兒童物理治療專科相關能力要求標準的文獻回顧與建議

Review and Recommendation for Clinical Competence in Pediatric Physical Therapy Specialists

劉文瑜(Wen-Yu Liu) ； 李淑貞(Shwn-Jen Lee) ； 廖華芳(Hua-Fang Liao) ； 鄭素芳(Suh-Fang Jeng) ； 王慧儀(Hui-Yi Wang) ； 孫世恆(Shih-Heng Sun) ； 成戎珠(Rong-Ju Cherng) ； 黃維彬(Wei-Pin Huang) ； 羅鴻基(Hong-Ji Luo) ； 潘懿玲(Yi-Ling Pan) ； 洪千婷(Chien-Ting Hung) ； 藍婉淑(Woan-Shwu Lan) ； 葉采青(Tsai-Ching Yeh) ； 吳雪玉(Hsueh-Yu Wu)

《物理治療》 34卷6期 (2009/12) Pp. 372-382

摘要

目的：物理治療專業的專科化發展被認為是提昇健康照顧知識深度及廣度的重要步驟。為推動兒童物理治療專科之建立，本文目的有二：(1)將可蒐集到相關兒童物理治療執業能力要求或準則做一回顧；(2)摘要報告專家會議對於未來推動兒童物理治療專科的建議。方法：經文獻蒐尋而選定國際兒童專科物理治療執業能力要求或進則相關資料，由一到三名專家進行回顧分析，再經過專家共識會議討論，以擬定對於國內未來兒童專科物理治療師認證推廣的相關建議。結果：本研究共有8篇兒童專科物理治療執業能力要求或準則被回顧和討論，其中7篇來自美國，1篇來自紐西蘭。兒童專科物理治療師能力標準建議包含有專科共同基本能力與兒童專業分科能力。此外，在培育兒童專科物理治療師的過程，建議未來可分為初級兒童物理治療師、中級兒童物理治療師及兒童專科物理治療師進行認證。兒童專科物理治療師所需的臨床技術，知識及態度等規範，建議未來進一步討論和整合。結論：兒童物理治療專科化仍需要針對國內的情況進行許多的規劃及討論。本文提供一個初步藍圖以供大家做進一步的討論及參與。

關鍵字

專科化 ； 兒童 ； 物理治療 ； 能力要求標準

並列摘要

Purposes: The evolution of specialization is considered to be a key step to improve the depth and breadth of health care knowledge and skills in the physical therapy (PT) profession. In order to promote the development of clinical specialization in pediatric PT, the purposes of this article were (i) to provide a literature review of current available clinical guidelines and competencies related to pediatric PT practice, and (ii) to report the suggested plan for promoting pediatric PT clinical specialization in Taiwan based upon the expert consensus meeting. Methods: Selected clinical guidelines and competencies were reviewed by one to three specialists in the field of pediatric PT. Through the expert consensus meeting, suggestions of pediatric PT clinical specialization process were generated. Results: Eight articles related to clinical guidelines and competencies were included. Seven were from the United States, and one from the New Zealand. The suggested competencies of the pediatric PT clinical specialists were divided into two parts: 1) advanced clinical PT common requirements and 2) advanced pediatric PT subject-specific requirements. The minimal level of requirements on attitude, knowledge and clinical skills for the pediatric PT clinical specialists should be identified in near future. In order to nurture a specialized pediatric PT, a 3-step recognition of pediatric PT clinical specialist, including junior pediatric PT, senior pediatric PT and pediatric PT certificated specialist, were proposed. Conclusion: There is need for a greater extent of planning and discussion for the specialization of pediatric PT, taking into account the Taiwan-specific situation. This article served as the draft material for future participation and discussion.

並列關鍵字

Specialization ； Pediatric ； Physical therapy ； Competence