DIFFERENCES BETWEEN INEXPERIENCED AND EXPERIENCED STAFF IN RISK MANAGEMENT COMPETENCIES IN ACUTE CARE HOSPITALS

T. Yoshida^1,2, H. Hori³, S. Hatakeyama⁴, M. Matsushita¹

¹Kansai University Graduate School, Department of General Informatics, Takatsuki, Japan, ²Kishiwada Tokushukai Hospital, Department of Rehabilitation, Kishiwada, Japan, ³Biwako Professional University of Rehabilitation, Faculty of Rehabilitation, Higashi-Omi, Japan, ⁴Hyogo Prefectural Amagasaki General Medical Center, Rehabilitation Department, Amagasaki, Japan

Background: Acute care hospitals handle various information due to integrating medical information and physiotherapy knowledge. Risk management is essential for autonomous care in acute care hospitals, and effective and efficient post-graduate education is required at hospitals. However, due to a lack of physiotherapy assessment items, there is concern that the inexperienced may overlook information and neglect risk management.

Purpose: Unilateral presentation of the necessary information and evaluation items may lead to a decline in Inexperienced' clinical reasoning ability. Therefore, To identify differences in the information gathering process between inexperienced and experienced to understand the appropriate areas of support for the inexperienced. In the future, Consider providing appropriate support before implementing ICT-based physiotherapy evaluation.

Methods: To understand the information collection process, 14 physiotherapists from 1-20 years (average 5,2 years) in an acute care hospital were asked to complete a 4-stage questionnaire on a simulated case of complex disease (postoperative right femoral neck fracture, previous stroke, and myocardial infarction). The first phase is to review the mock prescription and enumerate the items of information to be collected. The second phase is to present the selected information and enumerate additional necessary information. In the third phase, selected additional information was presented and the physiotherapy assessment was listed. In the fourth phase, the results of the selection evaluation were presented, and the participants were asked to answer the expected risks.
Information and the number of evaluation items were calculated for each phase from year 1 to year 20, correct answers were set for the above three diseases for risk, and the harmonic mean (F-value) of the reproducibility and the goodness-of-fit rate were obtained. Statistical analysis was performed using Spearman's rank correlation coefficient for the number of years of experience and each of the above items, and the number of fields of experience and each of the above items.

Results: No correlation was found between the number of years of experience and each item. A positive correlation was found between the number of fields of experience and the number of third-level physiotherapy evaluations (ρ=0.6, p<0.05) and the total number of all information collection items and physiotherapy evaluations (ρ=0.6, p<0.05), but no correlation was found for the risk F-value.

Conclusions: The number of physiotherapy evaluations and the number of information handled were more characteristic of the number of diseases than the number of years of experience. However, neither the number of years of experience nor the number of disease fields showed a correlation with the critical risk F-value, indicating that individual differences had a significant influence on the results.

Implications: Conclusions suggest that risk management is independent of years of experience. Although the number of evaluations tends to increase with experience in more disease areas, this does not directly correlate to risk management ability. Therefore, qualitative factors other than the number of evaluations may be influential, an issue that should be considered in the future.

Funding acknowledgements: I conducted this research using a research grant from the Department of Informatics, Kansai University Graduate School.

Keywords:
Risk Management
Clinical Education
Acute Care

Topics:
Education: clinical
Education: continuing professional development
Education: methods of teaching & learning

Did this work require ethics approval? No

Reason: The description of research not requiring ethical approval in the abstract guidelines for WCPT 2023 states that the study "addresses new and unique developments in practice, theory, education, management, policy, and resources." This study focuses on clinical education, and the subjects are physical therapists rather than users. In addition, the questionnaire did not fall under the approval of the ethics committee because it was not emotionally distressing and was in line with daily practice.