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Engagement and practical wisdom in clinical practice: a phenomenological study
Michael Saraga1, Donald Boudreau2, Abraham Fuks3
1Centre Hospitalier Universitaire Vaudois, Liaison Psychiatry, Av. de Beaumont 23, 1011, Lausanne, Switzerland. michael.saraga@chuv.ch.
Medicine, Health Care, and Philosophy
|May 10, 2018
Summary
Physicians experience clinical practice as engagement, a unitary phenomenon, rather than a dual discourse of science and humanism. This deep engagement allows clinicians to navigate complex situations effectively.
Area of Science:
- Medical Sociology
- Philosophy of Medicine
- Clinical Psychology
Background:
- The prevailing view of clinical practice often separates science and humanism.
- Understanding the physician's lived experience is crucial for effective healthcare.
Purpose of the Study:
- To explore the essence of physicians' lived experiences in clinical practice.
- To challenge the dual discourse model of medicine.
Main Methods:
- Phenomenological interpretative methodology.
- In-depth interviews with eleven expert clinicians.
Main Results:
- The core essence of clinical practice was identified as 'engagement'.
- Engagement encompasses daily routines and boundary-crossing necessities.
- Clinicians create a unique space/time for patient encounters through engagement.
Conclusions:
- Clinical practice is a unitary lived experience, not a dual discourse.
- Engagement entwines the clinician's person, practice, and situation.
- Philosophical concepts like phronesis and definition of the situation inform this perspective.
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