An investigation into clinical reasoning within the context of critical care for cardiorespiratory physiotherapists using SimMan® (Laerdal™)

Not Applicable

Completed

• Conditions: Post-operative respiratory complications; Respiratory; Respiratory complications

• Registration Number: ISRCTN77334588
• Lead Sponsor: niversity of Southampton (UK)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2011-06-22
• Last Update Posted: 3 April 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

1. Band 8, band 7, band 6 cardio respiratory physiotherapists working in critical care, intensive care units (ICU) or high dependency units (HDU)
2. At least 3 years clinical experience
3. At least 6 weeks recent experience in adult cardiorespiratory care
4. All participants must be familiar with working out of hours (twilight, on call, weekend rotas) and be managing independently their own caseload and making their own clinical decisions and willing and able to discuss their clinical decision making
5. Average age between 25 - 45 years, either sex

Exclusion Criteria

1. Physiotherapy students will be excluded as they are not yet working independently in this field
2. Any qualified physiotherapists who have not practised within the last 6 months in adult cardiorespiratory physiotherapy and have less than 3 years experience

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Create a realistic simulated critical care scenario, using anonymised real patient data. The scenario has been written - pilot study to take place on July 16th, 2010.<br>2. Observe and record the clinical decision making processes used by expert physiotherapists. First set of data to be collected 26th, 27th, 28th July 2010.<br>3. Identify the knowledge, skills and behaviour of the decision making process of expert physiotherapists in a simulated critical care environment. This will be interpretive from the three sets of data - video, think aloud and debrief interviews. Measures will be taken to verify the reliability the assessment by the participant in the debrief interview, intra-reliability measures will be taken to ensure that each set of data is categorised in the same way in the content analysis.

Secondary Outcome Measures

Name	Time	Method
1. Produce a conceptual framework of the clinical decision making used by expert physiotherapists when assessing and treating the critically ill patient. This will be produced when all 10 participants, data has been collated and analysed - September 2012.<br>2. From the conceptual framework produce an educational strategy for teaching clinical decision making in critical care. At the end of the study - December 2012 - the video clips will be embedded into power point and modified to use the audience response system so as to facilitate clinical reasoning with undergraduate (UG) students.