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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/29443

Title: Clinical reasoning and practice patterns of Canadian physiotherapists during mobilization of patients with external ventricular drains
Authors: Hale, Chelsea
Wong, Kyle
Calvin, Amanda
Rnic, Amanda
Tobali, Ben
Advisor: Duncan, Catharine
Hawke, Christopher
Brown, Jean
Heck, Carol
Cott, Cheryl
Department: Physical Therapy
Keywords: external ventricular drain
clinical experience
clinical reasoning
Issue Date: 2010
Abstract: Purpose: To describe practice patterns and explore the relationship between clinical experience, clinical reasoning, and clinical practice of Canadian physiotherapists working with patients who have external ventricular drains (EVDs). Methods: Subjects: More experienced (n=7) and less experienced (n=5) registered physiotherapists currently working with patients who have EVDs in Neurosurgical Centres across Canada. Design: A quantitative, descriptive, cross-sectional study design using a web-based questionnaire. The questionnaire collected information on demographics, clinical practices, and practice rationale. Case studies were used to determine practice preferences and rationale for the physiotherapists course of action. Procedure: A modified Dillman protocol was used for survey distribution. Links to the questionnaire were sent to Professional Practice Leaders at Canadian Neurosurgical Centres who distributed questionnaires to participants. Results: Most respondents, regardless of experience, considered intracranial pressure when treating patients with EVDs. More experienced physiotherapists were prone to use more aggressive mobilization practices. These physiotherapists were more likely to consider the Glasgow Coma Scale (4/7 vs. 1/5), mean arterial pressure (4/7 vs. 0/5), and cerebral perfusion pressure (2/7 vs. 1/5) than less experienced respondents. Conclusions: More experienced physiotherapists have different clinical reasoning and were more aggressive than less experienced physiotherapists in their mobilization practices with patients who have EVDs.
Description: Affiliated institutions include: University Health Network (C. Duncan, C. Hawke, J. Brown, C. Heck), University of Toronto (C. Cott)
URI: http://hdl.handle.net/1807/29443
Appears in Collections:Student Research and Publications

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