Boundary work as inner and outer dialogue: dieticians in Sweden
Boundary work as inner and outer dialogue: dieticians in Sweden
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DOI：
10.1108/17465640810870391
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发表时间：
2008-01-01
影响因子：
1.5
通讯作者：
Wikstrom, Ewa
中科院分区：
文献类型：
--
作者：
Wikstrom, Ewa
目的-本文的目的是研究的方式，其中一个职业组使用边界工作，以增加他们的影响力和权力与更有影响力的职业群体在medical setting.Design/方法/途径-一个定性访谈研究是用来调查一个职业组（医院营养师），因为它试图增加其影响力，在一个既定的职业群体的设置。通过半结构化的采访，营养师和管理人员在一所大学医院，并通过检查选定的医院documents.Findings -本研究的结论是，营养师的边界工作，成为更有影响力的设置中建立的群体的特点是他们的边界设置行动作为内部对话和他们的边界跨越行动作为外部对话。在这种内在的对话中，营养师们建立了一个专业群体和一个词汇库，以持续地交流他们与现有医学知识有关的独特能力。在外部的对话中，营养师的结构，并通过标签的角色作为权力实体，并通过使用自我形象和metaphors.Research限制/影响-本研究的目的是描述营养师的努力和经验，在研究设置的意义。因此，这些数据提供了对一个职业类的访问，但不能提供对该环境中其他职业类的访问。第二个限制是没有observations.Practical影响-这项研究有助于知识的相关从业人员参与边界工作，旨在提高专业协作。这项研究是有帮助的，在确定重要的边界，促进合作关系的建立，和发展的帐户，程序和routines. Origality/值-研究的重点是如何对实践的影响是通过边界工作构成。
Purpose - This purpose of this paper is to examine the ways in which one occupational group used boundary work to increase their influence and power with more influential occupational groups in a medical setting.Design/methodology/approach - A qualitative interview study is used to investigate an occupational group (hospital dieticians) as it tried to increase its influence in a setting of established occupational groups. Data were collected through semi-structured interviews with dieticians and managers at a university hospital, and by the examination of selected hospital documents.Findings - This study concludes that the dieticians' boundary work to become more influential in a setting of established groups was characterized by their boundary setting actions as inner dialogue and their boundary spanning actions as outer dialogue. In the inner dialogue, the dieticians established a professional group and a vocabulary for the continuous communication of their unique competence that could relate to the existing medical knowledge. In the outer dialogue, the dieticians structured and made sense of their setting by the labelling of roles as power entities and by using self-images and metaphors.Research limitations/implications - This research was designed to describe the dieticians' efforts and experiences in the studied setting. Therefore, the data provide access to one occupational group but not to the other groups in that setting. A second limitation is the absence of observations.Practical implications - This research contributes to the knowledge of the relevance of practitioners involved in boundary work aimed at improving professional collaboration. The study is helpful in identifying important boundaries that facilitate the establishment of collaborative relationships, and the development of accounts, procedures and routines.Originality/value - The research focuses on how influence on practice is constituted through boundary work.