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The use of measurement tools in clinical practice: an observational study of neurorehabilitation
Sarah Tyson1, Joanne Greenhalgh, Andrew F Long
1Centre for Rehabilitation and Human Performance Research and Physiotherapy Directorate, Frederick Road Campus, University of Salford, Salford, UK. s.tyson@salford.ac.uk
Objective:
To explore the way in which standardized measurement tools are used in day-to-day clinical practice.
Design:
Non-participant observation and semi-structured interviews.
Setting:
Hospital-based adult neurorehabilition unit.
Participants:
The multidisciplinary team delivering rehabilitation in the unit.
Results:
The multidisciplinary team used the measurement tools internally to establish the presence and severity of patients' impairments and activity limitations; predict recovery and discharge destination; inform treatment planning and monitor progress. They were used externally to demonstrate service effectiveness; communicate with patients, families and external agencies; enable other providers to plan continuing care and resource needs, and inform audit and service development.
Conclusion:
When used in everyday clinical practice by a multidisciplinary neurorehabilitation team, standardized measures were used to support and inform, rather than replace, clinical decision-making.
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