Samarbete genom samtal En samtalsanalytisk studie av multiprofessionella teamkonferenser inom smärtrehabilitering
Sammanfattning: The thesis investigates team talk and team collaboration from a dialogical perspective, and is based on video recordings of 15 multiprofessional team conferences involving a pain rehabilitation team. The analyses also draw upon a vast material of interviews, field notes and documents collected during almost a year of fieldwork at the clinic. The main purpose of the thesis is to shed light on some of the distinguishing linguistic features of such team conferences and on the pragmatic strategies deployed by the team members in order to bring into play the variety of professional perspectives represented in the team. Analyses of their lexical choices and interaction show three areas of responsibility: professional, overlapping and shared. Analyses of phases, activities and participant structures show how the team conferences can be understood as a specific type of institutional interaction, a communicative activity type that makes it possible both to share information and to reach a shared understanding of the patients’ problems. A deeper interactional analysis reveals pragmatic strategies enhancing the team’s multiprofessional communication: the identification and sorting of information, in-depth discussions of specific problems and decision-making procedures. The results illustrate central aspects of what is often called interprofessional competence within the field of health care, i.e. the ability to make the most of multiprofessional collaboration. The thesis adds to our understanding of team conferences as a communicative activity type and increases our understanding of how participants can offer their perspective through conversation, thereby making it possible for the others to adopt this perspective – in short, to achieve what is often referred to as a democratic dialogue.
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