Vol. 70, No. 5, May 1990, pp. 314-323
Articles |
The Novice Versus the Experienced Clinician: Insights into the Work of the Physical Therapist
G Jensen, PhD, PT, is Assistant Professor, Division of Physical Therapy, School of Health Related Professions, The University of Alabama at Birmingham, UAB Station, Birmingham, AL 35294 (USA).
K Shepard, PhD, PT, FAPTA, is Associate Professor and Assistant Dean of Graduate Studies, College of Allied Health Professions, Department of Physical Therapy, Temple University, Philadelphia, PA 19140.
L Hack, PhD, MBA, PT, is Principal and Co-owner, Philadelphia Institute for Physical Therapy, Philadelphia, PA 19104.
The purpose of this study was to develop a conceptual framework and a data-collection tool to begin a systematic analysis of the work of the physical therapist. The primary method of data collection was nonparticipant observation of physical therapist-patient treatment sessions. A team of two researchers performed each of the observations. Eight physical therapists, representing three levels of experience, were observed in four different adult outpatient orthopedic settings. Field notes constructed from the observations and transcribed data were used to develop coding categories. These categories were the basis for the development of five themes that describe some aspects of the therapeutic intervention: 1) how treatment time is allocated, 2) the types and uses of information gathered from the patient, 3) the impact of the therapeutic environment, 4) the degree of responsive therapeutic interaction, and 5) the therapist integration of nontherapeutic interaction with therapeutic interaction. These findings are a beginning for understanding the practice of physical therapy.
Key Words: Model, theoretical • Physical therapy profession, professional issues • Professional practice • Professional-patient relations
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