In inpatient rehabilitation, large amounts of practice can occur safely without direct therapist supervision : An observational study

Journal article


Dorsch, Simone, Weeks, Kevin, King, Laura and Polman, Etesa. (2019). In inpatient rehabilitation, large amounts of practice can occur safely without direct therapist supervision : An observational study. Journal of Physiotherapy. 65(1), pp. 23-27. https://doi.org/10.1016/j.jphys.2018.11.004
AuthorsDorsch, Simone, Weeks, Kevin, King, Laura and Polman, Etesa
Abstract

Questions
When a hospital gymnasium used for inpatient rehabilitation is set up to allow semi-supervised practice: what percentage of practice is performed as semi-supervised practice, what percentage of patients in the gym are actively engaged in practice at one time, and is the semi-supervised practice that occurs safe?

Design
An observational study using periodic behaviour mapping.

Participants
Patients in general and stroke rehabilitation units of a metropolitan hospital.

Outcome measures
Observations in the rehabilitation gym quantified the number of patients in the gym and the numbers of patients practising and resting. In observations of patients practising, the condition of practice was recorded as being with a therapist, with a family member, or with no direct supervision. The number of adverse events during the data collection period was collected from the hospital Incident Information Management System.

Results
The rehabilitation gym was observed on 113 occasions, resulting in 1319 individual patient observations. An average of 12 patients were in the gym during the observations. Practice was being performed with family supervision in 15% of observations and with no direct supervision in 26% of observations, resulting in semi-supervised practice accounting for 41% of all observations of practice. The percentage of observations that were of patients taking part in active practice was 78%. There were no adverse events in the gym.

Conclusion
In an inpatient setting, a large percentage of practice can be performed as semi-supervised practice. This does not appear to compromise the time spent in active practice or patient safety.

Keywordsstroke; practice; rehabilitation; physiotherapy
Year2019
JournalJournal of Physiotherapy
Journal citation65 (1), pp. 23-27
PublisherElsevier Australia
ISSN1836-9553
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jphys.2018.11.004
Scopus EID2-s2.0-85058451016
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range23-27
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online01 Jan 2019
Publication process dates
Deposited17 May 2021
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