{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T18:52:46Z","timestamp":1791139966865,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Translating evidence\u2010informed recommendations into routine critical\u2010care physiotherapy remains challenging because clinical decision\u2010making occurs within dynamic and context\u2010dependent environments. The mindlines model provides a conceptual perspective for understanding how clinicians integrate research evidence with experiential, social, and contextual knowledge during everyday practice. However, its application in critical\u2010care physiotherapy remains poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore how physiotherapists working in critical\u2010care units develop and apply mindlines during clinical decision\u2010making and how evidence\u2010informed recommendations are integrated into routine practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative exploratory study was conducted using semi\u2010structured interviews with 22 experienced physiotherapists from diverse critical\u2010care settings. Participants had 5\u201320 years of ICU experience and were recruited through purposive sampling. Data were analysed using reflexive thematic analysis following an inductive approach, with interpretation informed by the mindlines model. Reporting adhered to the COREQ. 32\u2010item checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five interconnected themes were identified: (1) experience as the primary driver of clinical reasoning, (2) interdisciplinary collaboration shaping decision\u2010making, (3) contextual adaptation of evidence\u2010informed recommendations, (4) time constraints influencing engagement with formal evidence and (5) organisational variation across institutional settings. Participants described integrating research evidence with accumulated clinical experience, multidisciplinary interactions, and contextual factors to support patient\u2010specific decision\u2010making in complex critical\u2010care environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinical decision\u2010making in critical\u2010care physiotherapy reflects the integration of evidence\u2010informed recommendations with experiential, collaborative, and contextual knowledge through clinicians' mindlines. Recognising these knowledge\u2010translation processes may inform educational, implementation, and organisational strategies that strengthen evidence\u2010informed physiotherapy practice in critical\u2010care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70650","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T18:22:26Z","timestamp":1791138146000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Evidence to Bedside: A Qualitative Study of Mindlines in Critical\u2010Care Physiotherapy Practice"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9532-7421","authenticated-orcid":false,"given":"Ritika","family":"Panekar","sequence":"first","affiliation":[{"name":"Department of Cardiovascular &amp; Respiratory Physiotherapy Datta Meghe College of Physiotherapy Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7416-4663","authenticated-orcid":false,"given":"Manish Prannath","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular &amp; Respiratory Physiotherapy Datta Meghe College of Physiotherapy Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4895-9141","authenticated-orcid":false,"given":"Santosh P.","family":"Dobhal","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular &amp; Respiratory Physiotherapy MGM Institute of Physiotherapy Chhatrapati Sambhajinagar Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7023.71"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.15.1458"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-007-0771-x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60658-9"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2930"},{"key":"e_1_2_10_7_1","volume-title":"Clinical Reasoning in The Health Professions","author":"Higgs J.","year":"2008"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g3725"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7473.1013"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k3651"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp16X686221"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2016.10.011"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daae049"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/20101058221111577"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2019.1579283"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pulmoe.2024.04.006"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70650","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70650","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70650","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T18:22:32Z","timestamp":1791138152000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70650"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jep.70650"],"URL":"https:\/\/doi.org\/10.1111\/jep.70650","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-03-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70650"}}