Sarah Tyson1, Joanne Greenhalgh, Andrew F Long, Robert Flynn. 1. Centre for Rehabilitation and Human Performance Research and Physiotherapy Directorate, Frederick Road Campus, University of Salford, Salford, UK. s.tyson@salford.ac.uk
Abstract
OBJECTIVE: To explore the way in which standardized measurement tools are used in day-to-day clinical practice. DESIGN: Non-participant observation and semi-structured interviews. SETTING: Hospital-based adult neurorehabilition unit. PARTICIPANTS: The multidisciplinary team delivering rehabilitation in the unit. RESULTS: The multidisciplinary team used the measurement tools internally to establish the presence and severity of patients' impairments and activity limitations; predict recovery and discharge destination; inform treatment planning and monitor progress. They were used externally to demonstrate service effectiveness; communicate with patients, families and external agencies; enable other providers to plan continuing care and resource needs, and inform audit and service development. CONCLUSION: When used in everyday clinical practice by a multidisciplinary neurorehabilitation team, standardized measures were used to support and inform, rather than replace, clinical decision-making.
OBJECTIVE: To explore the way in which standardized measurement tools are used in day-to-day clinical practice. DESIGN: Non-participant observation and semi-structured interviews. SETTING: Hospital-based adult neurorehabilition unit. PARTICIPANTS: The multidisciplinary team delivering rehabilitation in the unit. RESULTS: The multidisciplinary team used the measurement tools internally to establish the presence and severity of patients' impairments and activity limitations; predict recovery and discharge destination; inform treatment planning and monitor progress. They were used externally to demonstrate service effectiveness; communicate with patients, families and external agencies; enable other providers to plan continuing care and resource needs, and inform audit and service development. CONCLUSION: When used in everyday clinical practice by a multidisciplinary neurorehabilitation team, standardized measures were used to support and inform, rather than replace, clinical decision-making.
Authors: Denise Fyffe; Claire Z Kalpakjian; Mary Slavin; Pamela Kisala; Pengsheng Ni; Steven C Kirshblum; David S Tulsky; Alan M Jette Journal: J Spinal Cord Med Date: 2016-02-05 Impact factor: 1.985