The Clinical Reasoning of Novice and Expert Occupational Therapists
The Clinical Reasoning of Novice and Expert Occupational Therapists
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新手和专家职业治疗师的临床推理
DOI：
10.1080/110381201317166522
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
C. Unsworth
中科院分区：
文献类型：
--
作者：
C. Unsworth
在过去的15年里，健康科学的研究一直表明，新手和专家临床医生的表现差异主要是由于他们的临床推理能力。进一步了解专家和新手职业治疗师的推理方式可以帮助我们解释实践的复杂性，并最终帮助新手像专家一样思考。本文介绍了一项定性和定量调查新手和专家职业治疗师的临床推理的研究结果。在康复环境中工作的三名专家和两名新手职业治疗师在完成三次治疗过程(评估、治疗、出院计划)时戴着头盔摄像机。治疗师随后观看了这些视频，并报告了他们的推理。这些口头报告被转录和分析。虽然定量结果表明新手和专家使用的临床推理的数量和类型都存在一些差异，但定性分析更有助于揭示这两组人呈现临床推理的方式的差异。研究结果表明，新手治疗师可以花更多的时间反思治疗过程，并与专家同事讨论他们的治疗方法，从而受益。
Over the past 15 years, research in health sciences has consistently shown that differences in the performance of novice and expert clinicians are predominantly due to their clinical reasoning abilities. Furthering our knowledge of the ways expert and novice occupational therapists reason can help us to explicate the complexities of practice and ultimately assist novices to think like experts. This paper presents the findings of a study which investigated qualitatively and quantitatively the clinical reasoning of novice and expert occupational therapists. Three expert and two novice occupational therapists working in rehabilitation settings wore head-mounted video cameras while completing three therapy sessions (assessment, treatment, discharge planning). Therapists then viewed the videos and reported back on their reasoning. These verbal reports were transcribed and analysed. While the quantitative results indicated several differences in both the amounts and types of clinical reasoning used by novices and experts, the qualitative analyses were more useful in revealing differences in the ways these two groups presented their clinical reasoning. The findings suggest that novice therapists could benefit from spending more time reflecting on the therapy process, and discussing their therapy with expert colleagues.