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A Survey of Multidisciplinary Clinicians Working in Rehabilitation for People with Traumatic Brain Injury

Published online by Cambridge University Press:  26 January 2016

Elizabeth Pagan ,
Tamara Ownsworth ,
Skye McDonald ,
Jennifer Fleming ,
Cynthia Honan  and
Leanne Togher
Elizabeth Pagan
Affiliation:
School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, University of New South Wales, Sydney, Australia
Tamara Ownsworth*
Affiliation:
School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, University of New South Wales, Sydney, Australia
Skye McDonald
Affiliation:
National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, University of New South Wales, Sydney, Australia School of Psychology, University of New South Wales, Sydney, Australia
Jennifer Fleming
Affiliation:
National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, University of New South Wales, Sydney, Australia School of Health and Rehabilitation Sciences, The University of Queensland and Occupational Therapy Department, Princess Alexandra Hospital, Brisbane, Australia
Cynthia Honan
Affiliation:
National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, University of New South Wales, Sydney, Australia School of Psychology, University of Tasmania, Launceston, Australia
Leanne Togher
Affiliation:
National Health and Medical Research Council Centre of Research Excellence in Brain Recovery, University of New South Wales, Sydney, Australia Discipline of Speech Pathology, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
*
Address for correspondence: A/Prof Tamara Ownsworth, School of Applied Psychology, Griffith University, Mt Gravatt 4122, Australia. Ph: +61 73735 3307, Fax: +61 73735 3388. E-mail: [email protected].
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Abstract

Little is known about clinicians’ experiences in rehabilitation for people with traumatic brain injury (TBI). This survey study aimed to investigate clinicians’ scope of practice, perceived barriers to practice, factors influencing confidence levels and professional development preferences. Participants included 305 clinicians (88% female, 97% aged 20–60 years) from psychology (28%), occupational therapy (27%), speech pathology (15%), physiotherapy (11%), social work (6%), rehabilitation medicine (3%) and nursing (3%) disciplines. Survey results indicated that goal setting, client or family education, and assessment for rehabilitation, were the most common activities across all disciplines (>90%). Client-related barriers, family-related barriers and client–therapist relationship barriers were more frequently selected than workplace context and professional skill barriers (p < .05). Clinicians working with clients with mild TBI reported significantly fewer barriers (p < .05); yet, they were less confident in overcoming barriers than clinicians working with clients with more severe TBI (p < .001). Clinicians with fewer years of experience (<2 years) reported significantly lower confidence in overcoming barriers than clinicians with 2–10 years and >10 years of experience (p < .01). The most commonly selected professional development areas included new interventions and therapies, translating rehabilitation research into everyday practice and client specific topics. These findings provide a unique multidisciplinary perspective on clinicians working in TBI rehabilitation in Australia. Understanding of the perceived barriers to practice and professional development needs may guide training and support initiatives for clinicians which, in turn, may enhance the quality of brain injury rehabilitation.

Keywords

multidisciplinaryrehabilitationtraumatic brain injuryclinicians
Type
Articles
Information
Brain Impairment , Volume 16 , Issue 3 , December 2015 , pp. 173 - 195
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2016 

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