建议的护理点的框架肌肉骨骼超声和超声图像引导干预物理治疗师:实践的范围,教育和治理。

IF 3.4 Q2 Medicine
Mike Smith, Sue Innes, Stuart Wildman, David Baker
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引用次数: 1

摘要

背景:点护理超声(PoCUS)在肌肉骨骼(MSK)疾病管理中的应用是PoCUS实践的一个多样化领域。临床医生,如物理治疗师,可以在广泛的角色和护理路径配置中使用它;然而,专业、教育和监管方面的不确定性可能使临床医生、管理人员和患者面临风险。主体:使用PoCUS框架方法(以前应用于支持PoCUS合并和扩展)来构建这些建议。其核心是(临床和超声)实践范围(scopp)的定义。描述了一些指示性范围,以(i)说明原则的应用,(ii)为个别服务或临床医生的范围衍生提供模板。图像引导的MSK干预日益成为MSK物理治疗PoCUS的一个方面。鉴于物理治疗师利用其成像来充分了解此类技术的选择(和性能),我们提出了将超声鉴别作为执行超声图像引导MSK干预的前标的能力的基本原理。将工作范围计划与相关的教育和正式的能力评估相结合是PoCUS框架方法的基石;因此,概述了MSK PoCUS教育和能力评估的关键方面。此外,还提出了在无法获得正式医疗服务的卫生保健环境中满足此类需求的战略。治理考虑事项与监管环境保持一致,包括与专业指导和保险考虑事项有关的考虑事项。此外,一般的质量保证要素被强调,作为提供高质量服务的核心方面。虽然本文阐明了英国MSK物理治疗师使用PoCUS的情况,但也提供了提示,以支持在英国(UK)从事MSK服务的其他专业团体和其他国家的MSK物理治疗师/物理治疗师,以促进他们对原则的应用。结论:认识到MSK物理治疗PoCUS实践的广度,本文借鉴了一个框架方法,提供综合的范围、教育/能力和治理解决方案,以及与MSK PoCUS合作的其他专业以及英国以外的物理治疗师/物理治疗师的机制,以巩固和扩大他们的实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A proposed framework for point of care musculoskeletal ultrasound and ultrasound image-guided interventions by physiotherapists: scope of practice, education and governance.

A proposed framework for point of care musculoskeletal ultrasound and ultrasound image-guided interventions by physiotherapists: scope of practice, education and governance.

Background: The use of point of care ultrasound (PoCUS) in the management of musculoskeletal (MSK) disorders is a diverse area of PoCUS practice. Its use by clinicians, such as physiotherapists, can occur across a wide range of roles and care pathway configurations; however, professional, educational and regulatory uncertainties can leave clinicians, managers and patients at risk.

Main body: A PoCUS framework approach (previously applied to support PoCUS consolidation and expansion) is used to frame these proposals. Central to this is the defining of (clinical and sonographic) scope of practice (ScoP). A number of indicative ScoPs are described to both (i) illustrate application of the principles and (ii) provide templates for ScoP derivations for individual services or clinicians. Image-guided MSK interventions are increasingly an aspect of MSK physiotherapy PoCUS. Given the utility of physiotherapists drawing upon their imaging to fully inform the selection (and performance) of such techniques, we present a rationale for competency in undertaking sonographic differentials as a pre-cursor to performing ultrasound image-guided MSK interventions. Alignment of ScoP with the relevant education and formal competency assessments are a cornerstone of the PoCUS framework approach; as such, key aspects of MSK PoCUS education and competency assessment are outlined. Strategies for addressing such requirements in healthcare settings where formal provision is not accessible, are also presented. Governance considerations are aligned with the regulatory environment, including those pertaining to professional guidance and insurance considerations. In addition, generic quality assurance elements are emphasised, as core aspects of high-quality service provision. Whilst the paper clarifies the situation for MSK physiotherapists using PoCUS in the UK, prompts are provided to support other professional groups working in MSK services in the United Kingdom (UK) and MSK physiotherapists/physical therapists in other countries-to facilitate their application of the principles.

Conclusion: Acknowledging the breadth of MSK physiotherapy PoCUS practice, this paper draws upon a framework approach to provide integrated ScoP, education/competency and governance solutions, along with mechanisms for other professions working with MSK PoCUS-and physiotherapists/physical therapists outside of the UK-to consolidate and expand their practice.

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来源期刊
Ultrasound Journal
Ultrasound Journal Health Professions-Radiological and Ultrasound Technology
CiteScore
6.80
自引率
2.90%
发文量
45
审稿时长
22 weeks
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