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Physiotherapy extended scope of practice: who is doing what and why?

Physiotherapy extended scope of practice: who is doing what and why?
Physiotherapy extended scope of practice: who is doing what and why?
Objectives To explore the range, drivers and perspectives of extended or enhanced practitioner roles within physiotherapy. Data sources Nineteen electronic databases, hand searches, bibliography scanning and personal contact were used to identify published and unpublished resources. Review methods A systematic review using an expanded approach. Resources were included if they discussed extended scope of practice (intervention) in physiotherapy (profession) and outcome (for patients, other health professionals, and health services delivery) irrespective of patient group, language, year of publication (up to 2005), study design, or health care systems evaluated. All resources were screened against formal inclusion criteria for relevance. Information from relevant resources was extracted and details were entered into an Access database. Results One hundred and fifty-two physiotherapy-related resources were identified, including seven which met appropriate quality standards (using Cochrane methodology). A meta-analysis was not performed due to the paucity of randomised controlled trials. Conclusions Drivers for the roles in the 152 resources mainly included local or national service demands (34%). Most extended scope of practice roles reported included a form of non-invasive assessment (47%) or non-invasive treatment (37%) of patients that was more traditionally carried out by medical colleagues. None of the resources including data was (a) unsupportive of extended scope of practice or (b) mainly expressing concerns. This review has demonstrated overwhelming support for extended scope of practice; the vast majority of resources were supportive despite being largely descriptive or discursive in nature (76%). There is an urgent need for robust research in order to evaluate the expansion of extended scope of practice roles, underpin further development of those roles, and strengthen the evidence base of extended scope of practice in physiotherapy.
0031-9406
235-242
Kersten, Paula
039a54d8-5629-47fd-ba55-5b60e7d3e7dc
McPherson, Kath
5926c131-e68f-46f2-9ec3-70c2c4965d45
Lattimer, Val
5aa2c9a5-13cb-4776-9b0d-c618e6913f5b
George, Steve
bdfc752b-f67e-4490-8dc0-99bfaeb046ca
Breton, Alice
fddbc2b8-b17b-4f4c-bef8-5ea15e9e124b
Ellis, Bridget
0941a6f4-b192-4c71-a69f-4fa2d4267e91
Kersten, Paula, McPherson, Kath, Lattimer, Val, George, Steve, Breton, Alice and Ellis, Bridget (2007) Physiotherapy extended scope of practice: who is doing what and why? Physiotherapy, 93, (4), pp. 235-242. (doi:10.1016/j.physio.2007.02.007).

Kersten, Paula, McPherson, Kath, Lattimer, Val, George, Steve, Breton, Alice and Ellis, Bridget (2007) Physiotherapy extended scope of practice: who is doing what and why? Physiotherapy, 93, (4), pp. 235-242. (doi:10.1016/j.physio.2007.02.007).

Record type: Article

Abstract

Objectives To explore the range, drivers and perspectives of extended or enhanced practitioner roles within physiotherapy. Data sources Nineteen electronic databases, hand searches, bibliography scanning and personal contact were used to identify published and unpublished resources. Review methods A systematic review using an expanded approach. Resources were included if they discussed extended scope of practice (intervention) in physiotherapy (profession) and outcome (for patients, other health professionals, and health services delivery) irrespective of patient group, language, year of publication (up to 2005), study design, or health care systems evaluated. All resources were screened against formal inclusion criteria for relevance. Information from relevant resources was extracted and details were entered into an Access database. Results One hundred and fifty-two physiotherapy-related resources were identified, including seven which met appropriate quality standards (using Cochrane methodology). A meta-analysis was not performed due to the paucity of randomised controlled trials. Conclusions Drivers for the roles in the 152 resources mainly included local or national service demands (34%). Most extended scope of practice roles reported included a form of non-invasive assessment (47%) or non-invasive treatment (37%) of patients that was more traditionally carried out by medical colleagues. None of the resources including data was (a) unsupportive of extended scope of practice or (b) mainly expressing concerns. This review has demonstrated overwhelming support for extended scope of practice; the vast majority of resources were supportive despite being largely descriptive or discursive in nature (76%). There is an urgent need for robust research in order to evaluate the expansion of extended scope of practice roles, underpin further development of those roles, and strengthen the evidence base of extended scope of practice in physiotherapy.

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Published date: 2007

Identifiers

Local EPrints ID: 55313
URI: http://eprints.soton.ac.uk/id/eprint/55313
ISSN: 0031-9406
PURE UUID: 7bc54228-ab5a-4ac2-a6ba-da53ecd453de

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Date deposited: 30 Jul 2008
Last modified: 17 Jul 2017 14:33

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Contributors

Author: Paula Kersten
Author: Kath McPherson
Author: Val Lattimer
Author: Steve George
Author: Alice Breton
Author: Bridget Ellis

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