{
  "abstract": "Introduction Effective secretion management is crucial for hospitalised patients with retained secretions due to critical illness, exacerbation of chronic respiratory diseases, or infection. Physiotherapy airway clearance techniques (ACT) facilitate secretion clearance, are safe and feasible in the hospital setting, and advocated in clinical guidelines. However, limited knowledge exists regarding the experiences of clinicians who deliver, patients who receive, and family members who are involved in ACT.Aim To explore patients’, family members’, and clinicians’ experiences with ACT in the hospital setting.Methods The review protocol was registered a priori on Open Science Framework Registries https://doi.org/10.17605/OSF.IO/P4XJM. Following JBI recommendations and PRISMA-ScR Checklist, searches were conducted in CINAHL, EMBASE, MEDLINE, PsycINFO and ProQuest Dissertations & Theses Global, from inception to 27th November 2024. Qualitative studies of adult patients (≥16 years) receiving ACT, family members observing or assisting with ACT, or clinicians delivering ACT, in a hospital setting were included. Screening and data charting were performed independently and in duplicate, with findings synthesised descriptively and narratively.Results Of 8980 records identified, twelve studies met the inclusion criteria. Studies were conducted across 7 countries, most frequently Australia (n=5) and ICU was the most common setting (n=8). Of the 12 studies, two explored patient experiences, one examined experiences of patients, family members, and clinicians, and nine focused on clinicians — seven of which specifically investigated physiotherapists’ views. Analysis revealed five themes regarding experiences of ACT. Two themes were common across all populations: ‘Knowledge, resources, and skills’ and ‘Relationship factors’, two were shared between patients and clinicians: ‘Decision-making process’ and ‘Perceived effects and outcomes’, and one was unique to clinicians: ‘Organisational factors’.Conclusions Research on experiences of physiotherapy ACT in hospitals is limited, with a focus on physiotherapists in intensive care unit settings, overlooking the experiences of patients, families, and the wider multidisciplinary team. Future research should adopt a holistic, stakeholder-informed approach to fully understand the use, impact, and burden of ACT in clinical practice, and contribute meaningfully to clinical guidelines and shape future trials.",
  "authors": [
    {
      "affiliations": [
        "Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Science, Queen’s University Belfast, Belfast, UK"
      ],
      "name": "K Jerrard"
    },
    {
      "affiliations": [
        "Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Science, Queen’s University Belfast, Belfast, UK"
      ],
      "name": "R Dowding"
    },
    {
      "affiliations": [
        "School of Health Sciences, Faculty of Life and Health Sciences, Ulster University, Belfast, UK"
      ],
      "name": "B O’Neill"
    },
    {
      "affiliations": [
        "Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Science, Queen’s University Belfast, Belfast, UK"
      ],
      "name": "JM Bradley"
    },
    {
      "affiliations": [
        "Wellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Science, Queen’s University Belfast, Belfast, UK",
        "Department of Physiotherapy, The University of Melbourne, Melbourne, Australia"
      ],
      "name": "B Connolly"
    }
  ],
  "title": "P38 Patient, family member, and clinician experiences of physiotherapy airway clearance techniques during hospital admission: a scoping review",
  "uid": "a4139871-c5e6-5381-8724-43fc446e0cb8"
}