Drivers and Barriers to the Development of Musculoskeletal Advanced Physiotherapy Practitioner Roles in New Zealand.

Faced with the burden of musculoskeletal care in New Zealand, this study explores 19 participants' views on the drivers and barriers to developing musculoskeletal advanced physiotherapy practitioner (APP) roles in New Zealand. An exploratory case study methodology was applied, and semi-structured in...

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Publicado en:New Zealand Journal of Physiotherapy Vol. 51; no. 2; pp. 125 - 138
Autores principales: Naik, Leena, Reid, Duncan, White, Steve, Neville, Stephen
Formato: protocol research tables/charts Journal Article
Publicado: Physiotherapy New Zealand Inc. Jul2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2023
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      pub: Physiotherapy New Zealand Inc.
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        atl: Drivers and Barriers to the Development of Musculoskeletal Advanced Physiotherapy Practitioner Roles in New Zealand.
      aug:
        au:
          Naik, Leena
          Reid, Duncan
          White, Steve
          Neville, Stephen
        affil: Te Whatu Ora (Waitematā), Auckland, New Zealand
      sug:
        subj:
          Health Services Accessibility
          Professional Development Evaluation
          Musculoskeletal Diseases Rehabilitation
          Physical Therapists Evaluation
          Professional Role Evaluation
          Human
          New Zealand
          Exploratory Research
          Semi-Structured Interview
          Purposive Sample
          Content Analysis
          Interprofessional Relations
          Qualitative Studies
          Reflexivity (Research)
          Workforce
          Professional Recognition
          Personnel Shortage
      ab: Faced with the burden of musculoskeletal care in New Zealand, this study explores 19 participants' views on the drivers and barriers to developing musculoskeletal advanced physiotherapy practitioner (APP) roles in New Zealand. An exploratory case study methodology was applied, and semi-structured interviews were conducted as one of the multiple data sources. A purposive sampling strategy was used. Data were analysed using qualitative content analysis. This publication primarily focuses on the results of the semi-structured interviews. The results of this research identify unique drivers for the APP role development in the New Zealand context, such as surgeon engagement, legislative requirements, and profession-led issues, in addition to global drivers. Interviewees identified that the barriers relate to New Zealand's dual healthcare system and its nuances that impact patients and physiotherapists. Additional barriers include a lack of title and recognition, funding and career pathway, training, and inter-professional and intraprofessional barriers. This research explores the reasons for the limited uptake of APP roles in the New Zealand context despite strong drivers. Interviewees advocate the development of APP roles as first-contact practitioners for patients presenting with musculoskeletal complaints to improve patient journey, streamline services, and provide timely, effective, and efficient care. They recommend that APP roles are tailored to meet New Zealand's unique healthcare drivers.
      pubtype: Academic Journal
      doctype:
        protocol
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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