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Engagement and practical wisdom in clinical practice: a phenomenological study

机译：临床实践中的参与和实践智慧：一种现象学研究

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摘要

In order to understand the lived experiences of physicians in clinical practice, we interviewed eleven expert, respected clinicians using a phenomenological interpretative methodology. We identified the essence of clinical practice as engagement. Engagement accounts for the daily routine of clinical work, as well as the necessity for the clinician to sometimes trespass common boundaries or limits. Personally engaged in the clinical situation, the clinician is able to create a space/time bubble within which the clinical encounter can unfold. Engagement provides an account of clinical practice as a unitary lived experience. This stands in stark contrast to the prevailing notion, referred to as a dual discourse, that describes medicine as the addition of humanism to science. Drawing on Aristotle's notion of phronesis and Sartre's definition of the situation, we illustrate how this novel perspective entwines clinical practice, the person of the clinician, and the clinician's situation.
机译：为了了解医生在临床实践中的生活经历，我们采访了11家专家，尊敬的临床医生，使用了一种现象学解释方法。 我们将临床实践的本质确定为参与。 订婚占临床工作的日常生活，以及临床医生的必要性有时侵犯共同的边界或限制。 个人从事临床局面，临床医生能够创造一个空间/时间泡沫，临床遭遇可以展开。 订婚提供临床实践的账户，作为统一的生活经验。 这与普遍的概念呈现出鲜明对比，称为双语话语，将医学描述为对科学的人文主义的增加。 绘制亚里士多德的鲍塞斯和萨特对情况的定义，我们说明了这部新颖的透视促进临床实践，临床医生的人以及临床医生的情况。

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