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• W4212987429 abstract "Keywords: Improves clinical knowledge and EBP Purpose: The purpose was to explore if having APPs and community physiotherapists co-locating improves: the implementation of EBP, knowledge and clinical reasoning, awareness of useful clinical networks, relationships within the teams and job satisfaction? Methods: Weekly in service training delivered remotely by Microsoft Teams (due to COVID-19) covering assessment, diagnosis and management underpinned by EBP. Discussions around the use of audits and how this may change clinical pathways and improve practice. Reviewing relevant journals and discussions on the local ‘Evidence into Practice Groups’ as a source of where to go for the latest evidence and develop clinical questions. Clinicians provided reflective feedback to show how the pilot was impacting on their practice. The STarT Back Approach was used as an outcome measure to demonstrate evidence into practice. This approach has been shown to be clinically and cost effective method of treating patients with low back pain. It is not routinely used across MPFT physiotherapy departments in the North division and therefore the outcomes were compared to a site that was not involved in the co-locating pilot. A Bespoke training package on the STarT Back Approach was delivered to the pilot site with external speakers from Keele University, IMPACT team (Biopsychosocial approach to management of back pain), Consultant in pain medicine, Activity Coordinator, GP and a Peer support worker on the management of low back pain. Results: Implementation STarT Back Approach: 100% of staff at the pilot site received training and used the tool on all patients with low back pain compared to 31.5% at comparative site. 100% of the medium risk patients at the pilot site were offered follow up compared to 87.5% at comparative site. Psychologically informed treatment was offered to 60% of high risk patients at the pilot site compared to 33.3% at comparative site. Reflective feedback from physiotherapists demonstrating: Improved job satisfaction “My Job satisfaction in regards to personal and team development has improved massively, having the support of more experienced colleagues has been immense” Improved knowledge and skills “Having regular input and better communication links with APPs has improved my knowledge and skills of assessing these pts and has directed the patient into the correct care pathway” Improved use of EBP “Had a patient with a subacute meniscal tear no locking, paid for his own MRI scan privately. I felt much more confident in telling him the evidence of treatment for this with physio and await natural recovery. Thank you, this is what the integration is all about.” Conclusion(s): Sharing knowledge and clinical expertise is key to transforming and improving services and making best use of resources. Co-locating APPs with physiotherapists improves clinical knowledge, helps embeds EBP, improves job satisfaction and ultimately will improve patient care. Impact: This work provides evidence that co-locating of APPs within physiotherapy departments improves clinical practice on a number of levels. These findings should transform how the MSK physiotherapy services across MPFT utilise APPs in the future to ensure evidence based and cost effective care is delivered. Funding acknowledgements: Not funded." @default.
• W4212987429 created "2022-02-24" @default.
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• W4212987429 date "2022-02-01" @default.
• W4212987429 modified "2023-09-27" @default.
• W4212987429 title "A pilot to explore if of co-locating Advanced Practice Physiotherapists with Physiotherapists improves clinical knowledge and evidence based practice" @default.
• W4212987429 doi "https://doi.org/10.1016/j.physio.2021.12.191" @default.
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