Title:
|
A remix of doxa and phronesis : an emergent medicalised heart of the healthcare professional in primary healthcare in Malta
|
This study explores emotional quality displayed by health care professionals (HCPs) and
the factors that underpin this quality' during clinical encounters in primary health care in
Malta. Healthcare has been dominated by the medical models however, with quality of
care becoming upfront on people's agenda, two issues are under the microscope. The first
is concerned with the contribution of the medical model and the second with the
relationship between the service user (SU) and the HCP. This means that HCPs are
expected to follow a hypothetical-deductive approach based on their technical knowledge
whilst simultaneously including a line of enquiry that optimizes the quality of emotional
display to frame their intervention.
This study was conducted using the tenets of grounded theory to generate substantive
theory that explains how emotional display by RCPs affects their practice. The data were
derived by means of in-depth semi-structured interviews held with 20 RCPs and 7 SUs.
To achieve triangulation 5 field observati6ns together with investigation ofthe customer
complaint data were also undertaken. The data collected were transcribed and analyzed
using the procedure outlined in Strauss and Corbin (1998) and the emergent medicalised
heart surfaced as the substantive theory. This theory conceptualizes the process of the
quality of emotional display by HCPs as a series of purposeful actions that lead them to
articulate their emotions through their professional practice. Each experience can either
lead to a liberalized or an inhibited way of emotional display. Despite the limitations of
the study, the general findings support the substantive theory that a relationship exists
between emotional display and the seven prime categories that emerged from the data.
Research clarifying the intervention ofthe association ofthe quality of emotional display
in healthcare could have vast implications for inter-group relations, SU and RCP wellbeing
and organizational branding.
|