The purpose of the study was to discover how Mayo Clinic cardiologist exemplars developed caring presence. Exemplars combine biomedical practice with caring presence in relationships; however, the study was about the development of the latter. Physicians working in the current pressured medical environment continue to cure diseases and provide ongoing care to often frustrating patients. Their daily tasks can seem overwhelming. This study was designed to glean wisdom from physician exemplars who maintain their passion for medicine and connections to patients in spite of busy schedules. The research question was how did you become who you are? Residents and allied health professionals serving the Division of Cardiovascular Diseases, Saint Marys Hospital, Rochester, Minnesota, nominated 57 cardiologists and 12 fit the criterion as exemplars. The researcher gathered 11 narratives through brief questionnaires followed by in-depth interviews. Each interview was taped, transcribed, coded and analyzed for common themes. The theory that emerged was innate personality, learned skills, culture, ample time with patients, and experience influenced caring presence development. Caring presence evolved as physicians connected with patients and gained relationship-centered care benefits: patient trust and loyalty, and career satisfaction. Caring presence for the exemplars evolved over a decade or so. We somehow need to get people to a new place earlier in their medical careers. Absent life experience doing it for them, perhaps it can be evoked through changes in their formal education. The goal is to help improve not only patient care, but also health care provider satisfaction with their careers.
|Advisor:||Wolfe, Rustin N.|
|Commitee:||Ellis, Gerald H., Li, James T., McClure, John P.|
|School:||Saint Mary's University of Minnesota|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 69/12, Dissertation Abstracts International|
|Subjects:||Personality psychology, Social structure|
|Keywords:||Art of medicine, Communication, Compassion, Empathy, Physician-patient relations, Professional practice|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be