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A qualitative study on clinical deci...

Basskin, Allison L.

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A qualitative study on clinical decision making regarding the use of vital signs in physical therapy.

Record Type:	Electronic resources : Monograph/item
Title/Author:	A qualitative study on clinical decision making regarding the use of vital signs in physical therapy./
Author:	Basskin, Allison L.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2016,
Description:	46 p.
Notes:	Source: Dissertation Abstracts International, Volume: 77-07(E), Section: B.
Contained By:	Dissertation Abstracts International77-07B(E).
Subject:	Physical therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10029479
ISBN:	9781339530345

A qualitative study on clinical decision making regarding the use of vital signs in physical therapy.
Basskin, Allison L.

A qualitative study on clinical decision making regarding the use of vital signs in physical therapy. - Ann Arbor : ProQuest Dissertations & Theses, 2016 - 46 p.

Source: Dissertation Abstracts International, Volume: 77-07(E), Section: B.

Thesis (D.P.T.)--Florida Gulf Coast University, 2016.

Introduction Clinical decision making is an integral component of patient care. Vital signs are a component of the clinical decision making process each visit. These include body temperature, blood pressure, heart rate, respiratory rate, and pulse oximetry. Measuring vital signs allows physical therapists to screen for red flags, monitor a patient's cardiovascular response to exercise, and incorporate relevant information into the plan of care. Previous studies have shown that physical therapists do not always objectively measure vital signs each visit. With physical therapists emerging as autonomous practitioners, it is important to understand which factors strongly influence the clinical decision making of physical therapists to take vital signs.

ISBN: 9781339530345Subjects--Topical Terms:

588713
Physical therapy.

A qualitative study on clinical decision making regarding the use of vital signs in physical therapy.
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100 1 $a Basskin, Allison L. $3 3286088
245 1 2 $a A qualitative study on clinical decision making regarding the use of vital signs in physical therapy.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2016
300 $a 46 p.
500 $a Source: Dissertation Abstracts International, Volume: 77-07(E), Section: B.
500 $a Adviser: Eric Shamus.
502 $a Thesis (D.P.T.)--Florida Gulf Coast University, 2016.
520 $a Introduction Clinical decision making is an integral component of patient care. Vital signs are a component of the clinical decision making process each visit. These include body temperature, blood pressure, heart rate, respiratory rate, and pulse oximetry. Measuring vital signs allows physical therapists to screen for red flags, monitor a patient's cardiovascular response to exercise, and incorporate relevant information into the plan of care. Previous studies have shown that physical therapists do not always objectively measure vital signs each visit. With physical therapists emerging as autonomous practitioners, it is important to understand which factors strongly influence the clinical decision making of physical therapists to take vital signs.
520 $a Methods Seventeen practicing physical therapists were given a questionnaire by phone, email, or in person. The questionnaire contained three sections including demographic data, clinical decision making questions, and two risk-based scenarios in which participants were asked to indicate whether or not they would assess vital signs.
520 $a Results The primary factors cited in response to source of reference of assessing vital signs included clinical experience, education, and patient presentation. The primary factors included by physical therapists in response to the decision to treat or refer based on abnormal vital signs included patient history, clinical experience, various parameters, and contacting the physician. Several different themes emerged with respect to clinical decision making that included utilizing ACSM guidelines, clinical experience, physician's protocol, education, patient presentation, criteria proposed by the cardiopulmonary section of the APTA, and facility policies and procedures. In addition, there did not appear to be an agreement by participants on the definition of abnormal vital signs seen clinically.
520 $a Conclusion The variation of factors that influenced the decision making process by the participants may be reflective of the lack of guidelines and the broad understanding of the need and benefit of objectively assessing vital signs.
590 $a School code: 1743.
650 4 $a Physical therapy. $3 588713
690 $a 0382
710 2 $a Florida Gulf Coast University. $b Physical Therapy. $3 3283805
773 0 $t Dissertation Abstracts International $g 77-07B(E).
790 $a 1743
791 $a D.P.T.
792 $a 2016
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10029479