Exploration of therapists' views of practice within critical care

Twose, Paul, Jones, Una ORCID: https://orcid.org/0000-0001-7156-8531, Bharal, Mina, Bruce, James, Firshman, Penelope, Highfield, Julie, Jones, Gemma, Merriweather, Judith, Newey, Vicky, Newman, Helen, Rock, Claire, Terblanche, Ella and Wallace, Sarah 2021. Exploration of therapists' views of practice within critical care. BMJ Open Respiratory Research 8 (1) , e001086. 10.1136/bmjresp-2021-001086

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Abstract

Introduction Therapists are increasing recognised as core members of the critical care multiprofessional team. Each therapy profession provides specialist assessments and interventions, but also work collaboratively across the rehabilitation pathway. Despite inclusion in several national guidance documents, there remains a lack of evidence regarding the perceived role of therapists working within critical care, the unique contributions of each profession and opinion on the day-to-day tasks and responsibilities of each therapy profession. Method A descriptive qualitative methodology was used involving seven focus groups. Purposeful sampling was used to recruit therapists via professional specialist interest groups. All focus groups were uniprofessional and discussions based on a predesigned framework. Data were analysed thematically. Results Participants (n=65) from across the UK were recruited to seven focus groups with an average of 18.3 years postgraduate clinical experience of which 11.6 years was within critical care. Three core themes were generated from 875 codes and 237 potential subthemes. The final themes were (1) professional characteristics; (2) multidisciplinary team and (3) staffing. An additional theme of ‘COVID-19 pandemic’ was also identified. Findings were similar across all profession groups particularly regarding the need for holistic, patient-centred care. Expected variation was observed for professional characteristics especially regarding specific assessments and interventions. Discussion Therapy services are an essential component to the delivery of critical care especially regarding recovery and rehabilitation. Through three core themes, this qualitative study has provided new evidence of the perceptions and opinions of the role that therapists undertake within critical care.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Additional Information:	http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license
Publisher:	BMJ Publishing Group
ISSN:	2052-4439
Date of First Compliant Deposit:	9 November 2021
Date of Acceptance:	21 October 2021
Last Modified:	04 May 2023 21:46
URI:	https://orca.cardiff.ac.uk/id/eprint/145407

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