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Darlow B1, Williams A2
1University of Otago, Wellington, Primary Health Care and General Practice, Wellington, New Zealand, 2Physiotherapy New Zealand, Wellington, New Zealand
Background: In 2015, the Physiotherapy New Zealand Professional Development Committee recognised that most professional development opportunities available to physiotherapists focused on technical skills or management of particular conditions, while few focused on developing the behaviours needed to provide person and whānau centred care. Whānau (a concept from indigenous Māori culture) are those to whom a person in a therapeutic or professional relationship with a physiotherapist relates, in terms of shared experiences, values and beliefs, and who are significant in that person's life.
Purpose: Develop a model of person and whānau centred care to encourage physiotherapists to include these values and behaviours in their professional practice and professional development plans.
Methods: An iterative inductive development framework was used. Initially, thematic analysis of existing published and grey literature was conducted. A reference group was formed, comprising physiotherapists from a range of interest groups and a consumer (from a consumer network). Vignettes describing situations in which physiotherapy care had gone well or poorly were collated from reference group members and a range of consumers. Fourteen vignettes were received and analysed thematically. Emergent themes from the vignettes and literature review were integrated to create a thematic model. Following reference group feedback, the draft model was revised and then subjected to wider consultation. The draft model was then reconceptualised and redesigned based on consultation feedback and further literature review. Further feedback was sought from the reference group and subject experts and the second version was refined. Formal consultation on this penultimate version was conducted with all Physiotherapy New Zealand members (n = 3687), consumers, consumer organisations, health policy and administration professionals, and academics. Stakeholders completed an anonymous electronic survey with quantitative and free-text response options. Additional written and verbal feedback was also accepted. Quantitative data were analysed descriptively; free-text data were analysed thematically.
Results: Electronic survey feedback was received from 127 people (114 physiotherapists; 7 consumers or consumer representatives; 6 academic, health policy or administration professionals), and additional feedback received from 7 others (3 physiotherapists; 1 consumer; and 3 professionals). The overall model was endorsed by 97% of physiotherapists and 100% of other stakeholders. The values, behaviours and system-level components included in the model were viewed as being central to providing person and whanau centred care by physiotherapists (99%, 98% and 93% respectively) and other stakeholders (100% agreement for each). Intentions to use the model were reported by 92% of physiotherapists. Free-text survey comments and additional feedback primarily endorsed the model and offered suggestions for improvement that were integrated into the final model.
Conclusion(s): A model of person and whānau centred care for physiotherapy in Aotearoa New Zealand was strongly endorsed by physiotherapists and other stakeholders.
Implications: The model of person and whānau centred care consists of four values that underpin person and whānau centred care (dignity, respect, empowerment and collaboration) and eleven behaviours through which those values are enacted. It also recognises five system-level components that physiotherapists should influence as able. Further work will develop competencies to empower physiotherapists to provide person and whānau centred care.
Keywords: Person centred care, Professional development, Professional practice
Funding acknowledgements: This work was supported by Physiotherapy New Zealand
Purpose: Develop a model of person and whānau centred care to encourage physiotherapists to include these values and behaviours in their professional practice and professional development plans.
Methods: An iterative inductive development framework was used. Initially, thematic analysis of existing published and grey literature was conducted. A reference group was formed, comprising physiotherapists from a range of interest groups and a consumer (from a consumer network). Vignettes describing situations in which physiotherapy care had gone well or poorly were collated from reference group members and a range of consumers. Fourteen vignettes were received and analysed thematically. Emergent themes from the vignettes and literature review were integrated to create a thematic model. Following reference group feedback, the draft model was revised and then subjected to wider consultation. The draft model was then reconceptualised and redesigned based on consultation feedback and further literature review. Further feedback was sought from the reference group and subject experts and the second version was refined. Formal consultation on this penultimate version was conducted with all Physiotherapy New Zealand members (n = 3687), consumers, consumer organisations, health policy and administration professionals, and academics. Stakeholders completed an anonymous electronic survey with quantitative and free-text response options. Additional written and verbal feedback was also accepted. Quantitative data were analysed descriptively; free-text data were analysed thematically.
Results: Electronic survey feedback was received from 127 people (114 physiotherapists; 7 consumers or consumer representatives; 6 academic, health policy or administration professionals), and additional feedback received from 7 others (3 physiotherapists; 1 consumer; and 3 professionals). The overall model was endorsed by 97% of physiotherapists and 100% of other stakeholders. The values, behaviours and system-level components included in the model were viewed as being central to providing person and whanau centred care by physiotherapists (99%, 98% and 93% respectively) and other stakeholders (100% agreement for each). Intentions to use the model were reported by 92% of physiotherapists. Free-text survey comments and additional feedback primarily endorsed the model and offered suggestions for improvement that were integrated into the final model.
Conclusion(s): A model of person and whānau centred care for physiotherapy in Aotearoa New Zealand was strongly endorsed by physiotherapists and other stakeholders.
Implications: The model of person and whānau centred care consists of four values that underpin person and whānau centred care (dignity, respect, empowerment and collaboration) and eleven behaviours through which those values are enacted. It also recognises five system-level components that physiotherapists should influence as able. Further work will develop competencies to empower physiotherapists to provide person and whānau centred care.
Keywords: Person centred care, Professional development, Professional practice
Funding acknowledgements: This work was supported by Physiotherapy New Zealand
Topic: Professional issues; Education: continuing professional development; Professionalism & ethics
Ethics approval required: No
Institution: University of Otago
Ethics committee: Human Ethics Committee
Reason not required: This project was exempt as it was a a quality assurance project that did not involve access to or collection of private, sensitive or health data
All authors, affiliations and abstracts have been published as submitted.
