A qualitative study into the experiences of occupational therapists in addressing bed positioning needs across a range of clinical settings in an area of Wales

TL;DR

This study explores how occupational therapists in Wales approach bed positioning in different clinical settings and identifies challenges and recommendations for improvement.

Contribution

The study provides new qualitative insights into occupational therapists' experiences with bed positioning in clinical practice.

Findings

Bed positioning interventions are seen as individualised and require tailored approaches.

There is debate about the best timing for bed positioning assessments and interventions.

Multidisciplinary collaboration is essential for effective implementation.

Abstract

There is a small and low-quality body of evidence to support bed positioning as an intervention. Difficulties in developing the evidence base through experimental studies have been recognised and further research has been recommended.

Using a qualitative descriptive design, 13 occupational therapists were recruited from a health board in Wales, UK. Two separate focus groups (n = 5 and n = 8) were held using a semi-structured interview schedule. The data were analysed using Braun and Clarke’s six-stage approach to thematic analysis.

Five key themes were established. These relate to role ambiguity, variations across services, the need for training, recognising bed positioning as an individualised intervention, and effectiveness of the intervention.

The following key findings and recommendations are outlined: (1) Bed positioning interventions are individualised. (2) The optimal timing of bed positioning assessments and interventions for inpatients is debated. (3) Multidisciplinary involvement is needed for effective implementation of bed positioning interventions. (4) Variations across services exist, causing inconsistencies in service provision. (5) More training and support in this area of practice are desired by occupational therapists. (6) More research into the clinical effectiveness of bed positioning interventions is welcomed to support clinical justification.

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