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Megan Applegate

Factors Affecting Clinical Reasoning - 0 views

started by Megan Applegate on 06 Aug 16
  • Megan Applegate
     
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154286/

    This article qualitatively explores the factors that affect and influence clinical reasoning. Twelve OTs working in mental health and physical dysfunction at three different hospitals were interviewed and the data was recorded and transcribed. The results indicated that sociocultural factors, individual attributions, and workplace environment played a role in clinical reasoning. Sociocultural factors such as client values and beliefs, clinician values and beliefs, and individual attitude about the disability contributed to clinical reasoning. Individual attributions such as client attributions (including financial stability and education), and therapist attributions (including level of experience/confidence of the diagnosis/situation, access to tools, knowledge of modern methods of treatment) were also important during clinical reasoning. Workplace environment was also a major factor in clinical reasoning. Lack of knowledge of OT in regards to management of the facility was a major factor in clinical reasoning. Also included in this category was limited resources/access to facilities, which contributed to clinical reasoning. The article reports that it is important to understand the factors that affect clinical reasoning because this plays a role in the level of care of the patient. Facilities should recognize the importance of these factors to maximize resources and opportunities to maximize the care and services for the patient.

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