Browsing by Author "Smith, Heather"

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    Outlooks and Opinions of Practicing Physical Therapists Regarding Direct Access in Indiana
    (Office of the Vice Chancellor for Research, 2010-04-09) Holder, Bethany; Strunk, Valerie; Smith, Heather; White, Erica; Schlabach, Renee; Robinson, Toni; Heighway, James; Dreibelis, Kristin; Bayliss, Amy
    Introduction: Indiana is one of the remaining states that requires by state law a referral to initiate treatment by a licensed physical therapist (PT) and therefore does not allow consumers direct access to physical therapy services. In 2009, the Indiana Chapter of the American Physical Therapy Association (APTA) and Indiana University jointly funded a study to investigate the opinions of licensed physical therapists on direct access to physical therapy services. Purpose: The study investigated physical therapists opinions residing in the state of Indiana on four main issues: Direct access—desire for and willingness to achieve Scope of care—differential diagnosis and clinical skills Liability—perceived impact of direct access Manipulation practices—competence and confidence Methods: The researchers used an online program, SurveyMonkey©, to design an 18-question survey. The sample was recruited via a mailing list from the Indiana State Board of Health which included all the licensed physical therapists within the state of Indiana. A letter explaining the purpose of the study including a hyperlink to the survey and a hard copy of the survey was mailed to 3,350 physical therapists. The survey respondents could either choose to complete the survey online via the hyperlink or on the hard copy provided and return via a provided selfaddressed stamped envelope for survey return. Results: There were 1,379 respondents which accounted for a 42% return rate. APTA membership was analyzed with 39.5% of the respondents being APTA members and the remaining 60.5% being non-members. The collective responses to specific questions were reported by a five-level Likert response scale. The majority of respondents want direct access in the state of Indiana, with the average response being 4.13/5.00. However, proportionately the willingness of respondents to be actively involved is much lower, with the average response being 3.23/5.00. The majority (61%) believed their liability would increase with direct access. The terminal degrees for the respondents surveyed were varied with the majority, 48.6%, holding a Bachelor’s degree. The responses of participants were significantly influenced by their degree/level of training with higher levels of training being consistently associated with more favorable attitudes to direct access issues. Discussion /Clinical Relevance: The high return rate and passionate responses confirm these issues are important to PT’s practicing in Indiana and the majority of those surveyed are in favor of direct access to physical therapy services without compromise of the current scope of care. The results of this study may have implications for health policy regarding direct access to physical therapy services within the state of Indiana. In particular to help redirect efforts toward dispelling myths, promoting grassroots efforts and encouraging teamwork in our peers.
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    Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic: A Multicenter Cross-Sectional North American Survey
    (Wolters Kluwer, 2022) Burns, Karen E.A.; Moss, Marc; Lorens, Edmund; Jose, Elizabeth Karin Ann; Martin, Claudio M.; Viglianti, Elizabeth M.; Fox-Robichaud, Alison; Mathews, Kusum S.; Akgun, Kathleen; Jain, Snigdha; Gershengorn, Hayley; Mehta, Sangeeta; Han, Jenny E.; Martin, Gregory S.; Liebler, Janice M.; Stapleton, Renee D.; Trachuk, Polina; Vranas, Kelly C.; Chua, Abigail; Herridge, Margaret S.; Tsang, Jennifer L.Y.; Biehl, Michelle; Burnham, Ellen L.; Chen, Jen-Ting; Attia, Engi F.; Mohamed, Amira; Harkins, Michelle S.; Soriano, Sheryll M.; Maddux, Aline; West, Julia C.; Badke, Andrew R.; Bagshaw, Sean M.; Binnie, Alexandra; Carlos, W. Graham; Çoruh, Başak; Crothers, Kristina; D'Aragon, Frederick; Denson, Joshua Lee; Drover, John W.; Eschun, Gregg; Geagea, Anna; Griesdale, Donald; Hadler, Rachel; Hancock, Jennifer; Hasmatali, Jovan; Kaul, Bhavika; Kerlin, Meeta Prasad; Kohn, Rachel; Kutsogiannis, D. James; Matson, Scott M.; Morris, Peter E.; Paunovic, Bojan; Peltan, Ithan D.; Piquette, Dominique; Pirzadeh, Mina; Pulchan, Krishna; Schnapp, Lynn M.; Sessler, Curtis N.; Smith, Heather; Sy, Eric; Thirugnanam, Subarna; McDonald, Rachel K.; McPherson, Katie A.; Kraft, Monica; Spiegel, Michelle; Dodek, Peter M.; Diversity-Related Research Committee of the Women in Critical Care (WICC) Interest Group of the American Thoracic Society; Medicine, School of Medicine
    Objectives: Few surveys have focused on physician moral distress, burnout, and professional fulfilment. We assessed physician wellness and coping during the COVID-19 pandemic. Design: Cross-sectional survey using four validated instruments. Setting: Sixty-two sites in Canada and the United States. Subjects: Attending physicians (adult, pediatric; intensivist, nonintensivist) who worked in North American ICUs. Intervention: None. Measurements and main results: We analysed 431 questionnaires (43.3% response rate) from 25 states and eight provinces. Respondents were predominantly male (229 [55.6%]) and in practice for 11.8 ± 9.8 years. Compared with prepandemic, respondents reported significant intrapandemic increases in days worked/mo, ICU bed occupancy, and self-reported moral distress (240 [56.9%]) and burnout (259 [63.8%]). Of the 10 top-ranked items that incited moral distress, most pertained to regulatory/organizational ( n = 6) or local/institutional ( n = 2) issues or both ( n = 2). Average moral distress (95.6 ± 66.9), professional fulfilment (6.5 ± 2.1), and burnout scores (3.6 ± 2.0) were moderate with 227 physicians (54.6%) meeting burnout criteria. A significant dose-response existed between COVID-19 patient volume and moral distress scores. Physicians who worked more days/mo and more scheduled in-house nightshifts, especially combined with more unscheduled in-house nightshifts, experienced significantly more moral distress. One in five physicians used at least one maladaptive coping strategy. We identified four coping profiles (active/social, avoidant, mixed/ambivalent, infrequent) that were associated with significant differences across all wellness measures. Conclusions: Despite moderate intrapandemic moral distress and burnout, physicians experienced moderate professional fulfilment. However, one in five physicians used at least one maladaptive coping strategy. We highlight potentially modifiable factors at individual, institutional, and regulatory levels to enhance physician wellness.