Novice and experienced physical therapist clinicians: a comparison of how reflection is used to inform the clinical decision-making process.

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 Ther

journal_title

Physical therapy

authors

Wainwright SF,Shepard KF,Harman LB,Stephens J

doi

10.2522/ptj.20090077

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

75-88

issue

1

eissn

0031-9023

issn

1538-6724

pii

ptj.20090077

journal_volume

90

pub_type

杂志文章
  • Reliability, Validity, and Minimal Detectable Change of Four-Step Stair Climb Power Test in Community-Dwelling Older Adults.

    abstract:Background:Stair climb power is an important clinical measure of lower-extremity power. The stair climb power test (SCPT) was validated by requiring individuals to climb a full flight of stairs. A 4-step SCPT (4SCPT) would be more clinically feasible and easier to perform, yet its reliability and validity are unknown. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx039

    authors: Ni M,Brown LG,Lawler D,Bean JF

    更新日期:2017-07-01 00:00:00

  • Modified Chester Step Test in a Healthy Adult Population: Measurement Properties and Development of a Regression Equation to Estimate Test Duration.

    abstract:OBJECTIVE:Healthy working-aged adults performed the modified Chester Step Test (mCST) to (1) determine the effect of repetition on test duration, (2) report cardiorespiratory and symptom responses, (3) establish a regression equation to estimate duration, and (4) calculate the minimal detectable change of the test. ME...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa088

    authors: Coll F,Hill K,Burrows S,Watson C,Edgar D

    更新日期:2020-08-12 00:00:00

  • Validity and reliability testing of the Scoliometer.

    abstract::This study was designed to evaluate the Scoliometer, an instrument that measures axial trunk rotation in individuals with scoliosis. The objectives included determining 1) the Scoliometer's screening capability and validity and 2) the intrarater and interrater reliability of Scoliometer measurements. Scoliometer measu...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.2.108

    authors: Amendt LE,Ause-Ellias KL,Eybers JL,Wadsworth CT,Nielsen DH,Weinstein SL

    更新日期:1990-02-01 00:00:00

  • Effectiveness of Rehabilitation Interventions to Improve Gait Speed in Children With Cerebral Palsy: Systematic Review and Meta-analysis.

    abstract:BACKGROUND:Children with cerebral palsy (CP) have decreased gait speeds, which can negatively affect their community participation and quality of life. However, evidence for effective rehabilitation interventions to improve gait speed remains unclear. PURPOSE:The purpose of this study was to determine the effectivenes...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析,评审

    doi:10.2522/ptj.20150401

    authors: Moreau NG,Bodkin AW,Bjornson K,Hobbs A,Soileau M,Lahasky K

    更新日期:2016-12-01 00:00:00

  • Transcutaneous electrical nerve stimulation attenuates postsurgical allodynia and suppresses spinal substance P and proinflammatory cytokine release in rats.

    abstract:BACKGROUND:Transcutaneous electrical nerve stimulation (TENS) is often used for management of chronic pain. OBJECTIVE:The purpose of this study was to investigate whether TENS altered postincisional allodynia, substance P, and proinflammatory cytokines in a rat model of skin-muscle incision and retraction (SMIR). DES...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130306

    authors: Chen YW,Tzeng JI,Lin MF,Hung CH,Wang JJ

    更新日期:2015-01-01 00:00:00

  • McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study.

    abstract:BACKGROUND:Patellar taping is widely used clinically to treat patients with patellofemoral pain syndrome (PFPS). Although patellar taping has been demonstrated to reduce patellofemoral pain in patients with PFPS, the kinematic source for this pain reduction has not been identified. OBJECTIVE:The purpose of this study ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20080365

    authors: Derasari A,Brindle TJ,Alter KE,Sheehan FT

    更新日期:2010-03-01 00:00:00

  • Association between characteristics of locomotion and accomplishment of life habits in children with cerebral palsy.

    abstract:BACKGROUND AND PURPOSE:"Handicap situation" is defined in the literature as "a disruption in the accomplishment of a person's life habits (activities of daily living and social roles)." The purpose of this study was to determine the strength of association between various types of locomotion and the accomplishment of l...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.5.458

    authors: Lepage C,Noreau L,Bernard PM

    更新日期:1998-05-01 00:00:00

  • Physical Therapist Student Readiness for Entrance Into the First Full-Time Clinical Experience: A Delphi Study.

    abstract:Background:To consistently prepare physical therapist students for their first full-time clinical experience, the entry-level curriculum must provide and assess competency in the essential knowledge, skills, attitudes, and professional behaviors. Objective:The purpose of this Delphi study was to develop consensus on a...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy134

    authors: Timmerberg JF,Dole R,Silberman N,Goffar SL,Mathur D,Miller A,Murray L,Pelletier D,Simpson MS,Stolfi A,Thompson A,Utzman R

    更新日期:2019-02-01 00:00:00

  • Differentiation of learning disabled children from normal children using four coordination tasks.

    abstract::Fifty 8-year-old children, 25 classified as normal and 25 as learning disabled, participated in a study to determine whether they could be differentiated into their respective groups by using four tasks from the Devereux Test of Extremity Coordination: opposition, foot patting, finger wiggling, and heel-toe walking wi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.6.784

    authors: Kendrick KA,Hanten WP

    更新日期:1980-06-01 00:00:00

  • Force-time measurements of knee muscle functions of subjects with multiple sclerosis.

    abstract::The purpose of this study was to determine whether the time-rate of muscle tension development, the muscle tension-maintaining capacity, and the reciprocal inhibition time of muscles in subjects with multiple sclerosis were significantly different from those of healthy subjects. An isokinetic dynamometer was used to e...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.6.934

    authors: Chen WY,Pierson FM,Burnett CN

    更新日期:1987-06-01 00:00:00

  • Stability of Bayley Motor Scale scores in the first year of life.

    abstract::The purpose of this study was to determine whether Bayley Motor Scale scores were stable in infants during the first year of life, that is, whether each individual infant's score was essentially the same at each of the five test ages. Subjects were 15 low-risk and 8 high-risk infants with Bayley Scales of Infant Devel...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/69.10.834

    authors: Coryell J,Provost B,Wilhelm IJ,Campbell SK

    更新日期:1989-10-01 00:00:00

  • Performance on clinical tests of balance in Parkinson's disease.

    abstract:BACKGROUND AND PURPOSE:Due to the high incidence of falls in people with idiopathic Parkinson's disease (PD), the assessment of standing balance is a key component of physical therapist evaluation. This study investigated performance on clinical tests of standing balance in subjects with and without PD. SUBJECTS:The s...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.6.577

    authors: Smithson F,Morris ME,Iansek R

    更新日期:1998-06-01 00:00:00

  • Application of Intervention Mapping to the Development of a Complex Physical Therapist Intervention.

    abstract:BACKGROUND:Physical therapist interventions, such as those designed to change physical activity behavior, are often complex and multifaceted. In order to facilitate rigorous evaluation and implementation of these complex interventions into clinical practice, the development process must be comprehensive, systematic, an...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20150387

    authors: Jones TM,Dear BF,Hush JM,Titov N,Dean CM

    更新日期:2016-12-01 00:00:00

  • The role of U.S. military physical therapists during recent combat campaigns.

    abstract::U.S. military physical therapists have a proud history of providing medical care during operational deployments ranging from war to complex humanitarian emergencies. Regardless of austerity of environment or intensity of hostility, U.S. military physical therapists serve as autonomous providers, evaluating and treatin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120136

    authors: Moore JH,Goffar SL,Teyhen DS,Pendergrass TL,Childs JD,Ficke JR

    更新日期:2013-09-01 00:00:00

  • Instructional style preferences: physical therapy faculty members in the United States.

    abstract::The purpose of this study was to describe the instructional styles of physical therapy faculty in basic professional programs in the United States in the academic year 1977-78. The Instructional Styles Inventory of Canfield and Canfield was used to test 311 respondents (61% of the total basic preparation faculty membe...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.10.1277

    authors: Payton OD,Hueter AE,McDonald M,Hirt S

    更新日期:1980-10-01 00:00:00

  • Physical therapy management of patients through cross modality.

    abstract::Cross modality is a method for channeling therapeutic services from various health disciplines (modalities) through a single therapist who provides direct treatment and care. A pilot project at the University of Michigan's Institute for the Study of Mental Retardation and Related Disabilities tested this method in thr...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/56.6.676

    authors: Schafer DS

    更新日期:1976-06-01 00:00:00

  • Embodied Cognition in Practice: Exploring Effects of a Motor-Based Problem-Solving Intervention.

    abstract:BACKGROUND:Embodied cognition interests physical therapists because efforts to advance motor skills in young infants can affect learning. However, we do not know if simply advancing motor skill is enough to support advances in cognition. OBJECTIVE:The objective was to examine the effect of 2 interventions on the devel...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ptj/pzz031

    authors: Harbourne RT,Berger SE

    更新日期:2019-06-01 00:00:00

  • Vestibular Rehabilitation After Traumatic Brain Injury: Case Series.

    abstract:BACKGROUND AND PURPOSE:There has been an increasing focus on vestibular rehabilitation (VR) after traumatic brain injury (TBI) in recent years. However, detailed descriptions of the content of and patient responses to VR after TBI are limited. The purposes of this case series are (1) to describe a modified, group-based...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20150095

    authors: Kleffelgaard I,Soberg HL,Bruusgaard KA,Tamber AL,Langhammer B

    更新日期:2016-06-01 00:00:00

  • Predictors and subsequent decisions of physical therapy and nursing students to work with geriatric clients: an application of the theory of reasoned action.

    abstract:BACKGROUND AND PURPOSE:In this study, the theory-based model of Ajzen and Fishbein was used to identify factors that influence physical therapist and registered nurse (RN) students' intentions toward working with elderly individuals. A follow-up identified actual job selection. SUBJECTS:Accredited physical therapist a...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/75.7.614

    authors: Dunkle SE,Hyde RS

    更新日期:1995-07-01 00:00:00

  • Italian version of the physical therapy patient satisfaction questionnaire: cross-cultural adaptation and psychometric properties.

    abstract:BACKGROUND:Patient satisfaction is an important measure for evaluating interventions in health care. No patient satisfaction questionnaire for physical therapy treatment has been validated to date for use in an Italian outpatient population. OBJECTIVE:The aim of this study was to translate, culturally adapt, and valid...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120170

    authors: Vanti C,Monticone M,Ceron D,Bonetti F,Piccarreta R,Guccione AA,Pillastrini P

    更新日期:2013-07-01 00:00:00

  • A model for the physical therapist in the intensive care nursery.

    abstract::The importance of the physical therapist in the ICU nursery is in early detection and intervention, which is often critical to the success of treatment in any field of medicine or remedial education. Based on information about neurological development, movement is often the first and possibly only external indicator t...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.1.45

    authors: Dickson JM

    更新日期:1981-01-01 00:00:00

  • The Patient-Specific Functional Scale: measurement properties in patients with knee dysfunction.

    abstract:BACKGROUND AND PURPOSE:Assessing disability is important, and numerous interviewer-assisted and self-report questionnaires are used to accomplish this task. These questionnaires can be classified as being generic, condition or disease specific, or patient specific. The purpose of this study was to determine test-retest...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.8.820

    authors: Chatman AB,Hyams SP,Neel JM,Binkley JM,Stratford PW,Schomberg A,Stabler M

    更新日期:1997-08-01 00:00:00

  • Exploration of Functional Limitation Codes for Outpatient Physical Therapy in the Medicare Population: A Retrospective Cohort Study.

    abstract:Background:The Centers for Medicare & Medicaid Services (CMS) introduced functional limitation reporting (FLR) to capture patient progress in functional status in outpatient rehabilitation settings. FLR along with the severity modifier (SM) measure the effectiveness of the rehabilitation services at the physical therap...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy104

    authors: Warren M,Smith HL

    更新日期:2018-12-01 00:00:00

  • Balance performance in head-shake computerized dynamic posturography: aging effects and test-retest reliability.

    abstract:BACKGROUND:The ability of the Sensory Organization Test (SOT) to detect subtle balance problems has been challenged. The Head-Shake Sensory Organization Test (HS-SOT) has been developed to improve the delineation of balance performance. OBJECTIVE:The purposes of this study were: (1) to examine age-related differences ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章

    doi:10.2522/ptj.20100221

    authors: Pang MY,Lam FM,Wong GH,Au IH,Chow DL

    更新日期:2011-02-01 00:00:00

  • Effectiveness of exercise therapy in treatment of patients with patellofemoral pain syndrome: systematic review and meta-analysis.

    abstract:BACKGROUND AND PURPOSE:This systematic review and meta-analysis was accomplished to determine whether exercise therapy is an effective intervention to reduce pain and patient-reported measures of activity limitations and participation restrictions (PRMALP) in patients with patellofemoral pain. DATA SOURCES AND STUDY S...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析,评审

    doi:10.2522/ptj.20130310

    authors: Clijsen R,Fuchs J,Taeymans J

    更新日期:2014-12-01 00:00:00

  • Measurement of reactive vasodilation during cold gel pack application to nontraumatized ankles.

    abstract::Conflicting results regarding local vascular response during cryotherapy have been reported in the literature. The purpose of this study was to determine whether application of a cold pack reduced blood volume in a nontraumatized ankle. Thirteen subjects ranging in age from 18 to 30 years (X = 22; SD = 3.9) participat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/72.4.294

    authors: Taber C,Contryman K,Fahrenbruch J,LaCount K,Cornwall MW

    更新日期:1992-04-01 00:00:00

  • The role of limb movements in maintaining upright stance: the "change-in-support" strategy.

    abstract::Change-in-support strategies, involving stepping or grasping movements of the limbs, are prevalent reactions to instability and appear to play a more important functional role in maintaining upright stance than has generally been appreciated. Contrary to traditional views, change-in-support reactions are not just stra...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/77.5.488

    authors: Maki BE,McIlroy WE

    更新日期:1997-05-01 00:00:00

  • Selected primitive reflexes in children with cerebral palsy: consistency of response.

    abstract::The purpose of this study was to determine the consistency of reflex responses of subjects in varying behavioral states. The following selected primitive reflexes were examined in children with spastic quadriplegic cerebral palsy: tonic labyrinthine, asymmetrical tonic neck, symmetrical tonic neck, crossed extension, ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/62.8.1115

    authors: Smith SL,Gossman MR,Canan BC

    更新日期:1982-08-01 00:00:00

  • Reliability of impairment and physical performance measures for persons with Parkinson's disease.

    abstract:BACKGROUND AND PURPOSE:Parkinson's disease (PD) is characterized by rigidity, postural instability, bradykinesia, and tremor, as well as other musculoskeletal impairments and functional limitations. The purpose of this investigation was to determine the reliability and stability of measures of impairments and physical ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.1.19

    authors: Schenkman M,Cutson TM,Kuchibhatla M,Chandler J,Pieper C

    更新日期:1997-01-01 00:00:00

  • Neural Mobilization Attenuates Mechanical Allodynia and Decreases Proinflammatory Cytokine Concentrations in Rats With Painful Diabetic Neuropathy.

    abstract:Background:Painful diabetic neuropathy (PDN) is a common complication in patients with diabetes. It is related to ischemic nerve damage and the increase in the levels of proinflammatory mediators, such as tumor necrosis factor α (TNF-α) and interleukin 1β (IL-1β). Neural mobilization may have the potential to alleviate...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx124

    authors: Zhu GC,Tsai KL,Chen YW,Hung CH

    更新日期:2018-04-01 00:00:00