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Journal of Acute Care Physical Therapy
Number of Followers: 4  Hybrid journal (It can contain Open Access articles)ISSN (Print) 2158-8686 - ISSN (Online) 2159-0524 Published by LWW Wolters Kluwer  [330 journals]
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- APTA's 2023 House of Delegates Advances the Profession
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Authors: Norris; Traci; Smith, Jim
Abstract: No abstract available
PubDate: Sun, 01 Oct 2023 00:00:00 GMT-
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- Ongoing Lessons From the Global Pandemic: Telehealth, DEI, and Pursuit of
Excellence-
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Authors: Lee; Alan Chong W.
Abstract:
No abstract available
PubDate: Sun, 01 Oct 2023 00:00:00 GMT-
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- Perceptions of Patient-Reported Outcome Measures in Acute Care Pediatric
Physical Therapy: A Qualitative Analysis-
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Authors: Tischler; Dana; Pitney, William A.; Wood, Janine; Shotwell, Mary; Mooney, Cade
Abstract:
Purpose: To explore the perceptions and experiences of acute care pediatric physical therapists (PTs) regarding the use of patient-reported outcome measures (PROMs) and to understand the influence of PROMs on clinical decision-making and the plan of care.Methods: Thirteen acute care pediatric PTs participated in individual semistructured interviews using a qualitative phenomenological approach. Interview questions focused on how PROMs influence clinical practice and decision-making. Interviews also explored scenarios where using PROMs positively or negatively impacted patient and caregiver interactions. Researchers analyzed the interview transcripts using an inductive process to generate codes and resultant themes.Results: Participants described their experiences using PROMs in pediatric acute care, and 4 themes emerged: (1) PROMs can be difficult to implement in pediatric acute care, (2) PROMs can benefit pediatric acute care practice, (3) PROMs can improve service delivery and family-centered care, and (4) ideal PROM use in future practice. The Theoretical Domains Framework (TDF) was used to categorize positive and negative factors related to implementing evidence-based guidelines in the pediatric acute care setting.Conclusions: Acute care pediatric PTs report benefits and barriers to using PROMs with children and caregivers in the hospital setting. Findings support the need for future knowledge translation initiatives to facilitate the use of PROMs in pediatric acute care.
PubDate: Mon, 14 Aug 2023 00:00:00 GMT-
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- Patient-Reported Outcome Measure Use by Acute Care Pediatric Physical
Therapists-
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Authors: Tischler; Dana; Wood, Janine; Shotwell, Mary; Pitney, William A.; Mooney, Cade
Abstract:
Purpose: To describe the current use of and perceived benefits and barriers to using patient-reported outcome measures (PROMs) by pediatric physical therapists (PTs) in the acute care setting and to explore demographic factors that may explain the use of PROMs.Methods: An electronic survey was distributed to PTs who work in a pediatric acute care setting. Descriptive statistics were used to assess the frequency of PROM use, identify differences in PROM use based on demographic factors, and evaluate the likelihood of various benefits and barriers. Open-ended survey responses were analyzed inductively to identify common themes.Results: The survey was completed by a convenience sample of 92 pediatric acute care PTs (30% response rate). Half of the respondents (n = 46; 50%) reported “rarely” or “never” using PROMs, while only 4.3% (n = 4) reported “always” using PROMs. No significant differences were found in the frequency of PROM between years of experience, entry-level degree, clinical specialization, or other demographic factors. Participants were “somewhat” or “extremely likely” to use the rate of perceived exertion (71%), the Ages and Stages Questionnaire (24%), and the Pediatric Quality of Life Inventory (17%). The primary facilitator was improving communication with patients (68%), while the main barrier was lack of availability (57%). Thematic analysis of open-ended responses indicated that the benefits of using PROMs include improving communication, providing objective data, and measuring progress. Barriers identified include inadequate resources, lack of time, and irrelevance to clinical practice.Conclusion: Many pediatric acute care PTs underutilize PROMs, with reported barriers of limited access and lack of time hindering implementation within the pediatric acute care setting. Survey respondents reported the desire to measure health-related quality of life and participation, which may be feasible through future quality improvement or knowledge translation initiatives.
PubDate: Mon, 14 Aug 2023 00:00:00 GMT-
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- The Active Leg Raise Test: A Novel Test to Predict Standing Ability
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Authors: Sutter; Jonathan R.; Coyer, Ben; McGarvey, Jeremy; Georgieff, Meghan; Pilon, Joseph
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Background and Purpose: There are important reasons to provide hospitalized patients with opportunities to move while hospitalized. Yet, it is apparent that, other than actually attempting the task of standing up, there is no predictive test available that would help a hospital professional decide whether the patient has adequate ability to safely attempt standing. The purpose of this research report is to describe a novel test that clinicians can use to help predict whether a patient is anticipated to be capable of standing up with little or no assistance.Approach: Hospitalized patients were requested to lift each lower extremity, one at a time, for 5 seconds, above a minimum height. To determine the predictive ability of the test to identify the ability to stand, results were compared against the “gold standard” of whether the patients were able to stand successfully as part of a physical therapy evaluation performed after the leg raise test.Outcomes: The sensitivity of the test was 0.91 (95% CI = 0.84-0.96) and the specificity was 0.71 (95% CI = 0.48-0.89). The positive predictive value was 0.94 (95% CI = 0.88-0.98) and the negative predictive value was 0.60 (95% CI = 0.39-0.79).Discussion and Conclusion: This test is simple, short, and well suited to the rapid pace of clinical decision-making that health care professionals face on a daily basis. This test is useful in helping acute care professionals answer a clinical question they encounter often, “Is it safe for this patient to try to stand up'”
PubDate: Mon, 14 Aug 2023 00:00:00 GMT-
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- Transforming the Heart of Student Learning and Engagement: A Randomized
Crossover Trial for the Novel Application of Immersive Virtual Reality in
Teaching Electrocardiography Interpretation-
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Authors: Stam; Daniel; Jenkins, Greta M.; Goettl, Hannah; Martinson, Jordan; Fondrick, Alex; Lindahl, Russell; Withrow, Zach
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Purpose: Entry-level physical therapists must effectively learn cardiovascular and physiological monitoring, including electrocardiography (ECG) interpretation, to fulfill the demands of acute care hospital settings. Preliminary evidence among medical students and young physicians suggests that proficiency in basic ECG interpretation may be insufficient to meet the needs of a society with increasing levels of cardiovascular disease. In addition, as a new generation of students (Generation Z) enters health care education programs, educators may need to adapt their instructional approaches and technology. The purpose of this study was to evaluate whether a novel virtual reality (VR) learning module resulted in more accurate ECG interpretation than a conventional written learning activity for predominantly Generation Z Doctor of Physical Therapy (DPT) students. The study also assessed whether a preference existed for either of the 2 activities.Methods: A blocked-randomized controlled crossover trial was integrated within a second-year cardiopulmonary course for DPT students. Students were blocked into 2 groups, VR-Conventional or Conventional-VR, based on the order in which they participated in the activities. Twenty-item multiple-choice knowledge assessments and a satisfaction survey were the outcomes.Results: Eighteen DPT students participated. Median pretest scores for the VR-Conventional group and the Conventional-VR group were 60% (interquartile range [IQR]: 50-75) and 65% (IQR: 55-75), respectively; the distributions were not different (Mann-Whitney U test =36.00, n1 = n2 = 9, P = .688, 2-tailed). Median posttest 1 scores for the VR-Conventional group and the Conventional-VR group were 70% (IQR: 62.50-85) and 75% (IQR: 67.50-85), respectively; the distributions were not different (Mann-Whitney U test = 39.00, n1 = n2 = 9, P = .893, 2-tailed). After crossing over, the VR-Conventional group scored 70% (IQR: 62.50-80) on posttest 2 while the Conventional-VR group scored 70% (IQR: 65-77.50); the distributions were not different (Mann-Whitney U test = 38.50, n1 = n2 = 9, P = .858, 2-tailed). Fifty percent of participants preferred the VR activity, 33% preferred the conventional written activity, and 17% had no preference. All participants reported wanting to see VR used more in education.Conclusions: VR was well received and may aid student engagement and motivation for learning complex topics such as ECG interpretation. In this study, VR was not superior to conventional learning activities for knowledge acquisition. Educators should additionally consider an evidence-based instructional design when choosing to integrate VR technologies in the classroom.
PubDate: Mon, 14 Aug 2023 00:00:00 GMT-
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- Student Experiences of a Home-Based Acute Care Curriculum: A Qualitative
Case Report-
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Authors: Trojanowski; Suzanne; Sherman, Erica; Huang, Min Hui
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Background/Purpose: The COVID-19 pandemic disrupted physical therapy education beginning in March 2020. Acute care physical therapy is complex and has substantive psychomotor skills and safety demands. Students can experience significant challenges during acute care clinical education experiences (CEE); therefore, assessment of the effect of curricular adjustments on preparation for clinical experiences is paramount. Students can experience significant challenges during acute care CEE. Educational programs continue to assess the effect of pandemic dictated altered modes of delivery of laboratory-based courses on student outcomes. The purpose of this qualitative case report is to explore students' experiences of an online delivery mode of an acute care course and their perception of its ability to prepare the student for an acute care CEE.Case Description: Interviews were completed with physical therapist students after their terminal acute care CEE. Qualitative analysis was approached from an interpretive epistemological perspective and a phenomenological approach was used to explore students' experience in participating in an online delivery mode to gain the required skills to be effective during acute care physical therapist practice. Data analysis was completed using a thematic analysis approach.Outcomes: Seven students participated in qualitative interviews after their acute care educational experience. Qualitative results revealed 3 main themes: (1) Course Design, (2) Fidelity, and (3) Learner Characteristics as contributors to feelings of preparedness when transitioning from the classroom to an acute care CEE.Discussion and Conclusion: Despite COVID-19 disruptions to traditional in-person education delivery of an acute care laboratory-based course, a unique at-home delivery of acute care curriculum led to students reporting sufficient skill development to participate in an acute care CEE. Aspects of the unique course that students reported facilitated their learning were skill repetition and fidelity to clinical practice embedded in laboratory activities. Results can be used to intentionally design coursework to aide in building student confidence and preparation for acute care CEE.
PubDate: Mon, 14 Aug 2023 00:00:00 GMT-
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- Neonatal Physiotherapy Interventions in Reducing Acute Procedural Pain and
Improving Neuromotor Development in a Preterm Neonate: A Case Report-
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Authors: Sharma; Neha; Samuel, Asir John
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Background: Repeated painful procedures are very common in neonatal intensive care unit (NICU). A combination of multisensory stimulation (MSS) and soft tissue therapy (STT) potentiates each other's analgesic effects and helps in reducing procedural pain.Case Description: Thirty-six weeks and 2 days old preterm neonate was undergoing venipuncture at right forearm for diagnostic purpose when admitted in NICU because of prematurity. MSS and STT were provided once in a day for 30 minutes, total for 5 days for pain relief and improvement in neuromotor outcomes.Outcomes: Pain intensity was assessed with Preterm Infant Pain Profile-Revised (PIPP-R) and Neonatal Pain, Agitation and Sedation Scale (N-PASS). The neuromotor outcomes were also assessed with Infant Neurological International Battery (INFANIB) and Premie-Neuro Scale. All the measurements were taken at baseline and after 5 days of intervention. The pain scores, PIPP-R and N-PASS, were measured at 30 seconds, 60 seconds, 90 seconds, and 120 seconds before the intervention. The PIPP-R: 7, 7, 10, and 6, and N-PASS scores before the intervention were: 2, 9, 4, and 5, respectively. After 5 days of intervention, the pain scores were PIPP-R: 3, 9, 3, and 3, and N-PASS: 3, 3, 4, and 4, respectively. The neuromotor tests, INFANIB and Premie-Neuro, were measured at baseline and postintervention. The scores were INFANIB: 58 and 60, respectively, and Premie-Neuro: 90 and 92, respectively.Discussion/Conclusion: Neonatal physiotherapist may give importance to procedural pain management in NICU settings to promote good clinical practice along with other physiotherapy interventions. Along with pain scores, neuromotor scores were improved after the 5th day of intervention in the preterm neonate. MSS and STT might help in reducing procedural pain and improving neuromotor outcomes after 5 days of intervention among preterm neonates.
PubDate: Wed, 26 Jul 2023 00:00:00 GMT-
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