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Clinician reports of self-awareness after traumatic brain injury : a retrospective chart review Mamman, Rinni; Cheng, Anika; Tsow, Rebecca; Schmidt, Julia

Abstract

Background: Impaired self-awareness (i.e., a lack of insight) is experienced by most individuals who have sustained a moderate to severe traumatic brain injury (TBI). During the early recovery period post-injury, these individuals may not be able to recognize their abilities and limitations, hence, negatively impacting their daily life and function. Although there are assessments and interventions to improve self-awareness after TBI, little is known about how clinicians assess and address this impairment in an inpatient rehabilitation setting. Objective: To examine how clinicians assess, report, and provide interventions for impaired self-awareness after TBI. Methods: A retrospective chart review was conducted on interdisciplinary rehabilitation clinician entries for individuals with TBI (n = 67) who received inpatient rehabilitation within a five-year period (2014–2019). A reflexive thematic analysis was used to identify themes pertaining to self-awareness. Results: Three themes were generated to explore clinician responses to their clients’ impaired self-awareness: 1) ‘recalling and understanding’ described clinician observations of client behaviors and expressions of self-awareness, 2) ‘applying and analyzing’ identified clinicians providing relevant tasks and advice to clients, and 3) ‘evaluating and creating’ described clinicians actively interacting with clients by providing feedback, guided prompts, and a follow-up plan. Conclusion: Clinicians produced varied responses to clients’ impaired self-awareness after TBI. Findings may help to develop research priorities and integrated knowledge translation initiatives to increase evidence-based practice for impaired self-awareness after TBI.

Item Metadata

Title
Clinician reports of self-awareness after traumatic brain injury : a retrospective chart review
Creator
Mamman, Rinni; Cheng, Anika; Tsow, Rebecca; Schmidt, Julia
Contributor
G.F. Strong Rehabilitation Centre; University of British Columbia. Graduate Program in Rehabilitation Sciences
Date Issued
2022-09-06
Description
Background: Impaired self-awareness (i.e., a lack of insight) is experienced by most individuals who have sustained a moderate to severe traumatic brain injury (TBI). During the early recovery period post-injury, these individuals may not be able to recognize their abilities and limitations, hence, negatively impacting their daily life and function. Although there are assessments and interventions to improve self-awareness after TBI, little is known about how clinicians assess and address this impairment in an inpatient rehabilitation setting. Objective: To examine how clinicians assess, report, and provide interventions for impaired self-awareness after TBI. Methods: A retrospective chart review was conducted on interdisciplinary rehabilitation clinician entries for individuals with TBI (n = 67) who received inpatient rehabilitation within a five-year period (2014–2019). A reflexive thematic analysis was used to identify themes pertaining to self-awareness. Results: Three themes were generated to explore clinician responses to their clients’ impaired self-awareness: 1) ‘recalling and understanding’ described clinician observations of client behaviors and expressions of self-awareness, 2) ‘applying and analyzing’ identified clinicians providing relevant tasks and advice to clients, and 3) ‘evaluating and creating’ described clinicians actively interacting with clients by providing feedback, guided prompts, and a follow-up plan. Conclusion: Clinicians produced varied responses to clients’ impaired self-awareness after TBI. Findings may help to develop research priorities and integrated knowledge translation initiatives to increase evidence-based practice for impaired self-awareness after TBI.
Subject
Traumatic brain injury; Self-awareness; Chart review; Occupational therapy
Genre
Article
Type
Text
Language
eng
Notes
Open access funding provided by the UBC Open Access Fund for Humanities and Social Sciences Research.
Date Available
2023-05-31
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International
DOI
10.14288/1.0432769
URI
http://hdl.handle.net/2429/84747
Affiliation
Medicine, Faculty of; Occupational Science and Occupational Therapy, Department of
Citation
Mamman, Rinni, et al. "Clinician Reports of Self-Awareness After Traumatic Brain Injury: A Retrospective Chart Review." BMC Health Services Research, vol. 22, no. 1, 2022, pp. 1-1124.
Publisher DOI
10.1186/s12913-022-08444-x
Peer Review Status
Reviewed
Scholarly Level
Faculty; Graduate
Rights URI
http://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
DSpace

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Attribution 4.0 International