Castle, Darren, Stubbs, Brendon, Clayton, Sarah and Soundy, Andrew (2014) A 24-hour postural care service: views, understanding and training needs of referring multidisciplinary staff. International Journal of Therapy and Rehabilitation, 21 (3). pp. 132-139. ISSN 1741-1645 (doi:10.12968/ijtr.2014.21.3.132)

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Abstract

Aims: To consider the views, understanding and training needs of members of a multidisciplinary team (MDT) around 24-hour postural care. These MDT members refer individuals with profound and multiple learning disabilities (PMLD) and postural care needs to a 24-hour postural care service.

Methods: This study used a mixed-methods approach, which was undertaken in two phases. The setting for this study was a community healthcare NHS trust in England, which refers patients to physiotherapy for PMLD. Phase 1 involved 57 members of the MDT including: psychologists, psychiatrists, community nurses, health facilitation nurses, speech and language therapists, and occupational therapists. Phase 2 involved a purposive sample of 14 MDT members across three profession-specific focus groups.

Findings: Phase 1 identified that around 50% of all MDT members refer to the 24-hour postural care service; the majority (75.4%) of these participants identified that they would be happy to receive more training on 24-hour postural care. Phase 2 suggested that while referrals were being made, MDT members were not able to identify why individuals should be referred to the 24-hour postural care service.

Conclusions: This study has revealed that MDT members working in a community trust within learning disability services were lacking an awareness of why individuals should be referred to 24-hour postural care. This study discusses the implications of this finding.

Item Type:	Article
Additional Information:	[1] Accepted for publication following double-blind peer review: 31 January 2014.
Uncontrolled Keywords:	profound and multiple learning disabilities, (PMLD), 24-hour postural care, multidisciplinary team, (MDT), awareness, training
Subjects:	R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences
Last Modified:	19 Sep 2019 11:45
URI:	http://gala.gre.ac.uk/id/eprint/11476

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