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Mutual Intacting: Keeping the patient-practitioner relationship and patient treatment intact

Author(s): Naomi Elliott, MSc., BNS, RGN, RNT, PhD Candidate

Journal: Grounded Theory Review : an International Journal
ISSN 1556-1542

Volume: 6;
Issue: 3;
Date: 2007;
Original page

Keywords: patient-practitioner relationship | grounded theory

The aim of this grounded theory study was to discover the main concerns of clinical practitioners when making clinical judgments in the community care context and to explain the processes they used to resolve practice problems. Interview data from twenty-one advanced practitioners working in various mental healthcare and accident and emergency settings in Ireland was collected. In this paper, the process of clinical judgment is conceptualised as ‘Mutual Intacting’. It proposes that clinical judgment comprises three stages: situated patterning, intacting therapeutic relationship, and intacting therapy. ‘Mutual Intacting’ explains how clinical practitioners make clinical judgments through a process of adapting treatment so that the patient-practitioner relationship is maintained and treatment is delivered in a way that takes account of the patient’s circumstances.
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