{"title":"The Perspectives and Experiences of Physiotherapists on Implementing Self-Management Support in Inpatient Hospital Settings.","authors":"Jenna Kay Boyd, Sarah Rhodes, Emily Anne Gray","doi":"10.1002/pri.70020","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and purpose: </strong>As health systems come under increasing pressure, supporting patients to self-manage their own condition is becoming increasingly important. A shift towards a more holistic, person-centred approach to healthcare in the hospital setting, through enhancing self-management support (SMS), is required to empower patients to increase independence in managing their own conditions. The study aim was to explore how physiotherapists perceive and implement SMS with patients in hospital inpatient settings.</p><p><strong>Methods: </strong>A qualitative study approach was taken using semi-structured interviews (n = 8). Physiotherapists with at least 6 months experience working in the inpatient hospital setting were invited to participate. Interview data were analysed using the General Inductive Approach.</p><p><strong>Results: </strong>Four themes were identified: (1) physiotherapists understanding and perceptions of implementation of SMS in the hospital, (2) SMS facilitates a person-centred and collaborative approach to healthcare, (3) SMS is beneficial to patients, physiotherapists, and the healthcare system, and (4) perceived challenges and potential solutions for SMS implementation.</p><p><strong>Discussion: </strong>Overall, physiotherapists value the use of self-management support in the hospital. SMS was implemented by partnering with patients, facilitating patients to problem solve and providing education so that patients could play an active role in decision making and independently participate in their rehabilitation. However, there appears to be scope to improve physiotherapists' knowledge of SMS to enable implementation of a wider range of SMS tools in clinical practice. A limitation of this study is that most participants were New Zealand European and, therefore, the findings are not generalisable to all physiotherapists working in New Zealand.</p><p><strong>Implications for physiotherapy practice: </strong>Physiotherapists perceive SMS to have a place in the inpatient hospital setting and can lead to better patient outcomes and reduce burden on the healthcare system. Enhancing physiotherapists' understanding of SMS and exploring other ways to implement SMS in hospital settings, may help to facilitate appropriate implementation.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70020"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771617/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.70020","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Background and purpose: As health systems come under increasing pressure, supporting patients to self-manage their own condition is becoming increasingly important. A shift towards a more holistic, person-centred approach to healthcare in the hospital setting, through enhancing self-management support (SMS), is required to empower patients to increase independence in managing their own conditions. The study aim was to explore how physiotherapists perceive and implement SMS with patients in hospital inpatient settings.
Methods: A qualitative study approach was taken using semi-structured interviews (n = 8). Physiotherapists with at least 6 months experience working in the inpatient hospital setting were invited to participate. Interview data were analysed using the General Inductive Approach.
Results: Four themes were identified: (1) physiotherapists understanding and perceptions of implementation of SMS in the hospital, (2) SMS facilitates a person-centred and collaborative approach to healthcare, (3) SMS is beneficial to patients, physiotherapists, and the healthcare system, and (4) perceived challenges and potential solutions for SMS implementation.
Discussion: Overall, physiotherapists value the use of self-management support in the hospital. SMS was implemented by partnering with patients, facilitating patients to problem solve and providing education so that patients could play an active role in decision making and independently participate in their rehabilitation. However, there appears to be scope to improve physiotherapists' knowledge of SMS to enable implementation of a wider range of SMS tools in clinical practice. A limitation of this study is that most participants were New Zealand European and, therefore, the findings are not generalisable to all physiotherapists working in New Zealand.
Implications for physiotherapy practice: Physiotherapists perceive SMS to have a place in the inpatient hospital setting and can lead to better patient outcomes and reduce burden on the healthcare system. Enhancing physiotherapists' understanding of SMS and exploring other ways to implement SMS in hospital settings, may help to facilitate appropriate implementation.
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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