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Developing minimum clinical standards for physiotherapy in South African ICUs: A qualitative study.

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|May 27, 2017
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Physiotherapists in intensive care units (ICUs) need defined minimum standards for safe practice. This study identified key knowledge, skills, and attributes essential for effective physiotherapy in critical care settings.

Keywords:
ICUphysiotherapyqualitativestandards

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Area of Science:

  • Critical Care Medicine
  • Physiotherapy
  • Health Professions Education

Background:

  • Physiotherapists are vital in intensive care units (ICUs), yet clinical practice varies due to a lack of formalized guidelines.
  • Existing practices rely heavily on individual clinician experience, highlighting a need for standardized educational and practice requirements.

Purpose of the Study:

  • To explore the perceptions of physiotherapists regarding the minimum clinical standards required for safe and effective practice in South African ICUs.
  • To identify essential knowledge, skills, and attributes for physiotherapists working with critically ill patients.

Main Methods:

  • Purposive sampling of experienced physiotherapists from South African ICUs.
  • Three national focus group sessions were conducted, with data analyzed using conventional content analysis and an inductive approach.
  • Participants discussed minimum standards for safe and independent practice, focusing on knowledge, skills, and attributes.

Main Results:

  • Twenty-five experienced physiotherapists (mean 10.8 years ICU experience) participated.
  • Three core themes emerged: integrated medical knowledge (anatomy, physiology, pathology, pharmacology, ICU environment), multidisciplinary teamwork (communication, CPD, ethics, professionalism, technology), and physiotherapy practice (clinical reasoning, skills, interventions).

Conclusions:

  • The findings provide a foundation for developing a comprehensive list of clinical standards for ICU physiotherapists.
  • These proposed standards will be presented to the broader physiotherapy and ICU communities for consensus building.
  • Establishing these standards aims to enhance the quality and consistency of physiotherapy services in critical care.