Professional Medical Discourse and the Emergence of Practical Wisdom in Everyday Practices: Analysis of a Keyhole Case

Health Care Analysis 28 (2):137-157 (2020)
  Copy   BIBTEX

Abstract

Recent publications have argued that practical wisdom is increasingly important for medical practices, particularly in complex contexts, to stay focused on giving good care in a moral sense to each individual patient. Our empirical investigation into an ordinary medical practice was aimed at exploring whether the practice would reveal practical wisdom, or, instead, adherence to conventional frames such as guidelines, routines and the dominant professional discourse. We performed a thematic analysis both of the medical files of a complex patient and her daughter’s diary. We did find practical wisdom, but only sporadically, whereas it has proved to be essential for professional care. This deficit appeared to result from several factors like: the organization of the practice; established routines; a hierarchical culture; and a traditional medical discourse. Moreover, we discerned various negative consequences. More empirical research into practical wisdom in everyday medical practices is needed for the benefit of professional and morally good care for every patient.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 94,452

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Developing reflective practice: a guide for medical students, doctors and teachers.Andrew Grant - 2017 - Chichester, West Sussex, UK: Wiley-Blackwell. Edited by Judy McKimm & Fiona Murphy.
Ethical practice in everyday health care.E. R. Walrond - 2005 - Kingston, Jamaica: University of the West Indies Press.
For the patient's good: the restoration of beneficence in health care.Edmund D. Pellegrino - 1988 - New York: Oxford University Press. Edited by David C. Thomasma.

Analytics

Added to PP
2019-10-04

Downloads
20 (#774,984)

6 months
6 (#736,521)

Historical graph of downloads
How can I increase my downloads?