liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Decision making in a multi-professional rehabilitation care team
Linköping University, Faculty of Arts and Sciences. Linköping University, The Tema Institute, Department of Communications Studies.
2005 (English)In: International workshop on Discourse in Organizations,2005, 2005Conference paper (Other academic)
Abstract [en]

Decision making in a multi-professional rehabilitation care team This talk presents results from one study conducted within a larger project describing talk-in-interaction during team conferences in a multi-professional rehabilitation care setting. The results from the project as a whole will be reported through a series of coming articles. Introduction Team work is an established way of organising the work in knowledge intensive organisations, and this is also the case within health care settings. This is not only an attempt to meet the increasing economical pressure on the health care sector, but also an attempt to meet the growing demand for -single gateways- into the health care system (Övretveit et al 1997). The number of studies on institutional talk (Drew & Heritage 1992) is constantly growing, but many studies are still concerned with the classical questions of asymmetry and power that faces participants in talk between experts and laypersons. Few studies have explored the professional talk among peers (intra-professional talk), and fewer still have engaged in studies between professionals belonging to different professions (inter-professional talk) (Hydén & Mishler 1999, Sarangi & Roberts 1999). Rehabilitation care has a long tradition of multi-professional co-operation, and was one of the first medical specialities where team work became a common way of organising the work. It was also one of the first specialities where these teams consisted not only of doctors and nurses, but also of other professional groups such as medical social workers, occupational therapists, physio therapists and psychologists (DeLisa & Gans 1998). Therefore rehabilitation care settings provide a very rich and interesting milieu for studies of professional talk-in-interaction. Aims of the study The aims of the decision making study have partly been formulated in dialogue with the team members. The first aim, which covers an aspect of the team-s work that the team members themselves express a great interest in, is to gain knowledge of institutional constraints affecting the decision making process. The second aim is to describe the joint decision making of the team (Huismann 2001). This aim reflects the discrepancy between the traditional descriptions of team work in health care settings, which stress formal hierarchy as the fundamental constraint on the decision making process (e.g. Soothill et al 1995), and the practice of this particular team. Data and method The collected data consist mainly of recordings of team conferences held at a rehabilitation clinic at a large Swedish hospital. These 50 hours of video recordings equal fifteen team conferences. The conferences are held weekly and can be described as -sitting rounds- (Atkinson 1995), i.e. no patients participate and the main goals are to share information and make joint decisions. Twelve out of the fifteen meetings are recorded consecutively, which gives a unique opportunity to follow the teams- discussions about single patients as they unfold over time. The ethnographic data (interviews, observations of both team conferences and work outside of the conferences as well as documents describing, regulating and recording the teams- work) form a background against which the analysis of the talk-in-interaction during the team conferences can be understood as a part of a wider discourse of health and illness. The ethnographic data also allows for a deeper understanding of the organisational constraints forming the talk-in-interaction in this particular community of clinical practice, although there is no reason to believe that the results are not applicable in a wider context. The decision making study is based on a subset of this large data collection, to be precise video recordings and transcriptions made of the discussions of patients involved in the Evaluation  

Place, publisher, year, edition, pages
National Category
URN: urn:nbn:se:liu:diva-35878Local ID: 28897OAI: diva2:256726
Available from: 2009-10-10 Created: 2009-10-10

Open Access in DiVA

No full text

Search in DiVA

By author/editor
Lundgren, Charlotte
By organisation
Faculty of Arts and SciencesDepartment of Communications Studies

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 26 hits
ReferencesLink to record
Permanent link

Direct link