Lisa J Meltzer, Amy E Plog, Kyla L Wahlstrom, Matthew J Strand
Biology vs. ecology: a longitudinal examination of sleep, development, and a change in school start times
Sleep medicine
study objective investigate health care providers stroke teams reason clinical reasoning process collaboration patient next kin explorative qualitative design using stimulated recall employed audiorecordings three rehabilitation dialogs used prompts interviews involved staff clinical reasoning thematic analysis approach employed main finding apparent friction professioncentered personcentered clinical reasoning salient data five themes identified importance different perspectives rich picture wellinformed decisions shared understanding analysis decisionmaking good intentions difficult achieve health care providers expertise directs dialog contexts impact rehabilitation dialog insights missed opportunities grasp patient perspective arrive decisions interprofessional stroke teams consider clinical reasoning process valuing patient next kin perspectives however professional expertise risks preventing individual needs surfacing discrepancy professionals intentions personcenteredness clinical reasoning plays stimulated recall unveil personcentered practice enhance professionals awareness clinical reasoning