Discovering clinical phronesis.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_C3E7F906FB75
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Discovering clinical phronesis.
Journal
Medicine, health care, and philosophy
Author(s)
Boudreau D., Wykretowicz H., Kinsella E.A., Fuks A., Saraga M.
ISSN
1572-8633 (Electronic)
ISSN-L
1386-7423
Publication state
Published
Issued date
06/2024
Peer-reviewed
Oui
Volume
27
Number
2
Pages
165-179
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Phronesis is often described as a 'practical wisdom' adapted to the matters of everyday human life. Phronesis enables one to judge what is at stake in a situation and what means are required to bring about a good outcome. In medicine, phronesis tends to be called upon to deal with ethical issues and to offer a critique of clinical practice as a straightforward instrumental application of scientific knowledge. There is, however, a paucity of empirical studies of phronesis, including in medicine. Using a hermeneutic and phenomenological approach, this inquiry explores how phronesis is manifest in the stories of clinical practice of eleven exemplary physicians. The findings highlight five overarching themes: ethos (or character) of the physician, clinical habitus revealed in physician know-how, encountering the patient with attentiveness, modes of reasoning amidst complexity, and embodied perceptions (such as intuitions or gut feeling). The findings open a discussion about the contingent nature of clinical situations, a hermeneutic mode of clinical thinking, tacit dimensions of being and doing in clinical practice, the centrality of caring relations with patients, and the elusive quality of some aspects of practice. This study deepens understandings of the nature of phronesis within clinical settings and proposes 'Clinical phronesis' as a descriptor for its appearance and role in the daily practice of (exemplary) physicians.
Keywords
Humans, Philosophy, Medical, Hermeneutics, Physician-Patient Relations/ethics, Physicians/psychology, Physicians/ethics, Empathy, Clinical practice, Exemplary physicians, Hermeneutic inquiry, Phronesis, Practical wisdom, Qualitative research
Pubmed
Web of science
Open Access
Yes
Create date
08/03/2024 16:34
Last modification date
01/10/2024 6:07
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