Abstract:
BACKGROUND:Prior experience informs clinical decision making and shapes how reflection is used by novice and experienced physical therapist clinicians. OBJECTIVES:The aims of this research were: (1) to determine the types and extent of reflection that informs the clinical decision-making process and (2) to compare the use of reflection to direct and assess clinical decisions made by novice and experienced physical therapists. DESIGN:Qualitative research methods using grounded theory were used to gain insight into how physical therapists use reflection to inform clinical decision making. METHODS:Three participant pairs (each pair consisting of one novice and one experienced physical therapist) were purposively selected from 3 inpatient rehabilitation settings. Case summaries of each participant provided the basis for within- and across-case analysis. Credibility of these results was established through member check of the case summaries, presentation of low-inference data, and triangulation across multiple data sources and within and across the participant groups. RESULTS:Although all participants engaged in reflection-on-action, the experienced participants did so with greater frequency. The experienced participants were distinguished by their use of reflection-in-action and self-assessment during therapist-patient interactions. An intermediate effect beyond novice practice was observed. CONCLUSIONS:The results of this study may be used by educators and employers to develop and structure learning experiences and mentoring opportunities to facilitate clinical decision-making abilities and the development of the skills necessary for reflection in students and novice practitioners.
journal_name
Phys Therjournal_title
Physical therapyauthors
Wainwright SF,Shepard KF,Harman LB,Stephens Jdoi
10.2522/ptj.20090077subject
Has Abstractpub_date
2010-01-01 00:00:00pages
75-88issue
1eissn
0031-9023issn
1538-6724pii
ptj.20090077journal_volume
90pub_type
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