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A collective clinical gaze: Negotiating decisions in a surgical ward


 
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1. Title Title of document A collective clinical gaze: Negotiating decisions in a surgical ward - Teamwork and Team Talk
 
2. Creator Author's name, affiliation, country Gro Underland; Vestfold University College;
 
2. Creator Author's name, affiliation, country Aksel Tjora; NTNU; Norway
 
3. Subject Discipline(s) Linguistics;
 
4. Subject Keyword(s) decision-making; hospital; knowledge sharing; negotiations; redundancy; surgeons
 
6. Description Abstract This article explores collaborative aspects of clinical decision-making, based on a focused ethnography and video recordings of meetings in clinical practices in two wards for gastro-intestinal diseases at the surgical department of a large Norwegian university hospital. By studying clinicians’ communication during patient introduction, handling uncertainties and surprises, collecting information, and negotiating acceptance, we elaborate on how collaborative teamwork in the hospital ward is developed. Further, by drawing on detailed studies of meetings, in which patients are not physically represented, we explore ways in which a ‘collective clinical gaze’ of each patient is constructed on the basis of documents, memory, and a consensus-directed discussion among clinicians who are present. Although electronic patient record systems and the like are expected to produce firm bases for clinical decision-making, our analysis suggests that more emphasis should be put on how clinicians in their daily practice establish collectively based validity of any decision being made.
 
7. Publisher Organizing agency, location Equinox Publishing Ltd
 
8. Contributor Sponsor(s)
 
9. Date (YYYY-MM-DD) 01-Jun-2025
 
10. Type Status & genre Peer-reviewed Article
 
11. Type Type
 
12. Format File format PDF
 
13. Identifier Uniform Resource Identifier https://journals.equinoxpub.com/index.php/books/article/view/25186
 
14. Identifier Digital Object Identifier 10.1558/equinox.25186
 
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Teamwork and Team Talk
 
16. Language English=en en
 
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd