The worksheet concluded within decisions 71 of the

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major themes, 46 subcodes were defined and transferred to an excel worksheet codebook. The worksheet concluded within decisions, 71% of the RT’s related to the decisions being made to clients interventions, program planning and team communication. All research participants strongly believed that his/her decision making was primarily influenced by the patients needs/ goals. RTs cited personal experience and judgement, assessments results, training and professional development as the primary sources of knowledge. The RT research participants reported that the journaling process increased their awareness of how they relied on their experience to make decisions, forced them to slow decision making, and led to making more thoughtful decisions. The findings from the study shed light on the need for clinical leadership to support and hold RT’s accountable. The study shed light on how much the RT’s used professional experience to conclude clinical decisions and identified how that could be a issue for recently graduated RT professionals with little to no field experiences. The lack of clinical leadership within the profession could impair how RTs improve their knowledge/skills and client outcomes. Conclusion
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ARTICLE CRITIQUE 6 The study revealed gaps and inconsistencies within the TR practice. It reflected that current clinical decisions were not relying on assessment, documentation, and tracking client outcomes rather than contextual factors. It also encouraged the improvement of clinical leadership and believes that with improvement of clinical leadership RTs will be enabled to be better equipped to use and benefit from EBP. Furthermore, Reid and Steffon included recommendations for future studies to improve EBP within TR practices. They also discussed study limitations in their own study acknowledging there is always room from improvement. References Reid, Colleen J. Steffen, Sheri A. P. (2017). Evidence-Based Practice in Therapeutic Recreation: An examination of Clinical Decision-Making in Mental Health. Therapeutic Recreation Journal, Vol. L1, No.1, pp. 18-34.
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