%0 Journal Article %1 Embrey1996 %A Embrey, D. G. %A Guthrie, M. R. %A White, O. R. %A Dietz, J. %D 1996 %J Phys Ther %K Cerebral Palsy; Child; Child, Preschool; Clinical Competence; Decision Making; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Movement; Muscle, Skeletal; Physical Therapy Modalities; Posture; Retrospective Studies; Self Assessment (Psychology); Social Suppor; Videotape Recording; t %N 1 %P 20--33 %T Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy. %V 76 %X 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.

@article{Embrey1996, 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.}, added-at = {2014-07-19T19:25:00.000+0200}, author = {Embrey, D. G. and Guthrie, M. R. and White, O. R. and Dietz, J.}, biburl = {https://www.bibsonomy.org/bibtex/22e545ba2bdbb6d861356dc6283214989/ar0berts}, groups = {public}, interhash = {7cbad5457ac353f8cacaf5c08902ce45}, intrahash = {2e545ba2bdbb6d861356dc6283214989}, journal = {Phys Ther}, keywords = {Cerebral Palsy; Child; Child, Preschool; Clinical Competence; Decision Making; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Movement; Muscle, Skeletal; Physical Therapy Modalities; Posture; Retrospective Studies; Self Assessment (Psychology); Social Suppor; Videotape Recording; t}, month = Jan, number = 1, pages = {20--33}, pmid = {8545490}, timestamp = {2014-07-19T19:25:00.000+0200}, title = {Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy.}, username = {ar0berts}, volume = 76, year = 1996 }