Hi all I am new here and hope that this is posted in the right section! I have worked for the NHS in a Band 4 clinical role (non nursing) for the last 18 months. In that time I have come into contact with healthcare professionals of all types. My interactions have confused me...a lot! I have had NP's/ANP's/Specialist Nurses telling me that they know as much as Dr's, can do anything a Dr can and they can prescribe any drug. If this was the view of a single NP/ANP/SN then I would balance that view against the views of the others. However, every NP/ANP/SN held the same view. I have also had Specialist Paramedics/Advanced Paramedics tell me that at the scene of incidents they can do everything a Dr can. Then there is the introduction of PA's and the recent discussion that, in order to address the GP crisis, PA's will be introduced to General Practice. Whilst I haven't come into contact with any PA's, I have read their views on forums. They believe that because they come from nursing, paramedic, physiotherapy backgrounds and because they have completed further training, they are as knowledgeable as a Dr and that they are able to do everything a Dr can, including prescribing. All of the above believe that they hold the autonomy for their decisions, that they don't 'answer' to Dr's, and that in reality their roles/decisions are not overseen by Dr's. I have applied to Medicine but have started to wonder whether Dr's have a future with the increased introduction of these roles....
Conclusion Visual estimation had excellent intra-rater reliability in the assessment of neck active rotation and head tilt on infants with congenital muscular torticollis. Visual estimation had acceptable inter-rater reliability in the assessment of neck active rotation but not of head tilt. There was a wide variation in reliability with no correlation between reliability and clinical experience. Assessment tools for head tilt that are more psychometrically robust should be developed.What is Known:• A thorough assessment of infants presenting with torticollis is essential, using assessment tools with robust psychometr...
Conclusion: It appears that the knee OA pain and disability can be decreased after a dual-frequency LLLT applied to acupoints (SP9, SP10, and EX-LE2). The clinical efficacy of LLLT is highly related to the therapeutic settings of the laser apparatus; hence, more clinical trials with diffident parameter settings are needed to be further clarified. PMID: 33029170 [PubMed]
Conclusion. Approximately one in three patients with LSS experience a poor clinical outcome consistent with surgical non-response. Demographic, health, and clinical factors were more predictive of clinical outcome than surgery-related factors. These predictors may assist surgeons with patient selection and inform shared decision-making for patients with symptomatic LSS. Level of Evidence: 2
CONCLUSION: DN is effective in improving hamstring flexibility compared with SS. One session of DN can be an effective treatment for hamstring tightness and increase hamstring flexibility. The improvements suggest that DN is a novel treatment for hamstring flexibility. PMID: 33027765 [PubMed - as supplied by publisher]
ConclusionsThe results suggest an overall positive response to EMR implementation. Minimal staff reported effects such as stress or anxiety in the workplace related to EMR implementation, and a perception of 'comfort' was cited once EMR was part of usual practice. However, responders did not report a significant effect on speed, efficiency or quality of patient care following EMR implementation.What is known about the topic?A growing body of literature exists regarding the perceptions of staff (particularly medical officers) in moving towards EMRs, but there is limited evidence regarding the perceptions of AHPs, and the ba...
ConclusionsService provision, support and pessary training in the UK vary greatly. This calls for the standardisation of care, training and development of a national guideline. We present a clear rationale and need for a UK guideline on pessary management of vaginal prolapse and a standardised pessary training model for multi-professional use.
Publication date: Available online 6 October 2020Source: Journal of PhysiotherapyAuthor(s): Pek Ling Teo, Kim L Bennell, Belinda J Lawford, Thorlene Egerton, Krysia S Dziedzic, Rana S Hinman
Publication date: Available online 6 October 2020Source: Journal of PhysiotherapyAuthor(s): Nia Luxton, Julie Redfern
Conclusion: Our findings show how the women explain their recovery in terms of overcoming fear of movement, making sense of their symptoms and becoming more active in everyday life. The close analysis reveals a recovery narrative portraying a complex and ambiguous process consisting of small dramas about the efforts trying to rebuild a meaningful life. PMID: 33026930 [PubMed - as supplied by publisher]