Principles to guide sustainable implementation of extended-scope-of-practice physiotherapy workforce redesign initiatives in Australia: Stakeholder perspectives, barriers, supports, and incentives

Morris, J, Grimmer, K, Gilmore, L, Perera, C, Waddingont, G, Kyle, Greg, Ashman, B, & Murphy, K (2014) Principles to guide sustainable implementation of extended-scope-of-practice physiotherapy workforce redesign initiatives in Australia: Stakeholder perspectives, barriers, supports, and incentives. Journal of Multidisciplinary Healthcare, 7, pp. 249-258.

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Abstract

Sustainable implementation of new workforce redesign initiatives requires strategies that minimize barriers and optimize supports. Such strategies could be provided by a set of guiding principles. A broad understanding of the concerns of all the key stakeholder groups is required before effective strategies and initiatives are developed. Many new workforce redesign initiatives are not underpinned by prior planning, and this threatens their uptake and sustainability. This study reports on a cross-sectional qualitative study that sought the perspectives of representatives of key stakeholders in a new workforce redesign initiative (extended-scope-of-practice physiotherapy) in one Australian tertiary hospital. The key stakeholder groups were those that had been involved in some way in the development, management, training, funding, and/or delivery of the initiative. Data were collected using semistructured questions, answered individually by interview or in writing. Responses were themed collaboratively, using descriptive analysis. Key identified themes comprised: the importance of service marketing; proactively addressing barriers; using readily understood nomenclature; demonstrating service quality and safety, monitoring adverse events, measuring health and cost outcomes; legislative issues; registration; promoting viable career pathways; developing, accrediting, and delivering a curriculum supporting physiotherapists to work outside of the usual scope; and progression from "a good idea" to established service. Health care facilities planning to implement new workforce initiatives that extend scope of usual practice should consider these issues before instigating workforce/model of care changes. © 2014 Morris et al.

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ID Code: 91691
Item Type: Journal Article
Refereed: No
Keywords: career mobility, cross-sectional study, extended scope of practice, good clinical practice, health care quality
DOI: 10.2147/JMDH.S59473
ISSN: 1178-2390
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Past > Schools > Pharmacy
Copyright Owner: Creative Commons Attribution - Non Commercial (unported, v3.0) License
Copyright Statement: Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
Deposited On: 11 Jan 2016 02:02
Last Modified: 11 Jan 2016 23:46

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