320 A National Survey Regarding Utilization of the Burn Therapist in the Operating Theater
Notice bibliographique
Résumé
Physical and Occupational Therapists (PT/OT) are experts in biomechanics and deliver care through various modalities including range of motion (ROM), mobility, positioning, and splinting. Burn therapists have enhanced knowledge and experience with cutaneokinematics and are an integral part of the burn multidisciplinary team. Traditional rehabilitation therapies are performed at the bedside or in an outpatient setting, but burn care offers different venues. The operating room (OR) provides opportunity to deliver burn specific therapist interventions. The purpose of this survey was to describe the current practices and opinions of burn therapists regarding their roles delivering therapy care in the OR. An internet-based 11-item survey was distributed to burn therapists at North American burn centers and units. Descriptive statistics were performed. There were 52 respondents, 79% of whom worked at verified burn centers. All regions were represented including Canada, with the majority coming from the Western Region (33%) followed by the Northeast Region (23%). Interventions in the OR were performed by 92% of respondents and included ROM (81%), splinting (79%), graft management (35%), positioning (31%), dressing changes (23%), and wound care (15%). Twenty one percent of respondents performed all activities. The majority (71%) of therapist surveyed did not assist with the transfer of patients in the OR nor the positioning of limbs for autografting (65%). Most therapists (95%) were able to have open dialogue with providers and 70% were able to request procedural sedation and/or sedation vacation for therapy interventions. While 90% of respondents felt that it was beneficial to be in the OR, 35% did identify cost as a concern governing therapy time and availability in the OR. Encouragingly, 92% of respondents indicated involvement in the operative environment. More than half of respondents indicate involvement in range of motion and splinting. Interestingly, substantially fewer respondents indicated performing patient positioning or positioning for graft management. Our survey results suggest that while the majority of burn therapist respondents are extending the multidisciplinary model of care into the OR, they are typically delivering traditional therapy modalities when in the operating theater. Further research is warranted to explore variables contributing to this phenomenon. While burn therapists who responded to our survey are routinely involved in the OR, their knowledge of cutaneokinematics and biomechanics may not be fully utilized in the operative environment.
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».