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Shifting roles in healthcare: a constructivist grounded theory study of physiotherapists and occupational therapists in nursing positions.

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Title: Shifting roles in healthcare: a constructivist grounded theory study of physiotherapists and occupational therapists in nursing positions.
Authors: Bay, Maja Vinding, Nielsen, Jakob Ratajczak, Rolving, Nanna, Sørensen, Dorthe
Source: Journal of Interprofessional Care. Sep/Oct2025, Vol. 39 Issue 5, p716-725. 10p.
Subjects: Nurses, Occupational roles, Interprofessional relations, Academic medical centers, Focus groups, Occupational therapists, Interviewing, Judgment sampling, Descriptive statistics, Working hours, Labor demand, Content mining, Grounded theory, Data analysis software, Comparative studies, Psychosocial factors, Physical therapists, Task shifting
Geographic Terms: Denmark
Abstract: The Danish healthcare system faces serious challenges in recruiting nurses. One solution to this challenge has been to employ physiotherapists and occupational therapists in vacant nursing positions, enabling task-shifting from nurses to these professionals as needed and appropriate. However, the dynamics of nurse-therapist task-shifting are not well understood in practical settings. Using a constructivist grounded theory approach, we developed a context-specific theory of task-shifting from nurses to therapists. Three physiotherapists, two occupational therapists (rehabilitation therapists), and 25 nurses from three different inpatient wards at a Danish university hospital participated in the study. Through comparative data collection and analysis, we identified a shared main concern in nurses' and rehabilitation therapists' task-shifting: The fear of losing professional identity. To address this, they used various strategies in task-shifting: (a) Equal, (b) Asymmetrical, (c) Non-coordinated, and (d) Negotiated. The findings contribute to understanding task-shifting between nurses and therapists in practice. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Shifting roles in healthcare: a constructivist grounded theory study of physiotherapists and occupational therapists in nursing positions.
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  Data: <searchLink fieldCode="AR" term="%22Bay%2C+Maja+Vinding%22">Bay, Maja Vinding</searchLink><br /><searchLink fieldCode="AR" term="%22Nielsen%2C+Jakob+Ratajczak%22">Nielsen, Jakob Ratajczak</searchLink><br /><searchLink fieldCode="AR" term="%22Rolving%2C+Nanna%22">Rolving, Nanna</searchLink><br /><searchLink fieldCode="AR" term="%22Sørensen%2C+Dorthe%22">Sørensen, Dorthe</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Interprofessional+Care%22">Journal of Interprofessional Care</searchLink>. Sep/Oct2025, Vol. 39 Issue 5, p716-725. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+therapists%22">Occupational therapists</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Working+hours%22">Working hours</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+demand%22">Labor demand</searchLink><br /><searchLink fieldCode="DE" term="%22Content+mining%22">Content mining</searchLink><br /><searchLink fieldCode="DE" term="%22Grounded+theory%22">Grounded theory</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+therapists%22">Physical therapists</searchLink><br /><searchLink fieldCode="DE" term="%22Task+shifting%22">Task shifting</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Denmark%22">Denmark</searchLink>
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  Data: The Danish healthcare system faces serious challenges in recruiting nurses. One solution to this challenge has been to employ physiotherapists and occupational therapists in vacant nursing positions, enabling task-shifting from nurses to these professionals as needed and appropriate. However, the dynamics of nurse-therapist task-shifting are not well understood in practical settings. Using a constructivist grounded theory approach, we developed a context-specific theory of task-shifting from nurses to therapists. Three physiotherapists, two occupational therapists (rehabilitation therapists), and 25 nurses from three different inpatient wards at a Danish university hospital participated in the study. Through comparative data collection and analysis, we identified a shared main concern in nurses' and rehabilitation therapists' task-shifting: The fear of losing professional identity. To address this, they used various strategies in task-shifting: (a) Equal, (b) Asymmetrical, (c) Non-coordinated, and (d) Negotiated. The findings contribute to understanding task-shifting between nurses and therapists in practice. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=187695534
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13561820.2025.2505684
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 716
    Subjects:
      – SubjectFull: Nurses
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Occupational therapists
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Working hours
        Type: general
      – SubjectFull: Labor demand
        Type: general
      – SubjectFull: Content mining
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      – SubjectFull: Grounded theory
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Physical therapists
        Type: general
      – SubjectFull: Task shifting
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      – SubjectFull: Denmark
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    Titles:
      – TitleFull: Shifting roles in healthcare: a constructivist grounded theory study of physiotherapists and occupational therapists in nursing positions.
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            NameFull: Bay, Maja Vinding
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            NameFull: Nielsen, Jakob Ratajczak
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            NameFull: Rolving, Nanna
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            NameFull: Sørensen, Dorthe
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            – D: 01
              M: 09
              Text: Sep/Oct2025
              Type: published
              Y: 2025
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            – TitleFull: Journal of Interprofessional Care
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