a Medical Education Unit , Gold Coast University Hospital and Health Service , Southport , Australia.
b Medical Education Unit, Christchurch School of Medicine & Health Sciences University of Otago , Christchurch , New Zealand.
Med Teach. 2019 Jan;41(1):91-98. doi: 10.1080/0142159X.2018.1442565. Epub 2018 Mar 26.
Professionalism is a contested concept and different discourses have differed by scope and epistemology. The theory of communicative action integrates epistemology (knowledge interests) with that of scope (lifeworld).
To pragmatically inform learning of professionalism.
apply the theory of communicative action to professionalism discourses.
Previous professionalism discourses translated into four frames: technical; communicative; improvement, and critical. These can be viewed as four metaphors the scale; conversation; consensus conference, and protest. The theory of communicative action demonstrated that a critical frame was often lacking from discussions of professionalism and emphasized critiquing the assumptions made, the way power was utilized, and the ends to which actions were directed. Using these frameworks connected discourses on professionalism to other key medical discourses particularly quality improvement, patient centeredness, social justice, and the professional well-being.
The theory of communicative action adds value by introducing criteria for the evaluation of individual truth claims that expands the discussion beyond accuracy to include sincerity, ethics and coherence; and it emphasizes promoting free speech and the inclusion of diverse views and stakeholders. The theory of communicative action provides a coherent and useful framework for viewing professionalism that integrates with broader discussions about philosophy, truth claims, and post-modern society.
专业精神是一个有争议的概念，不同的论述在范围和认识论上存在差异。交往行动理论将认识论（知识利益）与范围论（生活世界）结合在一起。
从语用学角度为专业精神学习提供信息。
将交往行动理论应用于专业精神论述。
先前的专业精神论述被翻译为四个框架：技术的；交际的；改进的和批判的。这些可以被看作是四个隐喻：规模；对话；共识会议和抗议。交往行动理论表明，在专业精神的讨论中往往缺乏批判框架，并强调批判假设、权力的运用方式以及行动的目标。使用这些框架将专业精神的论述与其他关键的医学论述联系起来，特别是质量改进、以患者为中心、社会公正和专业人员的福利。
交往行动理论通过引入评价个人真理主张的标准来增加价值，这些标准将讨论从准确性扩展到包括真诚、伦理和连贯性；并强调促进言论自由以及纳入不同的观点和利益相关者。交往行动理论为看待专业精神提供了一个连贯而有用的框架，与关于哲学、真理主张和后现代社会的更广泛讨论相结合。
