مجله ایرانی آموزش در علوم پزشکی (Apr 2021)
Designing and Proposing a Phronetic Model to Solve the Care Crisis
Abstract
Introduction: ؟One of the two major crises modern medicine is confronting with is the quality-of-care crisis (QCC); The QCC is the result of the ignorance of the existential and psychological needs of patients by doctors, nurses, and caregivers. In this paper, we aim to review this crisis and the importance of taking it into consideration by caregivers. We also develop a framework, called The Phronetic Model for Care, for an ideal care practice that can be used as a basis for training caregivers and this could be a major step to overcome QCC Methods: This study has been written using the Critical Review method and the proposed steps by Carnwell & Daly to design a conceptual model. The concepts and resources related to the QCC have been searched for in databases including Google Scholar, Web of Science, PubMed, ERIC, Elsevier, and PhilPapers with the keywords medical practice, healthcare practice, critical reflection, empathy, phronesis, practical wisdom, reflective practice and the latest and most cited papers and books have been selected and read. Results: This study has been written using the Critical Review method and the proposed steps by Carnwell & Daly to design a conceptual model. The concepts and resources related to the QCC have been searched for in databases including Google Scholar, Web of Science, PubMed, ERIC, Elsevier, and PhilPapers with the keywords medical practice, healthcare practice, critical reflection, empathy, phronesis, practical wisdom, reflective practice and the latest and most cited papers and books have been selected and read. Conclusion: Regarding that one of the most important steps to alleviate QCC is rethinking the concept of QCC and its various components, the proposed framework for practicing care can be used as a basis for teaching the skills required by caregivers and their proper training in order to emancipate from QCC.
