Collaborative decision making in early career dietetic practice

Research output: ThesisDoctoral Thesis

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Abstract

Relational, cultural, discursive and interest dimensions of practice were used as theoretical dimensions to inform the interpretation of my texts. I also identified practice theories, roles of patients and practitioners, ways of knowing and sharing meaning, decision complexity, power differentials and dialogues as core dimensions of professional decision making. The perceptions and interpretations of dietitian participants regarding professional decision making were complex and dynamic, and different to the perceptions and interpretations of patients. Dietitian and patient participants valued building positive relationships and engaging in dialogic conversation during nutrition care. However patient participants had more diverse preferences, values and expectations regarding professional decision making that extended beyond a preference for being collaborative. Key tensions for dietitian participants in shaping CDM were reconciling conflicting intra- and inter-personal values, expectations and beliefs about professional decision making; building relationships and establishing open dialogues with patients; reconciling intrapersonal perceptions of professional identity and managing reactions to participation in making decisions. The way patient participants viewed the core dimensions of decision making was different to dietitian participants and contributed to deeper understanding of the key tensions that dietitians experienced in professional decision making practice.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Charles Sturt University
Supervisors/Advisors
  • Trede, Franziska, Co-Supervisor
  • Higgs, Joy, Co-Supervisor
Award date01 Mar 2013
Place of PublicationAustralia
Publisher
Publication statusPublished - 2013

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