Engaging with Diversity and Complexity using Collaborative Approaches to Decision Making

Publisher:
Ryerson University Library and Archives
Publication Type:
Journal Article
Citation:
Critical Dietetics, 2016, 3, (2), pp. 43-55
Issue Date:
2016-12-31
Full metadata record
A key challenge in contemporary dietetic practice is making collaborative decisions about dietary behaviours with a diverse range of patients. Contemporary decision making frameworks for clinical dietetic practice give value to working in a collaborative manner with patients, however, there remains uncertainty with regards to how and when dietitians might apply this approach in their practice.In this doctoral research project, Author 1 used a philosophical hermeneutic approach to deepen understanding of a collaborative approach to decision making in dietetic practice. She also explored the core capabilities required to enact such an approach in early career dietetic practice. The experiences and perceptions of patients and dietitians were explored using in depth interviews and individualized reflective practice activities.The findings suggest that collaborative decision making in dietetic practice is situational and requires the development of a caring and trusting professional relationship to be effective. Other core capabilities needed to enact this approach relate to developing self awareness, establishing an open and transparent dialogue, identifying and exploring common ground and finding the time to think and talk.The final product of the research, the Interpretive Engagement Model of Collaborative Decision Making (Author 1, 2013), can be used as a framework to help practitioners to reflect on their decision making practice.Early exposure in tertiary education to critical dialogues and questioning current practices will cultivate early career dietitians’ capabilities to develop their collaborative decision making practice in future.
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