Physiotherapists' lived experiences of decision making in therapeutic encounters with persons suffering from whiplash-associated disorder: A hermeneutic phenomenological study

Autor: Clair Hebron, Pirjo Vuoskoski, Elles Hartholt
Rok vydání: 2020
Předmět:
Hermeneutics
Nursing (miscellaneous)
Psychotherapist
niskan retkahdusvamma
Attitude of Health Personnel
media_common.quotation_subject
päätöksenteko
Decision Making
Physical Therapy
Sports Therapy and Rehabilitation
Superordinate goals
decision making
Phenomenology (philosophy)
03 medical and health sciences
0302 clinical medicine
Empirical research
hoitosuhde
Rheumatology
Medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
fysioterapeutit
Physical Therapy Modalities
Qualitative Research
media_common
030203 arthritis & rheumatology
Interpretative phenomenological analysis
business.industry
whiplash
Rehabilitation
fenomenologia
Physical Therapists
Distress
Feeling
kokemukset
phenomenology
Chiropractics
clinical reasoning
Exercise prescription
business
Qualitative research
hoitopäätökset
Zdroj: Musculoskeletal careREFERENCES. 18(4)
ISSN: 1557-0681
Popis: Conceptual discussions related to clinical reasoning and decision making have evolved over the years from biomedical to incorporating more holistic approach to reasoning. Empirical studies exploring clinical reasoning and decision making in physiotherapy practice have mostly focused on aspects of managing persons with low back pain, such as exercise prescription, education and communicating diagnosis. There is a paucity of studies exploring decision making in whiplash‐associated disorder (WAD); thus, the aim of this study was to explore the physiotherapists' lived experiences of decision making related to treating persons with WAD. A qualitative research design based on hermeneutic phenomenological methodology was used in this study. Five participants (physiotherapists) were purposefully recruited, and data are collected via semistructured interviews, which were recorded and transcribed verbatim. Interpretative phenomenological analysis (IPA) was used as a method for analysing the data. Emergent, superordinate and master themes emerged from the data to illuminate the lived experiences under exploration. Three master themes were identified: (1) sense of collaboration; (2) sense of being out of control; and (3) sense of emotional engagement (subthemes: feeling of satisfaction and feelings of distress and uncertainty). A sense of collaboration revealed varied meaning related to the role of persons receiving care, suggesting a lack of conceptual clarity related to shared‐decision making. A perceived loss of a sense of being in control was related to experienced emotions, such as feelings of distress and uncertainty. The findings of this study highlight the importance of providing space for reflection and mentoring in the workplace. peerReviewed
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje