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Reasoning About Reasoning - Using Recall To Unveil Clinical Reasoning In Stroke Rehabilitation Teams.

Home
Research Domains
Information And Computing Sciences
Artificial Intelligence
Natural Language Processing
Reasoning About Reasoning - Using Recall To Unveil Clinical Reasoning In Stroke Rehabilitation Teams.

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Published on: January 15, 2017

Reasoning about reasoning - using recall to unveil clinical reasoning in stroke rehabilitation teams.

Maria Elvén^1,2, Malin Prenkert², Inger K Holmström^1,3

¹School of Health, Care, and Social Welfare, Mälardalen University, Västerås, Sweden.

Disability and Rehabilitation

|February 23, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Healthcare providers on stroke teams aim for person-centered clinical reasoning but professional expertise can hinder patient needs. Stimulated recall can improve awareness of patient-centered practices.

Keywords:

Clinical reasoning decision-making participation person-centered care

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Area of Science:

Healthcare research
Clinical reasoning
Interprofessional collaboration

Background:

Effective clinical reasoning is crucial in stroke rehabilitation.
Collaboration with patients and families is essential for optimal care.
Understanding the dynamics of interprofessional stroke teams is vital.

Purpose of the Study:

To investigate how healthcare providers in stroke teams reason clinically.
To explore the collaborative clinical reasoning process involving patients and next of kin.

Main Methods:

Explorative qualitative design.
Stimulated recall using audio-recordings of rehabilitation dialogues.
Thematic analysis of interviews with healthcare staff.

stimulated recall

stroke rehabilitation

Main Results:

Identified a tension between profession-centered and person-centered clinical reasoning.
Themes included: value of diverse perspectives, challenges in achieving shared understanding, influence of provider expertise, contextual impact, and missed opportunities for patient input.
Professional expertise can overshadow individual patient needs.

Conclusions:

Interprofessional stroke teams value patient perspectives but professional expertise may impede person-centeredness.
A gap exists between intended person-centered care and actual clinical reasoning practice.
Stimulated recall can enhance awareness of person-centered practices in clinical reasoning.