Organizational and professional impacts on dealing with ignorance. An empirical investigation of clinicians, nurses and resident physicians

更新建议基于已经获得的关于医院医生应对无知的影响因素的研究结果（WI 3706/1-1）。这一建议的目的是社会学调查和重建不同星座的演员在组织和职业方面。一方面，我们将调查护士在医院应对无知的策略。护士仍然属于半专业的职业群体，但他们与医生在同一组织中工作，即医院。另一方面，我们将分析应对住院医师无知的策略。目的是找出所采用的战略是由隶属于一个专业还是由组织成员主导。主要研究问题是：(1)组织对所采用的战略有哪些影响？住院医师采用哪些替代策略来克服由于缺乏组织框架而导致的无知？(2)职业归属对应对无知有哪些影响？医生和护士之间有什么区别吗？职业界限是否因为共同的组织目标而变得不那么重要？(3)亚专业（麻醉学与外科）的成员资格有哪些影响？在住院医生和在医院工作的医生方面是否存在相同的模式，或者组织环境是采用策略的主要因素？除了预期的理论影响外，我们将能够为医生和护士如何以积极的方式处理无知的日常实践提出建议。

The renewal proposal bases upon the already gained research results about the influencing factors on physician's dealing with ignorance in hospitals (WI 3706/1-1). The aim of this proposal is to sociologically investigate and to reconstruct different constellations of actors in terms of organization and profession. On the one hand, we will investigate the nurses' strategies on dealing with ignorance in hospitals. Nurses still belong to the occupational group of semi-professions but they work in the same organization like physicians, i.e. hospitals. On the other hand we will analyze the strategies on dealing with ignorance of resident physicians. The aim is to find out whether the adopted strategies are dominated by the affiliation to a profession or by the organizational membership.The main research questions are:(1) Which influence has the organization on the adopted strategies? Which alternative strategies do resident physicians apply to overcome their ignorance because of the missing organizational framework?(2) Which influence has the affiliation to a profession on dealing with ignorance? Are there differences between physicians and nurses? Are professional borders less important because of a common organizational goal?(3) Which influence has the membership to a subspecialty (anesthesiology vs. surgery)? Do there exist same patterns in respect of resident physicians and physicians who work at hospitals or is the organizational context a dominant factor on the adopted strategies?Apart from the expected theoretical implications we will be able to develop recommendations for the daily practice on how physicians and nurses can deal with ignorance in a positive way.