title: Investigating Philosophies Underpinning Dietetic Private Practice.
abstract: There is limited theory or knowledge regarding dietitians' practice philosophies and how these philosophies are generated and incorporated into their professional practices. For the purposes of this study, a conceptual framework will explain and define the 'philosophies' as three different types of knowledge; episteme, techne, and phronesis. This study aimed to develop an explanatory theory of how dietitians in private practice source, utilise, and integrate practice philosophies. A grounded theory qualitative methodology was used to inform the sampling strategy, data collection, and analytical processes. Semi-structured interviews with dietitians in private practice were undertaken and data were collected and analysed concurrently. The results show that dietitians form collaborative relationships with their clients, in order to nurture change over time. They use intrinsic and intertwined forms of episteme, techne, and phronesis, which allow them to respond both practically and sensitively to their clients' needs. The learning and integration of these forms of knowledge are situated in their own practice experience. Dietitians adapt through experience, feedback, and reflection. This study highlights that private practice offers a unique context in which dietitians deal with complex issues, by utilising and adapting their philosophies.
authors.affiliation: The Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, Sydney Medical School, The University of Sydney, Level 2, Charles Perkins Centre, John Hopkins Drive, Camperdown, NSW 2006, Australia. claudia.harper@sydney.edu.au.
authors.forename: Claudia
authors.initials: C
authors.lastname: Harper
authors.affiliation: Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, 90 Sippy Downs Dr, Sippy Downs, QLD 4556, Australia. jmaher@usc.edu.au.
authors.forename: Judith
authors.initials: J
authors.lastname: Maher
keywords: diet therapy; grounded theory; health care professionals; knowledge utilization; patient-provider; philosophy; relationships; theory development