A Comprehensive Study to Develop and Evaluate the Acquired Brain Injury Physiotherapy Documentation in an Inpatient Setting

摘要: Study Background and Aims: Specialist physiotherapy service processes for treating people with acquired brain injury (ABI) are poorly described evaluated in the literature. The most important factor which limits understanding of is lack a system to define, describe record interventions made by physiotherapists. aim this study was develop evaluate documentation tool use inpatient ABI rehabilitation settings. To achieve aim, it imperative that researcher consider all different factors identify key attributes process followed It therefore necessary map provided patients ABI. Mapping helped understand aspects make large contribution have great effect on so as main study. also establish theoretical basis clear specific services. Research Method: The used wide range data collection methods, including interviews, questionnaires observational processes. Interviews were conducted heads teams working services UK. Thereafter, national questionnaire sent physiotherapists experience UK capture breadth scope current practice. designed treatment activities an setting. validity, reliability acceptability tested before out Information gathered during early phases then design recording developing new went through many stages, considering reported advantages disadvantages methods currently used, well policy, ethical legal issues involved documentation. Once final draft developed, reliability, validity evaluated. Six experienced one two centres Wales, invited take part stage Eighteen sessions observed video recorded tool. piloting included testing tool's comprehensiveness its ability sessions. Results: The information research descriptions ICF framework guide describing pathway follow if they Four themes, namely pre-rehabilitation, post-rehabilitation stages process, identified. Each theme had sub-themes. feedback from gather in-depth details these themes sub-themes. A valid, reliable acceptable setting developed using previous phases, literature review. results show newly has comprehensive very simple coding quick way. offers sufficiently structured method collect about sessions, tasks, positions, provided, adjuncts duration each task. Treatment packages (combinations interventions) investigated geometric process. showed records more organised compared SOAP notes completed same Conclusion: The outcome development new, This brought order rigour description characterise treatments, procedures physiotherapy, taking into account their multidimensionality respect content, purpose, intensity, duration, sequence, frequency other characteristics care provided. been improve patient facilitating accurate appropriate communication between physiotherapists, specialists. Developing settings will help professionals better practice role play multidisciplinary service.