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Through the clinician's lens: objective and subjective views of disability.

机译:从临床医生的角度:残疾的主观和主观观点。

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摘要

In this study, we used recovery preference exploration (RPE) to explore how clinicians practicing in an inpatient medical rehabilitation facility assign meaning to alternative paths of recovery from profound disability. Through the RPE procedure, 33 clinicians ranked preference for recovery from 18 imagined activity limitations and provided narrative explanations for their choices. We used mixed methods, including grounded theory, to identify themes that expressed their recovery choices. Sixteen themes emerged that were classified into separate but linked procedural and conditional reasoning taxonomies. These theme taxonomies represented logical scientific inquiries vs. more phenomenological inquiries into lifeworld meanings, respectively. Just over two thirds (66.8%) of all quotes specified themes from the conditional reasoning taxonomy. The RPE procedure appeared to simulate a lived experience of imagined disability for the clinicians through which contexts and meanings began to emerge independent of the clinicians' scientific attitudes.
机译:在这项研究中,我们使用了恢复偏好探索(RPE)来探索在住院医疗康复机构中执业的临床医生如何将含义赋予从严重残疾中恢复的替代途径。通过RPE程序,33位临床医生对18种想象的活动限制中恢复的偏好进行了排名,并为他们的选择提供了叙述性解释。我们使用混合方法(包括扎根理论)来确定表达其恢复选择的主题。出现了16个主题,这些主题被划分为单独的但相互联系的程序和条件推理分类法。这些主题分类法分别代表逻辑科学查询和对生命世界意义的更多现象学查询。在所有引用中,超过三分之二(66.8%)的内容指定了条件推理分类法中的主题。 RPE程序似乎为临床医生模拟了想象中的残疾的生活经验,通过这种经验,上下文和含义开始独立于临床医生的科学态度而出现。

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