Cynefin Framework for Evidence-Informed Clinical Reasoning and Decision-Making

Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in tra...

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Published inJournal of Osteopathic Medicine (Online) Vol. 119; no. 5; pp. 312 - 321
Main Authors Lunghi, Christian, Baroni, Francesca
Format Journal Article
LanguageEnglish
Published United States American Osteopathic Association 01.05.2019
Walter de Gruyter GmbH
Subjects
Chronic illnesses
Clinical Decision-Making
Collaboration
Cynefin framework
Decision making
Evidence-Based Medicine
Humans
integrative medicine
Interdisciplinary aspects
Manipulative therapy
Medicine
osteopathic manipulative therapy
Osteopathic medicine
Osteopathic Medicine - standards
osteopathic models
Osteopathic Physicians - standards
Science
Online AccessGet full text

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Abstract Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in traditional health care systems outside the United States. Therefore, it is incumbent on the osteopathy community to gather evidence in order to practice scientifically informed effective methods. This narrative review outlines the Cynefin framework for clinical reasoning and decision-making and encourages a broadening of the evidence base among osteopaths to promote health in an interdisciplinary care setting. This review also presents the concept of an osteopath's , in which the osteopath combines information from a range of sources into internalized and collectively reinforced tacit guidelines.
AbstractList Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in traditional health care systems outside the United States. Therefore, it is incumbent on the osteopathy community to gather evidence in order to practice scientifically informed effective methods. This narrative review outlines the Cynefin framework for clinical reasoning and decision-making and encourages a broadening of the evidence base among osteopaths to promote health in an interdisciplinary care setting. This review also presents the concept of an osteopath's mindline, in which the osteopath combines information from a range of sources into internalized and collectively reinforced tacit guidelines.
Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in traditional health care systems outside the United States. Therefore, it is incumbent on the osteopathy community to gather evidence in order to practice scientifically informed effective methods. This narrative review outlines the Cynefin framework for clinical reasoning and decision-making and encourages a broadening of the evidence base among osteopaths to promote health in an interdisciplinary care setting. This review also presents the concept of an osteopath's , in which the osteopath combines information from a range of sources into internalized and collectively reinforced tacit guidelines.
Author Baroni, Francesca
Lunghi, Christian
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Snippet Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic...
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SubjectTerms Chronic illnesses
Clinical Decision-Making
Collaboration
Cynefin framework
Decision making
Evidence-Based Medicine
Humans
integrative medicine
Interdisciplinary aspects
Manipulative therapy
Medicine
osteopathic manipulative therapy
Osteopathic medicine
Osteopathic Medicine - standards
osteopathic models
Osteopathic Physicians - standards
Science
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Title Cynefin Framework for Evidence-Informed Clinical Reasoning and Decision-Making
URI http://www.degruyter.com/doi/10.7556/jaoa.2019.053
https://www.ncbi.nlm.nih.gov/pubmed/31034069
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