Capacity-building in clinical skills of rehabilitation workforce in low- and middle-income countries.
Identifieur interne : 001022 ( Main/Exploration ); précédent : 001021; suivant : 001023Capacity-building in clinical skills of rehabilitation workforce in low- and middle-income countries.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Wouter De Groote ; Mayowa Owolabi ; Ilyas M. Syed ; Abderrazak Hajjoui ; Muhammad N. Babur ; Tahir M. Sayed ; Yvonne Frizzell ; Amaramalar S. Naicker ; Maryam Fourtassi ; Alaeldin Elmalik ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Renforcement des capacités.
- normes : Compétence clinique.
- rééducation et réadaptation : Personnes handicapées.
- Adulte, Femelle, Humains, Mâle, Pauvreté, Projets pilotes, Études transversales, Évaluation de l'invalidité.
English descriptors
- KwdEn :
- MESH :
- methods : Capacity Building.
- rehabilitation : Disabled Persons.
- standards : Clinical Competence.
- Adult, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Male, Pilot Projects, Poverty.
Abstract
OBJECTIVE
Despite the prevalence of disability in low-and middle-income countries, the clinical skills of the rehabilitation workforce are not well described. We report health professionals' perspectives on clinical skills in austere settings and identify context-specific gaps in workforce capacity.
METHODS
A cross-sectional pilot survey (Pakistan, Morocco, Nigeria, Malaysia) of health professionals' working in rehabilitation in hospital and community settings. A situational-analysis survey captured assessment of clinical skills required in various rehabilitation settings. Responses were coded in a line-by-line process, and linked to categories in domains of the International Classification of Functioning, Disability and Health (ICF).
RESULTS
Respondents (n = 532) from Pakistan 248, Nigeria 159, Morocco 93 and Malaysia 32 included the following: physiotherapists (52.8%), nurses (8.8%), speech (5.3%) and occupational therapists (8.5%), rehabilitation physicians (3.8%), other doctors (5.5%) and prosthetist/orthotists (1.5%). The 10 commonly used clinical skills reported were prescription of: physical activity, medications, transfer-techniques, daily-living activities, patient/carer education, diagnosis/screening, behaviour/cognitive interventions, comprehensive patient-care, referrals, assessments and collaboration. There was significant overlap in skills listed irrespective of profession. Most responses linked with ICF categories in activities/participation and personal factors.
CONCLUSION
The core skills identified reflect general rehabilitation practice and a task-shifting approach, to address shortages of health workers in low-and middle-income countries.
DOI: 10.2340/16501977-2313
PubMed: 29487941
Affiliations:
Links toward previous steps (curation, corpus...)
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Syed</name></author><author><name sortKey="Hajjoui, Abderrazak" sort="Hajjoui, Abderrazak" uniqKey="Hajjoui A" first="Abderrazak" last="Hajjoui">Abderrazak Hajjoui</name></author><author><name sortKey="Babur, Muhammad N" sort="Babur, Muhammad N" uniqKey="Babur M" first="Muhammad N" last="Babur">Muhammad N. Babur</name></author><author><name sortKey="Sayed, Tahir M" sort="Sayed, Tahir M" uniqKey="Sayed T" first="Tahir M" last="Sayed">Tahir M. Sayed</name></author><author><name sortKey="Frizzell, Yvonne" sort="Frizzell, Yvonne" uniqKey="Frizzell Y" first="Yvonne" last="Frizzell">Yvonne Frizzell</name></author><author><name sortKey="Naicker, Amaramalar S" sort="Naicker, Amaramalar S" uniqKey="Naicker A" first="Amaramalar S" last="Naicker">Amaramalar S. Naicker</name></author><author><name sortKey="Fourtassi, Maryam" sort="Fourtassi, Maryam" uniqKey="Fourtassi M" first="Maryam" last="Fourtassi">Maryam Fourtassi</name></author><author><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29487941</idno><idno type="pmid">29487941</idno><idno type="doi">10.2340/16501977-2313</idno><idno type="wicri:Area/Main/Corpus">000F46</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000F46</idno><idno type="wicri:Area/Main/Curation">000F46</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000F46</idno><idno type="wicri:Area/Main/Exploration">000F46</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Capacity-building in clinical skills of rehabilitation workforce in low- and middle-income countries.</title><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne, Victoria 3052, Australia. fary.khan@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne, Victoria 3052</wicri:regionArea><wicri:noRegion>Victoria 3052</wicri:noRegion></affiliation></author><author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name></author><author><name sortKey="De Groote, Wouter" sort="De Groote, Wouter" uniqKey="De Groote W" first="Wouter" last="De Groote">Wouter De Groote</name></author><author><name sortKey="Owolabi, Mayowa" sort="Owolabi, Mayowa" uniqKey="Owolabi M" first="Mayowa" last="Owolabi">Mayowa Owolabi</name></author><author><name sortKey="Syed, Ilyas M" sort="Syed, Ilyas M" uniqKey="Syed I" first="Ilyas M" last="Syed">Ilyas M. Syed</name></author><author><name sortKey="Hajjoui, Abderrazak" sort="Hajjoui, Abderrazak" uniqKey="Hajjoui A" first="Abderrazak" last="Hajjoui">Abderrazak Hajjoui</name></author><author><name sortKey="Babur, Muhammad N" sort="Babur, Muhammad N" uniqKey="Babur M" first="Muhammad N" last="Babur">Muhammad N. Babur</name></author><author><name sortKey="Sayed, Tahir M" sort="Sayed, Tahir M" uniqKey="Sayed T" first="Tahir M" last="Sayed">Tahir M. Sayed</name></author><author><name sortKey="Frizzell, Yvonne" sort="Frizzell, Yvonne" uniqKey="Frizzell Y" first="Yvonne" last="Frizzell">Yvonne Frizzell</name></author><author><name sortKey="Naicker, Amaramalar S" sort="Naicker, Amaramalar S" uniqKey="Naicker A" first="Amaramalar S" last="Naicker">Amaramalar S. Naicker</name></author><author><name sortKey="Fourtassi, Maryam" sort="Fourtassi, Maryam" uniqKey="Fourtassi M" first="Maryam" last="Fourtassi">Maryam Fourtassi</name></author><author><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Capacity Building (methods)</term><term>Clinical Competence (standards)</term><term>Cross-Sectional Studies (MeSH)</term><term>Disability Evaluation (MeSH)</term><term>Disabled Persons (rehabilitation)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Pilot Projects (MeSH)</term><term>Poverty (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Compétence clinique (normes)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Pauvreté (MeSH)</term><term>Personnes handicapées (rééducation et réadaptation)</term><term>Projets pilotes (MeSH)</term><term>Renforcement des capacités (méthodes)</term><term>Études transversales (MeSH)</term><term>Évaluation de l'invalidité (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Capacity Building</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Renforcement des capacités</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Compétence clinique</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Disabled Persons</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Personnes handicapées</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Clinical Competence</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Male</term><term>Pilot Projects</term><term>Poverty</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pauvreté</term><term>Projets pilotes</term><term>Études transversales</term><term>Évaluation de l'invalidité</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Despite the prevalence of disability in low-and middle-income countries, the clinical skills of the rehabilitation workforce are not well described. We report health professionals' perspectives on clinical skills in austere settings and identify context-specific gaps in workforce capacity.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A cross-sectional pilot survey (Pakistan, Morocco, Nigeria, Malaysia) of health professionals' working in rehabilitation in hospital and community settings. A situational-analysis survey captured assessment of clinical skills required in various rehabilitation settings. Responses were coded in a line-by-line process, and linked to categories in domains of the International Classification of Functioning, Disability and Health (ICF).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Respondents (n = 532) from Pakistan 248, Nigeria 159, Morocco 93 and Malaysia 32 included the following: physiotherapists (52.8%), nurses (8.8%), speech (5.3%) and occupational therapists (8.5%), rehabilitation physicians (3.8%), other doctors (5.5%) and prosthetist/orthotists (1.5%). The 10 commonly used clinical skills reported were prescription of: physical activity, medications, transfer-techniques, daily-living activities, patient/carer education, diagnosis/screening, behaviour/cognitive interventions, comprehensive patient-care, referrals, assessments and collaboration. There was significant overlap in skills listed irrespective of profession. Most responses linked with ICF categories in activities/participation and personal factors.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The core skills identified reflect general rehabilitation practice and a task-shifting approach, to address shortages of health workers in low-and middle-income countries.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29487941</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>08</Day></DateCompleted><DateRevised><Year>2018</Year><Month>06</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>50</Volume><Issue>5</Issue><PubDate><Year>2018</Year><Month>May</Month><Day>08</Day></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Capacity-building in clinical skills of rehabilitation workforce in low- and middle-income countries.</ArticleTitle><Pagination><MedlinePgn>472-479</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-2313</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Despite the prevalence of disability in low-and middle-income countries, the clinical skills of the rehabilitation workforce are not well described. We report health professionals' perspectives on clinical skills in austere settings and identify context-specific gaps in workforce capacity.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional pilot survey (Pakistan, Morocco, Nigeria, Malaysia) of health professionals' working in rehabilitation in hospital and community settings. A situational-analysis survey captured assessment of clinical skills required in various rehabilitation settings. Responses were coded in a line-by-line process, and linked to categories in domains of the International Classification of Functioning, Disability and Health (ICF).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Respondents (n = 532) from Pakistan 248, Nigeria 159, Morocco 93 and Malaysia 32 included the following: physiotherapists (52.8%), nurses (8.8%), speech (5.3%) and occupational therapists (8.5%), rehabilitation physicians (3.8%), other doctors (5.5%) and prosthetist/orthotists (1.5%). The 10 commonly used clinical skills reported were prescription of: physical activity, medications, transfer-techniques, daily-living activities, patient/carer education, diagnosis/screening, behaviour/cognitive interventions, comprehensive patient-care, referrals, assessments and collaboration. There was significant overlap in skills listed irrespective of profession. Most responses linked with ICF categories in activities/participation and personal factors.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The core skills identified reflect general rehabilitation practice and a task-shifting approach, to address shortages of health workers in low-and middle-income countries.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne, Victoria 3052, Australia. fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>de Groote</LastName><ForeName>Wouter</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Owolabi</LastName><ForeName>Mayowa</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Syed</LastName><ForeName>Ilyas M</ForeName><Initials>IM</Initials></Author><Author ValidYN="Y"><LastName>Hajjoui</LastName><ForeName>Abderrazak</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Babur</LastName><ForeName>Muhammad N</ForeName><Initials>MN</Initials></Author><Author ValidYN="Y"><LastName>Sayed</LastName><ForeName>Tahir M</ForeName><Initials>TM</Initials></Author><Author ValidYN="Y"><LastName>Frizzell</LastName><ForeName>Yvonne</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Naicker</LastName><ForeName>Amaramalar S</ForeName><Initials>AS</Initials></Author><Author ValidYN="Y"><LastName>Fourtassi</LastName><ForeName>Maryam</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Elmalik</LastName><ForeName>Alaeldin</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary P</ForeName><Initials>MP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Rehabil Med</MedlineTA><NlmUniqueID>101088169</NlmUniqueID><ISSNLinking>1650-1977</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057191" MajorTopicYN="N">Capacity Building</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004185" MajorTopicYN="Y">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011203" MajorTopicYN="N">Poverty</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>3</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29487941</ArticleId><ArticleId IdType="doi">10.2340/16501977-2313</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name><name sortKey="Babur, Muhammad N" sort="Babur, Muhammad N" uniqKey="Babur M" first="Muhammad N" last="Babur">Muhammad N. Babur</name><name sortKey="De Groote, Wouter" sort="De Groote, Wouter" uniqKey="De Groote W" first="Wouter" last="De Groote">Wouter De Groote</name><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name><name sortKey="Fourtassi, Maryam" sort="Fourtassi, Maryam" uniqKey="Fourtassi M" first="Maryam" last="Fourtassi">Maryam Fourtassi</name><name sortKey="Frizzell, Yvonne" sort="Frizzell, Yvonne" uniqKey="Frizzell Y" first="Yvonne" last="Frizzell">Yvonne Frizzell</name><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Hajjoui, Abderrazak" sort="Hajjoui, Abderrazak" uniqKey="Hajjoui A" first="Abderrazak" last="Hajjoui">Abderrazak Hajjoui</name><name sortKey="Naicker, Amaramalar S" sort="Naicker, Amaramalar S" uniqKey="Naicker A" first="Amaramalar S" last="Naicker">Amaramalar S. Naicker</name><name sortKey="Owolabi, Mayowa" sort="Owolabi, Mayowa" uniqKey="Owolabi M" first="Mayowa" last="Owolabi">Mayowa Owolabi</name><name sortKey="Sayed, Tahir M" sort="Sayed, Tahir M" uniqKey="Sayed T" first="Tahir M" last="Sayed">Tahir M. Sayed</name><name sortKey="Syed, Ilyas M" sort="Syed, Ilyas M" uniqKey="Syed I" first="Ilyas M" last="Syed">Ilyas M. Syed</name></noCountry><country name="Australie"><noRegion><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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