Knowing – in Medicine

Journal of Evaluation in Clinical Practice 14 (5):767-770 (2008)
  Copy   BIBTEX

Abstract

In this paper we argue that knowledge in health care is a multidimensional dynamic construct, in contrast to the prevailing idea of knowledge being an objective state. Polanyi demonstrated that knowledge is personal, that knowledge is discovered, and that knowledge has explicit and tacit dimensions. Complex adaptive systems science views knowledge simultaneously as a thing and a flow, constructed as well as in constant flux. The Cynefin framework is one model to help our understanding of knowledge as a personal construct achieved through sense making. Specific knowledge aspects temporarily reside in either one of four domains – the known, knowable, complex or chaotic, but new knowledge can only be created by challenging the known by moving it in and looping it through the other domains. Medical knowledge is simultaneously explicit and implicit with certain aspects already well known and easily transferable, and others that are not yet fully known and must still be learned. At the same time certain knowledge aspects are predominantly concerned with content, whereas others deal with context. Though in clinical care we may operate predominately in one knowledge domain, we also will operate some of the time in the others. Medical knowledge is inherently uncertain, and we require a context-driven flexible approach to knowledge discovery and application, in clinical practice as well as in health service planning

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 74,174

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Recognizing Tacit Knowledge in Medical Epistemology.Stephen G. Henry - 2006 - Theoretical Medicine and Bioethics 27 (3):187--213.
Health Science, Natural Science, and Clinical Knowledge.R. John Bench - 1989 - Journal of Medicine and Philosophy 14 (2):147-164.
Personal Knowledge and Human Creativity.Percy Hammond - 2003 - Tradition and Discovery 30 (2):24-34.
Expert and Non-Expert Knowledge in Medical Practice.Ingemar Nordin - 2000 - Medicine, Health Care and Philosophy 3 (3):295-302.
Success and Knowledge-How.Katherine Hawley - 2003 - American Philosophical Quarterly 40 (1):19 - 31.
Knowledge by Intention? On the Possibility of Agent's Knowledge.Anne Newstead - 2006 - In Stephen Hetherington (ed.), Aspects of Knowing. Elsevier Science. pp. 183.
How Knowledge Works.John Hyman - 1999 - Philosophical Quarterly 49 (197):433-451.

Analytics

Added to PP
2013-07-31

Downloads
42 (#275,288)

6 months
1 (#413,740)

Historical graph of downloads
How can I increase my downloads?