P. Sarigiovannis
Agreeing priority categories and items for inclusion in a future best practice delegation framework for musculoskeletal outpatient physiotherapy services: A consensus groups study
Sarigiovannis, P.; Foster, N.E.; Jowett, S.; Saunders, B.
Abstract
Purpose
Delegation of clinical tasks from physiotherapists to physiotherapy support workers varies considerably in musculoskeletal outpatient physiotherapy services leading to variation in patient care. This study aimed to develop consensus amongst physiotherapists, support workers and managers about what components should be included in a future framework to guide effective and safe delegation of clinical tasks to physiotherapy support workers in United Kingdom's National Health Service musculoskeletal outpatient physiotherapy services.
Methods
A consensus study was carried out, using Nominal Group Technique. Seven physiotherapists, ten physiotherapy support workers and ten physiotherapy operational/clinical leads from 13 musculoskeletal physiotherapy services within United Kingdom's National Health Service were recruited through the Chartered Society of Physiotherapy's professional networks and social media. Three separate, role-specific consensus groups were convened, involving participants generating, discussing and rating on a Likert scale, components for inclusion in a future delegation framework.
Results
32 out of 38 generated items reached consensus of ≥70%, i.e. a mean of ≥4.9 on a 7-point Likert scale, across the three groups. Items were grouped under five main categories: 1) training/Continuous Professional Development for physiotherapists and support workers; 2) need for a clear delegation process; 3) competencies 4) defining the role of support workers and 5) safety net.
Conclusion
Key stakeholder groups were able to reach consensus on five priority areas which will be developed into a best practice framework to standardise delegation and guide physiotherapists when delegating clinical tasks to support workers.
Citation
Sarigiovannis, P., Foster, N., Jowett, S., & Saunders, B. (2024). Agreeing priority categories and items for inclusion in a future best practice delegation framework for musculoskeletal outpatient physiotherapy services: A consensus groups study. Musculoskeletal Science and Practice, 72, Article 102977. https://doi.org/10.1016/j.msksp.2024.102977
Journal Article Type | Article |
---|---|
Acceptance Date | May 16, 2024 |
Online Publication Date | May 21, 2024 |
Publication Date | 2024-08 |
Deposit Date | May 28, 2024 |
Journal | Musculoskeletal Science and Practice |
Print ISSN | 2468-7812 |
Publisher | Elsevier |
Peer Reviewed | Peer Reviewed |
Volume | 72 |
Article Number | 102977 |
DOI | https://doi.org/10.1016/j.msksp.2024.102977 |
Keywords | Musculoskeletal physiotherapy; Delegation; Support workers; Skill mix; Consensus; Nominal group technique |
Public URL | https://keele-repository.worktribe.com/output/833054 |
Publisher URL | https://www.sciencedirect.com/science/article/pii/S2468781224000729?via%3Dihub |
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