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Developing Practice in Healthcare: The Contribution of Bildung to Negotiating the Tensions among Practical, Professional and Organisational Knowing
[journal article]
Abstract "Action research provides a framework for developing practice in healthcare.
While developing practice typically implies a combination of patient
centeredness, quality improvement and change, conflicts arise in how
concepts such as patient centredness are defined. Developing practice
invites att... view more
"Action research provides a framework for developing practice in healthcare.
While developing practice typically implies a combination of patient
centeredness, quality improvement and change, conflicts arise in how
concepts such as patient centredness are defined. Developing practice
invites attention to positionality and engagement with policy directives,
trends in clinical care, and other disciplines each with their own language
stratification reflecting particular sets of values and beliefs. Our process of
engagement is value-based, requiring attention to different and often conflicting
languages or worldviews. We understand practice development as
responding to different calls from the system, our individual disciplines,
patients and changing discourses in healthcare, each exerting different
pressures at different times. This paper describes an action research project
aimed at developing nursing practice through engaging with two conflicting
philosophies of care. We illustrate the contribution made by a particular
understanding of Bildung to engaging with positionality, different
voices in healthcare and the context of care in a complex environment.
Bildung, as self-cultivation, invites engagement with other as an underpinning
for developing practice beginning with first person inquiry. The
idea of Bildung drew attention to the local moral world of nursing and the
experience of dual citizenship. Dual citizenship reflected engagement with
conflicting care philosophies and notions of evidence." (author's abstract)... view less
Keywords
health care; health care delivery system; knowledge; education; action research; nursing
Classification
Medical Sociology
Sociology of Knowledge
Document language
English
Publication Year
2012
Page/Pages
p. 159-184
Journal
International Journal of Action Research, 8 (2012) 2
ISSN
1861-1303
Status
Published Version; peer reviewed
Licence
Deposit Licence - No Redistribution, No Modifications