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澳大利亚急诊科物理治疗师的人口统计学特征与范围

Demographics and scope of Australian emergency department physiotherapists.

作者信息

Vickery Tina, Brett Lindsey, Jones Taryn

机构信息

Health Sciences, Macquarie University, Sydney, Australia.

Centre for positive ageing, Hammond Care, Adelaide, Australia.

出版信息

Int J Emerg Med. 2024 Oct 2;17(1):133. doi: 10.1186/s12245-024-00719-w.

DOI:10.1186/s12245-024-00719-w
PMID:39358678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11460438/
Abstract

QUESTIONS

To provide workforce data on the status of Australian Emergency Department (ED) physiotherapy practice, including physiotherapist demographic data, staffing levels and funding sources. Evaluate the scope of practice currently undertaken by ED physiotherapists and alignment of ED physiotherapy service provision with demand levels.

DESIGN

Cross sectional survey.

PARTICIPANTS

Australian physiotherapists working within an Australian ED.

OUTCOME MEASURES

Workforce data, scope of practice and alignment of physiotherapy service provision to ED presentations and demand.

RESULTS

94 Australian ED physiotherapists completed the survey, 76.9% were working as primary contact clinicians. They had a diverse scope of practice, 100% perform mobility assessments, 89.9% provide care for paediatric patients and 10.1% were involved in administration of medications. 86.2% of participants (75/87) reported working within a service model that provided seven-day per week physiotherapy coverage to ED.

CONCLUSION

The sample of ED physiotherapists were found to be experienced and highly trained clinicians with a diverse scope of practice, who are well placed to meet the unpredictable and highly variable patient caseload of Australian EDs.

摘要

问题

提供有关澳大利亚急诊科物理治疗实践状况的劳动力数据,包括物理治疗师的人口统计学数据、人员配备水平和资金来源。评估急诊科物理治疗师目前的实践范围以及急诊科物理治疗服务提供与需求水平的匹配情况。

设计

横断面调查。

参与者

在澳大利亚急诊科工作的物理治疗师。

结果指标

劳动力数据、实践范围以及物理治疗服务提供与急诊科就诊情况和需求的匹配情况。

结果

94名澳大利亚急诊科物理治疗师完成了调查,76.9%担任主要联系临床医生。他们的实践范围广泛,100%进行活动能力评估,89.9%为儿科患者提供护理,10.1%参与药物管理。86.2%的参与者(75/87)报告在每周七天提供急诊科物理治疗覆盖的服务模式下工作。

结论

研究发现,急诊科物理治疗师样本是经验丰富且训练有素的临床医生,实践范围广泛,能够很好地应对澳大利亚急诊科不可预测且高度变化的患者工作量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/0dac662dea7f/12245_2024_719_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/88566e6bb8b3/12245_2024_719_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/87dcc2894883/12245_2024_719_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/0dac662dea7f/12245_2024_719_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/88566e6bb8b3/12245_2024_719_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/87dcc2894883/12245_2024_719_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca09/11460438/0dac662dea7f/12245_2024_719_Fig3_HTML.jpg

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本文引用的文献

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Specialised vestibular physiotherapy in the emergency department: A pilot safety and feasibility study.急诊科专项前庭物理治疗:一项试点安全性和可行性研究。
Emerg Med Australas. 2020 Oct;32(5):860-863. doi: 10.1111/1742-6723.13569. Epub 2020 Jul 6.
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Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study.
专门的急诊部物理治疗与减少影像检查、阿片类药物的使用和住院时间有关:一项前瞻性观察研究。
PLoS One. 2020 Apr 23;15(4):e0231476. doi: 10.1371/journal.pone.0231476. eCollection 2020.
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Emergency department after-hours primary contact physiotherapy service reduces analgesia and orthopaedic referrals while improving treatment times.夜间急诊初级联系物理治疗服务减少了镇痛药和骨科转诊,同时缩短了治疗时间。
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Emerg Med Australas. 2020 Apr;32(2):202-209. doi: 10.1111/1742-6723.13391. Epub 2019 Sep 30.
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Benefits of Musculoskeletal Physical Therapy in Emergency Departments: A Systematic Review.肌骨物理治疗在急诊科的益处:系统评价。
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