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A Pilot Study on Cognitive Styles in Clinical Reasoning Based on Clinical Specialty and Experience by Korean Physical Therapists  

Ryu, Young Uk (Department of Physical Therapy, College of Health Sciences, Catholic University of Daegu)
Publication Information
The Journal of Korean Physical Therapy / v.24, no.5, 2012 , pp. 370-376 More about this Journal
Abstract
Purpose: This study examined whether there are differences in cognitive styles between orthopedic and neurological physical therapists, and whether these differences change with clinical experience in clinical reasoning. Methods: A survey study was conducted on 88 orthopedic and neurologic physical therapists working in South Korea. The survey items used by May and Dennis (1991) were translated, and only those items related to data-gathering and information-processing were used. Results: The cognitive style was similar in the orthopedic and neurologic physical therapists, but the clinical experience affected the cognitive styles of clinical reasoning. Physical therapists with more than 60 months clinical experience responded most positively to the preceptive and systematic styles in clinical reasoning. Conclusion: These results suggest that physical therapy education should provide physical therapy students with a clinical reasoning process related specifically to a particular clinical field.
Keywords
Physical therapy; Clinical reasoning; Data gathering; Information processing;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
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1 Lee IH, Lee HY. Clinical decision making development of clinical physical therapists under the fee for service and the prescription of physician. J Korean Soc Phys Ther. 2012;24(3):171-80.
2 Payne JW. Contingent decision behavior. Psychol Bull. 1982;92:382-402.
3 World Confederation of Physical Therapy. The World Con federation for Physical Therapy: Description of Physical Therapy. 2008.
4 Song MY, Choi MH, Kim KM, Lee KS. The consideration of definition of physical therapy in south Korea. J Korean Soc Phys Med. 2010;5(2):133-41.
5 Ryu YU, Park J. Medical and narrative use of physical therapy knowledge in clinical reasoning by Korean physical therapists. J Phys Ther Sci. 2011;23(2):251-4.   DOI   ScienceOn
6 Shim JH, Yoon TH. Analysis of factors that influence the job satisfaction of physical therapists. J Korean Soc Phys Ther. 2011;23(1):67-75.
7 Payton OD. Clinical reasoning process in physical therapy. Phys Ther. 1985;65(6):924-8.
8 May BJ, Newman J. Developing competence in problem solving. A behavioral model. Phys Ther. 1980;60(9):1140-5.
9 Jensen GM, Gwyer J, Shepard KF. Expert practice in physical therapy. Phys Ther. 2000;80(1):28-43.
10 Edwards I, Jones M, Carr J et al. Clinical reasoning strategies in physical therapy. Phys Ther. 2004;84(4):312-30.
11 Elstein AS, Shulman LS, Sprafka SA. Medical problem solving: an analysis of clinical reasoning. Cambridge, Harvard University Press, 1978:273-302.
12 Jones MA. Clinical reasoning in manual therapy. Phys Ther. 1992;72(12):875-84.
13 May BJ, Dennis JK. Expert decision making in physical therapy--a survey of practitioners. Phys Ther. 1991;71(3):190-202.
14 Rivett DA, Higgs J. Hypothesis generation in the clinical reasoning behavior of manual therapists. J Phys Ther Edu. 1997;11(1):40-5.
15 Wainwright SF, Shepard KF, Harman LB et al. Novice and experienced physical therapist clinicians: a comparison of how reflection is used to inform the clinical decision-making process. Phys Ther. 2010;90(1):75-88.   DOI   ScienceOn
16 Riolo L. Skill differences in novice and expert clinicians in neurologic physical therapy. J Neurol Phys Ther. 996;20(1):60-3.
17 Jensen GM, Shepard KF, Hack LM. The novice versus the experienced clinician: insights into the work of the physical therapist. Phys Ther. 1990;70(5):314-23.
18 Jensen GM, Shepard KF, Gwyer J et al. Attribute dimensions that distinguish master and novice physical therapy clinicians in orthopedic settings. Phys Ther. 1992;72(10):711-22.