RT Journal Article
SR Electronic
T1 Exploration of therapists’ views of practice within critical care
JF BMJ Open Respiratory Research
JO BMJ Open Resp Res
FD British Thoracic Society
SP e001086
DO 10.1136/bmjresp-2021-001086
VO 8
IS 1
A1 Paul Twose
A1 Una Jones
A1 Mina Bharal
A1 James Bruce
A1 Penelope Firshman
A1 Julie Highfield
A1 Gemma Jones
A1 Judith Merriweather
A1 Vicky Newey
A1 Helen Newman
A1 Claire Rock
A1 Ella Terblanche MBE
A1 Sarah Wallace OBE
YR 2021
UL http://bmjopenrespres.bmj.com/content/8/1/e001086.abstract
AB Introduction Therapists are increasing recognised as core members of the critical care multiprofessional team. Each therapy profession provides specialist assessments and interventions, but also work collaboratively across the rehabilitation pathway. Despite inclusion in several national guidance documents, there remains a lack of evidence regarding the perceived role of therapists working within critical care, the unique contributions of each profession and opinion on the day-to-day tasks and responsibilities of each therapy profession.Method A descriptive qualitative methodology was used involving seven focus groups. Purposeful sampling was used to recruit therapists via professional specialist interest groups. All focus groups were uniprofessional and discussions based on a predesigned framework. Data were analysed thematically.Results Participants (n=65) from across the UK were recruited to seven focus groups with an average of 18.3 years postgraduate clinical experience of which 11.6 years was within critical care. Three core themes were generated from 875 codes and 237 potential subthemes. The final themes were (1) professional characteristics; (2) multidisciplinary team and (3) staffing. An additional theme of ‘COVID-19 pandemic’ was also identified. Findings were similar across all profession groups particularly regarding the need for holistic, patient-centred care. Expected variation was observed for professional characteristics especially regarding specific assessments and interventions.Discussion Therapy services are an essential component to the delivery of critical care especially regarding recovery and rehabilitation. Through three core themes, this qualitative study has provided new evidence of the perceptions and opinions of the role that therapists undertake within critical care.Data are available on reasonable request to the corresponding author.