Characteristics and processes of physiotherapy clinical decision making: a study of acute care cardiorespiratory physiotherapy

2008 ◽  
Vol 13 (4) ◽  
pp. 209-222 ◽  
Author(s):  
Megan Smith ◽  
Joy Higgs ◽  
Elizabeth Ellis
Keyword(s):  
Decision Making ◽  
Acute Care ◽  
Clinical Decision Making ◽  
Clinical Decision

scholarly journals Acute care nurses' perceptions of barriers to using research information in clinical decision-making

2002 ◽  
Vol 39 (1) ◽  
pp. 46-60 ◽  
Author(s):  
Dorothy McCaughan ◽  
Carl Thompson ◽  
Nicky Cullum ◽  
Trevor A. Sheldon ◽  
David R. Thompson
Keyword(s):  
Decision Making ◽  
Acute Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Research Information ◽  
Acute Care Nurses ◽  
Nurses Perceptions

scholarly journals The effect of the quality of vital sign recording on clinical decision making in a regional acute care trauma ward

2017 ◽  
Vol 20 (5) ◽  
pp. 283-287 ◽  
Author(s):  
Claire M. Keene ◽  
Victor Y. Kong ◽  
Damian L. Clarke ◽  
Petra Brysiewicz
Keyword(s):  
Decision Making ◽  
Acute Care ◽  
Vital Sign ◽  
Clinical Decision Making ◽  
Clinical Decision

scholarly journals A Qualitative Study of Clinical Decision Making in Recommending Discharge Placement From the Acute Care Setting

2003 ◽  
Vol 83 (3) ◽  
pp. 224-236 ◽  
Author(s):  
Diane U Jette ◽  
Lisa Grover ◽  
Carol P Keck
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Acute Care ◽  
Care Setting ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Occupational Therapists ◽  
Clinical Decision ◽  
Acute Care Setting ◽  
Rehabilitation Professionals

Abstract Background and Purpose. One of the roles of rehabilitation professionals in the acute care setting is making recommendations for patients' discharge placement. The purpose of this investigation was to explore the decision-making process of physical therapists and occupational therapists when recommending discharge destination for patients following acute care hospitalization. Subjects. Participants were 7 physical therapists and 2 occupational therapists in an acute care rotation at a large academic medical center. Methods. A grounded-theory strategy was used. Three interviews were conducted and guided by questions about participants' approaches to discharge decision making. Information from the interview transcripts was used to define constructs. A model was generated to explain the relationships among the constructs. Results. Decision making regarding discharge recommendations was guided by 4 constructs: patients' functioning and disability, patients' wants and needs, patients' ability to participate in care, and patients' life context. Information was filtered through therapists' experiences and modified by the health care team's opinions and by health care regulations. Discussion and Conclusion. The decision making of the rehabilitation professionals studied in recommending discharge placements for their patients reflects consideration of patients as individuals and the environments in which they live. Information about patients is filtered through the experience of therapists and influenced by health care regulations and opinions of other health care professionals, the patients, and their associates. The findings might be used in teaching clinical decision making to clinicians and students as they learn to make discharge recommendations.

scholarly journals Therapists' Perceptions of Application and Implementation of AM-PAC “6-Clicks” Functional Measures in Acute Care: Qualitative Study

2016 ◽  
Vol 96 (7) ◽  
pp. 1085-1092 ◽  
Author(s):  
Regan C. Dewhirst ◽  
Daniel P. Ellis ◽  
Emily A. Mandara ◽  
Diane U. Jette
Keyword(s):  
Decision Making ◽  
Acute Care ◽  
Thematic Analysis ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Discharge Planning ◽  
Clinical Decision ◽  
Convenience Sample ◽  
Functional Measures ◽  
Perceptions Of Therapists

Abstract Background Activity Measure for Post-Acute Care (AM-PAC) “6-Clicks” tools are functional measures used in acute care. No studies have identified reactions and perceptions of therapists in implementing these measures. Objectives The purpose of this study was to explore therapists' perceptions regarding the application and implementation of AM-PAC “6-Clicks” tools. Design This study used a qualitative design with thematic analysis. Methods A convenience sample of 13 physical therapists and occupational therapists participated in semistructured telephone interviews. Interviews were recorded, transcribed, and coded, after which thematic analysis was used to determine common themes. Results Five themes were identified: (1) unclear purpose, (2) lack of confidence in scoring, (3) too simple for decision making or generalizing patient function, (4) no effect on clinical routine, and (5) potential for communicating patient function across disciplines. Limitations Participants came from one health care system. A relatively small percentage of staff agreed to participate in this study, and additional interviews might have revealed new themes. Conclusions As participants in this study implemented the AM-PAC “6-Clicks” tools, they considered the role of the measures, how they fit within the context of practice, and their value. They also were concerned with the accuracy and feasibility of the tools. The tools were accepted as potentially valuable to assist administrative decisions and research; however, they were not perceived as particularly useful for routine patient care. Participants lacked complete confidence in the reliability of their scoring and expressed concern that the scores might be substituted for their clinical decision making. They also felt that the tools were too simple to fully reflect patients' overall function and were not useful alone for discharge planning. Participants believed the tools had the potential to be used for communication among colleagues about patients' physical function.

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