Evidence map›Paper›PMID 39319526›Full record

ArticleJournal of evaluation in clinical practice2025

Deployment of professional expertise during a period of disruption: A phenomenological study of rehabilitation clinicians.

Annie Rochette, Perrine Vermeulen, Joseph Omer Dyer, Marie-Christine Hallé, Marjorie Gingras, Anne Mingant, Manon Parisien, Aliki Thomas

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Annie RochetteSchool of Rehabilitation, Faculty of Medicine, University of Montreal, Montréal, Québec, Canada.ORCID 0000-0002-0189-0987
Perrine VermeulenSchool of Rehabilitation, Faculty of Medicine, University of Montreal, Montréal, Québec, Canada.ORCID 0000-0001-8886-5778
Joseph Omer DyerSchool of Rehabilitation, Faculty of Medicine, University of Montreal, Montréal, Québec, Canada.ORCID 0000-0002-7570-9941
Marie-Christine HalléSpeech and Language Pathology Department, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.ORCID 0000-0002-4618-8331
Marjorie GingrasCentre intégré de santé et services sociaux Montérégie Centre - Azur clinic Family Medecine Group, Saint-Lambert, Québec, Canada.
Anne MingantInstitut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Ile-de-Montréal, Montréal, Québec, Canada.
Manon ParisienInstitut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Ile-de-Montréal, Montréal, Québec, Canada.
Aliki ThomasCentre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Québec, Canada.ORCID 0000-0001-9807-6609

Funding

Réseau Provincial de Recherche en Adaptation-Réadaptation
6 · The paper itself

Abstract

rationalePractice context is known to influence the deployment of competencies. The COVID-19 pandemic created a major disruption in many practice contexts. The objective was to understand the lived experience of rehabilitation clinicians during a major disruption of their practice context, namely, the COVID-19 pandemic.

methodsWe used a longitudinal phenomenological design. Eligible clinicians were occupational therapists (OT), physical therapists (PT), physiotherapy technologists (Phys T.), speech-language pathologists (S-LP) and audiologists (AUD), working in the same rehabilitation workplace for at least 2 years before March 2020 (the pandemic). Clinicians who were reassigned to roles outside the field of rehabilitation were excluded. We conducted individual online interviews using a guide developed by the team with expertise and knowledge of the phenomenon. An interpretative phenomenological analysis was carried out. Results were discussed until the research team reached a consensus.

resultsA total of 32 clinicians participated in the study (12 OT, 5 PT, 5 Phys T., 7 S-LP, 3 AUD), working with a variety of clienteles and work settings, for an average of 11.7 ± 7.6 years in the same practice setting. A wide range of emotions (e.g. anger, sadness, guilt, fear, pride) reflected clinicians' experience during disruption. Professional expertise was perceived as being enhanced by disruption as clinicians stepped out of their comfort zone; this encouraged reflective practice and a recognition of the need to be more explicit about their decision-making process. Collaboration with colleagues was perceived as key for effective coping and deployment of adaptative expertise.

conclusionsA disruption in the practice context may have positive effects on professional expertise through the mobilization of reflective practice.

Indexed as

Clinical CompetenceCOVID-19Health PersonnelRehabilitationAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicLongitudinal StudiesMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2disruptionevidence‐based practiceexpertisepandemicsprofessional competencerehabilitation

Identifiers

PMID39319526
PMCPMC11938405

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.