Lopopolo R B
Department of Physical Therapy, Beaver College, Glenside, PA 19038, USA.
Phys Ther. 1997 Sep;77(9):918-32; discussion 933-6. doi: 10.1093/ptj/77.9.918.
The purpose of this study was to develop a conceptual model describing the effect of hospital restructuring on the role of physical therapists working in an acute care hospital.
Organizational and role changes within a single physical therapy department undergoing restructuring were identified using a qualitative case study methodology. Data were gathered from semistructured interviews of four key informants, observations, and artifacts. A conceptual model and case study were developed from the themes that emerged from the data.
Role changes for physical therapists in patient care delivery included "being flexible," "being productive," "being responsible for the care of all patients," "focusing on patient discharge," and "using support staff." Roles changes in professional interaction included "sharing knowledge and information" and "helping, sharing, and coordination work." Implications for physical therapy are discussed.
本研究的目的是建立一个概念模型，以描述医院重组对在急症医院工作的物理治疗师角色的影响。
采用定性案例研究方法，确定一个正在进行重组的物理治疗科内的组织和角色变化。数据收集自对四位关键信息提供者的半结构式访谈、观察结果及人工制品。根据数据中出现的主题，建立了一个概念模型和案例研究。
物理治疗师在患者护理服务中的角色变化包括“保持灵活性”“提高工作效率”“负责所有患者的护理”“关注患者出院”以及“利用辅助人员”。专业互动方面的角色变化包括“分享知识和信息”以及“帮助、分享和协调工作”。文中还讨论了对物理治疗的启示。
