School of Health Sciences, University of Brighton, Eastbourne, UK.
Sussex Community NHS Foundation Trust, Brighton General Hospital, Brighton, UK.
Physiother Theory Pract. 2022 Mar;38(3):412-421. doi: 10.1080/09593985.2020.1765437. Epub 2020 May 20.
: Physiotherapists may use a diverse range of educational approaches during the treatment of people with chronic low back pain (CLBP). However, little is known about how physiotherapists clinically reason their use of education in practice.: The aim of this study was to develop insight into physiotherapists' clinical reasoning when using education for the treatment of people with CLBP.: This qualitative study used a constructivist grounded theory inspired methodology. A purposive sample of five musculoskeletal physiotherapists from the United Kingdom were recruited via social media. Data were collected through audio recorded semi-structured interviews, field notes and memos, and were coded and analyzed using a constant comparative method.: A concept of 'personalizing education' underpinned by three main categories termed 'exploring the person's world', 'making sense of the person's world' and 'tailoring education', has been constructed to explain the participating physiotherapists' clinical reasoning.: The findings highlight how communication and interaction underpin the clinical reasoning process for using education with people who have CLBP. Participating physiotherapists explored and made sense of a person's world before tailoring their educational approach for the individual. Physiotherapists can use this paper to reflect on their practice to inform their own clinical reasoning.
: 物理治疗师在治疗慢性下背痛(CLBP)患者时可能会使用多种不同的教育方法。然而,对于物理治疗师在实践中如何进行临床推理以使用教育的方式,我们知之甚少。: 本研究旨在深入了解物理治疗师在使用教育治疗 CLBP 患者时的临床推理。: 本定性研究采用了受建构主义扎根理论启发的方法。通过社交媒体,从英国招募了五名肌肉骨骼物理治疗师作为有目的的样本。通过录音的半结构化访谈、现场记录和备忘录收集数据,并使用恒定性比较方法进行编码和分析。: 一个名为“个性化教育”的概念是由三个主要类别支撑的,分别是“探索患者的世界”、“理解患者的世界”和“调整教育”,这一概念被构建出来以解释参与研究的物理治疗师的临床推理。: 研究结果强调了沟通和互动如何为使用教育治疗 CLBP 患者的临床推理过程提供支持。参与研究的物理治疗师在为个人量身定制教育方法之前,先探索和理解患者的世界。物理治疗师可以使用本文来反思自己的实践,以告知自己的临床推理。