BREAKOUT 2 – EDUCATION SESSIONS
Saturday April 6, 2019 11:00 am – 12:00 pm
TRACK A: Interprofessional Knowledge of Pelvic Health Physiotherapy: Pre-Licensure Perspectives (15 min) AND Hip & Knee Replacement Bundled Care Pilot - Private Practice Implementation Strategies (15 min) AND The Use of Decision Making Aids in Hip/Knee Osteoarthritis: A Scoping Review (15 min) AND What are the Best Educational Interventions to Teach Health Professional Students Safe Patient Handling Techniques? A Scoping Review (15 min)
Interprofessional Knowledge of Pelvic Health Physiotherapy: Pre-Licensure Perspectives (15 min)
Presenters: Grecia Alaniz, Helena Dackovic, Physiotherapy Resident; Margot Dods, MScPT; Karen Moreira, Dr. Sinead Dufour
This presentation will summarize the methods and keys findings based on a student research study assessing the interprofessional knowledge of pelvic health physiotherapy among pre-licensure health science students. This study discusses the current level of knowledge within this area of care among medical, midwifery, nursing, and physician assistant students. It will also highlight the importance of including pelvic health physiotherapy within urogynecological care through effective interprofessional collaboration. Potential strategies to optimize knowledge translation of pelvic health physiotherapy through interprofessional education initiatives will be provided, in efforts to facilitate interprofessional collaboration within the urogynecological field.
- Recognize the importance pelvic health physiotherapy and interprofessional collaboration play in the improvement and access to urogynecological care
- Demonstrate an understanding of the current level of knowledge of pelvic health physiotherapy in pre-licensure health sciences students
- Identify and discuss strategies to improve knowledge translation of pelvic health physiotherapy among pre-licensure health science students
Hip & Knee Replacement Bundled Care Pilot – Private Practice Implementation Strategies (15 min)
Presenter: Paulette Gardiner Millar, PT, BScPT, FCAMPT, CAFCI
This presentation will be based on experience over the past year participating in various Rehabilitation Care Alliance (RCA) committees, learning about the hip and knee replacement bundled care pilot through support from OPA, discussion with bundle holders, RCA, MOHLTC, as well as the community of practice and presentations hosted by Health Quality Ontario. At an organization level, pt Health has cared for hip and knee replacement patients historically in both private clinics and MOHLTC funded community physiotherapy clinics. We receive bundled care patients without having any formal partnership with bundle holders and are working to finalize multiple partnerships in different areas of the province. We will use this experience to review this care pathway, discuss challenges and opportunities as well as potential strategies to work within the pilot successfully.
- Have a good idea what the hip & knee replacement pilot project involves
- Understand the opportunities and challenges of the pilot from a private practice perspective
- Consider some strategies to take advantage of opportunities and manage challenges
The Use of Decision Making Aids in Hip/Knee Osteoarthritis: A Scoping Review (15 min)
Presenters: Angela Accettura, Connor Balzer, Connor Caba, Pat Miller, Stephen Patton, Lorenzo Rosas, Reuben Thomas
This presentation will discuss the results of a scoping review of the literature on decision making aids for patients with hip and/or knee osteoarthritis. The focus will be on the identified common elements of these tools, patient/clinician views regarding their use, their development process and formats by which these decision-making aids are currently available. Future directions and implications for Physiotherapy practice will also be discussed.
- Identify common elements found in patient decision making aids designed for patients with hip/knee osteoarthritis.
- Describe the potential benefits and barriers to implementing decision making aids in practice.
- Identify the sources of information that contribute to the development of decision making aids.
What are the Best Educational Interventions to Teach Health Professional Students Safe Patient Handling Techniques? A Scoping Review (15 min)
Presenters: Devin Brooks, Nick Guiler, Bahar Hashemi, Nick Millar, Pat Miller, Erin O’Henly, Bhawan Sekhon
Safe patient handling (SPH) is crucial to prevent injury in patients and all of the healthcare clinicians involved in their care. As a result, SPH skills are considered required knowledge for students and graduates of physiotherapy (PT), occupational therapy (OT), nursing (RN), pharmacy and medical schools (Canadian Patient Safety Institute, 2008), though it is only a regular curriculum component in PT, OT and RN programs (Canadian Medical Protective Association, 2018). The results of our scoping review highlight who is commonly taught, who leads the instruction, and identify trends for content, teaching
strategies and outcome measures used to facilitate the translation of these skills into practice.
- Identify the components of an effective safe patient handling (SPH) educational intervention for teaching health professional students in medicine, PT, OT, and nursing.
- Identify outcomes measures used to assess effectiveness of SPH educational interventions.
- Describe the important role of interprofessional SPH training.
TRACK B: Promoting participation in physical activity and exercise among adults living with chronic pain: understanding the patient perspective (15 min) AND Clinical instructors’ experiences when working with and assessing students performing below expectations in physical therapy clinical internships (15 min) AND Optimizing Birth: Review of the Literature and Clinical Application for PT Practice (15 min) AND How can we use technology to improve dual-task performance of older adults? (15 min)
Promoting participation in physical activity and exercise among adults living with chronic pain: understanding the patient perspective (15 min)
Presenter: Kyle Vader
This education session will present original research findings from an interpretive descriptive qualitative study that explored in-depth perspectives of adults living with chronic pain regarding strategies and recommendations for healthcare providers to promote participation in physical activity and exercise. Current evidence on the challenges faced by adults living with chronic pain will be highlighted and three key themes will be describe regarding recommendations to promote participation in physical activity and exercise, including:
- Knowledge and tailored recommendations (e.g. meeting the person where they are all, setting meaningful goals, exercise needs to fit into daily life, and providing knowledge and actionable advice),
- Support from others (e.g. facilitating confidence, providing opportunities for community and peer support, ongoing check-ins/follow-up, and providing meaningful motivation), and
- Valuing the therapeutic relationship (e.g. listening, non-judgement, genuine caring, and taking strength-based approaches). Practical examples to facilitate participation in physical activity and exercise in adults with chronic pain will also be provided that can be applied directly into clinical practice.
- Have an appreciation for the challenges faced by adults living with chronic pain when they participate in physical activity and exercise
- Be able to describe at least three recommendations to promote participation in physical activity and exercise from the perspective of adults experiencing chronic pain
- Be able to apply at least three practical strategies in their daily clinical practice to promote participation in physical activity and exercise amongst adults living with chronic pain.
Clinical instructors’ experiences when working with and assessing students performing below expectations in physical therapy clinical internships (15 min)
Presenters: Brenda Mori, Martine Quesnel, Rachael Shaw, Olivia So, HBScKin, MScPT
- Gain a better understanding of clinical instructors’ (CIs’) experiences working with and assessing students performing below expectations in a clinical internship – brief review of the literature and description of methodology and key findings
- Identify barriers and enablers experienced by CIs when faced with recommending a failing grade to an academic institution – description of key findings and discussion
- Identify strategies for CIs to help facilitate the assessment of student performing below expectations during a clinical internship – presentation of recommendations
Optimizing Birth: Review of the Literature and Clinical Application for PT Practice (15 min)
Presenters: Suzanne Dickie, Rebecca Grubb, Victoria Jelilyan, Alexandra Young
Despite existing evidence to improve birth outcomes for both mother and baby, there remains a disconnect between common birth practices and clinical practice guidelines. This presentation will highlight the potential role of physiotherapists to bridge this gap, as they are experts in pain neuroscience education (PNE) and peripartum care. Physiotherapists are well suited to empower pregnant women by increasing knowledge about best birth practices, PNE, self-efficacy, and by supporting women to self advocate for evidence-based care throughout all areas of labour and birth. This presentation will benefit healthcare providers who are involved in perinatal care and/or work with pregnant women.
- Identify best practice guidelines and recommendations for perinatal clinical care.
- Understand and explain how pain neuroscience principles can be applied in physiotherapy practice throughout pregnancy, labour and delivery.
- Interpret new research related to the delivery of group-based education in the perinatal population.
How can we use technology to improve dual-task performance of older adults? (15 min)
Presenters: Janelle Gravesande, MSc., Ada Tang, PT PhD
The ability to perform dual-tasks (two simultaneous tasks) is essential for carrying out daily activities. However, as we age, our ability to perform dual-tasks (e.g. walking while talking to someone) begins to diminish due to cognitive decline. In older adults, impaired dual-task performance has been linked to increased risk of falling. Many technology-based interventions have been developed to enhance dual-task performance of older adults. The purpose of this systematized review was to explore the types of technologies used to enhance dual-task performance in older adults, their effectiveness, their usability and older adults’ attitudes toward using them.
- To explain why dual-task is essential for daily functioning.
- To explain why dual-task performance begins to diminish as we age.
- To describe different types of technologies used to enhance dual-task performance of older adults.
Adherence Strategies: Helping clients stay or become physically active discharge
Presenters: Guy-Anne Proulx and Jennifer Harris
Physiotherapists are among the most common health care professionals to prescribe exercise to patients, promoting long-term physical activity. Many patients have multiple co-morbidities making long term exercise a very effective strategy for maintaining health and independence. There exist barriers for both clients to succeed at long term exercise and for clinicians to help support them. This interactive lecture will include an overview of a research project designed to address some of these barriers, a discussion of the barriers physiotherapists and their clients may experience and a brainstorming session about how various strategies can be applied within the various physiotherapy settings.
- Reflect on the value of promoting regular physical activity to their physiotherapy clients
- Discuss adherence issues relating to their clients’ ability to maintain an exercise program after completing physiotherapy intervention
- Appreciate one model of an adherence strategy and the preliminary results of an RCT using this model
- Consider various strategies for supporting clients to becoming effective self-managers of their care
A Multi-Disciplinary Approach in a Clinical and Corporate Operational Quality Improvement Project: An Observational Study Evaluating the Impact of Physiotherapists and Physiotherapist Assistants on Patient Flow
Presenters: Dominic Batt, Alena Lukich, Darryl Yardley
A briefing on the concept of “Hallway Medicine” followed by a description of Brant Community Healthcare System’s System-Wide Admission & Discharge Observational Study (SWADD Study): In June 2018, BCHS completed an operational study of its admission and discharge practices with the aim of identifying processes that might impede patient flow. As part of the observation process, 17 staff from a variety of corporate (non-clinical) and clinical areas were assigned to follow admitted patients and report back on processes that could be improved.
Part 1: Sharing of Primary Research: Discuss Physiotherapist (PT) and Physiotherapist Assistant (PTA) hospital staff members’ insights and reflection in participating in hospital quality improvement projects (in the context of the SWADD Study).
Part 2: Findings from PT and PTA Focus Group: Discuss how SWADD Study project participation experiences impacted their perceptions on hospital operations.
Part 3: A Change in Approach: Sharing findings on how the experience of being a SWADD observer has impacted the way Health Discipline staff now approach their primary roles in the hospital.
Part 4: Share recommendations from the SWADD study that have had a direct impact on the role of the Physiotherapist and Physiotherapist Assistant to ensure the right patient is in the right bed.
Part 5: Identifying opportunities to evolve the Physiotherapist scope of practice in the hospital sector. Conclusion: Moving forward – modelling a multi-disciplinary integrative approach to hospital quality improvement.
Q & A Period
- Understand the multi-faceted aspects of bed flow management in a large acute care hospital and the role of the Physiotherapist and Physiotherapist Assistant.
- Understand the impact and benefits of Physiotherapists and Physiotherapist Assistants in large hospital corporate projects and the implications of being involved in such work.
- Inform senior leadership in publicly-funded organizations on the skills and scope of practice Physiotherapists and Physiotherapist Assistants have to support the successful adoption of change initiatives in the public sector.