Krohne Kariann, Torres Sandra, Slettebø Åshild, Bergland Astrid
Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo 0130, Norway.
BMC Health Serv Res. 2014 Feb 17;14:72. doi: 10.1186/1472-6963-14-72.
Health professionals are required to collect data from standardized tests when assessing older patients' functional ability. Such data provide quantifiable documentation on health outcomes. Little is known, however, about how physiotherapists and occupational therapists who administer standardized tests use test information in their daily clinical work. This article aims to investigate how test administrators in a geriatric setting justify the everyday use of standardized test information.
Qualitative study of physiotherapists and occupational therapists on two geriatric hospital wards in Norway that routinely tested their patients with standardized tests. Data draw on seven months of fieldwork, semi-structured interviews with eight physiotherapists and six occupational therapists (12 female, two male), as well as observations of 26 test situations. Data were analyzed using Systematic Text Condensation.
We identified two test information components in everyday use among physiotherapist and occupational therapist test administrators. While the primary component drew on the test administrators' subjective observations during testing, the secondary component encompassed the communication of objective test results and test performance.
The results of this study illustrate the overlap between objective and subjective data in everyday practice. In clinical practice, by way of the clinicians' gaze on how the patient functions, the subjective and objective components of test information are merged, allowing individual characteristics to be noticed and made relevant as test performance justifications and as rationales in the overall communication of patient needs.
在评估老年患者的功能能力时，健康专业人员需要从标准化测试中收集数据。这些数据为健康结果提供了可量化的记录。然而，对于实施标准化测试的物理治疗师和职业治疗师如何在日常临床工作中使用测试信息，我们知之甚少。本文旨在调查老年护理环境中的测试管理人员如何为标准化测试信息的日常使用提供正当理由。
对挪威两家老年医院病房的物理治疗师和职业治疗师进行定性研究，这些病房定期对患者进行标准化测试。数据来源于七个月的实地调查、对八名物理治疗师和六名职业治疗师（12名女性，两名男性）的半结构化访谈，以及对26次测试情况的观察。使用系统文本浓缩法对数据进行分析。
我们在物理治疗师和职业治疗师测试管理人员的日常使用中确定了两个测试信息成分。主要成分基于测试管理人员在测试期间的主观观察，次要成分包括客观测试结果和测试表现的传达。
本研究结果说明了日常实践中客观数据和主观数据之间的重叠。在临床实践中，通过临床医生对患者功能方式的审视，测试信息的主观和客观成分得以融合，从而使个体特征得以被注意到，并作为测试表现的理由以及患者需求整体沟通中的依据而变得相关。
