Show simple item record

dc.contributor.authorDoyle, Susan
dc.contributor.authorBennett, Sally
dc.contributor.authorGustafsson, Louise
dc.date.accessioned2018-08-29T04:11:34Z
dc.date.available2018-08-29T04:11:34Z
dc.date.issued2013
dc.identifier.issn0308-0226
dc.identifier.doi10.4276/030802213X13706169932789
dc.identifier.urihttp://hdl.handle.net/10072/380188
dc.description.abstractIntroduction: This study explored factors influencing occupational therapists' clinical decision making when choosing to assess upper limb post-stroke sensory impairments (ULPSSI) and selecting interventions. Method: A survey of 187 American occupational therapists working with stroke survivors. Findings: Respondents most commonly assessed ULPSSI to determine the impact on occupational performance and guide interventions, and most commonly did not undertake assessment if clients either reported no impairments or were unable to participate in testing. Being unaware of interventions, believing motor interventions addressed ULPSSI and lack of time most commonly led to the decision not to use interventions for ULPSSI. Clients' cognitive status, severity of ULPSSI and time since stroke influenced therapists when choosing between compensatory or remedial approaches. Prior experience, effects seen when trialling interventions and consulting other therapists most commonly influenced specific intervention choice. Conclusion: Deciding to assess ULPSSI was influenced by theoretical knowledge and domain-specific clinical knowledge while decisions about interventions were largely influenced by the therapists' domain-specific clinical knowledge, clinical experience and by specific contextual factors such as time available for therapy. Respondents used both automatic and reflective or deliberate decision-making processes. Education on evidence-based interventions and strategies for decision making in areas of clinical uncertainty is warranted.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSage Publications
dc.relation.ispartofpagefrom254
dc.relation.ispartofpageto263
dc.relation.ispartofissue6
dc.relation.ispartofjournalBritish Journal of Occupational Therapy
dc.relation.ispartofvolume76
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode110399
dc.subject.fieldofresearchcode1103
dc.titleClinical Decision Making when Addressing Upper Limb Post-Stroke Sensory Impairments
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorGustafsson, Louise


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record