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Crozier, A, Graves, LEF, George, KP, Richardson, D, Naylor, L, Green, DJ, Rosenberg, M and Jones, H (2024) A multi-method exploration of a cardiac rehabilitation service delivered by registered Clinical Exercise Physiologists in the UK: key learnings for current and new services. BMC Sports Science, Medicine and Rehabilitation, 16. ISSN 2052-1847
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A multi-method exploration of a cardiac rehabilitation service delivered by registered Clinical Exercise Physiologists in the UK key learnings for current and new services..pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview |
Abstract
Background: Cardiac rehabilitation has been identified as having the most homogenous clinical exercise service structure in the United Kingdom (UK), but inconsistencies are evident in staff roles and qualifications within and across services. The recognition of Clinical Exercise Physiologists (CEPs) as a registered health professional in 2021 in the UK, provides a potential solution to standardise the cardiac rehabilitation workforce. This case study examined, in a purposefully selected cardiac exercise service that employed registered CEPs, (i) how staff knowledge, skills and competencies contribute to the provision of the service, (ii) how these components assist in creating effective service teams, and (iii) the existing challenges from staff and patient perspectives.
Methods: A multi-method qualitative approach (inc., semi-structured interviews, observations, field notes and researcher reflections) was employed with the researcher immersed for 12-weeks within the service. The Consolidated Framework for Implementation Research was used as an overarching guide for data collection. Data derived from registered CEPs (n=5), clinical nurse specialists (n=2), dietitians (n=1), service managers/leads (n=2) and patients (n=7) were thematically analysed. Results: Registered CEPs delivered innovative exercise prescription based on their training, continued professional development (CPD), academic qualifications and involvement in research studies as part of the service. Exposure to a wide multidisciplinary team (MDT) allowed skill and competency transfer in areas such as clinical assessments. Developing an effective behaviour change strategy was challenging with delivery of lifestyle information more effective during less formal conversations compared to timetabled education sessions. Conclusions: Registered CEPs have the specialist knowledge and skills to undertake and implement the latest evidence-based exercise prescription in a cardiac rehabilitation setting. An MDT service structure enables a more effective team upskilling through shared peer experiences, observations and collaborative working between healthcare professionals.
| Item Type: | Article |
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| Uncontrolled Keywords: | Exercise knowledge, skills and competencies, cardiac exercise provision, research-based exercise prescription; 1106 Human Movement and Sports Sciences; 1199 Other Medical and Health Sciences |
| Subjects: | Q Science > QP Physiology R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport & Exercise Sciences |
| Publisher: | BioMed Central |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 17 May 2024 10:37 |
| Last Modified: | 14 Jun 2024 10:30 |
| DOI or ID number: | 10.1186/s13102-024-00907-4 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/23292 |
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