Teaching professional health care practice: considering the elements of emotions and artistry

Lehmann, Jennifer

doi:10.1071/ah080127

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…The capabilities that underpin the interpersonal interactions needed for navigating power relations revealed in the present study can be understood in light of research on interpersonal influence and power ( 61 ) , which are considered to be facilitated through emotional intelligence capabilities ( 62 ) . Descriptions of emotional intelligence capabilities in the literature overlap with descriptions in the present study of metacognition, empathy and intuition, suggesting that emotional intelligence is inter‐related with reasoning dimensions in dietitian CDM ( 63–66 ) . Therefore, dietitians encountering medical dominance and the acute care setting’s inherent complexity are likely to be more capable of engaging in influential communication if they possess adequate emotional intelligence and interpersonal skills.…”

Section: Discussioncontrasting

confidence: 43%

A model of the multidimensional nature of experienced dietitian clinical decision‐making in the acute care setting

Smith

Patton

2020

J Human Nutrition Diet

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Background: Clinical decision-making (CDM) is an essential component of dietetic practice that can significantly affect the quality of patient care. Research around CDM in clinical dietetics is scarce, with research in other healthcare professions offering limited insight into dietitian CDM in the specific setting of the acute care hospitals. The aim of this qualitative research was to deepen our understanding of the nature of the CDM of experienced dietitians in the acute care setting. Methods: The present study employed philosophical hermeneutics to guide methods situated within the interpretative paradigm. This study invited dietitians currently practising in adult acute care hospitals with at least 3 years of experience to be involved two in-depth semi-structured interviews using the principles of hermeneutics. A reference focus group session was then used to provide rigour and further interpretation of the findings. Results: Ten dietitians participated in the interviews and five of these same participants in the reference focus group. The findings have informed the development of A Model of the Multidimensional Nature of Dietitian CDM in the Acute Care Setting, which reflects the nature of making decisions for patient care through the synergistic relationship between five key dimensions: (i) tasks; (ii) interactions; (iii) reasoning; (iv) practitioner factors; and (v) context, all of which are managed and monitored by the higherorder reasoning process of the dietitian's clinical judgement. Conclusions: Because there is scarcity of research on the CDM of dietitians in acute care settings, the present study can provide training and professional development insights to managers, educators and supervisors.

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Section: Discussioncontrasting

confidence: 43%

A model of the multidimensional nature of experienced dietitian clinical decision‐making in the acute care setting

Smith

Patton

2020

J Human Nutrition Diet

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“…Our research on the multidimensional nature of dietitian CDM 3 and the nature of clinical judgement have described the role of metacognition, empathy and intuition in practice 6 . These overlap with descriptions of emotional intelligence capabilities in the literature, suggesting that emotional intelligence is related to reasoning dimensions in dietitian CDM 51‐54 . Students and practising clinical dietitians tend to focus on clinician–patient communication and associated skills with education appropriately focused on developing these skills 55,56 .…”

Section: Discussionmentioning

confidence: 90%

“…6 These overlap with descriptions of emotional intelligence capabilities in the literature, suggesting that emotional intelligence is related to reasoning dimensions in dietitian CDM. [51][52][53][54] Students and practising clinical dietitians tend to focus on clinician-patient communication and associated skills with education appropriately focused on developing these skills. 55,56 However, emotional intelligence skills are yet to emerge as prominent components of the communication skill professional development programmes.…”

Section: Discussionmentioning

confidence: 99%

Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals

Smith

Patton

2021

J Human Nutrition Diet

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Dietitians learn clinical decision making (CDM) predominantly as an autonomous cognitive process that considers the needs and preferences of the patient. Although interprofessional education is increasing in tertiary dietetic programmes, a paucity of research exists that explores the nature of how practising dietitians make decisions, independent or otherwise. This qualitative interpretative study explored the nature of experienced dietitian CDM in the acute care setting. Philosophical hermeneutic principles guided text construction and interpretation via in‐depth, semi‐structured interviews with practising dietitians with at least 3 years of experience. A reference focus group commented on the emerging findings, increasing the rigour of the research. Ten dietitians participated in the interviews and there were five dietitians in the reference focus group. CDM was found to be a highly social phenomenon with varying degrees of autonomy involving complex power relations with various other health professionals, in particular, medical practitioners. Dietitians respond to existing power relations in key ways, including building and maintaining relationships, advocating on behalf of the patient and negotiating decisions with other healthcare staff when in pursuit of improved health and nutrition related outcomes for patients. Strategic interprofessional communication skills are foundational to effective patient care and advancing the role of the dietitian. Power and autonomy in dietitian CDM are important concepts that could inform interprofessional education when seeking to promote both effective dietetic and interprofessional practice.

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People with Mental Disorders in the Dental Clinic

Bergem

2022

Oral Health Psychology

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Teaching professional health care practice: considering the elements of emotions and artistry

Abstract: This commentary addresses the need to maintain a role for emotions and artistry in human services and health care practice and discusses some approaches to including these issues in teaching

Cited by 4 publications

References 11 publications

A model of the multidimensional nature of experienced dietitian clinical decision‐making in the acute care setting

A model of the multidimensional nature of experienced dietitian clinical decision‐making in the acute care setting

Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals

People with Mental Disorders in the Dental Clinic

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