A qualitative study of clinical reasoning in physiotherapy with preterm infants and their parents: Action and interaction.
Background: Physiotherapists (PTs) in primary health care provide services to preterm infants and their parents after hospital discharge. The service should be collaborative and individualized to meet the family’s needs. In this study, we analyze pediatric PTs’ collaborative work in the clinical set...
| Publicado en: | Physiotherapy Theory & Practice Vol. 34; no. 9; pp. 692 - 705 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2018
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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=129976391&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129976391 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Sep2018 vid: 34 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 129976391 129976391 129976391 10.1080/09593985.2017.1423524 129976391 ppf: 692 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A qualitative study of clinical reasoning in physiotherapy with preterm infants and their parents: Action and interaction. aug: au: Håkstad, Ragnhild B Obstfelder, Aud Øberg, Gunn Kristin affil: Department of Health and Care Sciences, UiT - The Arctic University of Norway, Tromsoe, Norway sug: subj: Pediatric Physical Therapy Decision Making, Clinical Family Centered Care Childbirth, Premature Human Qualitative Studies Funding Source Infant, Newborn Infant, Premature Parents Observational Methods Semi-Structured Interview Content Analysis Professional-Patient Relations Motor Skills In Infancy and Childhood Parental Attitudes Infant Behavior Phenomenological Research Norway Infant Videorecording Data Analysis Software Thematic Analysis Male Female Infant, Newborn: birth-1 month Infant: 1-23 months Male Female ab: Background: Physiotherapists (PTs) in primary health care provide services to preterm infants and their parents after hospital discharge. The service should be collaborative and individualized to meet the family’s needs. In this study, we analyze pediatric PTs’ collaborative work in the clinical setting and investigate the PTs’ emerging clinical reasoning (CR) in interaction with the infant and parent(s). Methods: The study is based on observations of 20 physical therapy sessions and 20 interviews with PTs. We performed a systematic content analysis informed by enactive theory regarding the interactions and co-creation of meaning. Results and Discussion: CR emerged in reciprocity with the PTs’ interaction with the infant and parent(s). Based on the sensitivity to the infant’s motor abilities and signs of engagement as well as the parents’ need of support and education, the PTs individualized and reasoned about their therapeutic approach. This interactional CR was vulnerable: infant disengagement, parent expectations, and PT preoccupations could obfuscate interactions and hamper CR. Conclusion: Through mutuality and engagement with the infant and parent(s), the PTs allow the autonomy of interaction to emerge and shape the translation of CR into successful therapeutic actions and learning together with the infant and parent(s). pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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