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.
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.
Authors: Phillip S Sizer; Manuel Vicente Mauri; Kenneth Learman; Clare Jones; Norman 'Skip' Gill; Chris R Showalter; Jean-Michel Brismée Journal: J Man Manip Ther Date: 2016-07
Authors: Chelsea Hale; Kyle Wong; Amanda Pennings; Amanda Rnic; Benjamin Tobali; Christopher Hawke; Jean Brown; Cheryl Cott; Carol Heck; Catharine Duncan Journal: Physiother Can Date: 2013 Impact factor: 1.037
Authors: Lieke M A Dekkers; Maria W G Nijhuis-van der Sanden; Marianne Jonker; Bert J M de Swart; Anjo J W M Janssen Journal: Physiother Can Date: 2018 Impact factor: 1.037