scholarly journals Exploring Technology Integration in Canadian Athletic Therapy Education

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Colin King ◽  
Gregory MacKinnon
Keyword(s):  
Technology Integration ◽  
Professional Education ◽  
Clinical Decision Making ◽  
Digital Technologies ◽  
Clinical Decision ◽  
Educational Goals ◽  
Course Content ◽  
Individual Interviews ◽  
Athletic Therapy ◽  
Therapy Education

There are many potential educational goals for using digital technologies in health professional education programs. Previous studies have suggested that technology can be used in these settings to facilitate knowledge acquisition, improve clinical decision making, improve psychomotor skill coordination, and practice rare or critical scenarios. However, when using technology for educational purposes, many educators do not consider the resulting pedagogical implications of using these tools to teach course content. The purpose of this study was to explore this phenomenon in a sample of athletic therapy educators, by investigating their views and attitudes towards using digital technologies in athletic therapy specific courses. Researchers used a sequential explanatory mixed-methods approach (via questionnaire and individual interviews) to explore this topic. It was found that the majority of athletic therapy educators in this sample (n = 21) did not in fact consider the pedagogical implications of technology integration and moreover used technology in rudimentary fashions (e.g., to deliver course content or to provide additional context to explain a topic). Conversely, those educators with higher levels of pedagogical and technological knowledge appeared to use technology in more constructive ways while considering the pedagogical impact of their technology integration decisions. Although this study focused on athletic therapy education, the findings are not unique to this discipline. Carefully designed, pedagogically-sound technologies have very specific and useful ways of empowering learning and have the potential to achieve many educational goals for any educator.

A qualitative study of clinical decision-making in a multidisciplinary outpatient clinic for patients with atrial fibrillation - from the patient’s perspective

2018 ◽  
Vol 6 (4) ◽  
pp. 610
Author(s):  
Lars Thrysoee ◽  
Lisbeth Birkelund ◽  
Regner Birkelund
Keyword(s):  
Atrial Fibrillation ◽  
Decision Making ◽  
Patient Involvement ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process ◽  
International Studies ◽  
Design Data ◽  
Individual Interviews ◽  
European Guidelines

Background: International studies show that patient involvement in clinical decision-making has a positive effect on patients’ experiences of quality and on their adherence to the initiated treatment. Studies also demonstrate that patients are becoming more interested in engaging in decision-making processes. While patient involvement in decision-making plays an important role in the newest European guidelines for treatment of patients with atrial fibrillation, recent research points to the challenges associated with this ideal. The aim of the present study was to determine how patients with newly diagnosed atrial fibrillation experienced the clinical decision-making process in outpatient treatment courses.Methods: The study had a qualitative research design. Data were generated by means of fieldwork in which the researcher participated in outpatient consultations with participating patients. Field notes were supplemented with semi-structured individual interviews. Fourteen patients (7 women and 7 men) between the ages of 40 to 82 were included. The empirical data were analyzed and interpreted according to Ricoeur’s interpretation theory.Results: Three main themes were identified: (1) Lack of prerequisites for patient involvement in decision-making at the first consultation; (2) Limited patient involvement in the anticoagulant choice and (3) Lack of follow-up on the patient’s understanding of illness and treatment. Conclusion: The data showed that the medical aspects of the patients’ illness were most often the focus of attention, whereas the patients’ own experiences, needs and preferences were not systematically included in the decision-making process.

scholarly journals Multisite Exploration of Clinical Decision Making for Antibiotic Use by Emergency Medicine Providers Using Quantitative and Qualitative Methods

2014 ◽  
Vol 35 (9) ◽  
pp. 1114-1125 ◽  
Author(s):  
Larissa May ◽  
Glencora Gudger ◽  
Paige Armstrong ◽  
Gillian Brooks ◽  
Pamela Hinds ◽  
...  
Keyword(s):  
Decision Making ◽  
Observational Study ◽  
Clinical Decision Making ◽  
A Priori ◽  
Clinical Decision ◽  
Antibiotic Use ◽  
Knowledge Generation ◽  
Clinical Inertia ◽  
Antibiotic Prescribing ◽  
Individual Interviews

Objectives.To explore current practices and decision making regarding antimicrobial prescribing among emergency department (ED) clinical providers.MethodsWe conducted a survey of ED providers recruited from 8 sites in 3 cities. Using purposeful sampling, we then recruited 21 providers for in-depth interviews. Additionally, we observed 10 patient-provider interactions at one of the ED sites. SAS 9.3 was used for descriptive and predictive statistics. Interviews were audio recorded, transcribed, and analyzed using a thematic, constructivist approach with consensus coding using NVivo 10.0. Field and interview notes collected during the observational study were aligned with themes identified through individual interviews.ResultsOf 150 survey respondents, 76% agreed or strongly agreed that antibiotics are overused in the ED, while half believed they personally did not overprescribe. Eighty-nine percent used a smartphone or tablet in the ED for antibiotic prescribing decisions. Several significant differences were found between attending and resident physicians. Interview analysis identified 42 codes aggregated into the following themes: (1) resource and environmental factors that affect care; (2) access to and quality of care received outside of the ED consult; (3) patient-provider relationships; (4) clinical inertia; and (5) local knowledge generation. The observational study revealed limited patient understanding of antibiotic use. Providers relied heavily upon diagnostics and provided limited education to patients. Most patients denied a priori expectations of being prescribed antibiotics.ConclusionsPatient, provider, and healthcare system factors should be considered when designing interventions to improve antimicrobial stewardship in the ED setting.Infect Control Hosp Epidemiol 2014;35(9):1114-1125

A participatory learning model and person-centered healthcare: moving away from “one hand clapping”

2015 ◽  
Vol 3 (3) ◽  
pp. 279 ◽  
Author(s):  
John Stephens
Keyword(s):  
Professional Education ◽  
Healthcare Professionals ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Learning Model ◽  
Training Needs ◽  
Service Users ◽  
Close Collaboration ◽  
Participatory Learning ◽  
Healthcare Practice

The level of complexity within healthcare practice makes close collaboration with ‘service users’ a necessity in the education of pre-registration healthcare professionals to promote the development of optimal clinical decision making skills in the delivery of safe, effective, and efficient person-centred care.  This article reports on the development of a series of facilitated workshops within two pre-registration physiotherapy programmes framed by an adapted participatory learning model, underpinned by the concepts of complexity science, in an attempt gain some understanding of the facilitation of learning that is person-centred and collaborative in nature.The participatory learning model offers a structure to organise a learning process in a manner that is not only conceptually appealing but also of practical use. The model would seem to have the potential for transfer to broader areas of professional education. In embracing participation and complexity ‘don’t be afraid to start’, and ‘learn from doing’ are key messages of encouragement. However, it is important to think about any training needs across organisations and individuals, to find and nurture relationships, and to be creative and also have clarity of purpose.    

Preliminary Findings on the Use of Session Questionnaires to Improve Clinician-Client Alliance With Special Consideration to Clinical Education

2015 ◽  
Vol 25 (1) ◽  
pp. 50-60
Author(s):  
Anu Subramanian
Keyword(s):  
Graduate Students ◽  
Clinical Education ◽  
Clinical Decision Making ◽  
Rating Scale ◽  
Treatment Effectiveness ◽  
Clinical Decision ◽  
Added Value ◽  
Therapeutic Outcomes ◽  
Specific Feedback ◽  
Stakeholder Perspective

ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client and clinician is the use of outcome questionnaires. In the current study, eight parents of toddlers who attended therapy sessions at a university clinic responded to a session outcome questionnaire that included both rating scale and descriptive questions. Six graduate students completed a survey that included a question about the utility of the questionnaire. Results indicated that the descriptive questions added value and information compared to using only the rating scale. The students were varied in their responses regarding the effectiveness of the questionnaire to increase their comfort with parents. Information gathered from the questionnaire allowed for specific feedback to graduate students to change behaviors and created opportunities for general discussions regarding effective therapy techniques. In addition, the responses generated conversations between the client and clinician focused on clients' concerns. Involving the stakeholder in identifying both effective and ineffective aspects of therapy has advantages for clinical practice and education.

Clinical Decision-Making for Stroke and Aphasia in the Older Adult

2009 ◽  
Vol 14 (1) ◽  
pp. 4-11 ◽  
Author(s):  
Jacqueline Hinckley
Keyword(s):  
Executive Function ◽  
Cerebrovascular Disease ◽  
Cognitive Abilities ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cognitive Profile ◽  
Focal Lesion ◽  
Cognitive Profiles ◽  
Supportive Communication ◽  
Spaced Retrieval

Abstract A patient with aphasia that is uncomplicated by other cognitive abilities will usually show a primary impairment of language. The frequency of additional cognitive impairments associated with cerebrovascular disease, multiple (silent or diagnosed) infarcts, or dementia increases with age and can complicate a single focal lesion that produces aphasia. The typical cognitive profiles of vascular dementia or dementia due to cerebrovascular disease may differ from the cognitive profile of patients with Alzheimer's dementia. In order to complete effective treatment selection, clinicians must know the cognitive profile of the patient and choose treatments accordingly. When attention, memory, and executive function are relatively preserved, strategy-based and conversation-based interventions provide the best choices to target personally relevant communication abilities. Examples of treatments in this category include PACE and Response Elaboration Training. When patients with aphasia have co-occurring episodic memory or executive function impairments, treatments that rely less on these abilities should be selected. Examples of treatments that fit these selection criteria include spaced retrieval and errorless learning. Finally, training caregivers in the use of supportive communication strategies is helpful to patients with aphasia, with or without additional cognitive complications.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

Management of thoracic aortic lesions - the future is endovascular

VASA ◽  
2012 ◽  
Vol 41 (3) ◽  
pp. 163-176 ◽  
Author(s):  
Weidenhagen ◽  
Bombien ◽  
Meimarakis ◽  
Geisler ◽  
A. Koeppel
Keyword(s):  
Thoracic Aorta ◽  
Clinical Decision Making ◽  
Treatment Options ◽  
Clinical Decision ◽  
Clinical Results ◽  
Treatment Modalities ◽  
Traumatic Rupture ◽  
Descending Thoracic Aorta ◽  
New Treatment ◽  
Aneurysm Dissection

Open surgical repair of lesions of the descending thoracic aorta, such as aneurysm, dissection and traumatic rupture, has been the “state-of-the-art” treatment for many decades. However, in specialized cardiovascular centers, thoracic endovascular aortic repair and hybrid aortic procedures have been implemented as novel treatment options. The current clinical results show that these procedures can be performed with low morbidity and mortality rates. However, due to a lack of randomized trials, the level of reliability of these new treatment modalities remains a matter of discussion. Clinical decision-making is generally based on the experience of the vascular center as well as on individual factors, such as life expectancy, comorbidity, aneurysm aetiology, aortic diameter and morphology. This article will review and discuss recent publications of open surgical, hybrid thoracic aortic (in case of aortic arch involvement) and endovascular repair in complex pathologies of the descending thoracic aorta.

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