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Philosophies underpinning dietetic private practice: a grounded theory study
Abstract   Peer reviewed

Philosophies underpinning dietetic private practice: a grounded theory study

Claudia Harper and Judith Maher
Nutrition & dietetics, Vol.72(Supplement 1), pp.45-46
Dietitians Association of Australian National Conference, 32nd (Perth, Australia, 13-May-2015–16-May-2015)
2015
url
https://doi.org/10.1111/1747-0080.12181View
Published Version

Abstract

Nutrition and Dietetics Public Health and Health Services Food Sciences dieticians philosophy of practice
There is limited theory or knowledge regarding dietitians' nutrition philosophies and how these philosophies are generated and incorpo- rated into their professional practices. For the purposes of this research project a conceptual framework explains and defines 'philosophies' as three different types of knowledge; episteme, techne and phronesis. This study aimed to develop an explanatory theory of how dietitians source, utilise and integrate nutrition and practice philosophies in their private practice. Grounded Theory methodology was used to inform the sampling strategy, data collection and analytical processes. Data were collected via in-depth, semi-structured inter- views, with ten private practicing dietitians in Australia. Analysis of transcripts occurred concurrently with data collection and informed further sampling. Data analysis was initially inductive; coding concepts, categories, properties and dimensions which were then grouped into central categories or themes. This study highlighted that private practice offers a unique context in which dietitians deal with complex issues as both therapists and business owners. The results how that dietitians form collaborative relationships with their clients to nurture change over time. They use intrinsic and intertwined forms of episteme, techne and phronesis which allows them to respond both practically and sensitively to their clients and their needs. Learning and integrating these forms of knowledge are situated in and enriched by their own practice experience. Dietitians' philosophies of practice and nutrition adapt through experience, feedback and reflection and become embedded over time. Dietitians in private practice strive to continuously learn, improve and adapt their business and nutrition practice philosophies to better serve their client base.

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