characterizing clinical questions of occupational therapists, physical therapists, and...
DESCRIPTION
Medical Library Association Annual Meeting, May 2012, SeattleTRANSCRIPT
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Characterizing clinical questions of occupational therapists,
physical therapists, & speech-language pathologists
Lorie A. Kloda, MLIS, PhD(c), AHIPJoan C. Bartlett, MLS, PhD
McGill University
Medical Library Association Annual MeetingMay 2012, Seattle
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Research objective
To explore the clinical questions of rehabilitation therapists
in the context of their everyday practice
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Research questions
1
2
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Research questions
What types of questions do rehabilitation therapists ask?1
2
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Research questions
What types of questions do rehabilitation therapists ask?
How do rehabilitation therapists formulate their clinical questions?
1
2
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Sampling & recruitment
Stroke rehabilitation
Purposeful, snowball sampling
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Methods
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Informants
4 Occupational therapists4 Physical therapists
+ 7 Speech-language pathologists________
15
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Clinical questions
26 Occupational therapists44 Physical therapists
+ 59 Speech-language pathologists________
129
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Findings
12 Foci8 Structural elements
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Clinical question foci
Treatment selection 33%
Clinical manifestations of disease 17%
Prognosis 13%
Assessment tool selection 9%
Terminology 9%
Treatment procedures 9%
Etiology 5%
Practice-related self-improvement 4%
Assessment tool procedures 3%
Patient or family’s experiences and concerns 2%
Anatomy, physiology, and pathophysiology 2%
Epidemiology 1%
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Clinical question foci
Treatment selection50%
Clinical manifestations of disease
Prognosis 13%
Assessment tool selection 9%
Terminology 9%
Treatment procedures 9%
Etiology 5%
Practice-related self-improvement 4%
Assessment tool procedures 3%
Patient or family’s experiences and concerns 2%
Anatomy, physiology, and pathophysiology 2%
Epidemiology 1%
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Clinical question structure
Problem 69%
Intervention 41%
Population 39%
Outcome measure 11%
Temporality 7%
Context 5%
Professional stakeholder 3%
Patient or family stakeholder 1%
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Discussion
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Implications
Reference interview
Information literacy instruction
Resource design and selection
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Conclusions
Evidence-based practice framework inadequate for rehabilitation
12 possible foci
8 possible structural elements
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Acknowledgements
Dissertation committeeJoan Bartlett (chair), France Bouthillier,
Nicol Korner-Bitensky, Andrew Large & Pierre Pluye
Funding Thomson Scientific / MLA Doctoral Fellowship
Fonds québecois de la recherche sur la société et la culture
Canadian Library Association World Book Scholarship
Study informants