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The multiple faces of practical wisdom in complex clinical practices: An empirical exploration
Marij C M L Bontemps-Hommen1, Frans J H Vosman2, Andries J Baart3
1Pediatric Department, St Jansdal Ziekenhuis, Harderwijk, The Netherlands.
Journal of Evaluation in Clinical Practice
|February 23, 2019
Summary
Practical wisdom in healthcare emerges unexpectedly through various workplace interruptions. Understanding these triggers and influencing factors is key to improving patient care.
Area of Science:
- Medical Ethics
- Clinical Practice
- Healthcare Management
Background:
- Practical wisdom is crucial for individualized patient care in complex clinical settings.
- The emergence of practical wisdom in the workplace requires further elucidation.
Purpose of the Study:
- To describe how practical wisdom manifests in general hospital medical practices.
- To identify interruptions that trigger the emergence of practical wisdom.
- To explore figurations that may elicit or constrain practical wisdom.
Main Methods:
- An explorative qualitative heuristic in-depth analysis was conducted.
- Ten detailed descriptions of diverse patient cases were utilized.
Main Results:
- Diverse manifestations of practical wisdom were observed.
- Ten distinct interruptions were identified as triggers for practical wisdom.
- Infrastructural figurations hypothesized to facilitate practical wisdom.
Conclusions:
- Practical wisdom appears in varied and unexpected ways in clinical practice.
- Identified interruptions do not automatically trigger practical wisdom.
- Further research is needed to understand figurations influencing practical wisdom and its clinical application.
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