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Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care

Whole Person Care (WPC) is an emerging framework that emphasises the clinician’s role in empowering patient healing. However, reliably translating a framework’s theory into practice is a recognised challenge for clinicians. Observational studies have revealed discrepancies between a clinician’s stat...

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Autores principales: Leger, Philip, Caldas, Valerie, Festa, Carolina, Hutchinson, Tom, Jordan, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335542/
https://www.ncbi.nlm.nih.gov/pubmed/37400159
http://dx.doi.org/10.1136/bmjoq-2022-002164
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author Leger, Philip
Caldas, Valerie
Festa, Carolina
Hutchinson, Tom
Jordan, Steven
author_facet Leger, Philip
Caldas, Valerie
Festa, Carolina
Hutchinson, Tom
Jordan, Steven
author_sort Leger, Philip
collection PubMed
description Whole Person Care (WPC) is an emerging framework that emphasises the clinician’s role in empowering patient healing. However, reliably translating a framework’s theory into practice is a recognised challenge for clinicians. Observational studies have revealed discrepancies between a clinician’s stated values in theory and how these may be implemented in practice. The aim of this qualitative study is to bridge the gap between the theory of WPC and its practical implementation by clinicians. We interviewed a diverse group of 34 clinicians attending the 2017 International Whole Person Care Congress to explore (1) their conceptions of WPC in theory as well as (2) how they monitor their practice in real time. Data were analysed using Grounded Theory Methodology. Preliminary results were presented in the form of a workshop at the 2019 International Whole Person Care Congress to validate our findings with relevant stakeholders. The results revealed a vision of WPC that highlighted themes of the clinician’s way of being, seeing the person beyond the disease, and the clinician–patient relationship. Our results demonstrate that clinicians use a range of strategies to monitor their practice in real time. Mindfulness and self-awareness were frequently cited as being crucial to this ability of self-regulating their practice. This study helps establish a unifying framework of WPC based on a diverse range of clinician-reported experiences. More importantly, it sheds light on the range of strategies employed by clinicians who monitor their practice in real time. These collected insights will be of interest to any clinician interested in translating their stated values into their clinical practice more reliably.
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spelling pubmed-103355422023-07-12 Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care Leger, Philip Caldas, Valerie Festa, Carolina Hutchinson, Tom Jordan, Steven BMJ Open Qual Original Research Whole Person Care (WPC) is an emerging framework that emphasises the clinician’s role in empowering patient healing. However, reliably translating a framework’s theory into practice is a recognised challenge for clinicians. Observational studies have revealed discrepancies between a clinician’s stated values in theory and how these may be implemented in practice. The aim of this qualitative study is to bridge the gap between the theory of WPC and its practical implementation by clinicians. We interviewed a diverse group of 34 clinicians attending the 2017 International Whole Person Care Congress to explore (1) their conceptions of WPC in theory as well as (2) how they monitor their practice in real time. Data were analysed using Grounded Theory Methodology. Preliminary results were presented in the form of a workshop at the 2019 International Whole Person Care Congress to validate our findings with relevant stakeholders. The results revealed a vision of WPC that highlighted themes of the clinician’s way of being, seeing the person beyond the disease, and the clinician–patient relationship. Our results demonstrate that clinicians use a range of strategies to monitor their practice in real time. Mindfulness and self-awareness were frequently cited as being crucial to this ability of self-regulating their practice. This study helps establish a unifying framework of WPC based on a diverse range of clinician-reported experiences. More importantly, it sheds light on the range of strategies employed by clinicians who monitor their practice in real time. These collected insights will be of interest to any clinician interested in translating their stated values into their clinical practice more reliably. BMJ Publishing Group 2023-07-03 /pmc/articles/PMC10335542/ /pubmed/37400159 http://dx.doi.org/10.1136/bmjoq-2022-002164 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Leger, Philip
Caldas, Valerie
Festa, Carolina
Hutchinson, Tom
Jordan, Steven
Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
title Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
title_full Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
title_fullStr Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
title_full_unstemmed Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
title_short Translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
title_sort translating theory into clinical practice: a qualitative study of clinician perspectives implementing whole person care
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335542/
https://www.ncbi.nlm.nih.gov/pubmed/37400159
http://dx.doi.org/10.1136/bmjoq-2022-002164
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