Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy
Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy
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DOI：
10.1093/ptj/76.1.20
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发表时间：
1996-01-01
期刊：
影响因子：
3.2
通讯作者：
Dietz, J
中科院分区：
文献类型：
--
作者：
Embrey, DG;Guthrie, MR;Dietz, J
背景和目的。这项定性研究旨在探索、识别和描述儿科理疗师使用的临床决策过程。受试者。评估了三名有经验的治疗师和三名没有经验的治疗师在治疗患有双瘫的IS儿童时的临床决策过程。方法：研究方法。回溯性的有声思考程序被用来引出言语表达，并被转录、编码和分析。结果。临床决策的四个特征被确定：(1)动作脚本提供了对基于认知图式的经验的临床应用的洞察力；(2)在会议决策过程中，程序变化迅速发生；(3)心理社会敏感性对于治疗期间的积极互动很重要；(4)自我监控似乎在做出临床决策时起着关键作用，因为治疗师对他们的实践进行自我评估。对比数据显示了有经验和没有经验的临床医生的相似和不同。结论和讨论。研究结果与现有的临床决策文献基本一致，并为物理治疗实践、研究和教育提供了重要信息。
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 Is 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 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.