Background
Methods
Design
Participants and setting
Materials
Procedure
Survey
Focus groups
Analysis
Number (%) | |
---|---|
Total respondents | n = 112 (100%) |
Gender - Female | 94 (83.9%) |
Age | |
20-29 years | 58 (51.8%) |
30-39 years | 31 (27.7%) |
> 40 years | 23 (20.5%) |
Years of clinical practice | |
0- 4 years | 39 (34.8%) |
5- 9 years | 32 (28.6%) |
>10 years | 41 (36.6%) |
Clinical setting | |
Hospital* | 69 (61.6%) |
Non Hospital ** | 43 (38.4%) |
Position type | |
Rotates to different clinical areas | 52 (46.4%) |
Static position | 60 (53.6%) |
Employment status | |
Full time (≥38 hours/week) | 92 (82.1%) |
Part time | 20 (17.9%) |
Departmental or Organisational | Work load & work allocation | Work Practices | Work Environment & Equipment | Physical Condition or Capacity | Education and Training |
---|---|---|---|---|---|
Factors relating to how a department or organisation is run
|
Factors relating to how the work is distributed & how staff manage their workload
s
|
Factors relating to how the work is actually performed
|
Factors relating to the physical environment and resources
|
Factors relating to an individual's physical capacity & what is required to maintain this
|
Factors relating to education and training
|
1. Rotational positions | 1. Taking sufficient breaks | 1. Use of therapy assistants | 1. Availability of equipment | 1. Own physical fitness & condition | 1. Manual handling training |
2. Appropriate staffing levels | 2. Management of workload | 2. Modification of treatment techniques | 2. Having appropriate equipment | 2. Access to health & fitness facilities | 2. General competencies & training |
3. Appropriate workloads | 3. Appropriate workload | 3. Applying ergonomic principles | 3. Modifying clinical environment or setup | 3. Work based fitness & conditioning | 3. Professional development |
4. Encourage staff health & fitness | 4. Mixed patient caseload | 4. Use of equipment | 4. Modifying work station setup | 4. Capacity to self manage | 4. Training in use of equipment |
5. Availability of staffing | 5. Inclusion of non clinical tasks | 5. Modification of treatment approach | 5. Storage of equipment | 5. Staff exercise classes | |
6. Provision of Injury management strategies | 6. Sharing of workloads | 6. Avoiding particular tasks or activities | 6. Maintenance of equipment | 6. Early treatment | |
7. Opportunities for change of role | 7. Pacing of work activities | 7. Application of manual handling skills | 7. Mechanisms to transport equipment | 7. Private physiotherapy treatment | |
8. Funding & resources | 8. Assistance of other therapists | 8. Consultation for equipment purchase & acquisition | 8. Fit for job assessments | ||
9. Culture of injury reporting culture | 9. Appropriate vehicles | ||||
10. Appropriate employer & consumer expectations | |||||
11. Part time positions | |||||
12. Sick leave cover | |||||
13. Mixed/split rotations | |||||
14. Management of rostered overtime | |||||
15. Team building |
Departmental or Organisational | Work load & work allocation | Work Practices | Work Environment & Equipment | Physical Condition or Capacity | Education and Training |
---|---|---|---|---|---|
Factors relating to how a department or organisation is run
|
Factors relating to how the work is distributed & how staff manage their workload
s
|
Factors relating to how the work is actually performed
|
Factors relating to the physical environment and resources
|
Factors relating to an individual's physical capacity & what is required to maintain this
|
Factors relating to education and training
|
"Being able to rotate from a heavier to a lighter work area..." | "...reduce caseloads to reduce incidence of performing tasks with a poor technique due to inadequate time." | "...vigilant in using good body mechanics." | "...appropriate equipment used appropriately." | "...identify pain or discomfort early and seek treatment" | "...staff educator to provide 'expert' advice for handling of complex patients." |
"Various project roles give me a break form patient contact." | "...avoid allocating many similar patient types and activities to one person." | "...modified manual techniques to reduce stress on thumbs & wrists." | "Spend more time setting up environment..." | "Annual fitness assessments for physically demanding roles..." | "Ensure adequate training of new staff..." |
"...encourage reporting of aches and pains" | "...workload is often too large that breaks get missed regularly." | "Use of a second person to help with patient handling..." | "We need more space around beds so you do not have to put body in obscure positions to manoeuvre around furniture and attachments (IV poles etc.)" | "Mandatory physical fitness activities during work time..." | "Update of knowledge on how to use equipment appropriately..." |
"...being able to work reduced hours by one day per week" | "Reduce the amount of time doing repetitive tasks..." | "...avoid the activity..." | ".Maintaining equipment in optimal working order..." | "...regular holidays to give me a break!" | "...to assist in developing specialised skills and techniques to perform tasks required." |
"...ensure therapists aren't forced to work overtime due to unrealistic heavy caseloads." | "Allow time for non clinical tasks to balance out clinical tasks..." | "...make clients use more self management approaches to rehabilitation." | "Provision of station wagons for carrying equipment on home visits..." | "...exercise regularly to maintain strength and flexibility." | "Training in joint protection strategies..." |