scholarly journals Clinical Reasoning Strategies in Physical Therapy

2004 ◽  
Vol 84 (4) ◽  
pp. 312-330 ◽  
Author(s):  
Ian Edwards ◽  
Mark Jones ◽  
Judi Carr ◽  
Annette Braunack-Mayer ◽  
Gail M Jensen
Keyword(s):  
Physical Therapy ◽  
Clinical Reasoning ◽  
Physical Therapists ◽  
Care Home ◽  
Study Approach ◽  
Reasoning Strategies ◽  
Grounded Theory Method ◽  
Dialectical Reasoning ◽  
Multiple Case

Abstract Background and Purpose. Clinical reasoning remains a relatively under-researched subject in physical therapy. The purpose of this qualitative study was to examine the clinical reasoning of expert physical therapists in 3 different fields of physical therapy: orthopedic (manual) physical therapy, neurological physical therapy, and domiciliary care (home health) physical therapy. Subjects. The subjects were 6 peer-designated expert physical therapists (2 from each field) nominated by leaders within the Australian Physiotherapy Association and 6 other interviewed experts representing each of the same 3 fields. Methods. Guided by a grounded theory method, a multiple case study approach was used to study the clinical practice of the 6 physical therapists in the 3 fields. Results. A model of clinical reasoning in physical therapy characterized by the notion of “clinical reasoning strategies” is proposed by the authors. Within these clinical reasoning strategies, the application of different paradigms of knowledge and their interplay within reasoning is termed “dialectical reasoning.” Discussion and Conclusion. The findings of this study provide a potential clinical reasoning framework for the adoption of emerging models of impairment and disability in physical therapy.

scholarly journals The Effect of Case Presentation on Student Physical Therapists' Clinical Reasoning Hypotheses

2021 ◽  
Author(s):  
Nicholas LaRosa ◽  
Daniel Dinsmore
Keyword(s):  
Physical Therapy ◽  
Clinical Reasoning ◽  
Professional Education ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Simulated Patient ◽  
Student Thinking ◽  
Future Research ◽  
Case Method

Purpose: Clinical reasoning is an essential skill for Physical Therapists to develop for making sound decisions regarding patient care. Case-method teaching is an instructional strategy commonly implemented in physical therapy professional education programs for facilitating clinical reasoning skill acquisition. One advantage of case-method teaching is the various ways cases can be portrayed. The purpose of this study was to identify how a case is portrayed effects student thinking and their subsequent clinical decision making. Method: Third-year student physical therapists (n = 14) working in dyads clinically reasoned through a hypothetical musculoskeletal case presented via written case study or simulated patient experience. Talk aloud methodology via concurrent reports was implemented for data collection. Mann-Whitney U-tests followed by manual calculations of effect sizes were conducted for comparing hypothesis category generation between groups. Results: A total of 14 hypothesis categories were generated by the student dyads during the problem-solving sessions. Specifically, students generated more ideas regarding health condition, and contextual factors when thinking through a written case study whereas significantly more thoughts regarding symptom characteristics, client perspectives, and minimizing reasoning errors were generated during simulated patient experiences. Conclusion: When implementing case-method teaching, physical therapy academic educators need to be aware that the manner a case is portrayed affects the clinical judgements students generate and their learning of clinical reasoning. Future research should continue to investigate these effects and how they ultimately impact clinical practice.

Co-constructing engagement in pediatric rehabilitation: a multiple case study approach

2021 ◽  
pp. 1-12
Author(s):  
Gillian King ◽  
Lisa A. Chiarello ◽  
Michelle Phoenix ◽  
Rachel D’Arrigo ◽  
Madhu Pinto
Keyword(s):  
Multiple Case Study ◽  
Case Study Approach ◽  
Pediatric Rehabilitation ◽  
Study Approach ◽  
Multiple Case

scholarly journals Blended and more: instructors organize sensemaking opportunities for mathematical equations in different ways when teaching the same scientific phenomenon

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Fang Fang Zhao ◽  
Linh Chau ◽  
Anita Schuchardt
Keyword(s):  
Scientific Understanding ◽  
Biological Phenomenon ◽  
Study Approach ◽  
Different Types ◽  
Multiple Case ◽  
Mathematical Equations ◽  
Scientific Phenomenon ◽  
Student Problem ◽  
Mathematics And Science

Abstract Background Many students solving quantitative problems in science struggle to apply mathematical instruction they have received to novel problems. The few students who succeed often draw on both their mathematical understanding of the equation and their scientific understanding of the phenomenon. Understanding the sensemaking opportunities provided during instruction is necessary to develop strategies for improving student outcomes. However, few studies have examined the types of sensemaking opportunities provided during instruction of mathematical equations in science classrooms and whether they are organized in ways that facilitate integration of mathematical and scientific understanding. This study uses a multiple case study approach to examine the sensemaking opportunities provided by four different instructors when teaching the same biological phenomenon, population growth. Two questions are addressed: (1) What types of sensemaking opportunities are provided by instructors, and (2) How are those sensemaking opportunities organized? The Sci-Math Sensemaking Framework, previously developed by the authors, was used to identify the types of sensemaking. Types and organization of sensemaking opportunities were compared across the four instructors. Results The instructors provided different opportunities for sensemaking of equations, even though they were covering the same scientific phenomenon. Sensemaking opportunities were organized in three ways, blended (previously described in studies of student problem solving as integration of mathematics and science resources), and two novel patterns, coordinated and adjacent. In coordinated sensemaking, two types of sensemaking in the same dimension (either mathematics or science) are explicitly connected. In adjacent sensemaking, two different sensemaking opportunities are provided within the same activity but not explicitly connected. Adjacent sensemaking was observed in three instructors’ lessons, but only two instructors provided opportunities for students to engage in blended sensemaking. Conclusions Instructors provide different types of sensemaking opportunities when teaching the same biological phenomenon, making different resources available to students. The organization of sensemaking also differed with only two instructors providing blended sensemaking opportunities. This result may explain why few students engage in the successful strategy of integrating mathematics and science resources when solving quantitative problems. Documentation of these instructional differences in types and organization of sensemaking provides guidance for future studies investigating the effect of instruction on student sensemaking.

INTERNATIONAL CORPORATE ENTREPRENEURSHIP WITH BORN GLOBAL SPIN-ALONG VENTURES — A CROSS-CASE ANALYSIS OF TELEKOM INNOVATION LABORATORIES' VENTURE PORTFOLIO

2014 ◽  
Vol 18 (03) ◽  
pp. 1440007 ◽  
Author(s):  
SARAH MAHDJOUR ◽  
SEBASTIAN FISCHER
Keyword(s):  
Innovation Management ◽  
Special Kind ◽  
Corporate Entrepreneurship ◽  
Domestic Market ◽  
Perceived Threat ◽  
Study Approach ◽  
Multiple Case ◽  
Early Internationalisation ◽  
Cross Case Analysis

This study investigates a special kind of corporate ventures, so called spin-along ventures, and their motivations to internationalise early. Insights are built from a multiple case study approach, investigating the spin-along program of Telekom Innovation Laboratories (T-Labs). Our results show that early internationalisation can avoid or reduce challenges that spin-alongs face when entering the domestic market. Four major motivations for early internationalisation could be identified: (1) avoid termination based on the parent's perceived threat of cannibalisation of existing products, (2) enable a venture's collaboration with competitors, (3) overcome restrictions of parental assets in the domestic market, and (4) address markets that offer greater chances for success than the domestic market does. Based on our findings we derive concrete implications for practitioners and academics in the field of innovation management.

scholarly journals Managing brand presence through social media: the case of UK football clubs

2014 ◽  
Vol 24 (2) ◽  
pp. 181-204 ◽  
Author(s):  
Jeff McCarthy ◽  
Jennifer Rowley ◽  
Catherine Jane Ashworth ◽  
Elke Pioch
Keyword(s):  
Social Media ◽  
Web Sites ◽  
Short Term ◽  
Content Type ◽  
Study Approach ◽  
Football Clubs ◽  
Multiple Case ◽  
Community Growth ◽  
Further Development

Purpose – The purpose of this paper is to contribute knowledge on the issues and benefits associated with managing brand presence and relationships through social media. UK football clubs are big businesses, with committed communities of fans, so are an ideal context from which to develop an understanding of the issues and challenges facing organisations as they seek to protect and promote their brand online. Design/methodology/approach – Due to the emergent nature of social media, and the criticality of the relationships between clubs and their fans, an exploratory study using a multiple case study approach was used to gather rich insights into the phenomenon. Findings – Clubs agreed that further development of social media strategies had potential to deliver interaction and engagement, community growth and belonging, traffic flow to official web sites and commercial gain. However, in developing their social media strategies they had two key concerns. The first concern was the control of the brand presence and image in social media, and how to respond to the opportunities that social media present to fans to impact on the brand. The second concern was how to strike an appropriate balance between strategies that deliver short-term revenue, and those that build longer term brand loyalty. Originality/value – This research is the first to offer insights into the issues facing organisations when developing their social media strategy.

scholarly journals Professional Behavior In Physical Therapist Educational Programs: Perspectives of Selected Senior Faculty

2014 ◽  
Author(s):  
Tamara Phelan
Keyword(s):  
Physical Therapists ◽  
Physical Therapist ◽  
Qualitative Case Study ◽  
Individual Case ◽  
Educational Programs ◽  
Professional Behavior ◽  
Senior Faculty ◽  
Study Approach ◽  
Cross Case Analysis

Purpose: The purpose of this study was to analyze how selected senior instructors in physical therapist educational programs define and seek to impart information on professional behavior. Methods: A qualitative case study approach was used to gather data from eight instructors teaching in four physical therapist educational programs in a selected region. Each interview was analyzed as an individual case study, followed by a cross case analysis to identify common themes. Results: Interpretational analysis using a process of constant comparison revealed nine common themes: 1) Instructors found it difficult to broadly define professional behavior. 2) Instructors expect students to be on time. 3) Instructors expect students to speak and act with courtesy and respect. 4) Instructors expect students to communicate appropriately. 5) Instructors expect students to dress appropriately. 6) Instructors expect students to participate in class. 7) Instructors consciously model professional behavior as a way to communicate their expectations. 8) Instructors give instructions and provide students with feedback about professional behavior. 9) Instructors do not attach a specific grade to professional behavior. Conclusions: Although instructors indicated a lack of confidence in consistency regarding professional behavior expectations, the themes that emerged in this study fit within existing descriptions of professional behavior for clinical physical therapists. Instructor perceptions of strategies for conveying information about professional behavior to students were consistent with existing literature on modeling and explicit teaching. .

scholarly journals Exploring the root causes of servitization challenges: an organisational boundary perspective

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ali Ziaee Bigdeli ◽  
Kawaljeet Kapoor ◽  
Andreas Schroeder ◽  
Omid Omidvar
Keyword(s):  
Future Research ◽  
Senior Executives ◽  
Content Type ◽  
Study Approach ◽  
Integrative Framework ◽  
Analysis Technique ◽  
Holistic Understanding ◽  
External Stakeholders ◽  
Multiple Case

PurposeThis paper explains how servitization disrupts long-established internal and external boundaries of product-focused manufacturers and investigates the root causes of servitization challenges.Design/methodology/approachThe authors draw from the collective experiences of 20 senior executives from ten multinational manufacturers involved in servitization, using a multiple case study approach, and employ a codebook thematic analysis technique.FindingsThe authors develop an integrative framework based on the theoretical notions of power, competency and identity boundaries to offer insights into the root causes of various servitization-related challenges.Research limitations/implicationsAlthough the extant literature discusses servitization challenges, it does not examine the underlying root causes that create them in the first place. This study contributes to the extant research by establishing rational links between organisational boundaries (internal and external) and servitization challenges in the interest of building a coherent and systematically integrated body of theory that can be successfully applied and built upon by future research.Practical implicationsThis study provides a foundation for managers to recognise, anticipate and systematically manage various boundary-related challenges triggered by servitization.Originality/valueIt is one of the first studies to employ the concept of organisational boundary to understand the challenges created by servitization and to account for both internal (between different functions of the same organisation) and external boundaries (between an organisation and its external stakeholders) to establish a holistic understanding of the impacts of servitization on manufacturers.

scholarly journals Innovation Motives in Family Firms: A Transgenerational View

2018 ◽  
Vol 44 (2) ◽  
pp. 256-287 ◽  
Author(s):  
Vanessa Diaz-Moriana ◽  
Eric Clinton ◽  
Nadine Kammerlander ◽  
G. T. Lumpkin ◽  
Justin B. Craig
Keyword(s):  
Family Firms ◽  
Fine Grained ◽  
Study Approach ◽  
Data Collection Process ◽  
Semistructured Interviews ◽  
Multigenerational Family ◽  
Multiple Case ◽  
Innovation Patterns

Drawing on the transgenerational entrepreneurship perspective, we employ a multiple case study approach to investigate why multigenerational family firms innovate. The data collection process drew upon five in-depth cases comprising 42 semistructured interviews, 25 participant observations, and several thousand pages of historical data dating from 1916 to 2017. We find patterns on how the firms’ long-term view—embracing both the past and the future—influences the innovation motives of these firms. Specifically, we identify three innovation patterns: conserving, persisting and legacy-building. We introduce a set of propositions and a framework linking long-term orientation dimensions to innovation motives and innovation outcomes. Our research thus contributes to a more fine-grained understanding of innovation behavior in family firms.

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