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Background  A Hermeneutic Study Experienced Nurses in Everyday Practice Their Moral Choices & Associated Knowledge Comportment KU Findings of Interest &  "Situated at the IndividualDAdds to understanding of how practice performance is constructed The ways that individuals vary in their practice choices The aspects in clinical presentations that  spark them The ways in which different knowledge is selected, integrated, & utilised in the context of particular practices# #" Significant InterplayqBetween Context, Knowledge & Personal Preferences In the Constitution of Theory-in-Use In Practice Performancer r $ Signatory Styles .Highly Individualised& Practice Preferences Clinical Interests Ways of Responding to Contextual Clinical Concerns& Leading to Distinctive PerformancesR\ %^#. $ Signatory Styles  The nurses ways of engaging & responding to the practice needs of patients in their contexts of care were so individually distinctive that they could be considered to have  signatory styles in their clinical performances. 2Z # Construction of Acts Mediation b/n Context & Interest The nurses all mediated their contexts of practice & their practice interests in the construction of individual acts of care6"~      !The Process of Mediation Highly influenced by& Reading of what was practical, doable, needed & what could be fitted in relation to& perceived patient interests & needs & their own sense of what was desirable, good & right,Z Z $Knowledge-in-Action During the construction of care& Choices-in-action were active & dynamic Local knowledge utilisation in any given aspect of the clinical performance was Anchored by & integrated into the overall  moral positioning of the clinical undertaking$"  & Knowledge-in-ActionWithin particular acts of care The nurses integrated & used different forms of knowledge Accounts were rich with  local theories-of-action$l % Theories-in-useZDerived from previous experience Contained performance  maxims Drew on theoretical & technical clinical knowledge & on personal knowledge of people & their human conditions x *Theories-in-useNWere held & constructed through the nurse s& own sense of identity personal philosophy of practice the sense of what was practical, possible & needed in the context,.Zz Z ' %Moral Knowing as an Integratory Force&&KFor The construction of care & The utilisation of other forms of knowledge "KL# ( Topography of Moral KnowingFour distinct layers of knowledge utilisation within a practice event& 1 Personal-professional moral platform for performance 2 Negotiating moral boundaries in relation to context & what is possible" +Topography of Moral Knowing 3 Utilising multiple forms of knowledge as local theory in use as inextricably linked to moral knowing 4 Engaging with specific moral & ethical puzzles & problems2)Z@Z>Z )Knowledge Utilisation Theory uThe clinical performance of individuals further exploration of Knowledge-in-Use Theories-of-Action Choices-in-Action(@6 vGThank-you for listening & for the opportunity to participate in KU05"HG$/-./0123456 7 8 9 : ;<=P  0` f3f̙3f` 33` 333MMM` 333f` 3f3̙` f` 333ffff` ff3f!f3̙>?" dd@(?nKd@   @ `  n?" dd@   @@``PZP   @ ` `Zp>> tz( ? t$ t 0D "00  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     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