A Survey on Major Challenges Faced by Clinical Physiotherapists working in the Hospitals of Ludhiana, Punjab (India) (original) (raw)

TRENDS OF PHYSIOTHERAPY SERVICES, STAFFING AND MODALITIES AT PHYSIOTHERAPY CENTERS OF FAISALABAD

Background: Physiotherapy is an essential element of modern health care system. Physiotherapists around the globe work in various sectors, their roles are well established and distinguished from all other medical professionals. Objectives: The aim of this study was to provide evidence on the trends of Physiotherapy services, staffing, electro and exercise modalities at physiotherapy centers of Faisalabad. In the context of given objectives awareness will be provided to government to establish physiotherapy accredited body; to ensure standardized physiotherapy practices. Methodology: Descriptive, Cross-sectional survey was conducted. A self – designed questionnaire in the perspective of guidelines issued by University of health sciences was filled by twenty two perspective physiotherapy centers of Faisalabad. Results: The results show Private hospitals (63.64%)

AWARENESS AMONGST MEDICAL PROFESSIONALS ABOUT IMPORTANCE OF HYSIOTHERAPY.

Background: The present study was conducted to evaluate the level of awareness about physiotherapy among medical professionals. Methods: 110 medical professionals from Punjab, Haryana and Jammu participated in the survey study. They were required to complete a 21 item self developed closed-ended questionnaire. Results: The data revealed that 96.2% respondents were aware of the physiotherapy profession, 94.3% people knew it as a professional course, 41.5% people are aware of the course duration, 67.9% people were not aware of the various specialized fields in physiotherapy and only 47.2% people are aware of the physiotherapy curriculum. 96.2% of the respondents are aware of the role of physiotherapy in various conditions, 50.9% consulted a physiotherapists. 58.3% got awareness through lectures given by physiotherapist, 81.1% thought that the physiotherapists are trained enough to plan the treatment and 52.8% think that medical professionals are trained enough to prescribe physiotherapy treatment for the patients and 50.9% of participants write prescriptions while referring the patients for physiotherapy. 83.1% respondents think that physiotherapy is not still limited to orthopaedics or sports field.

The physiotherapy workforce in Nepal: A national survey

Journal of Evaluation in Clinical Practice

Background: Physiotherapy is a relatively young profession in Nepal. Education standards, and workforce organization and representation have improved in recent years, but there is no detailed workforce data to support decision-making and long-term planning. Therefore, this study aimed to describe the demographic characteristics, physiotherapy practice areas, settings and employment characteristics of physiotherapists in Nepal; and to document job satisfaction and the factors that influence it. Methods: In a cross-sectional survey, we asked Nepali physiotherapists about their sociodemographic characteristics, employment or physiotherapy practice area and settings, and job satisfaction. We assessed the associations between sociodemographic factors and job satisfaction among physiotherapists using univariable and multivariable logistic regressions. We invited all Nepali physiotherapists to participate via email, social media and visits to hospitals. Results: Of the 1120 physiotherapists who were contacted, 52% (female: 287; male: 293) completed the survey. The majority of the participants (75%) were less than 30 years old. The majority (73%) held a Bachelor of Physiotherapy degree. Eighty percent were employed at the time of data collection; 58% had 1-4 years of experience. The majority (77%) practiced in or near the capital Kathmandu. Most physiotherapist worked either in private hospitals (46%) or in private physiotherapy practices (26%), rehabilitation centres (19%) and 11% practiced in public hospitals. The most common areas of practice were musculoskeletal physiotherapy (90%) and adult neurology (67%). More than half of the physiotherapist (53%) felt that they were underpaid and 41% were not satisfied with their current job status. The majority of the physiotherapists (67%) reported that they participated in continuing professional development activities. Multivariable logistic regression showed that physiotherapists who had a higher remuneration were more likely to be satisfied with their job. Conclusions: The majority of the physiotherapy workforce in Nepal is well-educated, young and at an early career stage. Most physiotherapists work in musculoskeletal and adult neurological physiotherapy, in private practices or private hospitals near

CHALLENGES AND FUTURE DEVELOPMENT OF PHYSIOTHERAPY EDUCATION IN NEPAL

Background: Globally, the culture of health care has been changing.The health professionals must have the best available education and training to improve the health outcomes. Good education is a backbone for an effective physiotherapy intervention and good patient care. Physiotherapy education has evolved widely in developed countries whereas in Nepal, the education has started very recently and the recognition is still under a question.

Awareness, Belief, Attitude and Utilization of Physiotherapy Services Among Doctors

Pakistan Journal of Health Sciences

Physiotherapy has come to be recognized as a well-known form of medical care that reduces patients' dependency and level of disability. Physiotherapists play an important part in community rehabilitation and health education because of the role physiotherapy plays in reducing the incidence and severity of disability. Objectives: To determine about the awareness of belief and attitude towards the utilization of physiotherapy services and interventions among doctors in selected hospitals of Lahore. Methods: The study design was Descriptive cross sectional. Total 150 doctors participated in this research from Arif Memorial Hospital, Mayo Hospital, Farooq Hospital and Ghurki Hospital. Results: There were 134 MBBS doctors and 16 FCPS doctors aged between 25 to 40 years and having 2 to 10 years of clinical experience. 58% of the study population were female doctors while 42% were male doctors. According to the study, medical doctors' perceptions regarding the profession of physiot...

Personal and Professional Relationship between the Physiotherapist and the Patient—Indian Scenario

Background: The aim of this research work was to study the personal and professional relationship between the Physiotherapist and the Patient. Methods: A cross sectional survey was employed among working physiotherapists and patients who received physiotherapy with respect to their preferences over a variety of major domains and the knowledge about their relationship in the current day scenario; using a validated questionnaire. Results were depicted using narrations, mode, percentages, graphs and tables.? Results: From the current study 82% of patients said that they think communication is important and 87% of therapists suggested that they communicated well with their patients. Majority of patients wanted to be made to feel comfortable to express their worries and concerns regarding their condition and how it has affected their work, family and social life. About 65% of patients wanted to discuss and agree on the treatment together and 65% of therapists thought so too. Majority of patients also wanted the treatment program to be in accordance with their lifestyle, financial status and cultural background. However it has been observed that the decisions regarding the treatment were made mostly by the therapist alone and 60% of therapists said they encouraged these decisions to be made by themselves. About 53% of patients said they would not like the therapist to have a paternalistic approach and 61% of therapist said that they do have such an approach towards decision making regarding the treatment. Conclusion: Therapists and patients differ in their preferences regarding the important domains highlighted in this study i.e. Communication, problem and decision making, long term management, quality of life, information provision, recent experience and satisfaction.

Reasons for Omission of Physiotherapy in a Tertiary Care Institute in Mumbai

International Journal of Physiotherapy and Research, 2020

Background: As critical care is progressing, we are able salvage many patients, many of which in the past decades, would not have survived. A good number of these patients spend prolonged time in the intensive care unit(ICU). The after effect of which is myopathy, respiratory muscle weakness, neuropathy etc. Physiotherapy is an especially important armamentarium in the arsenal of critical care medicine which helps in the prevention of morbidity. However, there are reasons why there is omission in the performance of physiotherapy in the intensive care unit. Purpose of study: To study the commonest reasons of omission of physiotherapy in a tertiary care hospital intensive care unit and thus help in devising methods or intervention for prevention of the same. Methods: This study was performed by reviewing data from the charts of 240 consecutive patients admitted to a mixed medical surgical intensive care unit in Mumbai. Patients were prescribed physiotherapy by the intensive care physician a day in advance depending on the clinical indications and suitability for the same. The physiotherapist then decided the therapy for the following days and scheduled them accordingly. The reason of the omission of the session was documented by the physiotherapist responsible for the conduct of the session. The common reasons for omission of sessions were noted for analysis. Results: Physiotherapy was missed in 32 % of cases and this was predominantly seen in the morning hours. The most common reason (36%) was patient refusal, attributed to inadequate sleep in the night hours. The next common reason (22%) was the requirement of shifting the patient to the diagnostic room for investigations, namely imaging, and hence omission of physiotherapy. This was followed by bedside rounds by senior consultants including teaching rounds (18%) followed by the sudden deterioration of condition in 16 % of cases. Conclusions: There are many obstacles that come in the way of the conduct of physiotherapy in large tertiary care busy intensive care units which is compounded with the lack of manpower. Like any medication assessment for the need for physiotherapy, timing of physiotherapy, the dose of physiotherapy and the actual form of therapy is a very important in improving patient care. Simple interventions can be put in place in order to avoid omission of physiotherapy.

Quality aspects of hospital-based physiotherapy from the perspective of key stakeholders: a qualitative study

BMJ Open Quality

BackgroundFor the design of a robust quality system for hospital-based physiotherapy, it is important to know what key stakeholders consider quality to be.ObjectiveTo explore key stakeholders’ views on quality of hospital-based physiotherapy.MethodsWe conducted 53 semi-structured interviews with 62 representatives of five key stakeholder groups of hospital-based physiotherapy: medical specialists, hospital managers, boards of directors, multidisciplinary colleagues and patients. Audio recordings of these interviews were transcribed verbatim and analysed with thematic analysis.ResultsAccording to the interviewees, quality of hospital-based physiotherapy is characterised by: (1) a human approach, (2) context-specific and up-to-date applicable knowledge and expertise, (3) providing the right care in the right place at the right time, (4) a proactive departmental policy in which added value for the hospital is transparent, (5) professional development and innovation based on a vision on...

Would Physiotherapists be Public Health Promoters?: Concern or Opportunity for Indian Public Health System

Health promotion is a prevention strategy that allows people to manage and improve their overall health status. In the last few decades, there has been a call for reorientation of health services towards health promotion and prevention. As one of the many stakeholders, the physiotherapy profession needs to clearly define its role in the preventive health care system and establish the scope and boundaries of its role in multidisciplinary teamwork. Further linking of health promotion with physiotherapy could be one step in attaining this goal. Physiotherapists should become role models in looking at the big picture and should have confidence in addressing broader health issues in developing nations like India.