Changes in Professionalism Through the Practice of Telemedicine: Conceptualizing a Situated Sense Filter

K. Vestergaard
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引用次数: 1

Abstract

Drawing on Schatzki's theoretical concepts of practice, this article explores how health professionals change and form professionalism in the encounter with practices in telemedicine settings with physiotherapeutic online exercises and nursing video consultations in-home care in two municipalities in Denmark. Analyses in this paper bases on an 18-month ethnographic field study with 158 observations with ethnographic interviews and 16 interviews with six health professionals (n=6), to get insight into health professionals experiences on health professionals experiences on practices in telemedicine settings. Drawing on the analyses the paper unfolds a concept, "situated-sense-filtering" as a professional method. The concept demonstrates how individuals interpretation of ontologically altered practice changes and forms professionalism. The paper emphasizes a point that lack of collective interpretations of professionalism overrides professions' influence on their professionalism. The article suggests political and institutional supports on professional collective processes changing professionalism through the practice of telemedicine.
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远程医疗实践中的专业转变:情境感知过滤器的概念化
本文借鉴Schatzki的实践理论概念,探讨了丹麦两个市镇的卫生专业人员如何在远程医疗环境中通过物理治疗在线练习和家庭护理中的护理视频咨询来改变和形成专业精神。本文的分析基于一项为期18个月的民族志实地研究,共有158项观察,包括民族志访谈和对6名卫生专业人员(n=6)的16次访谈,以深入了解卫生专业人员在远程医疗环境中的实践经验。在此基础上,本文提出了“情境感过滤”这一专业方法的概念。这个概念展示了个体对本体论改变的实践的解释是如何改变和形成专业性的。本文强调了一个观点,即缺乏对专业精神的集体解释,凌驾于专业对其专业精神的影响之上。文章建议对通过远程医疗实践改变专业精神的专业集体过程提供政治和机构支持。
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来源期刊
Professions and Professionalism
Professions and Professionalism Social Sciences-Education
CiteScore
1.60
自引率
0.00%
发文量
14
期刊介绍: Professions and Professionalism (P&P) is an open-access, net-based, peer-reviewed and English-language journal. The Journal invites research-based empirical, theoretical or synoptic articles focusing on traditional professions as well as other knowledge-based occupational groups approached from any perspective or discipline. By prioritizing no single theoretical horizon or methodological approach, the journal creates a space for the development of the research field. Aims: To develop the study of professions and professionalism theoretically and empirically, To contribute to the development of the study of professions and professionalism as an international interdisciplinary field of research, To become an important publication channel for the international research community.
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