Evidence map›Paper›PMID 29926325›Full record

ArticleMedicine, health care, and philosophy2019

Practical wisdom in complex medical practices: a critical proposal.

C M M L Bontemps-Hommen, A Baart, F T H Vosman

Abstract read
PubMed Publisher
In one paragraph

Article in Medicine, health care, and philosophy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. A Critical Interpretive Literature Review of Phronesis in Medicine.The Journal of medicine and philosophy · 2025
    Review
  5. Article
  6. [Residency program under scrutiny (part 2)-How do residents prepare for emergency operations?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

C M M L Bontemps-HommenSt Jansdal Hospital, Wethouder Jansenlaan 90, 3844 DC, Harderwijk, The Netherlands. cmml.bontemps@stjansdal.nl.
A BaartOptenta Research Focus Area, North-West University, Vanderbijlpark, South Africa.
F T H VosmanUniversity of Humanistic Studies, Kromme Nieuwe Gracht 29, 3512 HD, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent times, daily, ordinary medical practices have incontrovertibly been developing under the condition of complexity. Complexity jeopardizes the moral core of practicing medicine: helping people, with their illnesses and suffering, in a medically competent way. Practical wisdom (a modification of the Aristotelian phronèsis) has been proposed as part of the solution to navigate complexity, aiming at the provision of morally good care. Practical wisdom should help practitioners to maneuver in complexity, where the presupposed linear ways of operating prove to be insufficient. However, this solution is unsatisfactory, because the proposed versions of practical wisdom are too individualistic of nature, while physicians are continuously operating in varying teams, and dealing with complicated technologies and pressing structures. A second point of critique is, that these versions are theory based, and thus insufficiently attuned to the actual context of everyday medical practices. Now, our proposal is to use an approach of practical wisdom that enables medical practices to counter the complexity issue and to re-invent the moral core of medical practicing as well. This implies a practice oriented approach, as thematized by practice theory, qualitative empirical research from the inside, and abduction from actual performed practical wisdom towards an apt understanding of phronèsis.

Indexed as

Ethics, ClinicalAttitude of Health PersonnelClinical CompetenceClinical Decision-MakingEthics, MedicalHumansPatient-Centered CarePhysician-Patient RelationsPhysician's RoleCare ethicsComplexityPractical wisdomPractice theoryQualitative empirical research

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.