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

对应对无知的组织和专业影响。

• 批准号: 183445817
• 负责人: Professorin Dr. Maximiliane Wilkesmann
• 金额: --
• 依托单位: Heisenberg-Professur Arbeits- und Organisationssoziologie II
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2010
• 资助国家: 德国
• 起止时间: 2009-12-31 至 2016-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/183445817?language=en
• 关键词: Organizational; professional; impacts; dealing; ignorance.

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.

更新提案基于已经获得的有关医院医生处理无知影响因素的研究结果（WI 3706/1-1）。该提案的目的是从组织和职业方面进行社会学调查并重建不同的行动者群。一方面，我们将调查护士应对医院无知的策略。护士仍然属于半职业的职业群体，但他们与医生一样在同一个组织中工作，即医院。另一方面分析应对住院医师无知的策略。目的是找出所采取的策略是否是由职业隶属关系或组织成员身份所主导。主要研究问题是：（1）组织对所采取的策略有哪些影响？由于组织框架的缺失，住院医生采用哪些替代策略来克服他们的无知？（2）职业归属对应对无知有何影响？医生和护士之间有区别吗？由于共同的组织目标，职业边界是否变得不那么重要？(3) 哪种影响对子专业的成员资格（麻醉学与外科）有影响？住院医生和在医院工作的医生是否存在相同的模式，或者组织环境是否是所采用策略的主导因素？除了预期的理论意义外，我们还将能够为日常实践提出关于医生和护士如何以积极的方式应对无知的建议。