Clinical reasoning in acute care dietetics is influenced by factors related to the context of the dietitian: A qualitative study

Research output: Other contribution to conferencePosterpeer-review

Abstract

The practice of acute care clinical dietetics involves daily clinical reasoning regarding patient care. The aim of this doctoral research is to uncover the nature of clinical reasoning of dietitians in the acute setting. The method is a qualitative study within the interpretive paradigm using the approach of philosophical hermeneutics. Philosophical hermeneutics is concerned with the human experience but more specifically, the interpreted meaning of this experience. The first study is completed and involved two recorded semi-structured interviews with ten acute care dietitians to which resulted in transcribed text and interpretation using the principles of hermeneutics. This research approach provides the framework for a second study which will be a hermeneutic study of the literature. Findings from the empirical study so far have shown a dietitian’s clinical reasoning is highly contextual. These contextual variables are categorised into physical, sociocultural and temporal domains and were shown to directly or indirectly influenced the nature of their clinical reasoning. Their clinical reasoning also involves dimensions of practitioner perceptions & characteristics as well as a complex yet fluid cognitive dimension that underpins each step of the process of caring for the patient’s nutritional needs. It is also dominated by an interactive reasoning process mostly with the medical practitioner illuminating themes of power and autonomy. A deeper understanding of this phenomenon will provide insight into how decision making occurs and therefore potentially contribute to education, professional development and research activities which subsequently optimise patient care.
Original languageEnglish
Publication statusPublished - 2017
Event12th National Allied Health Conference - Sydney International Convention Centre, Darling Habour, Sydney, Australia
Duration: 26 Aug 201729 Aug 2017
https://secure.hotelnetwork.com.au/12thnationalalliedhealthconference/home/_edit/upgrade_in_progress_frontend.html

Conference

Conference12th National Allied Health Conference
Abbreviated titleAllied Health: Stronger Together
CountryAustralia
CitySydney
Period26/08/1729/08/17
OtherThe conference will explore the theme Allied Health: Stronger Together and will highlight the place of Allied Health in the health continuum through a number of subthemes including: Responsive Services, Reliable Systems and Resilient Workforce.
• Hear from a range of eminent speakers exploring current and emerging issues shaping the future for Allied Health.
• An exciting opportunity to network withan extensive range of key decision-makers and practitioners.
• Learn about the latest developments in products and services from our impressive range of exhibitors.
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