Physical Therapists’ Experiences Updating the Clinical Management of Walking Rehabilitation After Stroke: A Qualitative Study

2009 ◽  
Vol 89 (6) ◽  
pp. 556-568 ◽  
Author(s):  
Nancy M. Salbach ◽  
Paula Veinot ◽  
Susan Rappolt ◽  
Mark Bayley ◽  
Dawn Burnett ◽  
...  
Keyword(s):  
Clinical Management ◽  
Research Evidence ◽  
Physical Therapists ◽  
Research Literature ◽  
Comparative Approach ◽  
Sources Of Information ◽  
Efficient Access ◽  
Research Findings ◽  
Walking Rehabilitation ◽  
Ease Of Access

Background: Little is known about physical therapists’ experiences using research evidence to improve the delivery of stroke rehabilitation. Objectives: The purpose of this study was to explore how physical therapists use research evidence to update the clinical management of walking rehabilitation after stroke. Specific objectives were to identify physical therapists’ clinical questions related to walking rehabilitation, sources of information sought to address these questions, and factors influencing the incorporation of research evidence into practice. Design and Methods: Two authors conducted in-depth telephone interviews with 23 physical therapists who treat people with stroke and who had participated in a previous survey on evidence-based practice. Data were analyzed with a constant comparative approach to identify emerging themes. Results: Therapists commonly raised questions about the selection of treatments or outcome measures. Therapists relied foremost on peers for information because of their availability, ease of access, and minimal cost. Participants sought information from research literature themselves or with the help of librarians or students. Research syntheses (eg, systematic reviews) enabled access to a body of research. Older therapists described insufficient computer and search skills. Most participants considered appraisal and application of research findings challenging and identified insufficient time and peer isolation as organizational barriers to the use of research. Conclusions: Physical therapists require efficient access to research syntheses primarily to inform the measurement and treatment of walking limitation after stroke. Continuing education is needed to enhance skills in appraising research findings and applying them to practice. Older therapists require additional training to develop computer and search skills. Peer networks and student internships may optimize the exchange of new knowledge for therapists working in isolation.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

scholarly journals The Effect of Smart Boards on the Cognition and Motivation of Students

2017 ◽  
Vol 7 (1) ◽  
pp. 60 ◽  
Author(s):  
Nitza Davidovitch ◽  
Roman Yavich
Keyword(s):  
Sixth Grade ◽  
Research Literature ◽  
General Level ◽  
Significant Finding ◽  
Level Of Satisfaction ◽  
Significant Difference ◽  
Technological Developments ◽  
Research Findings ◽  
Measure Change ◽  
Smart Boards

In recent years the research literature has explored technological developments in varied areas that measure change. The current study focuses on the smart board, and its purpose is to examine its effect on the school system. The study was conducted via a questionnaire completed by 130 respondents (boys and girls) in the fifth and sixth grades of two elementary schools in Jerusalem—Efrata and Tali Gilo. Smart boards were introduced in these two schools in recent years.We hypothesized that smart boards improve teaching, based on the teaching measures developed by Nira Hativa of Tel Aviv University: order and organization, level of clarity, interest, and general level of satisfaction. The study’s significant finding is that the greatest improvement since the introduction of smart boards is in the variable of clarity, and a significant difference was found in the favor of sixth grade students. Additionally, a significant difference was found in the variable of interest, in favor of the girls. All four variables appear to be interrelated, and each contributes to the student’s success and to improving the student’s learning process.The research findings illuminate the contribution of technology to teaching, through a case study of smart boards, in the dimension of clarity, found by the study to be a significant criterion of good teaching. Examination of the various technological tools in light of their contribution to the research-proven dimensions of outstanding teaching might enhance the pedagogical contribution of technological developments to teaching.

A Grounded Theory of Expert Cognition in Orienteering

2002 ◽  
Vol 24 (1) ◽  
pp. 68-88 ◽  
Author(s):  
David W. Eccles ◽  
Susanne E. Walsh ◽  
David K. Ingledew
Keyword(s):  
Grounded Theory ◽  
Cognitive Skills ◽  
Research Literature ◽  
Optimal Management ◽  
Sources Of Information ◽  
Task Constraint ◽  
Task Constraints ◽  
Coaching Process ◽  
Processing Resources

The objective of this study was to gain an understanding of expert cognition in orienteering. The British orienteering squad was interviewed (N = 17) and grounded theory was used to develop a theory of expert cognition in orienteering. A task constraint identified as central to orienteering is the requirement to manage attention to three sources of information: the map, the environment, and travel. Optimal management is constrained by limited processing resources. However, consistent with the research literature, the results reveal considerable adaptations by experts to task constraints, characterized primarily by various cognitive skills including anticipation and simplification. By anticipating the environment from the map, and by simplifying the information required to navigate, expert orienteers can circumvent processing limitations. Implications of this theory for other domains involving navigation, and for the coaching process within the sport, are discussed.

scholarly journals User involvement in adolescents’ mental healthcare: protocol for a systematic review

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018800
Author(s):  
Petter Viksveen ◽  
Stig Erlend Bjønness ◽  
Siv Hilde Berg ◽  
Nicole Elizabeth Cardenas ◽  
Julia Rose Game ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Appraisal ◽  
Research Evidence ◽  
Data Extraction ◽  
Mental Healthcare ◽  
User Involvement ◽  
Cochrane Collaboration ◽  
Research Literature ◽  
Primary Data ◽  
Evaluation Approach

IntroductionUser involvement has become a growing importance in healthcare. The United Nations state that adolescents have a right to be heard, and user involvement in healthcare is a legal right in many countries. Some research provides an insight into the field of user involvement in somatic and mental healthcare for adults, but little is known about user involvement in adolescents’ mental healthcare, and no overview of the existing research evidence exists.Methods and analysisThe aim of this systematic review is to provide an overview of existing research reporting on experiences with and the effectiveness and safety issues associated with user involvement for adolescents’ mental healthcare at the individual and organisational level. A systematic literature search and assessment of published research in the field of user involvement in adolescents’ mental healthcare will be carried out. Established guidelines will be used for data extraction (Cochrane Collaboration guidelines, Strengthening the Reporting of Observational studies in Epidemiology and Critical Appraisal Skills Programme (CASP)), critical appraisal (Cochrane Collaboration guidelines and Pragmatic-Explanatory Continuum Indicator Summary) and reporting of results (Preferred Reporting Items for Systematic reviews and Meta-Analyses, Consolidated Standards of Reporting Trials and CASP). Confidence in the research evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. Adolescents are included as coresearchers for the planning and carrying out of this systematic review. This systematic review will provide an overview of the existing research literature and thereby fill a knowledge gap. It may provide various stakeholders, including decision-makers, professionals, individuals and their families, with an overview of existing knowledge in an underexplored field of research.Ethics and disseminationEthics approval is not required for this systematic review as we are not collecting primary data. The results will be published in a peer-reviewed journal and at conference presentations and will be shared with stakeholder groups.

Qualitative generalising in accounting research: concepts and strategies

2016 ◽  
Vol 29 (6) ◽  
pp. 1100-1131 ◽  
Author(s):  
Lee D. Parker ◽  
Deryl Northcott
Keyword(s):  
Design Methodology ◽  
Research Literature ◽  
Key Factors ◽  
General Applicability ◽  
Information Systems Management ◽  
Content Type ◽  
Accounting Research ◽  
Research Findings ◽  
Quality Of Research

Purpose – The purpose of this paper is to identify and articulate concepts and approaches to qualitative generalisation that will offer qualitative accounting researchers avenues for enhancing and justifying the general applicability of their research findings and conclusions. Design/methodology/approach – The study and arguments draw from multidisciplinary approaches to this issue. The analysis and theorising is based on published qualitative research literatures from the fields of education, health sciences, sociology, information systems, management and marketing, as well as accounting. Findings – The paper develops two overarching generalisation concepts for application by qualitative accounting researchers. These are built upon a number of qualitative generalisation concepts that have emerged in the multidisciplinary literatures. It also articulates strategies for enhancing the generalisability of qualitative accounting research findings. Research limitations/implications – The paper provides qualitative accounting researchers with understandings, arguments and justifications for the generalisability of their research and the related potential for wider accounting and societal contributions. It also articulates the key factors that impact on the quality of research generalisation that qualitative researchers can offer. Originality/value – This paper presents the most comprehensively sourced and developed approach to the concepts, strategies and unique deliverables of qualitative generalising hitherto available in the accounting research literature.

scholarly journals Evaluating educational changes: a statistical perspective

2013 ◽  
Vol 21 (78) ◽  
pp. 101-114
Author(s):  
Harvey Goldstein
Keyword(s):  
Educational Policy ◽  
Class Size ◽  
Research Evidence ◽  
Research Process ◽  
Short Term ◽  
Policy Initiatives ◽  
League Tables ◽  
Educational Changes ◽  
Research Findings ◽  
Use Of Research

The paper explores some of the issues involved in evaluating educational policy initiatives. It gives examples of how research findings can be evaluated and draws lessons for the ways in which policymakers can interact usefully with researchers. It argues that while central government's use of research evidence is often highly selective and concerned with its own perceived short term interests, a broader view of the research process is more productive and beneficial. The issues of class size, school league tables and the effects of homework are studied in detail and the often provisional nature of research evidence is emphasised as well as the uncertainty surrounding the findings of individual studies.

scholarly journals LITERASI INFORMASI PENGELOLA KOMUNITAS SAHABAT ILMU JAMBI BERDASARKAN STANDAR IFLA

2019 ◽  
Vol 25 (2) ◽  
pp. 145-163
Author(s):  
Rio Gusma Hendra ◽  
Wenny Dastina ◽  
Muhammad Rum
Keyword(s):  
Mobile Phones ◽  
Research Method ◽  
Information Needs ◽  
Sources Of Information ◽  
Data Presentation ◽  
Analysis Techniques ◽  
Internet Media ◽  
Research Findings ◽  
Descriptive Approach ◽  
Access Information

This study aims to determine how the ability of Jambi Friends of the Community of Friends in accessing, evaluating and using information. This study uses a qualitative research method with a descriptive approach and data collection through observation, interviews, and documentation. Data analysis techniques used: data reduction, data presentation, drawing conclusions and data triangulation. Based on the results of the analysis and research findings, the ability of the Jambi Sahabat Community Community Managers to access information based on the IFLA standard is said to be Expert, because it is seen from the manager’s ability to define information needs and to trace information through various sources, such as people who are experts in their fields, from print media: books and newspapers, electronic media: television and mobile phones. The ability of the Friends of the Jambi Friends of the Community in evaluating information based on the IFLA standard is said to be Expert, because it is seen from the ability of the manager to assess information and manage information obtained through clear sources of information, such as books, and internet media, as well as sources from internal community discussions. The ability of the Jambi Friends of the Sahabat Community Community to use information based on the IFLA standard can be said to be Expert, seen from the manager’s ability to use information and communicate information directly in the form of discussion, and indirectly as well as convey information with a simpler and easier to understand delivery

scholarly journals ISLAMIC MAGAZINE ARTICLES TO ENHANCE STUDENTS’ READING SKILL AND BUILD THEIR CHARACTER VALUES

2016 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Munir Munir ◽  
Rudi Hartono
Keyword(s):  
Reading Comprehension ◽  
English Education ◽  
Reading Performance ◽  
Teaching Reading ◽  
Sources Of Information ◽  
Education Department ◽  
Authentic Materials ◽  
Research Findings ◽  
Real Language ◽  
Magazine Articles

<p>This present study examined the use of Islamic magazine articles as authentic materials in teaching reading comprehension for the students of English Education Department of IAIN Batusangkar, Indonesia. This idea is based on the belief that students can be motivated and challenged to read if the selected materials pertain to their prior knowledge and experiences. In addition to this, using Islamic magazine articles as essential sources of information can positively expose students to real language. This study used qualitative research. This research was conducted to the third semester students. Observation and interview were used to collect data from 58 students who learned reading comprehension in the classroom. The research findings showed that the use of Islamic magazine articles empirically enhanced the students’ reading performance and built their character values. Based on these findings it is recommended that lecturers of reading comprehension subject should be able to exploit up-to-date articles to be used as lesson materials in teaching reading comprehension at the English education department in order to avoid boredom in reading texts. </p>

scholarly journals Developmental mechanisms in the prodrome to psychosis

2013 ◽  
Vol 25 (4pt2) ◽  
pp. 1585-1600 ◽  
Author(s):  
Elaine F. Walker ◽  
Hanan D. Trotman ◽  
Sandra M. Goulding ◽  
Carrie W. Holtzman ◽  
Arthur T. Ryan ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Preventive Intervention ◽  
Disease Process ◽  
Research Literature ◽  
Mental Illnesses ◽  
Critical Issues ◽  
Research Findings ◽  
New Research ◽  
Postnatal Stress ◽  
Adolescent Brain Development

AbstractPsychotic disorders continue to be among the most disabling and scientifically challenging of all mental illnesses. Accumulating research findings suggest that the etiologic processes underlying the development of these disorders are more complex than had previously been assumed. At the same time, this complexity has revealed a wider range of potential options for preventive intervention, both psychosocial and biological. In part, these opportunities result from our increased understanding of the dynamic and multifaceted nature of the neurodevelopmental mechanisms involved in the disease process, as well as the evidence that many of these entail processes that are malleable. In this article, we review the burgeoning research literature on the prodrome to psychosis, based on studies of individuals who meet clinical high risk criteria. This literature has examined a range of factors, including cognitive, genetic, psychosocial, and neurobiological. We then turn to a discussion of some contemporary models of the etiology of psychosis that emphasize the prodromal period. These models encompass the origins of vulnerability in fetal development, as well as postnatal stress, the immune response, and neuromaturational processes in adolescent brain development that appear to go awry during the prodrome to psychosis. Then, informed by these neurodevelopmental models of etiology, we turn to the application of new research paradigms that will address critical issues in future investigations. It is expected that these studies will play a major role in setting the stage for clinical trials aimed at preventive intervention.

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