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How physiotherapists supervise to enhance practical skills in dedicated aides of toddlers with cerebral palsy: A qualitative observational study.
- Source :
- Physiotherapy Theory & Practice; May2019, Vol. 35 Issue 5, p427-436, 10p, 3 Charts
- Publication Year :
- 2019
-
Abstract
- Background: Physiotherapy from an early age is considered important for children with cerebral palsy (CP). In preschool, dedicated aides are responsible for the daily follow-up and training under the supervision of a physiotherapist (PT). Knowledge is sparse regarding what is created and achieved in clinical practice involving triads (i.e. the PT, aide, and child) with respect to the enhancement of practical skills in dedicated aides. The study purpose was to explore form and content in supervision. Methods: Nonparticipating observations were performed on a purposive sample of seven triads, including seven PTs, seven dedicated aides, and seven preschool toddlers with CP with function level III-IV of the Gross Motor Function Classification System. Each triad was video-recorded once. Data consisted of 371 minutes of video recordings analyzed using content analysis and enactive theory on participatory sense-making. Results: From the analysis, three supervision approaches emerged: (1) the Cognitive Supervision approach; (2) the Joint Action Supervision approach; and (3) the Embodied Supervision approach. Each approach gives rise to different types of sense-making processes, ranging from merely reflective ways of knowing through verbal and visual conveyance to mutual embodied ways of knowing through joint actions and physical interplay. To make use of all approaches, PTs require incorporated handling skills and action competence. Conclusion: Supervision is an emergent process where knowledge is transformed through interactions and shared sense-making processes. Implications: Clinicians should be aware of the context-dependent and interactional factors that drive the supervision process. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENT education
CAREGIVER education
COGNITION
CONTENT analysis
CASE studies
MEDICAL care
SCIENTIFIC observation
PHYSICAL therapists
PHYSICAL therapy for children
RESEARCH funding
VIDEO recording
QUALITATIVE research
JUDGMENT sampling
OCCUPATIONAL roles
REHABILITATION of children with cerebral palsy
CLINICAL supervision
Subjects
Details
- Language :
- English
- ISSN :
- 09593985
- Volume :
- 35
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Physiotherapy Theory & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 134651978
- Full Text :
- https://doi.org/10.1080/09593985.2018.1453003