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首页> 外文期刊>Journal of the Medical Library Association : >A characterization of clinical questions asked by rehabilitation therapists
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A characterization of clinical questions asked by rehabilitation therapists

机译:康复治疗师提出的临床问题的特征

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Objective: This study explored the information needs of rehabilitation therapists (occupational therapists, physical therapists, and speech-language pathologists) working with patients who have had strokes in order to characterize their clinical questions, defined as their formalized information needs arising in the context of everyday clinical practice. Methods: The researchers took a constructivist, interpretive approach, in which fifteen rehabilitation therapists working in various settings were recruited. Data were gathered using diaries, followed by diaryguided interviews, and thematically analyzed using template analysis. Results: Rehabilitation therapists' clinical questions were characterized as having one or more of twelve foci and containing one or more of eight possible structural elements. Conclusions: Findings demonstrate that the evidencebased practice framework currently applied for questions relating to rehabilitation is inadequate for representing rehabilitation therapists' clinical questions. A new framework that is more comprehensive and descriptive is proposed. Implications: Librarians working with students and clinicians in rehabilitation can employ knowledge of the twelve foci and the question structure for rehabilitation to guide the reference interview. Instruction on question formulation in evidence-based practice can employ the revised structure for rehabilitation, offering students and clinicians an alternative to the traditional patient, intervention, comparison, outcome (PICO) structure. Information products, including bibliographic databases and synopsis services, can tailor their interfaces according to question foci and prompt users to enter search terms corresponding to any of the eight possible elements found in rehabilitation therapists' clinical questions.
机译:目的:本研究探讨了中风患者的康复治疗师(职业治疗师,物理治疗师和言语病理学家)的信息需求,以表征他们的临床问题,这被定义为在以下情况下出现的形式化信息需求日常临床实践。方法:研究人员采用了一种建构主义的,解释性的方法,其中招募了15名在各种环境中工作的康复治疗师。使用日记收集数据,然后进行日记指导的访谈,并使用模板分析进行主题分析。结果:康复治疗师的临床问题的特征是具有十二个病灶中的一个或多个,并且包含八个可能的结构要素中的一个或多个。结论:研究结果表明,目前用于康复相关问题的循证实践框架不足以代表康复治疗师的临床问题。提出了一个更全面和更具描述性的新框架。含义:与学生和临床医生一起进行康复工作的图书馆员可以利用有关十二个病灶的知识和康复问题结构来指导参考访谈。在循证实践中提出问题的指导可以采用修订后的结构进行康复,从而为学生和临床医生提供传统患者,干预,比较,结局(PICO)结构的替代方案。包括书目数据库和提要服务在内的信息产品可以根据问题重点来定制其界面,并提示用户输入与康复治疗师的临床问题中发现的八个可能要素中的任何一个相对应的搜索词。

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