Improving musculoskeletal physiotherapists' confidence in patient-centred care informed by acceptance and commitment therapy: A descriptive study.

Autor: March MK; Physiotherapy Department, Blacktown Mt Druitt Hospital, Western Sydney Local Health District, Sydney, Australia; Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia. Electronic address: Marie.March@health.nsw.gov.au., Judd B; Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia., Harmer AR; Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia., Eyles J; Kolling Institute, Sydney Musculoskeletal Health, University of Sydney, Sydney, Australia., Dennis SM; Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia; South Western Sydney Local Health District, Sydney, Australia; Ingham Institute for Applied Medical Research, Sydney, Australia.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2024 Feb; Vol. 69, pp. 102891. Date of Electronic Publication: 2023 Dec 03.
DOI: 10.1016/j.msksp.2023.102891
Abstrakt: Background: Patient-centred care is essential for high quality musculoskeletal care, however, few evidence-based opportunities exist that address the barriers to implementation for clinicians.
Objective: To develop and evaluate a simulation-based educational strategy for musculoskeletal physiotherapists to increase knowledge and confidence in patient-centred care.
Methods: Repeated-measures, single-group educational interventional descriptive study. Primary outcome was participant-reported knowledge and confidence in patient-centred care. Customized survey data was collected at baseline (T1) (N = 22), immediately after a face-to-face workshop (T2) (N = 22), and six weeks after the workshop (T3) (N = 17). Secondary outcomes included sustained implementation using the Normalization Measure Development (NoMAD) tool. Repeated-measures ANOVA was used to analyse primary outcomes.
Results: Our participants were typically female (72%), early career (mean 3.3 years post-graduate) and culturally diverse (67%). Significant increases in participant confidence were noted at all time points on all five learning outcomes (repeated measures ANOVA, p < 0.001 to p = 0.009). Participants had very high baseline knowledge and no further increases were found following the intervention (p > 0.05). Normalization Measure Development data indicated high coherence, high cognitive participation, and high reflexive monitoring, with neutral results for collective action.
Conclusion: A novel, psychologically-informed, simulation-based educational strategy is effective in improving musculoskeletal physiotherapist confidence in patient-centred care. Participants reported implementation of skills learnt in the workshop into subsequent clinical practice.
Competing Interests: Declaration of competing interest None.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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