The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

Clinical Reasoning by Pediatric Physical Therapists in South Korea

우리나라 소아 물리치료사의 임상적 추론

  • Lee, Hye-Young (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Lee, In-Hee (Department of Physical Medicine and Rehabilitation, Keimyung University Dongsan Medical Center) ;
  • Kim, Kyoung (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 이혜영 (대구대학교 대학원 재활과학과) ;
  • 이인희 (계명대학교 동산의료원 재활의학과) ;
  • 김경 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2012.09.25
  • Accepted : 2012.10.17
  • Published : 2012.10.25
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Abstract

Purpose: The purpose of this qualitative study was to understand the application of clinical reasoning throughout clinical and therapeutic knowledge of clinical pediatric physical therapists under physician prescriptions. Methods: Purposive sampling techniques were used in selection of nine clinical pediatric physical therapists in South Korea. Open and semi structured interviews were conducted, and were thoroughly examined and reviewed, followed by analysis of the clinical reasoning portion. Results: Pediatric physical therapists have been influenced by information gathering, physical function and evaluation of their patients, hypothesis-orientation, and re-evaluation and self-monitoring. Novice physical therapists were more dependent on physician prescriptions and parent's hope than the result of their own evaluation and critical pathway. Middle experienced pediatric physical therapists were more dependent on rapport with children and their parents. Highly experienced pediatric physical therapists were more reliant on hypothesis-orientation and self-monitoring. As reports on clinical experience of pediatric physical therapists have accumulated, clinical reasoning of pediatric physical therapists has been influenced by their experience, such as education, clinical pathology conference, their own clinical experience and rapport with patients and their parents than physicians' prescriptions. Conclusion: The findings of the current study are generally consistent with existing research on clinical reasoning. The results of the current study may be used by educators for enhancement of clinical reasoning abilities and knowledge of students or novices as well as development of a guide for use by suitable novices or students, and could provide important information for use in physical therapy practice and research.

Keywords

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