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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 38, 2022 - Issue 13
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Qualitative Research Report

Understanding clinical reasoning: A phenomenographic study with entry-level physiotherapy students

, RPT, PhDORCID Icon, , RPT, , RPT, PhD & , PhDORCID Icon
Pages 2817-2826 | Received 18 Apr 2019, Accepted 25 Jul 2021, Published online: 21 Sep 2021

References

  • Barrows HS 1985 How to design a problem-based curriculum for the preclinical years. NY: Springer.
  • Barrows HS, Feltovich PJ 1987 The clinical reasoning process. Medical Education 21: 86–91. doi10.1111/j.1365-2923.1987.tb00671.x.
  • Batalden M, Batalden P, Margolis P, Seid M, Armstrong G, Opipari-Arrigan L, Hartung H 2016 Coproduction of healthcare service. BMJ Quality and Safety 25(7): 509–517. doi:10.1136/bmjqs-2015-004315.
  • Bate E, Hommes J, Duvivier R, Taylor D 2014 Problem-based learning (PBL): Getting the most out of your students - Their roles and responsibilities: AMEE Guide No. 84. Medical Teacher 36: 1–12. doi: 10.3109/0142159X.2014.848269.
  • Bleakley A 2005 Stories as data, data as stories: Making sense of narrative inquiry in clinical education. Medical Education 39(5): 534–540. doi:10.1111/j.1365-2929.2005.02126.x.
  • Christensen N, Black L, Furze J, Huhn K, Vendreley A, Wainwright S 2017 Clinical reasoning: Survey of teaching methods, integration, and assessment in entry-level physical therapist academic education. Physical Therapy 97: 175–186. doi:10.2522/ptj.20150320.
  • Christensen N, Jones MA, Edwards I, Higgs J 2008 Helping physiotherapy students develop clinical reasoning capability. In: Higgs J, Jones M, Loftus S, Christensen N (Eds) Clinical reasoning in the health professions (3rd), p. 389–396. Oxford: Butterworth Heinemann.
  • Cruz EB, Caeiro C, Pereira C 2014 A narrative reasoning course to promote patient-centred practice in a physiotherapy undergraduate programme: A qualitative study of final year students. Physiotherapy Theory and Practice 30(4): 254–260. doi:10.3109/09593985.2013.863415.
  • Cruz EB, Moore AP, Cross V 2012 A qualitative study of physiotherapy final year under-graduate students’ perceptions of clinical reasoning. Manual Therapy 17: 549–553. doi:10.1016/j.math.2012.05.013.
  • Edwards I, Jones M, Carr J, Braunack-Mayer A, Jensen GM 2004 Research report. Clinical reasoning strategies in physical therapy. Physical Therapy 84(4): 312–330. doi:10.1093/ptj/84.4.312.
  • Elvén M, Hochwälder J, Dean E, Söderlund A 2019 Predictors of clinical reasoning using the reasoning 4 change instrument with physical therapist students. Physical Therapy 99: 964–974. doi:10.1093/ptj/pzz044.
  • Fritz J, Söderbäck M, Söderlund A, Sandborgh M 2019 The complexity of integrating a behavioral medicine approach into physiotherapy clinical practice. Physiotherapy Theory and Practice 35(12): 1182–1193. doi:10.1080/09593985.2018.1476996.
  • Gilliland S, Wainwright SF 2017 Patterns of clinical reasoning in physical therapy students. Physical Therapy 97: 499–511. doi:10.1093/ptj/pzx028.
  • Gummesson C, Sundén A, Fex A 2018 Clinical reasoning as a conceptual framework for interprofessional learning: A literature review and a case study. Physical Therapy Reviews 23(1): 29–34. doi:10.1080/10833196.2018.1450327.
  • Häger-Ross C, Sundelin G 2007 Physiotherapy education in Sweden. Physical Therapy Reviews 12: 139–144. doi:10.1179/108331907X175122.
  • Hendrick P, Bond C, Duncan E, Hale L 2009 Clinical reasoning in musculoskeletal practice: Students‘ conceptualizations. Physical Therapy 89(5): 430–442. doi:10.2522/ptj.20080150.
  • Higgs J, Jones MA 2008 Clinical decision making and multiple problem spaces. In: Higgs J, Jones M, Loftus S, Christensen N (Eds) Clinical reasoning in the health professions (3rd), p. 3–14. Oxford: Butterworth Heinemann.
  • Jones M, Jensen G, Edwards I 2008 Clinical reasoning in physiotherapy. In: Higgs J, Jones M, Loftus S, Christensen N (Eds) Clinical reasoning in the health professions (3rd), p. 245–256. Oxford: Butterworth Heinemann.
  • Kiesewetter J, Fischer F, Fischer MR 2017 Collaborative clinical reasoning - A systematic review of empirical studies. Journal of Continuing Education for the Health Professionals 37: 123–128. doi:10.1097/CEH.0000000000000158.
  • Marton F 1986 Phenomenography: A research approach to investigating different understandings of reality. Thought 21: 28–49.
  • Marton F 1994 Phenomenography. In: Husén T, Postlethwaite N (Eds) The international encyclopedia of education (2nd), p. 4424–4429. Oxford: Pergamon.
  • Marton F 2018 Towards a pedagogical theory of learning. In: Matsushita K (Ed) Deep active learning, p. 59–77. Singapore: Springer.
  • Marton F, Booth S 1997 Learning and awareness. NY: Lawrence Erlbaum Associates.
  • Marton F, Runesson U, Tsui AB 2004 The space of learning. In: Marton F, Tsui AB (Eds) Classroom discourse and the space of learning, p. 3–40. Mahwah: Lawrence Erlbaum Associates.
  • Mattingly C 1991 The narrative nature of clinical reasoning. American Journal of Occupational Therapy 45(11): 998–1005. doi:10.5014/ajot.45.11.998.
  • May S, Greasley A, Reeve S, Withers S 2008 Expert therapists use specific clinical reasoning processes in the assessment and management of patients with shoulder pain: A qualitative study. Australian Journal of Physiotherapy 54: 261–266. doi:10.1016/S0004-9514(08)70005-9.
  • May S, Withers S, Reeve S, Greasley A 2010 Limited clinical reasoning skills used by novice physiotherapists when involved in the assessment and management of patients with shoulder problems: A qualitative study. Journal of Manual & Manipulative Therapy 18(2): 84–88. doi:10.1179/106698110X12640740712770.
  • Montpetit-Tourangeau K, Dyer JO, Hudon A, Windsor M, Charlin B, Mamede S, Van Gog T 2017 Fostering clinical reasoning in physiotherapy: Comparing the effects of concept map study and concept map completion after example study in novice and advanced learners. BMC Medical Education 17: 238. doi:10.1186/s12909-017-1076-z.
  • Nesbit KC, Randall KE, Hamilton TB 2016 The development of narrative reasoning: Student physical therapists’ perceptions of patient stories. Internet Journal of Allied Health Sciences and Practice 14: 3.
  • Norman G 2005 Research in clinical reasoning: Past history and current trends. Medical Education 39(4): 418–427. doi:10.1111/j.1365-2929.2005.02127.x.
  • Ritchhart R, Perkins DN 2005 Learning to think: The challenges of teaching thinking. In: Holyoak KJ, Morrison RG (Eds) The Cambridge handbook of thinking and reasoning, p. 775–802. NY: Cambridge University Press.
  • Sandborgh M, Dean E, Dension E, Elvén M, Fritz J, von Heideken Wågert P, Moberg J, Overmeer T, Snöljung Å, Johansson AC et al. 2020 Integration of behavioral medicine competences into physiotherapy curriculum in an exemplary Swedish program: Rationale, process and review. Physiotherapy Theory and Practice 36: 365–377. doi:10.1080/09593985.2018.1488192.
  • Sjöström B, Dahlgren L 2002 Applying phenomenography in nursing research. Journal of Advanced Nursing 40(3): 339–345. doi:10.1046/j.1365-2648.2002.02375.x.
  • Smith M, Higgs J, Ellis E 2008 Characteristics and processes of physiotherapy clinical decision making: A study of acute care cardiorespiratory physiotherapy. Physiotherapy Research International 13: 209–222. doi:10.1002/pri.419.
  • Stenfors-Hayes T, Hult H, Dahlgren MA 2013 A phenomenographic approach to research in medical education. Medical Education 47: 261–270. doi:10.1111/medu.12101.
  • Trigwell K 2006 Phenomenography: An approach to research into geography education. Journal of Geography in Higher Education 30(2): 367–372. doi:10.1080/03098260600717489.
  • Wahlström R, Dahlgren LO, Tomson G, Diwan VK, Beermann B 1997 Changing primary care doctors’ conceptions - A qualitative approach to evaluating an intervention. Advances in Health Sciences Education 2: 221–236. doi:10.1023/A:1009763521278.
  • Wainwright SF, Shepard KF, Harman LB, Stephens J 2010 Novice and experienced physical therapist clinicians: A comparison of how reflection is used to inform the clinical decision-making process. Physical Therapy 90(1): 75–88. doi:10.2522/ptj.20090077.
  • Wijbenga MH, Bovend ET, Driessen EW 2019 Physiotherapy students’ experiences with clinical reasoning during clinical placements: A qualitative study. Health Professions Education 5: 126–135. doi:10.1016/j.hpe.2018.05.003.
  • Wijma AJ, Bletterman AN, Clark JR, Vervoort SCJM, Beetsm A, Keizer D, Nijs J, Van Wilgen ,CP 2017 Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies. Physiotherapy Theory and Practice 33(11): 825–840. doi:10.1080/09593985.2017.1357151.
  • World Confederation for Physical Therapy 2011 WCPT guideline for physical therapist professional entry level education. http://www.wcpt.org/guidelines/entry-level-education.
  • World Health Organization 2001 International classification of functioning, disability and health: ICF. Geneva: World Health Organization.