Professional practice, competence, and education related to COVID-19: A mixed-methods light study of physiotherapists' experiences

Physiother Theory Pract. 2024 Jun;40(6):1215-1231. doi: 10.1080/09593985.2022.2142083. Epub 2022 Nov 11.

Abstract

Background: Coronavirus Disease 2019 (COVID-19) became a significant challenge for the work and personal experience of physiotherapists (PTs).

Objective: To investigate how the work activities of PTs in a region in Italy have changed, describe the reasons for change, perceived competence, and effectiveness of professional education, and explore their personal experience.

Methods: We adopted a monocentric convergent mixed-methods light-questionnaire variant study. The questionnaire contains both closed-ended and open-ended questions. Quantitative and qualitative data were combined to interpret the results.

Results: Among 78 respondents (response rate 24.4%), 87.2% worked during the pandemic, 52.9% treated patients with COVID-19, and 45.6% changed their working activities. Professional competence was perceived as low in intensive and sub-intensive care settings. The major critical aspect of professional education was respiratory rehabilitation. Life-learning education was judged as effective, even if mainly focused on safety. Nine themes emerged from the analysis of the PTs' experiences: 1) Physiotherapy during COVID-19; 2) Fear and negative feelings; 3) Positive aspects; 4) Organization and management; 5) Prevention measures; 6) Patients; 7) Change; 8) Information; and 9) Professional education.

Conclusions: PTs who have direct experience with patients with COVID-19 showed great resilience. They overcame the first phase of disorientation and fear, despite a specific lack of competence in the respiratory field.

Keywords: Coronavirus disease 2019; competence; experience; mixed-methods study; physiotherapist.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • COVID-19* / epidemiology
  • Clinical Competence
  • Female
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Physical Therapists* / education
  • Physical Therapists* / psychology
  • Professional Practice
  • SARS-CoV-2
  • Surveys and Questionnaires