Michael W Long, Sharon Hobson, Jacqueline Dougé, Kerrie Wagaman, Rachel Sadlon, Olga Acosta Price
Effectiveness and Cost-Benefit of an Elementary School-Based Telehealth Program
The Journal of school nursing : the official publication of the National Association of School Nurses
establish advanced practice physiotherapists uk working musculoskeletal specialty utilising independent nonmedical prescribing skills multisite prospective descriptive observational study ethics reference ern190994 study conducted seven advanced practitioners across seven clinical sites representative advanced musculoskeletal practice uk 1st october 2019march 31 2020 advanced physiotherapy practitioner independent prescribers working variety musculoskeletal specialty areas collected data across 5 contexts musculoskeletal clinical service first contact practice primary care community triage secondary care orthopaedics secondary care rheumatology private practice quantitative data analysed descriptively qualitative data analysedsynthesised via thematic analysis prescribing activity data n 2470 patients collected prescribing activity highest treatment nociceptive pain 513 inflammation 396 prescribing activity occurred first 26 weeks 341 following onset condition medicines optimisation accounted prescribing activity 181 followed overthecounter medication recommendation 155 deprescribing accounted 108 prescribing activity recorded qualitative data synthesised 4 themes multimodal physiotherapeutic approach joint decision making patient choice working complexity legal regulatory restriction physiotherapist independent prescribing used within health sectors conjunction advanced skills musculoskeletal physiotherapy part multimodal physiotherapeutic approach prescribing activity dictated clinicians clinical reasoning use joint decisionmaking prescribing activity acute back neuropathic radicular pain limited secondary recent reclassification gabapentin pregabalin