physiother Theory Pract. 2025 Apr;41(4):810-819. doi: 10.1080/09593985.2024.2370362. Epub 2024 Jul 16.
The introduction of physiotherapists working with advanced scope of practice has contributed to improvements in healthcare services.
This qualitative study explores the views of physiotherapist managers on the Advanced Practice Physiotherapy role and the barriers and enablers to progression of this career pathway.
A qualitative focus group study was conducted online with 10 purposefully sampled physiotherapist managers. The focus groups were audio-recorded, transcribed and thematically analyzed.
Three main themes were identified; 1) Physiotherapists working in advanced practice are recognized as experts and strong advocates for the physiotherapy profession; 2) Barriers to Advanced Practice Physiotherapy in Ireland include inconsistent role definition and protection, a lack of legislation and uncertainty concerning clinical governance; and 3) Physiotherapist managers can support Advanced Practice Physiotherapy through mentoring and resource provision, and implementation of the Advanced Practice Competency Framework.
Physiotherapist managers recognized the value of Advanced Practice Physiotherapy to the Irish health service but suggest that the role and reporting structures need to be clarified. They highlighted barriers preventing the full potential of this these roles being realized and provided suggestions to support the progression of this healthcare model.
引入具有高级实践范围的物理治疗师有助于改善医疗服务。
本定性研究探讨物理治疗师管理人员对高级实践物理治疗师角色以及该职业发展途径的障碍和促进因素的看法。
对10名经过有目的抽样的物理治疗师管理人员进行了在线定性焦点小组研究。焦点小组进行了录音、转录并进行了主题分析。
确定了三个主要主题；1）从事高级实践的物理治疗师被视为物理治疗专业的专家和有力倡导者；2）爱尔兰高级实践物理治疗的障碍包括角色定义和保护不一致、缺乏立法以及临床治理方面的不确定性；3）物理治疗师管理人员可以通过指导和资源提供以及实施高级实践能力框架来支持高级实践物理治疗。
物理治疗师管理人员认识到高级实践物理治疗对爱尔兰医疗服务的价值，但建议明确角色和报告结构。他们强调了阻碍这些角色充分发挥潜力的障碍，并提供了支持这种医疗模式发展的建议。
