Characteristics and processes of physiotherapy clinical decision making: a study of acute care cardiorespiratory physiotherapy.
Background and Purpose. Physiotherapists have been increasingly interested in investigating physiotherapy clinical reasoning and decision-making processes. Cardiorespiratory physiotherapy has received little attention within this increasing body of research. This study aimed to investigate character...
| Publicado en: | Physiotherapy Research International Vol. 13; no. 4; pp. 209 - 223 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105591763&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105591763 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Dec2008 vid: 13 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105591763 2010127313 10.1002/pri.419 NLM18985624 105591763 ppf: 209 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Characteristics and processes of physiotherapy clinical decision making: a study of acute care cardiorespiratory physiotherapy. aug: au: Smith M Higgs J Ellis E affil: School of Community Health, Charles Sturt University, Albury, Australia. sug: subj: Acute Care Chest Physical Therapy Decision Making, Clinical Audiorecording Australia Data Analysis Software Decision Making, Clinical Methods Descriptive Statistics Funding Source Interview Guides Observational Methods Phenomenological Research Physical Therapy Methods Purposive Sample Qualitative Studies Reflection Semi-Structured Interview Treatment Outcomes Evaluation Triangulation Human ab: Background and Purpose. Physiotherapists have been increasingly interested in investigating physiotherapy clinical reasoning and decision-making processes. Cardiorespiratory physiotherapy has received little attention within this increasing body of research. This study aimed to investigate characteristics and processes of cardiorespiratory physiotherapy decision making and to contribute to the broader understanding of physiotherapy reasoning and decision making. Methods. Fourteen cardiorespiratory physiotherapists took part in the study. Qualitative research methods were used, guided by a philosophical hermeneutic approach. Participants were observed undertaking their usual daily patient care activities and were later interviewed about their decision making. In-depth, iterative hermeneutic strategies were used to interpret the texts created by these processes to identify the nature and processes of decision making. Results. Clinical decision making in cardiorespiratory physiotherapy is focused on making decisions about the nature of patients' problems, physiotherapeutic intervention and interaction, and evaluation of effectiveness of actions. Cardiorespiratory physiotherapy decisions varied in their difficulty according to the attributes of the decisions. The variable nature of decisions influenced the reasoning processes used. Clinical decision making involved complex reasoning processes that were cyclic, evolving and flexible in nature, with interdependence and interrelation between the different foci of clinical decision making. Clinical decision making was also found to be a social and collaborative process. Conclusions. This study contributes to the body of literature on physiotherapy reasoning and decision making by revealing details about the characteristics and processes of cardiorespiratory physiotherapy decision making. This research can be used to shape the education of beginning practitioners and provide practicing physiotherapists with a basis for critical appraisal of their decision making. Copyright (c) 2008 John Wiley & Sons, Ltd. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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