Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy

被引:53
作者
Embrey, DG [1 ]
Guthrie, MR [1 ]
White, OR [1 ]
Dietz, J [1 ]
机构
[1] UNIV WASHINGTON,DEPT REHABIL MED,SEATTLE,WA 98195
来源
PHYSICAL THERAPY | 1996年 / 76卷 / 01期
关键词
cerebral palsy; evaluation; clinical competence; clinical knowledge; critical thinking; decision making; pediatrics; qualitative methods;
D O I
10.1093/ptj/76.1.20
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background and Purpose. This qualitative study was designed to explore, identify, and describe clinical decision-making processes used by pediatric physical therapists. Subjects. Clinical decision-making processes of three experienced therapists and three inexperienced therapists were assessed as they worked with Is children with diplegia. Methods. Retrospective think-aloud procedures were used to elicit verbalizations, which were transcribed, coded, and analyzed. Results. Four characteristics of clinical decision making were identified: (1) Movement scripts provided insights into the clinical application of cognitive schemata based experiences, (2) procedural changes occurred rapidly, during within session decision making, (3) psychosocial sensitivity was important for positive interaction during therapy, and (4) self-monitoring appeared to be pivotal in making clinical decisions as therapists self-assessed their practice. Contrasting data illustrated similarities and differences of experienced and inexperienced clinicians. Conclusion and Discussion. Findings are generally consistent with existing clinical decision-making literature and provide important information for physical therapy practice, research, and education.
引用
收藏
页码:20 / 33
页数:14
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