Thesis (Ed.D.)--University of Tulsa, 1981. / Bibliography: leaves 43-46.

Thesis (Ed.D.)--University of Tulsa, 1981. / Bibliography: leaves 43-46.

Magister Scientiae (Physiotherapy) - MSc(Physio) / With the increase in the number of persons suffering from HIV/AIDS, physiotherapists are often required to treat these patients who present with respiratory and neurological complications. Although physiotherapists are at a lower risk of HIV infection in the workplace than nurses and doctors, it is necessary to determine their knowledge and perceptions of the risks, fears of HIV transmission and their attitudes towards patients with the disease. The aim of the study was to determine the physiotherapists knowledge of, and their attitudes towards patients with HIV/AIDS. It also explored whether the physiotherapists knowledge influences attitudes towards HIV/AIDS patients in Lusaka, Zambia. / South Africa

Background: In Sweden, approximately 25 000–30 000 people suffer from a stroke every year. About a third of these get aphasia. Previous studies show communication problems between physical therapists and stroke patients with aphasia, which leads to difficulties in giving patients the opportunity to participate in their rehabilitation. There are few studies on how aphasia after stroke affects physiotherapeutic rehabilitation.  Objectives: To investigate a group of physical therapists' experiences of how aphasia affects the physiotherapeutic rehabilitation process after stroke, and how they feel that these patients have opportunity to participate in the rehabilitation.  Method: A qualitative design was used with a semi-structured interview guide followed by a qualitative content analysis. Six physical therapists in stroke care in three different regions, in inpatient and outpatient care were interviewed.  Results: Six main categories emerged from the interviews: Aphasia makes it more difficult to communicate, strategies for better communication with aphasia patients, teamwork is important in the rehabilitation process of aphasia patients - especially with speech and language therapists, how aphasia affects physiotherapists' examination and treatment measures, aphasia contributes to poorer patient participation and requires strategies for increased participation, and emotions in meetings with aphasia patients.  Conclusion: Aphasia is perceived to make it more difficult to communicate, which leads to difficulties in getting patients involved, even though the physical therapists together with the team use different strategies to improve communication and participation. Physiotherapeutic examinations are perceived as more difficult to carry out, but the exercise is not significantly affected by aphasia. / Bakgrund: I Sverige drabbas varje år cirka 25 000–30 000 personer av stroke. Ungefär en tredjedel av dessa får afasi. Tidigare studier visar på kommunikationsproblem mellan fysioterapeuter och strokepatienter med afasi vilket leder till svårigheter att ge patienterna möjlighet till delaktighet i rehabiliteringen. Det finns dock få studier kring hur afasi efter stroke påverkar den fysioterapeutiska rehabiliteringen.   Syfte: Att undersöka en grupp fysioterapeuters erfarenheter och upplevelser av hur afasi påverkar den fysioterapeutiska rehabiliteringsprocessen efter stroke, samt hur de upplever att dessa patienter har möjlighet att vara delaktiga i rehabiliteringen.  Metod: En kvalitativ design användes med en semistrukturerad intervjuguide följt av en kvalitativ innehållsanalys. Sex fysioterapeuter inom strokevård i tre olika regioner, inom såväl slutenvård som öppenvård intervjuades.   Resultat: Av intervjuerna framkom sex huvudkategorier: Afasi gör det svårare att kommunicera, strategier för bättre kommunikation med afasipatienter, teamarbete viktigt i rehabiliteringsprocessen av afasipatienter - särskilt med logopederna, hur afasi påverkar fysioterapeuternas undersöknings- och behandlingsåtgärder, afasin bidrar till sämre delaktighet för patienterna och kräver strategier för ökad delaktighet, samt känslor vid möten med afasipatienter.   Konklusion: Afasin upplevs göra det svårare att kommunicera vilket leder till svårigheter med att få patienterna delaktiga trots att fysioterapeuterna tillsammans med teamet använder olika strategier för att förbättra kommunikation och delaktighet. Fysioterapeutiska undersökningarna upplevs som svårare att genomföra, men träningen påverkas inte anmärkningsvärt av afasin utan de flesta patienter kan träna det som de behöver.

The purpose of this study was to analyze how senior instructors in physical therapist educational programs in northern California define and seek to impart to students information about professional behavior. Towards this end a qualitative investigation was conducted using case study methodologies. The researcher conducted interviews with 8 instructors teaching in 4 physical therapist educational programs in northern California. Each interview was analyzed as an individual case study, followed by a cross case analysis to identify common themes. From this analysis nine common themes emerged: (1) instructors found it difficult to broadly define professional behavior. (2) instructors expect students to be on time. (3) instructors expect students to speak and act with courtesy and respect. (4) instructors expect students to communicate appropriately. (5) instructors expect students to dress appropriately. (6) instructors expect students to participate in class. (7) instructors consciously model professional behavior as a way to communicate their expectations. (8) Instructors give instructions and provide students with feedback about professional behavior. (9) instructors do not attach a specific grade to professional behavior. Instructor perceptions that professional behavior was difficult to define was consistent with existing literature, as was their reluctance to grade professional behavior. Behavioral expectations that emerged as themes in this study fit within existing descriptions of professional behavior for physical therapists, specifically the core values adopted by the American Physical Therapy Association. This relationship suggests that the core values document may be used as a framework through which classroom professional behavior can be viewed. Instructor perceptions of strategies for conveying information about professional behavior to students were consistent with existing literature on modeling and explicit teaching. Based on the results of this study, a five-step process is proposed to facilitate appropriate professional behaviors by students in the classroom: (1) define program expectations for professional behavior. (2) move from theory to practice. (3) intentionally and consistently model desired behavior. (4) provide immediate feedback and incremental consequences. (5) consciously plan for faculty interaction.

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Thesis (Ph. D.)--University of Oregon, 2000. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 324-344). Also available for download via the World Wide Web; free to University of Oregon users. Address: http://wwwlib.umi.com/cr/uoregon/fullcit?p9963451.

The absence of clearly defined competencies to guide the development of educational programs for occupational therapy and physical therapy fieldwork instructors provided the impetus for this research. A primary objective of the study was to identify the competency categories and the competencies which occupational therapy and physical therapy fieldwork instructors, and occupational therapy and physical therapy students perceived to be important in determining the effectiveness of a student's fieldwork experience. A review of the literature in occupational therapy, physical therapy, and related health professions identified a pool of fieldwork instructor competencies from which 105 competencies were selected for the study questionnaire. The questionnaire was administered to 34 occupational therapy and 37 physical therapy students from the University of British Columbia, and to 59 occupational therapy and 76 physical therapy fieldwork instructors in British Columbia. A response rate of 87% was obtained. Respondents' ratings of importance of the competency categories and of the most important competencies were similar to previous research findings. Communication and supervisory behaviours were rated as most important in contributing to the effectiveness of a student's fieldwork experience. The majority of the competencies which were ranked as most important belonged to these two categories. Consistent with previous research, the professional competence category and the competencies which were assigned to it were deemed least important in contributing to the effectiveness of a student's fieldwork experience. Group differences in ratings of importance were tested using a factorial design. The two-way and three-way analyses of variance, a multivariate analysis of variance and subsequent multiple comparison tests revealed only one significant main effect. Physical therapy students' ratings of importance differed significantly from the occupational therapy and physical therapy fieldwork instructors (p< .05). While this significant difference was identified from the analysis, examination of the mean ratings of the competencies showed a consistent pattern of low, moderate or high ratings among all of the groups. Participants in the study confirmed that the competencies included in the questionnaire were important in contributing to the effectiveness of a student's fieldwork experience. However, the literature suggests that the most important outcome will be the use of the competencies to guide the development of standardized educational programs for occupational therapy and physical therapy fieldwork instructors. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, Durban University of Technology, 2013. / Objectives: Collaboration between health care practitioners has many advantages including a focus on disease prevention and health promotion, improving service access and the provision of multidisciplinary health care teams. To achieve this ideal health care provision, understanding the current landscape of referral/interaction between practitioners and the factors which influence this network are important. This enables effective delivery of health care demanded by the public. As identified factors impacting the inter-referral of patients between practitioners are contextual, they differ in different contexts. Thus, this study aimed to investigate the factors affecting the referral of patients between chiropractors and physiotherapists in the eThekwini municipality.

Thesis (PhD)--University of Stellenbosch, 2001. / ENGLISH ABSTRACT: "Quality" has different meanings to different people. Even quality experts do not agree on a single definition: Juran's definition of quality revolves around his concept of "fitness for use", Crosby defines quality in terms of performance that produces "zero defects" and Deming defines quality as a "never ending cycle of continuous improvement". One element, however, that is common to all three approaches is that management must accept and demonstrate leadership if quality is to be achieved. Quality is rarely thought of as others perceive it. What is apparent is that if providers of care wish to maintain leadership in defining quality, they need to - Actively participate in the public debate about quality. Review the way in which they have been defining quality. Question whether their definitions are aligned with what the purchasers of health care define as being important. Develop meaningful measures of quality and data collection systems that will allow them to demonstrate quality and value. - Willingly share data not only on outcomes, and also measures that are specific to individual procedures and service providers. The PhysioFocus practice accreditation programme attempted to achieve the above factors. By realising the goal of the research this was determined. The goal of the research was to evaluate the PhysioFocus practice accreditation programme and to make recommendations on the educational programme for accreditation in private physiotherapy practices. This goal was realised by means of an exploratory and descriptive research design with a qualitative orientation. The evaluation of the PhysioFocus practice accreditation programme was performed by means of a validated evaluation instrument. The group interview revealed components of the PhysioFocus practice accreditation programme that require remediation. Recommendations included professional-ethical issues, business management and legislative issues. The recommendations will be implemented by the PhysioFocus practice accreditation committee. The PhysioFocus practice accreditation learning programme was evaluated by means of a semi-structured questionnaire, containing eleven questions and a section for comments. The general consensus was that the PhysioFocus practice accreditation programme is essential in private physiotherapy practice in South Africa. The implementation of the PhysioFocus practice accreditation programme resulted in the facilitation of quality physiotherapy; professional and personal development; monitoring of quality improvement processes; and the evaluation and remediation of these processes. This supported the central theoretical assumption of the research. Concerns were voiced about the lack of standards, lack of quality improvement skills, the public image of the physiotherapy profession and the lack of basic business management training. The researcher concluded that the implementation of the PhysioFocus practice accreditation programme is essential in private physiotherapy practice in South Africa. At present the current PhysioFocus practice accreditation programme does not address all the needs of private physiotherapy practices. Recommendations based on the research included remediation of the current PhysioFocus practice accreditation programme, formal education included business management, professional-ethical-Iegal issues, standards and scientific methods to analyse process variation and the development of improvement strategies in quality improvement. Other recommendations include informal education, physiotherapy management and structured quality improvement activities. The issue of the image of the professional physiotherapist was also addressed. Topics for future research were identified. The uniqueness of the research lies in the fact that this is the only physiotherapy practice accreditation programme implemented in South Africa. It is also the only physiotherapy practice accreditation programme in South Africa that has been evaluated. / AFRIKAANSE OPSOMMING: "Gehalte" het verskillende betekenisse vir verskillende mense. Selfs kenners op die gebied van gehalte stem nie saam met 'n enkele definisie nie. Juran se omvattende definisie is "gebruikswaarde", terwyl Crosby gehalte in terme van produksie, naamlik "zero defek", definieer. Deming definieer gehalte as "'n nimmereindigende siklus van voortdurende verbetering". Die een aspek wat al drie die kenners egter gemeen het, is dat bestuur leierskap moet aanvaar en demonstreer indien gehalte bereik wil word. Geen twee persone ervaar gehalte eenders nie. Indien diensverskaffers leiding wil behou ten opsigte van gehalte-definiëring, sal hulle verplig wees om: aktief deel te neem aan openbare debat oor gehalte; die aanvaarde definisie van gehalte te herevalueer; die aanvaarde definisie van gehalte op te weeg teenoor dié van die mediese hulpfonds-administrasie; gehalte- en data insamelingsisteme te ontwikkel om gehalte en waarde te bewys; en gewillig alle data te deel - nie net uitkomsdata nie, maar ook data wat spesifiek op individuele prosedures en diensverskaffers van toepassing is. Die PhysioFocus praktyk-akkreditasieprogram het gepoog om bogenoemde te bereik. Die navorsing het gerealiseer deurdat die doelstelling bereik is. Die doelstelling van die navorsing was om die PhysioFocus praktykakkreditasieprogram te evalueer en aanbevelings te maak vir 'n leerprogram vir die akkreditasieprogram. Die doelstelling het gerealiseer deur "n verkennende en beskrywende navorsingsontwerp vanuit 'n kwalitatiewe oriëntasie. Die evaluering van die PhysioFocus praktyk-akkreditasieprogram het deur middel van 'n gevalideerde evalueringsinstrument geskied. Die groepsonderhoud het areas van die PhysioFocus praktyk- akkreditasieprogram wat remediëring benodig, geïdentifiseer. Aanbevelings het professionele-etiese aspekte, besigheidsbestuur en wetlike aspekte ingesluit. Die aanbevelings sal deur die PhysioFocus praktykakkreditasiekommitee geïmplementeer word. Die evaluering van die PhysioFocus praktyk-akkreditasieleerprogram het deur middel van 'n semi-gestruktureerde vraelys met 11 oop vrae, tesame met 'n afdeling vir opmerkings, geskied. Die algemene aanname was dat die PhysioFocus praktyk-akkreditasieprogram noodsaaklik is in privaat fisioterapiepraktyk in Suid-Afrika. Die implementering van die PhysioFocus praktyk-akkreditasieprogram het gehalte fisioterapie, professionele en persoonlike ontwikkeling, die monitering van gehalteverbeteringsprosesse, asook evaluering en remediëring van hierdie prosesse, tot gevolg gehad. Dit het die sentraalteoretiese aanname van die navorsing ondersteun. Daar was egter kommer oor die gebrek aan standaarde, die beeld van die fisioterapieprofessie, asook die gebrek aan besigheidsbestuuropleiding. Die navorser het tot die gevolgtrekking gekom dat die implementering van die PhysioFocus praktyk-akkreditasieprogram noodsaaklik is in privaat fisioterapiepraktyk in Suid-Afrika. Die huidige PhysioFocus praktykakkreditasieprogram voldoen nie aan al die vereistes van privaat fisioterapiepraktyk in Suid Afrika nie. Aanbevelings vanuit die navorsing sluit die volgende in: remediëring van die huidige PhysioFocus praktyk-akkreditasieprogram; formele opleiding, insluitende profesionele-etiese-wetlike aspekte; standaarde; wetenskaplike metodes om die praktykprosesveranderinge te analiseer; en die ontwikkeling van 'n gestruktureerde gehalteverbeteringstrategie. Die beeld van die fisioterapieprofessie is ook aangespreek. Onderwerpe vir toekomstige navorsing is geïdentifiseer. Die navorsing is uniek omdat die PhysioFocus praktyk-akkreditasieprogram die enigste akkreditasieprogram vir fisioterapie in Suid Afrika is. Dit is ook die enigste fisioterapie-akkreditasieprogram wat in Suid Afrika geëvalueer is.