Dr Clare Killingback C.Killingback@hull.ac.uk
Senior Lecturer in Physiotherapy
Transitions from healthcare to self-care: a qualitative study of falls service practitioners' views on self-management
Killingback, Clare; Thompson, Mark A.; Chipperfield, Sarah; Clark, Carol; Williams, Jonathan
Authors
Mark A. Thompson
Dr Sarah Chipperfield S.R.Chipperfield@hull.ac.uk
Senior Lecturer in Physiotherapy
Carol Clark
Jonathan Williams
Abstract
Purpose
The aim of this study was to understand the views of falls service practitioners regarding: their role in supporting self-management of falls prevention; and a transition pathway from National Health Service (NHS) exercise-based falls interventions to community-run exercise programmes.
Method
Semi-structured interviews were conducted with physiotherapists, nurses, and rehabilitation assistants (n = 8) who worked in an NHS falls service. Data were analysed using thematic analysis.
Results
Certain aspects of supporting patients in self-management were deemed to be within or beyond the scope of falls service practitioners. Challenges in supporting transition to community-run programmes included: practitioner awareness and buy in; patient buy in; and patient suitability/programme availability.
Conclusion
Practitioners sought to be patient-centred as a means to engage patients in self-management of falls prevention exercises. Time-limited intervention periods and waiting list pressures were barriers to the promotion of long-term self-management approaches. A disconnect between falls service interventions and community-run programmes hindered willing practitioners from supporting patients in transitioning. Unless falls risk and prevention is seen by healthcare providers as a long-term condition which requires person-centred support from practitioners to develop self-management approaches, then falls services may only be able to offer short-term measures which are potentially not long lasting.
Citation
Killingback, C., Thompson, M. A., Chipperfield, S., Clark, C., & Williams, J. (2022). Transitions from healthcare to self-care: a qualitative study of falls service practitioners' views on self-management. Disability and Rehabilitation, 44(12), 2683-2690. https://doi.org/10.1080/09638288.2020.1849423
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 6, 2020 |
Online Publication Date | Nov 19, 2020 |
Publication Date | 2022 |
Deposit Date | Dec 3, 2020 |
Publicly Available Date | Nov 20, 2021 |
Journal | Disability and Rehabilitation |
Print ISSN | 0963-8288 |
Electronic ISSN | 1464-5165 |
Publisher | Taylor and Francis |
Peer Reviewed | Peer Reviewed |
Volume | 44 |
Issue | 12 |
Pages | 2683-2690 |
DOI | https://doi.org/10.1080/09638288.2020.1849423 |
Keywords | Self-management; Falls prevention; Falls service; Patient-centred care; Physiotherapists; Rehabilitation assistants; Nurses; Community exercise programmes |
Public URL | https://hull-repository.worktribe.com/output/3664918 |
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©2020 The authors. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder
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