recognising and appreciating the artistry in professional practice

310 Pages·2009·18.16 MB·English

TITLE PAGE
RECOGNISING AND APPRECIATING THE ARTISTRY IN
PROFESSIONAL PRACTICE:
A MEANS TO RESEARCHING AND DEVELOPING PRACTICE
THROUGH INSIDER PRACTITIONER RESEARCH
JANET BARBARA DAOUD
A thesis in fulfilment the Bournemouth University for the degree
submitted partial of requirements of of
Doctor Philosophy
of
May 2004
Janet Barbara Daoud
Recognising Appreciating Artistry in Professional Practice:
the
and
A Means to Researching Developing Practice
and
Through Insider Practitioner Research
This to that
study explores professional practice and examines an approach research
be for in developing their
the
could useful practitioner and extending practice.
is (Schon 1983),
The
existence of artistry recognised within professional practice and
is important in judgements (Fish Coles 1998, 28-53, de
and pp.
making professional
in by Fish (1998),
Cossart Fish 2005). Therefore, the
and as methodology proposed
because
this the
the artistic/holistic paradigm was adopted specifically enables
is insider
to
exploration of professional artistry and suited practitioner research.
A
The the the
study critically appraised use of proposed artistic/holistic paradigm.
in A
the the
case study approach was used which researcher was case. portrait of an
in followed by
this
episode clinical practice was produced, a critical appraisal of
These became
then the
portrait. portrait of research practice, which was equally
This in
the the
appraised. mirrors process seen within arts which critical appreciation
is deriving its from discipline
the
a reflective process, rigour and connoisseurship of
the
critic.
The demonstrate is
that the to
results artistic/holistic paradigm well suited continuing
development, both individually The
professional and corporately. proposed paradigm
does both
the
enable recognition and exploration of professional artistry, within
clinical and research practice.
Professional has foundation it be
that this
practice a moral and was shown must
if development is Evidence-
to
openly recognised meaningful professional occur.
based is founded
the technical-rational
medicine, which on view of practice, was
be insufficient for development. This,
to the
shown professional's ongoing and
impact
to the the traditions
similar work, will and contribute ongoing evolution of of
the
profession.
2
List Contents
of
10
Acknowledgements
Author's Declaration 10
CHAPTER 1
SETTING THE SCENE 11-34
INTRODUCTION 11
THE RESEARCHER 12
THE RESEARCH FOCUS 15
Research Approach 20
The Artistic/Holistic Paradigm Approach 22
or
Writing Presentation Study 32
the
and of
Conclusion 33
SUMMARY 34
CHAPTER 2
PORTRAIT OF PRACTICE ELSIE 35 53
- -
INTRODUCTION 35
REFERRAL 38
FIRST STEPS TOGETHER 40
Elsie's Story 40
The Researcher's Initial Contact Impressions 42
and
The Assessor's Perception 44
PROGRESSION ON THE JOURNEY 47
Key Worker's Reflections
48
3
OF THE WAYS 49
RESOLUTION THE PARTING
-
51
The Last Few Steps Together
52
LOOKING BACK
CHAPTER 3
OF THE PORTRAIT 54
CRITICAL APPRECIATION
-118
54
INTRODUCTION
55
THEORIES IN PRACTICE
56
The Holistic Perspective
60
Uncertainty
63
Communication
The Process
of
66
ASPECTS OF PROFESSIONAL PRACTICE
67
Reflective Practice
74
The Healing Process
92
Figure 1
93
Doctor-Patient Relationship
109
THE WHOLE PICTURE
109
Tools Chosen Paint Portrait
to the
116
Final Overview
CHAPTER 4
CRITICAL APPRECIATION OF THE PROFESSIONAL 119
-137
INTRODUCTION 119
AN UNDERSTANDING OF THE PROFESSION
4
119
AND THE PROFESSIONAL
119
Professional
Hallmarks
of a
122
Characteristics Professional
of a
124
Conclusion
125
SOCIETY AND THE PROFESSIONAL
125
Autonomy
127
Accountability
Trustworthiness
and
130
The Way Forward
131
PRACTICE
PROFESSIONAL
131
Theory Practice
and
134
Artistry
137
Conclusion
137
SUMMARY
CHAPTER 5
138
REFLECTION ON THE RESEARCH PROCESS
-152
138
INTRODUCTION
138
RESEARCH/AUDIT TRAIL
13 8
The Initial Steps
141
The First Stage Journey
the
of
143
Fieldwork
145
Ethical Considerations
EMERGING RESULTS AND REFLECTIONS 147
A Change in Direction 147
5
AND
RESEARCH
INSIDER PRACTITIONER
150
EDUCATIONAL RESEARCH
153
FINAL REFLECTIONS
CHAPTER 6
METHODOLOGY AS AN EMERGING RESULT OF THIS RESEARCH
THE PORTRAIT OF PRACTICE 154
-181
-
154
INTRODUCTION
THE PORTRAIT OF PRACTICE 156
Recognising Subject Matter 159
the
Characteristics Portrait Practice 162
the
of of
The Creation Portrait 173
the
of
CHAPTER 7
METHODOLOGY AS AN EMERGING RESULT OF THIS RESEARCH
THE CRITICAL APPRECIATION 182 206
- -
INTRODUCTION 182
THE CRITIC AND THEIR FUNCTION 184
THE CRITIC'S RESOURCES 186
The Narrative 189
Sources Evidence 190
of
Use Literature 193
of
Conclusion 195
ETHICAL CONSIDERATIONS 196
General Principles
196
Deliberations Regarding Future Work in Paradigm 200
this
Conclusions
201
6
CONCLUDING REFLECTIONS 202
CHAPTER 8
THE DEVELOPMENT OF THE PROFESSION 207 231
-
INTRODUCTION
207
CONTINUING PROFESSIONAL DEVELOPMENT
207
REFLECTION ON PRACTICE
210
Purpose
211
Characteristics
212
Principles Reflection Practice
218
of on
Models Reflective Practice
221
of
The Interface Reflective Practice
of and
Personal Lives
226
CONCLUSIONS
230
CHAPTER 9
FINAL REFLECTIONS
232 246
-
INTRODUCTION
232
INSIGHTS GAINED BY THE PRACTITIONER 232
The Personhood
the Practitioner 232
of
The Moral Basis Professional Practice 234
of
Artistry its Celebration
234
and
Evidence-based
235
medicine
RESEARCH AIMS REVISITED 238
Reflection Research
239
as
Autobiographical
Reflections
241
7
THE DEVELOPMENT OF THE PROFESSION 242
The Contribution Research
this to the
of
Profession's Development 245
CHAPTER 10
PERSONAL REFLECTIONS AT THE END OF THE JOURNEY 247 260
-
INTRODUCTION
247
A REFLECTIVE INQUIRY
247
RESEARCHER-PRACTITIONER ROLE
251
THE RESEARCH JOURNEY
253
THE VALUE OF THIS WORK
257
THE WAY FORWARD
260
APPENDIX 1
261-262
Letter Patients
to 261
Letter Carers
to 262
APPENDIX 2
263 267
-
Case Study 1: Mr Z 263
APPENDIX 3
268
Process Needs Assessment
268
of
APPENDIX 4
269 278
-
Subject 6: Themes 1
269
8
279 288
APPENDIX 5
-
279
Developing Thoughts
282
Draft Portrait 2
289 310
LIST OF REFERENCES
-
9
AcknowledLyements
I like husband, Jeremy, two James Stephen, for
to thank
would my and my sons, and
I Without
this their
their patience and encouragement while undertook work. ongoing
I have it. My husband's has been
support, would not completed work as an artist
inspirational for I the
me as grappled with concepts of artistry.
My Professor C. Coles, Professor D. Fish Professor I. Holloway,
and
supervisors,
have been friends to the development this finished They
critical and central of study.
into `unchartered I like
to to
enabled me move ground' and would extend a special
thanks to them.
each of
have
A heartfelt thanks to the to this
goes my colleagues and patients who contributed
in but have been instrumental in
to those
work particular, also all of who my
development.
professional
I like to the Anita Somner in the
would also acknowledge support of proof-reading
for financial I from Chris West Memorial
thesis the the
me, and support received
Fund.
Author's Declaration
This has been 5th International
the
study presented as a concurrent session at
`Conversations' Conference in 2002 9th International Reflective
the
and
Practice Conference in 2003.
10