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An evaluation of physiotherapy patient empathy in an acute hospital using the CARE Measure
eS152
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
• To provide more transparency of performance to students, Educators and the Programme team • To provide data to assess student’s competence in a range of clinical skills Approach/evaluation: The iPad LIFTUPP App was developed by the School of Dentistry at the University of Liverpool. The App is able to assimilate all data collected for an individual, triangulate it against the required outcomes, and use learning analytics to instantly provide an individual portfolio of development via a dedicated web portal. Moreover, all data is available in real time to students and staff. The App has been piloted over two academic years, across 35 placement locations, all three themes and in a variety of settings. Feedback from both pilots has resulted in changes to how placements are assessed and to the adoption of the App for future placements. Outcomes: All stakeholders reported that the iPad app was user friendly. Students particularly valued the weekly feedback which enabled them to develop action plans. Access to data, at any stage, provided a clear picture of student progression. Some Educators felt that weekly meetings were time consuming but acknowledged the overall benefit. Discussion and conclusions: This development has been shown to facilitate students’ learning whilst on placement. The real time capture of data allows students’ performance to be monitored across any number of placement locations. Thereby, allowing the University to award assessment marks based on a larger set of performance data. Challenges to the practical implementation of the App have been addressed and it is now being used by all second year students on placement. Ongoing evaluation will continue with a phased roll out for all placements during the 2016 to 2017 academic year. Impact and implications: Progress to date has confirmed that this approach could be adopted more widely to support placement education across a range of professions. Other Health programmes, at the University of Liverpool, are considering its use. There are plans to develop the LIFTUPP environment to support campus-based practical and written examinations for the Physiotherapy programme at Liverpool. http://dx.doi.org/10.1016/j.physio.2016.10.176 POS119 An evaluation of physiotherapy patient empathy in an acute hospital using the CARE Measure N. Murphy St James’s Hospital, Physiotherapy Department, Dublin, Ireland Relevance: Empathy is thought to be a fundamental component of all therapeutic relationships (1) and a key element in patients’ definitions of quality of care. (2) The Consultation and Relational Empathy (CARE) measure is a type of
patient-rating empathy measure where patients assess their carer’s empathy after clinical consultation. (2) The CARE measure is a ten statement questionnaire which is answered by patients using a five-point scale from poor to excellent. (3) The maximum CARE score attainable is 50. Purpose: The aim of this study is to assess the level of empathy of physiotherapists in a large teaching hospital as perceived by patients using the validated Consultation and Relational Empathy (CARE) measure and to compare the results with our peers. Methods/analysis: 100 Subjects were randomly recruited from the outpatient physiotherapy department and 100 subjects were randomly recruited from the inpatient setting in a large Dublin Hospital. Outpatients were randomly selected by a researcher (not involved in the patients’ treatment) on exiting the physiotherapy department. Inpatients were randomly selected from active work lists of physiotherapists across all specialties. The therapist or researcher was not present while the patient completed the questionnaire to avoid bias. Questionnaires were anonymous. Ethical Committee approval for the study was obtained. The CARE website provided a method of entering completed data on-line. Once information was gathered and entered, a pdf report providing background on the CARE Measure, the score, and how this compared to other physiotherapists was downloaded. Results: The outpatients CARE score was 47.8218, which is between the 50th and 75th percentiles. The average rating for each measure in outpatients was “Excellent”. The average for the physiotherapy profession is 47.0345. The Inpatients CARE score measured 44.0900, which is between the 5th and 10th percentiles. The average rating for each measure was “Very Good.” Discussion and conclusions: Results show that physiotherapy department score highly in the outpatient and inpatient setting. Lower score evident for inpatient treatments may be explained by differences in duration of treatments, multiple HSCPs involved in treatments and differences in emotional and physical wellbeing of patients. This study demonstrates physiotherapy staff interact with high levels of empathy when dealing with patients, ensuring that patient-centred compassion, respect, dignity and care are at the forefront of their clinical practice. Impact and implications: The Consultation and Relational Empathy (CARE) Measure that was developed and researched at the Departments of General Practice in Glasgow University and Edinburgh University is a quick (only 10 questions), clear and easy to complete patient-completed questionnaire and be used very easily in any setting. Funding acknowledgement: Nil. http://dx.doi.org/10.1016/j.physio.2016.10.177
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
• To provide more transparency of performance to students, Educators and the Programme team • To provide data to assess student’s competence in a range of clinical skills Approach/evaluation: The iPad LIFTUPP App was developed by the School of Dentistry at the University of Liverpool. The App is able to assimilate all data collected for an individual, triangulate it against the required outcomes, and use learning analytics to instantly provide an individual portfolio of development via a dedicated web portal. Moreover, all data is available in real time to students and staff. The App has been piloted over two academic years, across 35 placement locations, all three themes and in a variety of settings. Feedback from both pilots has resulted in changes to how placements are assessed and to the adoption of the App for future placements. Outcomes: All stakeholders reported that the iPad app was user friendly. Students particularly valued the weekly feedback which enabled them to develop action plans. Access to data, at any stage, provided a clear picture of student progression. Some Educators felt that weekly meetings were time consuming but acknowledged the overall benefit. Discussion and conclusions: This development has been shown to facilitate students’ learning whilst on placement. The real time capture of data allows students’ performance to be monitored across any number of placement locations. Thereby, allowing the University to award assessment marks based on a larger set of performance data. Challenges to the practical implementation of the App have been addressed and it is now being used by all second year students on placement. Ongoing evaluation will continue with a phased roll out for all placements during the 2016 to 2017 academic year. Impact and implications: Progress to date has confirmed that this approach could be adopted more widely to support placement education across a range of professions. Other Health programmes, at the University of Liverpool, are considering its use. There are plans to develop the LIFTUPP environment to support campus-based practical and written examinations for the Physiotherapy programme at Liverpool. http://dx.doi.org/10.1016/j.physio.2016.10.176 POS119 An evaluation of physiotherapy patient empathy in an acute hospital using the CARE Measure N. Murphy St James’s Hospital, Physiotherapy Department, Dublin, Ireland Relevance: Empathy is thought to be a fundamental component of all therapeutic relationships (1) and a key element in patients’ definitions of quality of care. (2) The Consultation and Relational Empathy (CARE) measure is a type of
patient-rating empathy measure where patients assess their carer’s empathy after clinical consultation. (2) The CARE measure is a ten statement questionnaire which is answered by patients using a five-point scale from poor to excellent. (3) The maximum CARE score attainable is 50. Purpose: The aim of this study is to assess the level of empathy of physiotherapists in a large teaching hospital as perceived by patients using the validated Consultation and Relational Empathy (CARE) measure and to compare the results with our peers. Methods/analysis: 100 Subjects were randomly recruited from the outpatient physiotherapy department and 100 subjects were randomly recruited from the inpatient setting in a large Dublin Hospital. Outpatients were randomly selected by a researcher (not involved in the patients’ treatment) on exiting the physiotherapy department. Inpatients were randomly selected from active work lists of physiotherapists across all specialties. The therapist or researcher was not present while the patient completed the questionnaire to avoid bias. Questionnaires were anonymous. Ethical Committee approval for the study was obtained. The CARE website provided a method of entering completed data on-line. Once information was gathered and entered, a pdf report providing background on the CARE Measure, the score, and how this compared to other physiotherapists was downloaded. Results: The outpatients CARE score was 47.8218, which is between the 50th and 75th percentiles. The average rating for each measure in outpatients was “Excellent”. The average for the physiotherapy profession is 47.0345. The Inpatients CARE score measured 44.0900, which is between the 5th and 10th percentiles. The average rating for each measure was “Very Good.” Discussion and conclusions: Results show that physiotherapy department score highly in the outpatient and inpatient setting. Lower score evident for inpatient treatments may be explained by differences in duration of treatments, multiple HSCPs involved in treatments and differences in emotional and physical wellbeing of patients. This study demonstrates physiotherapy staff interact with high levels of empathy when dealing with patients, ensuring that patient-centred compassion, respect, dignity and care are at the forefront of their clinical practice. Impact and implications: The Consultation and Relational Empathy (CARE) Measure that was developed and researched at the Departments of General Practice in Glasgow University and Edinburgh University is a quick (only 10 questions), clear and easy to complete patient-completed questionnaire and be used very easily in any setting. Funding acknowledgement: Nil. http://dx.doi.org/10.1016/j.physio.2016.10.177