Sensory impairment after stroke: exploring therapists' clinical decision making

Doyle, Susan D., Bennett, Sally and Dudgeon, Brian J. (2014) Sensory impairment after stroke: exploring therapists' clinical decision making. Canadian Journal of Occupational Therapy, 81 4: 215-225. doi:10.1177/0008417414540516

Author Doyle, Susan D.
Bennett, Sally
Dudgeon, Brian J.
Title Sensory impairment after stroke: exploring therapists' clinical decision making
Journal name Canadian Journal of Occupational Therapy   Check publisher's open access policy
ISSN 1911-9828
Publication date 2014-10-24
Year available 2014
Sub-type Article (original research)
DOI 10.1177/0008417414540516
Open Access Status
Volume 81
Issue 4
Start page 215
End page 225
Total pages 11
Place of publication Thousand Oaks CA, United States
Publisher Sage Publications
Collection year 2015
Language eng
Formatted abstract
Background. Stroke survivors experience sensory impairments that significantly limit upper-limb functional use. Lack of clear research-based guidelines about their management exacerbates the uncertainty in occupational therapists’ decision making to support these clients.

Purpose. This study explores occupational therapists’ clinical decision making regarding upper-limb, post-stroke sensory impairments that can ultimately inform approaches to support therapists working with such clients.

Method. Twelve therapists participated in a qualitative descriptive study. Transcripts of semi-structured interviews were analyzed using content analysis.

Findings. Three overarching categories were identified: deciding on the focus of interventions (describing intervention choices), it all depends (outlining factors considered when choosing interventions), and managing uncertainty in decision making (describing uncertainty and actions taken to resolve it).

Implications. Providing training about post-stroke sensory impairment and decision making may improve therapists’ decision making and ultimately improve client outcomes. Further research is needed to understand the impact of uncertainty on occupational therapy decision making and resulting care practices.
Keyword Clinical reasoning
Evidence-based practice
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Human Movement and Nutrition Sciences Publications
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Created: Sun, 21 Dec 2014, 00:16:53 EST by System User on behalf of School of Human Movement and Nutrition Sciences