An empirical and philosophical exploration of clinical practice.

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Serval ID
serval:BIB_8DFAA1AA3DFC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
An empirical and philosophical exploration of clinical practice.
Journal
Philosophy, ethics, and humanities in medicine
Author(s)
Saraga M., Boudreau D., Fuks A.
ISSN
1747-5341 (Electronic)
ISSN-L
1747-5341
Publication state
Published
Issued date
21/02/2019
Peer-reviewed
Oui
Volume
14
Number
1
Pages
3
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Previous empirical work among physicians has led us to propose that clinical practice is experienced by clinicians as an engagement-in-the-clinical-situation. In this study, we pursue our exploration of clinical practice 'on its own terms' by turning to the experience of patients.
Phenomenological analysis of in-depth individual interviews with 8 patients.
We describe the patient experience as a set of three motifs: the shock on the realization of the illness, the chaos of the health care environment, and the anchor point provided by an engaged physician. We draw on Heidegger's notion of solicitude to show that patients are actively ascertaining the physician's engagement in their care.
These findings lead us to question the classical "dual discourse" of medicine that offers a dichotomous account of clinical practice as the addition of care to cure, art to science, humanism to technique, and person to medical case. We found no such distinctions in our empirical investigation of clinical practice. Rather, in our synthesis, practice appears as a unitary experience. The physician's solicitude for the patient entrains engagement in the clinical situation. Moreover, the solicitous, engaged physician constitutes an anchor point for the patient.
Keywords
Adult, Aged, Female, Humans, Interviews as Topic, Male, Middle Aged, Philosophy, Medical, Practice Patterns, Physicians', Qualitative Research, Young Adult, Clinical practice, Patient experience, Hermeneutic phenomenology, Qualitative research
Pubmed
Web of science
Open Access
Yes
Create date
23/02/2019 11:30
Last modification date
06/03/2020 7:20
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