@article{ref1,
title="Clinician reports of self-awareness after traumatic brain injury: a retrospective chart review",
journal="BMC health services research",
year="2022",
author="Mamman, Rinni and Cheng, Anika and Tsow, Rebecca and Schmidt, Julia",
volume="22",
number="1",
pages="e1124-e1124",
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. <br><br>OBJECTIVE: To examine how clinicians assess, report, and provide interventions for impaired self-awareness after TBI. <br><br>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. <br><br>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. <br><br>CONCLUSION: Clinicians produced varied responses to clients' impaired self-awareness after TBI. <br><br>FINDINGS may help to develop research priorities and integrated knowledge translation initiatives to increase evidence-based practice for impaired self-awareness after TBI.<p /> <p>Language: en</p>",
language="en",
issn="1472-6963",
doi="10.1186/s12913-022-08444-x",
url="http://dx.doi.org/10.1186/s12913-022-08444-x"
}