Clinical reasoning of clinicians and undergraduate physiotherapy students during the intensive care unit rotation
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Date
2024
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Publisher
University of the Western Cape
Abstract
Clinical reasoning (CR) is an important element of clinical practice and is considered essential for decision making. Physiotherapists need to make decisions daily, irrespective of their area of physiotherapy practice. Due to the complexity and intensity of the decision-making process, when it comes to critically ill patients in the Intensive Care Unit (ICU), the reasoning process in this particular setting may be different. The aim of the study was to explore the process of CR in both Clinicians working in ICU and undergraduate student physiotherapists training in the ICU. The objectives of the study were to explore the understanding of CR in undergraduate physiotherapy students and clinicians, to explore the process of CR and clinical decision-making (CDM) in clinicians working in the acute ICU setting and to explore the process of CR and CDM in undergraduate physiotherapy students following their rotation on the ICU placement. This study employed a qualitative approach with an exploratory research design. The population for the study included final year physiotherapy students on their ICU clinical rotation and clinicians working in the ICU. A purposive sampling method was employed to identify the participants. Data for the study was collected by means of semi-structured interviews. The data was analysed using Braun and Clarke’s six-phase thematic analysis approach where various themes and sub-themes emerged from the data.
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Keywords
Clinical reasoning, Cardiorespiratory, Clinical decision-making, Clinical reasoning processes, Physiotherapy