发现临床的phronesis是发现的
Donald Boudreau1, Hubert Wykretowicz2, Elizabeth Anne Kinsella3
1Faculty of Medicine and Health Sciences, Institute of Health Sciences Education, McGill University, 1110 Pine Avenue West, H3A 1A3, Montreal, Canada. donald.boudreau@mcgill.ca.
Medicine, health care, and philosophy
|March 7, 2024
概括
这项研究探讨了医学的实用智慧,或phronesis. 榜样医生通过性格,专业知识,注意力,复杂的推理和患者护理中的直觉来证明临床phronesis.
科学领域:
- 医学伦理 医学伦理
- 医学哲学 医学哲学
- 临床实践研究 临床实践研究
背景情况:
- 弗罗内西斯,或实用智慧,在复杂的情况下指导判断.
- 虽然在医学中对于道德决策和批评实践至关重要,但关于phronesis的经验研究很少.
- 现有的研究往往将医疗phronesis视为仅仅是科学知识的应用.
研究的目的:
- 在医生的临床实践中实证地调查phronesis的表现.
- 探索实用智慧在日常医疗遭遇中的性质和作用.
- 在医疗环境中提出理解phronesis的框架.
主要方法:
- 采用了一种解释学和现象学研究方法.
- 分析了11位模范医生的临床实践叙述.
- 利用定性方法来探索生活经验和实际推理.
主要成果:
- 确定了五个关键主题:医生精神,临床习惯 (技巧),患者的注意力,复杂的推理和体现的感知 (直觉).
- 突出了临床情况的偶然性和解释性思维的重要性.
- 强调了默认的知识,关爱的关系,以及临床实践的细微方面.
结论:
- 在医疗背景下深入了解phronesis.
- 提出"临床phronesis"作为一个术语来描述医生日常工作中的实用智慧.
- 强调了在有效的医疗实践中性格,关联性和细微判断的重要性.
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