A survey of multidisciplinary clinicians working in rehabilitation for people with traumatic brain injury

Pagan, Elizabeth, Ownsworth, Tamara, McDonald, Skye, Fleming, Jennifer, Honan, Cynthia and Togher, Leanne (2015) A survey of multidisciplinary clinicians working in rehabilitation for people with traumatic brain injury. Brain Impairment, 16 3: 173-195. doi:10.1017/BrImp.2015.34

Author Pagan, Elizabeth
Ownsworth, Tamara
McDonald, Skye
Fleming, Jennifer
Honan, Cynthia
Togher, Leanne
Title A survey of multidisciplinary clinicians working in rehabilitation for people with traumatic brain injury
Journal name Brain Impairment   Check publisher's open access policy
ISSN 1443-9646
Publication date 2015-12-01
Year available 2015
Sub-type Article (original research)
DOI 10.1017/BrImp.2015.34
Open Access Status Not Open Access
Volume 16
Issue 3
Start page 173
End page 195
Total pages 23
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
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.
Keyword Multidisciplinary
Traumatic brain injury
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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