Article

OBJECTIVES: To explore, from the perspective of healthcare providers, the
barriers to and facilitators of using standardized outcome measures of physical
function in geriatric rehabilitation settings. METHODS: In-depth semi-structured
interviews with medical doctors, nurses, physiotherapists and occupational
therapists were conducted from three geriatric rehabilitation hospitals in
Ontario. Qualitative content analysis through an inductive approach was used to
identify barriers to and facilitators of outcome measurement in geriatric
rehabilitation settings. RESULTS: A total of 20 healthcare providers from
different disciplines were interviewed. Barriers are standardized outcome
measures that (1) cannot be used in isolation to inform clinical decision-making
for older patients, (2) are difficult to complete and interpret in older complex
patients, (3) may not be useful for all members of the clinical team and (4) are
used for reasons unrelated to patient care. Facilitators are to (1) divide the
standardized outcome measure into components that are useful for each team
member's practice, (2) encourage standardized outcome measures as tools for
improving daily communication and (3) provide adequate education and support for
their daily use. CONCLUSION: This study revealed important barriers to using
standardized outcome measures in geriatric rehabilitation from the perspective of
healthcare providers. However, it also identified multiple factors that may help
facilitate their use.

Langue : ANGLAIS