Abstract:
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 18 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 on previous 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.
journal_name
Phys Therjournal_title
Physical therapyauthors
Embrey DG,Guthrie MR,White OR,Dietz Jdoi
10.1093/ptj/76.1.20subject
Has Abstractpub_date
1996-01-01 00:00:00pages
20-33issue
1eissn
0031-9023issn
1538-6724journal_volume
76pub_type
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