Factors Influencing Occupational Therapists' Clinical Decision Making for Clients with Upper Limb Performance Dysfunction following Brain Injury
| Autor: | Kryss McKenna, Glenys Carlson, Kathy Kuipers |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Occupational therapy
030506 rehabilitation medicine.medical_specialty business.industry 030229 sport sciences 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Physical medicine and rehabilitation Occupational Therapy Clinical decision making Physical therapy Medicine Upper limb 0305 other medical science business |
| Zdroj: | British Journal of Occupational Therapy. 69:106-114 |
| ISSN: | 1477-6006 0308-0226 |
| DOI: | 10.1177/030802260606900303 |
| Popis: | Occupational therapists make clinical decisions to help clients with upper limb performance dysfunction following brain injury to achieve their goals. Although occupational therapy services have traditionally been separated for paediatric and adult populations, it has been proposed that a common process can be used to make clinical decisions for children and adults with upper limb performance dysfunction following brain injury. This study compared the factors that influenced the clinical decisions of experienced occupational therapists who worked with either children or adults with upper limb performance dysfunction after brain injury to determine if the clinical decision-making process was common for all clients with brain injury. Eleven occupational therapists with experience in working with clients with brain injury participated in two focus groups. Six had experience in working with children and five in working with adults. The discussions were audiotaped, transcribed and analysed using NUD*IST Version 4 data management software. The intrinsic or client-related factors identified as influencing clinical decision making were the client's condition, personal attributes and occupational performance needs. The extrinsic factors were related both to the therapist (knowledge of ‘feel’, experience, treatment preferences, confidence and personal convictions and beliefs) and to the environment (context of service provision and organisational culture and constraints). The consistency in the factors identified across different caseloads appeared to indicate that a common protocol would be suitable for guiding clinical decision making for both children and adults with varying patterns and intensity of upper limb performance dysfunction. Further research is needed to determine the clinical usefulness of such a protocol and the consistency of client outcomes following its use. |
| Databáze: | OpenAIRE |
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