This article was accepted/or publication january 3, 1992 T his paper describes a survey of 24 managers of occupational therapy in pediatric rehabilitation and acute care hospitals regarding treatment frequency and intensity for inpatients. Questions related to availability of therapy on weekends, average length of a treatment session, and general policies regarding treatment intensity are explo...

A student once told me that he preferred to work with another instructor because I took too long to make clinical decisions. When 1 asked him why, he gave me several examples of situations in which I had deliberated upon too long for his liking. None of these was simple in my opinion, nor did I agree with the other instructor's solutions. My dismay and introspection about this student's revelat...

This study examined the effect of integrated pediatric nursing simulation courseware on students' critical thinking and clinical judgment. Ninety-five senior nursing students participated in this study. Every student followed the established courseware schedule, as well as the regular pediatric nursing practicum. The courseware schedule included two simple simulation scenarios and one comprehen...

Two distinct views of the nature of clinical judgment are identified and contrasted. The dominant view that clinical judgment is a fully explicit process is compared to the relatively neglected view that tacit knowledge plays a substantial role in the clinician's mental operations. The tacit dimension of medical thinking is explored at length. The discussion suggests severe limits when applying...

Davide Imberti1; Francesco Dentali2; Walter Ageno2; Mark Crowther3; David Garcia4; Menno Huisman5; Francesco Rodeghiero6; Armando D’Angelo7; Gualtiero Palareti 8 1Department of Internal Medicine, Hospital of Piacenza, Piacenza, Italy; 2Department of Clinical Medicine, University of Insubria, Varese, Italy; 3Department of Medicine, McMaster University, Hamilton, Canada; 4Department of Medicine, ...

BACKGROUND Available models for designing the structure of specific simulation-based learning (SBL) activities need further analysis. METHOD This retrospective study was conducted using independent samples t tests to examine differences in mean clinical nursing judgment development scores between students who completed a nursing program prior to the introduction of an experiential learning th...

Recent empirical work on the concept of intentionality suggests that people’s assessments of whether an action is intentional are subject to uncertainty. Some researchers have gone so far as to claim that different people employ different concepts of intentional action. These possibilities have motivated a good deal of work in the relatively new field of experimental philosophy. The findings fr...

Two rheumatologists made judgments about 'current disease activity' in real patients and 'paper patients' with rheumatoid arthritis. Analysis of each set of judgments provides a model of judgment policy which contains only 3 clinical variables but explains over 94% of the variance in judgments. The judgment policy models differ markedly from each other and from the clinicians' own perceptions o...

Psychological literature exposes a number of biases that can influence one’s judgment (e.g., pathology bias, confirmatory bias, hindsight bias, misestimation of covariance, decision heuristics, false consensus effect, and over-confidence in clinical judgment). Clinical judgment, the subjective method of arranging client data to establish a diagnosis and a treatment plan, can also be biased and ...

The Lasater clinical judgment rubric (LCJR) is a standardized scoring method to assess student clinical judgment. The aims of this study were to (a) develop a scenario-specific clinical judgment assessment tool guided by the LCJR and (b) evaluate the new assessment tool's psychometric properties and ability to assess clinical judgment. Content validity was established using an expert panel. Exp...