Abstract
Background
The provision of early mobilisation to critically ill patients has the potential to
improve long term outcomes, but, is complex to deliver. There is minimal literature
detailing the training and expertise required to deliver these interventions safely
and effectively.
Objective
The objective of this study was to determine the key elements of a performance standard
for assessment of physiotherapists delivering exercise and mobilisation interventions
to the critically ill.
Method
This is a modified eDelphi expert consensus study. Fifty-one physiotherapists from
Australia and New Zealand with relevant clinical, educational, or research experience
were included on the expert panel. Background information and the initial pool of
items were developed from review of relevant literature. Five survey rounds were administered
across two study phases to determine the elements, performance criteria, and assessment
scale of the performance standard. Items were modified, amalgamated, and added based
upon panel comments.
Results
Consensus was achieved for 69 mandatory, and two supplementary performance criteria
which were arranged under 15 elements encompassing knowledge, assessment, analysis,
intervention, and professional behaviours. A 3-point rating scale was selected to
assess item achievement and global performance.
Conclusion
Binational expert consensus was reached to define the assessment criteria for physiotherapists
delivering exercise and mobilisation interventions to the critically ill. This standard
can be utilised in clinical, educational, and research practice environments to guide
training, assessment, and skill recognition in critical care physiotherapy.
Keywords
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Article info
Publication history
Published online: September 09, 2022
Accepted:
July 11,
2022
Received in revised form:
June 8,
2022
Received:
January 31,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
