{"title":"肌肉骨骼物理治疗师在 COVID-19 大流行期间使用远程会诊的经验:定性研究","authors":"Darren Cook, Jennifer Pearson","doi":"10.1016/j.msksp.2024.102930","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The coronavirus (COVID-19) pandemic resulted in the rapid implementation of remote consultations to maintain musculoskeletal physiotherapy services. However, little is known about UK musculoskeletal physiotherapists' experiences of providing services during the COVID-19 pandemic.</p></div><div><h3>Objectives</h3><p>To explore musculoskeletal physiotherapists’ experiences of using remote consultations in one area of England during the COVID-19 pandemic.</p></div><div><h3>Design</h3><p>Qualitative study using hermeneutic phenomenology based on the approach of Gadamer.</p></div><div><h3>Methods</h3><p>Semi-structured interviews with twelve musculoskeletal physiotherapists were conducted online using Microsoft Teams. Data were analysed using frameworks based on the philosophical concepts of Gadamer's hermeneutics.</p></div><div><h3>Findings</h3><p>Musculoskeletal physiotherapists' experience of using remote consultations during the COVID-19 pandemic was framed by three concepts: therapeutic relationship, transformational change, and uncertainty. These concepts are underpinned by four main themes capturing their experiences: (1) Disconnection: Difficulties building a rapport and reduced non-verbal communication affected building an effective therapeutic relationship, (2) Necessity: Transformation of services to remote consultations was positive, although technology and connectivity issues had a negative impact, (3) Loss of control: Diagnostic uncertainty, being unprepared, and experience affected physiotherapists' clinical practice, (4) Protection: Peer support and the use of technology facilitated a feeling of protection for physiotherapists.</p></div><div><h3>Conclusion</h3><p>The findings of this study contribute to a better understanding of musculoskeletal physiotherapists' experience of using remote consultations during the COVID-19 pandemic. Implications for practice include the need to provide training for all musculoskeletal physiotherapists and undergraduates to enable the effective delivery of remote physiotherapy. Furthermore, digital infrastructure should be optimised to support future delivery of remote musculoskeletal physiotherapy services.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000250/pdfft?md5=5459b0b0bb253b7eb2b956430f73c540&pid=1-s2.0-S2468781224000250-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Musculoskeletal physiotherapists’ experiences of using remote consultations during the COVID-19 pandemic: A qualitative study\",\"authors\":\"Darren Cook, Jennifer Pearson\",\"doi\":\"10.1016/j.msksp.2024.102930\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The coronavirus (COVID-19) pandemic resulted in the rapid implementation of remote consultations to maintain musculoskeletal physiotherapy services. 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引用次数: 0
摘要
COVID-19 大流行导致了远程会诊的快速实施,以维持肌肉骨骼物理治疗服务。然而,人们对英国肌肉骨骼物理治疗师在 COVID-19 大流行期间提供服务的经验知之甚少。探索英国某地区肌肉骨骼物理治疗师在 COVID-19 大流行期间使用远程会诊的经验。采用基于伽达默尔方法的诠释现象学进行定性研究。使用 Microsoft Teams 对 12 名肌肉骨骼物理治疗师进行了在线半结构化访谈。使用基于伽达默尔诠释学哲学概念的框架对数据进行了分析。肌肉骨骼物理治疗师在 COVID-19 大流行期间使用远程会诊的经验由三个概念构成:治疗关系、转型变化和不确定性。这些概念以四个主题为基础,反映了他们的经验:(1) 互不联系:建立融洽关系的困难和非语言交流的减少影响了建立有效的治疗关系,(2) 必要性:将服务转变为远程会诊是积极的,但技术和连接问题产生了负面影响,(3) 失去控制:诊断的不确定性、毫无准备和经验影响了物理治疗师的临床实践,(4)保护:同伴支持和技术的使用促进了物理治疗师的保护感。本研究的结果有助于更好地了解肌肉骨骼物理治疗师在 COVID-19 大流行期间使用远程会诊的经验。这项研究对实践的启示包括:有必要对所有肌肉骨骼物理治疗师和本科生进行培训,以便有效开展远程物理治疗。此外,应优化数字基础设施,以支持未来远程肌肉骨骼物理治疗服务的提供。
Musculoskeletal physiotherapists’ experiences of using remote consultations during the COVID-19 pandemic: A qualitative study
Background
The coronavirus (COVID-19) pandemic resulted in the rapid implementation of remote consultations to maintain musculoskeletal physiotherapy services. However, little is known about UK musculoskeletal physiotherapists' experiences of providing services during the COVID-19 pandemic.
Objectives
To explore musculoskeletal physiotherapists’ experiences of using remote consultations in one area of England during the COVID-19 pandemic.
Design
Qualitative study using hermeneutic phenomenology based on the approach of Gadamer.
Methods
Semi-structured interviews with twelve musculoskeletal physiotherapists were conducted online using Microsoft Teams. Data were analysed using frameworks based on the philosophical concepts of Gadamer's hermeneutics.
Findings
Musculoskeletal physiotherapists' experience of using remote consultations during the COVID-19 pandemic was framed by three concepts: therapeutic relationship, transformational change, and uncertainty. These concepts are underpinned by four main themes capturing their experiences: (1) Disconnection: Difficulties building a rapport and reduced non-verbal communication affected building an effective therapeutic relationship, (2) Necessity: Transformation of services to remote consultations was positive, although technology and connectivity issues had a negative impact, (3) Loss of control: Diagnostic uncertainty, being unprepared, and experience affected physiotherapists' clinical practice, (4) Protection: Peer support and the use of technology facilitated a feeling of protection for physiotherapists.
Conclusion
The findings of this study contribute to a better understanding of musculoskeletal physiotherapists' experience of using remote consultations during the COVID-19 pandemic. Implications for practice include the need to provide training for all musculoskeletal physiotherapists and undergraduates to enable the effective delivery of remote physiotherapy. Furthermore, digital infrastructure should be optimised to support future delivery of remote musculoskeletal physiotherapy services.
期刊介绍:
Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.