Format

Send to

Choose Destination
See comment in PubMed Commons below
Phys Ther. 1996 Jan;76(1):20-33.

Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy.

Author information

  • 1Children's Therapy Unit, Good Samaritan Hospital, Puyallup, WA 98371, USA.

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.

PMID:
8545490
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk