Permanent URI for this collection
Browse
Recent Submissions
Publication Does the use of simulation enhance the development of registered physiotherapist’s respiratory ‘on-call’ skills – a literature review(Adi Health + Wellness, 2023-10-31) Barnfield, Emily; Barnfield, Emily; Allied Health ProfessionalBackground and aim: On-call respiratory physiotherapy is utilized when an acutely unwell patient could deteriorate without immediate assessment and treatment overnight. Education related to this topic varies greatly and is often of poor quality. Simulation-based education (SBE) has been increasingly used within other areas of healthcare yet, Gough et al. [1] completed a study in 2013, which found only 39% of acute trusts used simulation for respiratory on-call training. Aim: To determine from existing research, whether SBE can enhance the development of registered physiotherapists respiratory ‘on-call’ skills in order to impact future practice. Methods: A qualitative literature review was completed as part of a PgCert in Health Simulation at Coventry University, in March 2023. Ethical approval was gained from Coventry University (P149952). Studies included were found by searching AMED, CINAHL Embase and Medline databases. Figure 1-A20 presents the PRISMA flow diagram [2]. Final reports included were critically analysed using the Critical Appraisal Skills Programme framework [3] and data extracted and formatted into a table. General themes were identified using an inductive approach. Results: Eleven papers were selected to be reviewed after the removal of duplicates, screening and the exclusion criteria were applied. The main themes identified were the use of high-fidelity simulation, the measure of confidence and/or competence, and findings of positive implications for practice. SBE is widely used for other healthcare professions with positive outcomes; however, its use within respiratory physiotherapy is limited. Most studies chose to measure self-reported levels of competence and confidence, which is an example of Kirkpatrick level-one evaluation. These measures have only casual links to transfer of knowledge and behaviour change, which are key requirements when applying training to clinical settings. Interestingly, the review also demonstrates favourable use of high-fidelity manikins within this population. Although this was not discussed by the researchers, this may be a barrier for further implementation due to cost and technical knowledge required to use the equipment. Conclusion: The use of SBE has been beneficial in other healthcare professions and similar positives were found for its use with respiratory physiotherapists. However, much of the research is of low quality, and further research is required to review other confounding factors that may influence the outcomes and longitudinal staff behaviour.Publication Simulation-based education within respiratory physiotherapy training: a scoping review(2024-01-23) Mansell, Stephanie; Grafton, Kate; Barnfield, Emily; Eckersley, Georgina; Bendall, Amy; Cork, Gabriella; Lewko, Agnieszka; Thomas, Amanda; Jones, Una; Barnfield, Emily; Allied Health ProfessionalObjective The aim of this scoping review is to provide respiratory physiotherapists with guidance on the implementation of simulation-based education. Introduction In recent years there has been a widespread rise in the adoption of simulation-based education. A scoping review was decided upon by the ACPRC Editorial Board to focus on any new evidence or guidance in the field. Inclusion criteria 1) Studies investigating the use of simulation-based education within respiratory physiotherapy 2) Meta-analyses, systematic reviews, scoping reviews, randomised controlled trials and observational studies. Methods A literature search was developed and refined through testing. Nine databases were searched between 01/01/2014 and 31/10/2022. Data regarding study design, population, intervention, comparator and control were extracted into a data extraction table. Results were grouped by study design, intervention or context. Results 141 sources were retrieved from the searches. After initial screening 27 sources were included and after full-text review, 25 were included. Sources included: meta-analyses and systematic review and studies considering pre-registration education, interprofessional learning, part-task trainers and postgraduate education. Conclusion There is increasing research output in the simulation-based education field for respiratory physiotherapy. The evidence continues to focus on learner experience. More resources and support are required to increase access to simulation-based education for respiratory physiotherapists.Publication Frozen shoulder(Nature Research, 2022-09-08) Millar, Neal; Meakins, Adam; Struyf, Filip; Willmore, Elaine; Campbell, Abigail; Kirwan, Paul; Akbar, Moeed; Moore, Laura; Ronquillo, Jonathan; Murrell, George; Rodeo, Scott; Willmore, Elaine; Allied Health ProfessionalFrozen shoulder is a common debilitating disorder characterized by shoulder pain and progressive loss of shoulder movement. Frozen shoulder is frequently associated with other systemic conditions or occurs following periods of immobilization, and has a protracted clinical course, which can be frustrating for patients as well as health-care professionals. Frozen shoulder is characterized by fibroproliferative tissue fibrosis, whereby fibroblasts, producing predominantly type I and type III collagen, transform into myofibroblasts (a smooth muscle phenotype), which is accompanied by inflammation, neoangiogenesis and neoinnervation, resulting in shoulder capsular fibrotic contractures and the associated clinical stiffness. Diagnosis is heavily based on physical examination and can be difficult depending on the stage of disease or if concomitant shoulder pathology is present. Management consists of physiotherapy, therapeutic modalities such as steroid injections, anti-inflammatory medications, hydrodilation and surgical interventions; however, their effectiveness remains unclear. Facilitating translational science should aid in development of novel therapies to improve outcomes among individuals with this debilitating condition.Publication Rehabilitation guidelines following arthroscopic shoulder stabilisation surgery for traumatic instability - a Delphi consensus(Elsevier, 2024-05-16) Willmore, Elaine; Bateman, Marcus; Maher, Natasha; Chester, Rachel; O'Sullivan, Joel; Horsley, Ian; Blacknall, James; Gibson, Jo; Jaggi, Anju; Willmore, Elaine; Allied Health ProfessionalBackground: There is no consistent approach to rehabilitation following arthroscopic shoulder stabilisation surgery (ASSS) in the UK. The aim of this study was to agree a set of post-operative guidelines for clinical practice. Method: Expert stakeholders (surgeons, physiotherapists and patients) were identified via professional networks and patient involvement and engagements groups. A three-stage online Delphi study was undertaken. Consensus was defined by the OMERACT threshold of 70% agreement. Results: 11 surgeons, 22 physiotherapists and 4 patients participated. It was agreed patients should be routinely immobilised in a sling for up to 3 weeks but can discard earlier if able. During the immobilisation period, patients should move only within a defined "safe zone." Permitted functional activities include using cutlery, lifting a drink, slicing bread, using kitchen utensils, wiping a table, light dusting, pulling up clothing, washing/drying dishes. Closing car doors or draining saucepans should be avoided. Through range movements can commence after 4 weeks, resisted movements at 6 weeks. Patients can resume light work as they feel able and return to manual work after 12 weeks. Return to non-contact sports when functional markers for return to play are met was agreed. Return to contact sport is based on function & confidence after a minimum of 12 weeks. Additional factors to consider when determining rehabilitation progression: functional/physical milestones, patient's confidence and presence of kinesiophobia. The preferred outcome measure is the Oxford Instability Shoulder Score. Conclusion: This consensus provides expert recommendations for the development of rehabilitation guidelines following ASSS.Publication Rehabilitation following shoulder arthroscopic stabilisation surgery: A survey of UK practice(SAGE Publications, 2023-02-10) Maher, Natasha; Willmore, Elaine; Bateman, Marcus; Blacknall, James; Chester, Rachel; Horsley, Ian; Gibson, Jo; O' Sullivan, Joel; Jaggi, Anju; Willmore, Elaine; Allied Health ProfessionalBackground: Optimal rehabilitation following arthroscopic shoulder stabilisation for traumatic anterior instability is unknown. The purpose of this study was to establish current UK practice for this patient group. Methods: A self-administered online questionnaire was developed and distributed to UK surgeons and physiotherapists. Results: 138 responses were received. Routine immobilisation was reported in 79.7% of responses with a cross-body sling being the preferred position (63.4%). Duration of immobilisation and timescales to initiate movement were highly variable. Return to light work was advised when patients felt able (25.4%) or after 6 weeks (26.1%). 58.7% recommended waiting for 12 weeks to return to manual work. 56% recommended non-contact sport could be resumed after 12 weeks. For contact sport, recommendations varied from 6 weeks (3.8%) to 6 months (5.8%). Psychological readiness was the most frequently cited criteria for return to play (58.6%). Factors such as hyperlaxity (40.6%), age (32.6%) and kinesiophobia (28.3%) were not considered as relevant as reported quality of surgical fixation (50%). Conclusion: There is no clear consensus regarding optimal post-operative rehabilitation following arthroscopic shoulder stabilisation. Further work is required to establish high value, personalised pathways for this patient group.Publication CSP2023: 390 - “My Life” Group Evaluation: How a Co-produced Lifestyle Programme can support Individuals with Severe Mental Illness to live well(Elsevier, 2024-06-18) Dowdeswell, Nicola; Walker, Mark; Willmore, Elaine; Vidal, S; Bayliss, Nigel; MacFarland, Simon; Chidgey, Helen; Vincze, Andrea; Dowdeswell, Nicola; Walker, Mark; Willmore, Elaine; Vidal, S; Bayliss, Nigel; MacFarland, Simon; Chidgey, Helen; Vincze, Andrea; Allied Health Professional; Admin and Clerical; Patient and Community PartnersNo abstract available