The development of expertise in pediatric rehabilitation therapists: changes in approach, self-knowledge, and use of enabling and customizing strategies

Autor: Melissa Currie, Mary Ann Tucker, Donna Baxter, Colleen Willoughby, Michelle Gilpin, Doreen J. Bartlett, Deborah Strachan, Gillian King
Rok vydání: 2007
Předmět:
Occupational therapy
Adult
Physical Therapy Specialty
medicine.medical_specialty
Psychotherapist
Speech-Language Pathology
Adolescent
Physical Therapy
Attitude of Health Personnel
medicine.medical_treatment
Decision Making
Emotions
Self-concept
Grounded theory
Interviews as Topic
Thinking
Cognition
Developmental Neuroscience
Occupational Therapy
Behavior Therapy
Professional-Family Relations
Task Performance and Analysis
medicine
Humans
Think aloud protocol
Adaptation (computer science)
Preschool
Physical Therapy (Specialty)
Child
Retrospective Studies
Medical education
Rehabilitation
Videotape Recording
General Medicine
Professional-Patient Relations
Self Concept
Child
Preschool
Pediatrics
Perinatology and Child Health
Recreation
Clinical Competence
InformationSystems_MISCELLANEOUS
Psychology
Qualitative research
Zdroj: Physical Therapy Publications
ISSN: 1751-8423
Popis: PURPOSE: To examine the clinical decision making of novice, intermediate, and expert pediatric rehabilitation therapists from various disciplines. METHODS: Two qualitative studies were conducted. Thirteen therapists took part in a study using the critical incident interview technique and 11 therapists took part in a study using the 'think aloud' technique. Therapists were classified as novice, intermediate, or expert in developmental level based on a cluster analysis of data collected using a multifaceted battery of assessment tools. Data were analyzed using a grounded theory approach. RESULTS: Expert and intermediate therapists differed from novices with respect to content, self-, and procedural knowledge. CONCLUSION: With increasing expertise, therapists use a supportive, educational, holistic, functional, and strengths-based approach; have heightened humility yet increased self-confidence; and understand how to facilitate and support client change and adaptation by using principles of engagement, coherence, and manageability. Expert therapists use enabling and customizing strategies to ensure a successful therapeutic session, optimize the child's functioning in the mid-term, and ensure child and family adaptation and accommodation over the longer-term.
Databáze: OpenAIRE
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