Algo Used by Homecare Nonoccupational Therapists Selecting Bathing Assistive Technology: Enhancing Standardization by Exploring Clinical Reasoning

Algo is a clinical decision algorithm developed to support nonoccupational therapists in establishing assistive technology recommendations to enable physically disabled adults to perform their hygiene at home. This study aimed to explore the in-depth clinical reasoning of nonoccupational therapists...

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Bibliographic Details
Published in:Occupational therapy in health care 2017-01, Vol.31 (1), p.20-33
Main Authors: Ruest, Mélanie, Bourget, Annick, Delli-Colli, Nathalie, Guay, Manon
Format: Article
Language:English
Subjects:
Adult
Aged
Algorithms
assistive technology
bath
Baths - instrumentation
Decision Making
Disabled Persons - rehabilitation
explicitation interview
Female
Home Care Services - standards
Home Health Aides
Humans
inter-professional boundaries
interrater reliability
Male
Middle Aged
Self Care - standards
Self-Help Devices - standards
Young Adult
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Summary:Algo is a clinical decision algorithm developed to support nonoccupational therapists in establishing assistive technology recommendations to enable physically disabled adults to perform their hygiene at home. This study aimed to explore the in-depth clinical reasoning of nonoccupational therapists using Algo to pinpoint the items leading to disagreements regarding recommendations. A multiple-case study was conducted with eight nonoccupational therapists trained to use Algo and filmed while using it with six standardized clients. Explicitation interviews were conducted for the conflicting recommendations. Identifying the key reasoning skills to develop in Algo users has led to three recommendations to enhance standardization with seniors.
ISSN:0738-0577
1541-3098
DOI:10.1080/07380577.2016.1270481