Tinkering and Situated Responsivenes
Usually, practitioners apply their knowledge to solve problems. They rely on clinical guidelines and evidence-based medicine to guide them in their clinical reasoning. However, in the landscape of caring for persons with complex chronic disabilities who require high levels of support and where there is little evidence to support best practices, practitioners engage in a form of clinical reasoning that exceeds the boundaries of medicine's rational-deductive frameworks.
They engage in "tinkering"—and it represents a sophisticated mode of caring that involves experimentation, adjustment, and attentive responsiveness to the particularities of the moment-to-moment work with patients and family in clinical encounters.
They engage in "tinkering"—and it represents a sophisticated mode of caring that involves experimentation, adjustment, and attentive responsiveness to the particularities of the moment-to-moment work with patients and family in clinical encounters.
