PDF(Pubmed)
Abstract：
The morning report is one of the longest surviving hospital practices. Most studies of the morning report focus on the effectiveness of formal medical training, while focus on social and communicative aspects is rarer. This study explores the social interactions and communication in morning reports, examining the ways in which they contribute to the construction of professional identity and socialization into the community of the clinical department.
We used a qualitative explorative design with video observations of morning reports. Our data consisted of 43 video-recorded observations (in all, 15.5 hours) from four different hospital departments in Denmark. These were analyzed using the theoretical framework of positioning theory.
A key finding was that each department followed its own individual structure. This order was not articulated as such but played out implictly. Two alternative storylines unfolded in the elements of the morning report: 1) being equal members of the specialty and department, and 2) preserving the hierarchical community and its inherent positions.
The morning report can be seen as playing an important role in community making. It unfolds as a \"dance\" of repeated elements in a complex collegial space. Within this complexity, the morning report is a space for positioning oneself and others as a collegial \"we\", i.e., equal members of a department and specialty, at the same time as \"having a place\" in a hierarchal community. Thus, morning reports contribute to developing professional identity and socialization into the medical community.
We used a qualitative explorative design with video observations of morning reports. Our data consisted of 43 video-recorded observations (in all, 15.5 hours) from four different hospital departments in Denmark. These were analyzed using the theoretical framework of positioning theory.
A key finding was that each department followed its own individual structure. This order was not articulated as such but played out implictly. Two alternative storylines unfolded in the elements of the morning report: 1) being equal members of the specialty and department, and 2) preserving the hierarchical community and its inherent positions.
The morning report can be seen as playing an important role in community making. It unfolds as a \"dance\" of repeated elements in a complex collegial space. Within this complexity, the morning report is a space for positioning oneself and others as a collegial \"we\", i.e., equal members of a department and specialty, at the same time as \"having a place\" in a hierarchal community. Thus, morning reports contribute to developing professional identity and socialization into the medical community.
摘要：
■早间报告是存活时间最长的医院之一。上午报告的大多数研究都集中在正规医疗培训的有效性上，而专注于社交和交际方面的是罕见的。本研究探讨了晨报中的社交互动和交流，检查他们为临床科室社区的专业认同和社会化建设做出贡献的方式。
方法：我们使用了定性的探索性设计，并对早晨的报告进行了视频观察。我们的数据包括43个视频记录的观察(总共，15.5小时）来自丹麦四个不同的医院部门。使用定位理论的理论框架对这些进行了分析。
结果：一个关键发现是每个部门都遵循自己的个体结构。这个命令没有明确表达，而是隐含了。在上午报告的元素中展开了两个替代故事情节：1）成为专业和部门的平等成员，和2)保留等级社区及其固有位置。
■晨报可以被视为在社区创建中发挥重要作用。它在复杂的大学空间中展现为重复元素的“舞蹈”。在这种复杂性下，晨报是将自己和他人定位为合议“我们”的空间，即，部门和专业的平等成员，同时“在等级制度社区中占有一席之地”。因此，早上的报告有助于发展专业认同和社会化进入医学界。
方法：我们使用了定性的探索性设计，并对早晨的报告进行了视频观察。我们的数据包括43个视频记录的观察(总共，15.5小时）来自丹麦四个不同的医院部门。使用定位理论的理论框架对这些进行了分析。
结果：一个关键发现是每个部门都遵循自己的个体结构。这个命令没有明确表达，而是隐含了。在上午报告的元素中展开了两个替代故事情节：1）成为专业和部门的平等成员，和2)保留等级社区及其固有位置。
■晨报可以被视为在社区创建中发挥重要作用。它在复杂的大学空间中展现为重复元素的“舞蹈”。在这种复杂性下，晨报是将自己和他人定位为合议“我们”的空间，即，部门和专业的平等成员，同时“在等级制度社区中占有一席之地”。因此，早上的报告有助于发展专业认同和社会化进入医学界。
