Factors Associated with Community Physical Therapists’specific Competency in Caring for Stroke Patients in the Ministry of Public Health’s Community Hospitals.
Keywords:
Physical Therapists’specific competency , Stroke, Professional Attitude, Empowerment; Community HospitalAbstract
This cross-sectional analytical research aimed to investigate factors associated with community physical therapists’ specific competencies in caring for stroke patients, at the Ministry of Public Health’s community hospitals. The sample consisted of 318 physical therapists who had at least one year experience in community physical therapy practice, in caring for stroke patients. Data were collected by using questionnaires and analyzed by using descriptive statistics, chi-square tests, and binary logistic regression analysis.
The results showed that specific competencies in caring for stroke patients were at a high level (67.6 %), while professional attitudes and work empowerment were at a moderate level. Competency was significantly associated with demographic factors, work experience, professional attitudes, and work empowerment. Significant predictors of competency included access to information (Adj.OR = 11.32, p < 0.001), recognition and appreciation (Adj.OR = 9.67, p = 0.014), access to resources (Adj.OR = 7.765, p < 0.001), and the affective aspect of professional attitudes (Adj.OR = 3.7, p = 0.047).
The study recommended that the Physical Therapy Council should explore channels for disseminating information related to physical therapy and relevant policies. The Ministry of Public Health should support rehabilitation equipment and promote the exchange of work experiences, to enhance professional competency and improve the effectiveness of practice.
References
Division of Strategy and Planning. (2024). Public health personnel data report. Office of the Permanent Secretary, Ministry of Public Health. Bangkok. Retrieved April 22, 2025, from https://spd.moph.go.th/public-health-personnel-data-report/
Jaiboon, K. (2024). Analyzing the impact of the shortage of physical therapists with Prof. Dr. Prawit Janwantanakul[Internet]. Bangkok. Retrieved February 25, 2025, from https://www.thecoverage.info/news/content/780
Kainil, S. (2016). Relationship between work motivation and professional competencies among physical therapists: A case study of the Faculty of Physical Therapy, Mahidol University [Master’s independent study]. Mahidol University, Bangkok.
Khamyu, A., et al. (2021). Factors related to professional nurse competencies among nursing students in universities in Eastern Thailand. Burapha University Journal of Nursing, 29(1), 1–12.
McClelland, D. C. (1973). Testing for competence rather than for intelligence. American Psychologist, 28(1), 1–14.
Ministry of Public Health. (2024). Health Data Center (HDC). Bangkok. Retrieved September 8, 2025, from https://hdc.moph.go.th/center/public/kpi/1/2023
National Health Security Office. (2024). Outcomes of access, quality control, and standards of public health services for ischemic stroke. Monitoring and Evaluation Division. Bangkok.
Nualnetr, N. (2021). Physical therapists and primary healthcare services. The Thai Journal of Primary Care and Family Medicine, 1(1), 43–46.
Physical Therapy Council. (2022). Details of physical therapist competencies [Internet]. Bangkok. Retrieved March 27, 2025, from https://pt.or.th/PTCouncil/file_attach/Att2022060116540685541.pdf
Pongsathornchaipat, W., et al. (2020). Factors affecting health promotion practices among physical therapists in secondary hospitals. Thai Journal of Physical Therapy, 42(2), 118–135.
Prasat Neurological Institute. (2013). Stroke handbook (paralysis and paresis) for the public (3rd ed.). Department of Medical Services, Ministry of Public Health. Bangkok.
Prompan, L., & Taechasubamorn, P. (2021). A study of knowledge, attitude, and practice of Thai physical therapists in health promotion. Royal Thai Army Medical Journal, 74(3), 185–196.
Promsa-ad, U., et al. (2012). Work empowerment influencing competencies of professional nurses in private hospitals in Bangkok. Thai Journal of Public Health, 42(2), 92–102.
Rapyoon, N. (2011). Public attitudes toward community relations and mass communication practices of Border Patrol Police: A case study of Border Patrol Police Division 43 [Master’s independent study]. Naresuan University, Phitsanulok.
Royal College of Physical Therapy of Thailand. (2024). Regulations regarding criteria, methods, and conditions for certification examination in community physical therapy specialization [Internet]. Bangkok. Retrieved August 13, 2025, from https://www.pt.or.th/rcptt/readFile.php?fileP=D:/fileUpload/rcptt/data/6709/&fileN=Att202308161692239806_1.pdf
Sirindhorn National Medical Rehabilitation Institute. (2024). Guideline for intermediate care rehabilitation for healthcare personnel under the Service Plan [Internet]. Bangkok. Retrieved September 8, 2025, from https://pt.or.th/PTCouncil/file_attach/Att202506031749004843_1.pdf
Spencer, L. M., & Spencer, S. M. (1993). Competence at work: Models for superior performance. New York: John Wiley & Sons.
Techakaew, A. (2024). Nursing care for acute ischemic stroke patients with middle cerebral artery occlusion receiving intravenous thrombolysis and mechanical thrombectomy [Internet]. Bangkok. Retrieved August 18, 2025, from https://nrh.nopparat.go.th/academic/public/files/การพยาบาลผู้ป่วยโรคหลอดเลือดสมองตีบอุดตันระยะเฉียบพลันตำแหน่งmid.pdf
Thammasurat, S., et al. (2023). Guidelines for competency development of physical therapists in elderly care. Journal of Social Science and Cultural Studies, 7(11), 136–147.
World Stroke Organization. (2024). About stroke. World Stroke Day. Bangkok. Retrieved February 5, 2025, from https://www.world-stroke.org/assets/downloads/English_-_World_Stroke_Day_2017_Brochure_20170720.pdf
Yamagami, M., Mack, K., Mankoff, J., & Steele, K. M. (2022). “I’m Just Overwhelmed”: Investigating Physical Therapy Accessibility and Technology Interventions for People with Disabilities and/or Chronic Conditions. ACM Transactions on Accessible Computing, 15(4), 1–22.
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