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Rech Soins Infirm. 2013 Jun;(113):61-75.

[Patient record based ward rounds as an example of coordination between doctors and nurses "courses of action"].

[Article in French]

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Working in the hospital field is characterized by collective work that requires collaboration and coordination. Characterizing the way, in which individual activities contribute to the construction of a collective activity, is an important issue to better understand teamwork. A phenomenological research approach was applied to analyze the situated activity of nurses and physicians during patient record based ward rounds, according to the theoretical and methodological frame of "course of action" Our findings revealed ward rounds comprising not only an information exchange but a privileged space and moment of construction of knowledge and coordination. Two processes were derived from the actors' commitments and concerns, and from their articulation: "seeking to contribute to a shared interpretation of the situation" and "seeking to develop a precise working knowledge of the situation". These processes contribute to characterize the coordination between the professionals involved in hospital care. Future educational activities for health care professionals should consider the importance of the perception of and meanings for the involved professionals and consider training actions to foster reflecting on and during action.

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