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What value does the MPOC-SP have for physiotherapists working with children? Focus group results about family centred care.

Pickering, Dawn and Busse, Monica 2011. What value does the MPOC-SP have for physiotherapists working with children? Focus group results about family centred care. Presented at: World Confederation of Physical Therapy, Amsterdam, The Netherlands, 21-24 June 2011.

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Purpose: Research question: ‘How ‘Family- Centred’ do staff and parents perceive their work with disabled children and young people?’ Objectives: 1. To determine staff self-evaluation of family-centred care by completing the questionnaire MPOC-SP. 2. To explore staff views on their own family-centred care through discussion in a focus group, using the themes from the MPOC-SP. 3. To explore parental views of family-centred provision for their disabled child by interview individually or in a focus group. 4. To identify any areas where further staff training to improve their family-centred service provision. Relevance: Physiotherapists working with children do not work in isolation and are a valuable part of the interdisciplinary team. Achieving high standards of health care provision with children with a disability requires a focus on Family Centred Care. Family Centred Care has been defined as a philosophy of care where families are supported in their decision-making roles in an equal partnership with professionals. Participants: Purposive non-random sampling was used to recruit study participants. Staff were approached by letter and invited to take part in a focus group in their area. These staff then gave out information letters to parents whose child was receiving a service. Twenty nine staff and 10 parents volunteered. Methods: This study utilized a mixed methodology. The Measure of the Processes of Care for Service Providers (MPOC-SP) is a sensitive, valid and reliable questionnaire. Quantitative data was gathered from administration of this questionnaire with staff. A series of interviews and focus groups based around the themes from the questionnaire were also conducted with staff and parents of disabled children. These were recorded with a Dictaphone and transcribed verbatim. Analysis: The questionnaire data were analyzed with SPSS 16. The questionnaire is scored from 1-7 with 1 being the lowest 7 the highest score staff could award themselves based on their own perception of their performance. Interview and focus group data were analyzed using an editing approach. Results: The mean of ‘interpersonal sensitivity’ was 5.35 and ‘respect’ 5.74 compared to ‘providing general information’ 4.34 and ‘communicating’ 4.96, being slightly lower in staff self perception. Staff commented on the value of the questionnaire as a self- reflective tool. Staff described how they adapted their service to meet parental needs and empowered and enabled parents despite. Parent’s spoke highly of staff input and described the attributes they most valued. Some parental feedback suggested that there needed to be a clearer complaints procedure. Conclusions: This was a pilot study and the results should be treated with caution. The MPOC-SP has value for practitioners as a self reflective tool. The majority of parents considered they were treated as equal partners in the decision making processes and this should continue. To increase our understanding of Family Centred Care this topic could be explored by a closer ethnographic study in this context. Implications: Physiotherapists working with families with children with a disability need to evaluate their practice in terms of family centred care. Investigation of the influence of focused Family Centred Care training on parental experiences is warranted.

Item Type: Conference or Workshop Item (Poster)
Date Type: Completion
Status: Unpublished
Schools: Healthcare Sciences
Subjects: R Medicine > R Medicine (General)
Last Modified: 06 May 2021 08:33

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