Abstract：
Delegation of clinical tasks from physiotherapists to physiotherapy support workers varies considerably in musculoskeletal outpatient physiotherapy services leading to variation in patient care. This study aimed to develop consensus amongst physiotherapists, support workers and managers about what components should be included in a future framework to guide effective and safe delegation of clinical tasks to physiotherapy support workers in United Kingdom\'s National Health Service musculoskeletal outpatient physiotherapy services.
A consensus study was carried out, using Nominal Group Technique. Seven physiotherapists, ten physiotherapy support workers and ten physiotherapy operational/clinical leads from 13 musculoskeletal physiotherapy services within United Kingdom\'s National Health Service were recruited through the Chartered Society of Physiotherapy\'s professional networks and social media. Three separate, role-specific consensus groups were convened, involving participants generating, discussing and rating on a Likert scale, components for inclusion in a future delegation framework.
32 out of 38 generated items reached consensus of ≥70%, i.e. a mean of ≥4.9 on a 7-point Likert scale, across the three groups. Items were grouped under five main categories: 1) training/Continuous Professional Development for physiotherapists and support workers; 2) need for a clear delegation process; 3) competencies 4) defining the role of support workers and 5) safety net.
Key stakeholder groups were able to reach consensus on five priority areas which will be developed into a best practice framework to standardise delegation and guide physiotherapists when delegating clinical tasks to support workers.
A consensus study was carried out, using Nominal Group Technique. Seven physiotherapists, ten physiotherapy support workers and ten physiotherapy operational/clinical leads from 13 musculoskeletal physiotherapy services within United Kingdom\'s National Health Service were recruited through the Chartered Society of Physiotherapy\'s professional networks and social media. Three separate, role-specific consensus groups were convened, involving participants generating, discussing and rating on a Likert scale, components for inclusion in a future delegation framework.
32 out of 38 generated items reached consensus of ≥70%, i.e. a mean of ≥4.9 on a 7-point Likert scale, across the three groups. Items were grouped under five main categories: 1) training/Continuous Professional Development for physiotherapists and support workers; 2) need for a clear delegation process; 3) competencies 4) defining the role of support workers and 5) safety net.
Key stakeholder groups were able to reach consensus on five priority areas which will be developed into a best practice framework to standardise delegation and guide physiotherapists when delegating clinical tasks to support workers.
摘要：
目的：在肌肉骨骼门诊理疗服务中，从物理治疗师到物理治疗支持工作者的临床任务的委派差异很大，从而导致患者护理的差异。这项研究旨在在物理治疗师之间达成共识，支持工作人员和管理人员了解未来框架中应包括哪些组件，以指导英国国家卫生服务肌肉骨骼门诊理疗服务中临床任务的有效和安全授权给理疗支持工作人员。
方法：进行了一项共识研究，使用标称组技术。七个物理治疗师,通过特许物理治疗协会的专业网络和社交媒体招募了来自英国国家卫生服务局13个肌肉骨骼物理治疗服务的10名物理治疗支持工作者和10名物理治疗操作/临床线索。三个独立的，召集了针对特定角色的共识小组，涉及参与者产生，在李克特量表上讨论和评级，包含在未来授权框架中的组件。
结果：38项产生的项目中有32项达成了≥70％的共识，即7分利克特量表的平均值≥4.9，跨三组。项目分为五个主要类别：1）物理治疗师和支持人员的培训/持续专业发展；2）需要明确的委派程序；3）能力4）定义支持人员的角色和5）安全网。
结论：主要利益相关者团体能够就五个优先领域达成共识，这些领域将发展成为一个最佳实践框架，以标准化授权和指导物理治疗师在委派临床任务以支持工作者时。
方法：进行了一项共识研究，使用标称组技术。七个物理治疗师,通过特许物理治疗协会的专业网络和社交媒体招募了来自英国国家卫生服务局13个肌肉骨骼物理治疗服务的10名物理治疗支持工作者和10名物理治疗操作/临床线索。三个独立的，召集了针对特定角色的共识小组，涉及参与者产生，在李克特量表上讨论和评级，包含在未来授权框架中的组件。
结果：38项产生的项目中有32项达成了≥70％的共识，即7分利克特量表的平均值≥4.9，跨三组。项目分为五个主要类别：1）物理治疗师和支持人员的培训/持续专业发展；2）需要明确的委派程序；3）能力4）定义支持人员的角色和5）安全网。
结论：主要利益相关者团体能够就五个优先领域达成共识，这些领域将发展成为一个最佳实践框架，以标准化授权和指导物理治疗师在委派临床任务以支持工作者时。
