Etnografia cognitiva delle interazioni mediche. Medici e infermieri prendono decisioni

Autors/ores

  • Dafne Muntanyola Universitat Autonoma de Barcelona
  • Simone Belli Yachay Tech

Resum

Il dibattito sul processo decisionale medico necessita dell'apporto degli studi naturalistici come l'etnografia cognitiva che presentiamo in questo articolo. Grazie al contributo di alcuni recenti studi micro sociologici e delle scienze cognitive, possiamo definire la conoscenza medica come il prodotto dell'interazione di un team medico in un contesto sociale particolare. Pertanto, presentiamo un approccio di cognizione diffusa ed embodied alla conoscenza esperta. Proponiamo come unità di analisi episodi di attività ricorrenti, estratti dai racconti dei medici. Possiamo affermare che l'analisi qualitativa ci aiuta a spiegare come funziona il processo decisionale tra medici e infermieri. Alla fine, ci riferiamo all'invisibilità del paziente, che é parte del contesto medico, anche se chiaramente “reso oggetto” nelle relazioni comunicative che collegano medici e infermieri.

Paraules clau

Decisioni mediche, Etnografia, cognizione distribuita, Comunicazione

Referències

Alac, Morana (2005). From Trash to Treasure: Learning About Brain Images Through Multimodality. Semiotica, 156(1/4), 177-202. http://dx.doi.org/10.1515/semi.2005.2005.156.177

Antaki, Charles (2013). Applying Conversation Analysis to the communication between medical personnel and patients. Salute e Società, 1, 225-228 http://dx.doi.org/10.3280/SES2013-001016EN

Barab, Sash; Hay, Kenneth &Yamagata-Lynch, Lisa (2001). Constructing Networks of Action- Relevant Episodes: An In Situ Research Mehodology, The Journal of the Learning Sciences, 10, 63-112. http://dx.doi.org/10.1207/s15327809jls10-1-2_5

Becker, Howard (1961). Boys in White. Chicago: University of Chicago Press.

Cicourel, Aaron (2006a). The Interaction of Discourse, Cognition and Culture. Discourse Studies, 8(1), 25-29. http://dx.doi.org/10.1177/1461445606059547

Cicourel, Aaron (2006b). Cogntive/Affective Processes, Social Interaction, and Social Structure as Representational Re-Descriptions: Their Contrastive Bandwidths and Spatio-Temporal Foc. Mind and Society, 5, 39-70. http://dx.doi.org/10.1007/s11299-006-0008-0

Clark, Andy (2008). Supersizing the Mind. Oxford: Oxford University Press.

Clarke, Eric (2004). Empirical Methods in the Study of Performance. In Eric Clarke (Ed.), Empirical Musicology: Aims, Methods, Prospects (pp. 92-109). Oxford: Oxford University Press.

Collins, Harry (1994). Dissecting Surgery: Forms of Life Depersonalized. Social Studies of Science, 24, 311-333. http://dx.doi.org/10.1177/030631279402400205

D’Andrade, Roy (1995). The Development of Cognitive Anthropology. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/cbo9781139166645

Franzosi, Roberto (2004). From Words to Numbers: Narrative, Data and Social Science. Cambridge: Cambridge University Press.

Gibbs, Raymond (2006). Embodiment and Cognitive Science. New York: Cambridge UP.

Giere, Ronald (1988). Explaining Science: A Cognitive Approach. Chicago: University of Chicago Press.

Giere, Ronald, & Moffat, Barton (2003). Where the Cognitive and the Social Merge. Social Studies of Science, 33(2), 1-10. http://dx.doi.org/10.1177/03063127030332017

Hirschauer, Stephen (1991). The Manufacture of Bodies in Surgery. Social Studies of Science, 21, 279-319. http://dx.doi.org/10.1177/030631291021002005

Hutchins, Edwin (1995). Cognition in the Wild. Cambridge: MIT Press.

Hutchins, Edwin (2006). Imagining the Cognitive Life of Things. Cambridge: McDonald Institute, Cambridge University.

Kirsh, David (1995). The Intelligent Use of Space. Artificial Intelligence, 73, 31-68. http://dx.doi.org/10.1016/0004-3702(94)00017-u

Kirsh, David & Maglio, Paul (1992). Perceptive Actions in Tetris. In Robert Simmons (Chair). Proceedings of the AAI Spring Symposium on Control of selective perception (pp. 513-549). Stanford: Stanford University. March 1992.

Kirsh, David, & Maglio, Paul (1994). On Distinguishing Epistemic From Pragmatic Action. Cognitive Science, 18, 513-549. http://dx.doi.org/10.1207/s15516709cog1804_1

Knorr-Cetina, Karin (1999). Epistemic Cultures. Cambridge: Harvard University Press. http://dx.doi.org/10.1177/1469540510366641

Knorr-Cetina, Karin (2010). The Epistemics of Information: A Logic of Knowledge Consumption. Journal of Consumer Culture, 10(2), 1-31. http://dx.doi.org/10.1177/1469540510366641

Lave, Jane, & Wenger, Edmund (1991). Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press.

Lozares, Carlos (2007). Interacción, redes sociales y ciencias cognitivas. Granada: Comares.

Luhrmann, Tanya (2001). Of Two Minds. New York: Vintage Books.

Mondada, Lorenza (2005). Chercheurs en interaction. Lausanne: Presses polytechniques et universitaires romandes.

Mondada, Lorenza (2008). Using video for sequential and multimodal analysis of social interaction: videotaping institutional telephone calls. Forum of Qualitative Social Research Sozialforschung, 9, 3. Retrieved from: http://www.qualitative-research.net/index.php/fqs/article/view/1161

Montgomery, Margaret (2006). How Doctors Think. Oxford: Oxford University Press.

Muntanyola-Saura, Dafne (2008) Un nou model integrat del procés cognitiu expert: el cas d’una unitat hospitalària. Tesis doctoral. Electronic Publication, TESEO, Universitat Autònoma de Barcelona.

Muntanyola-Saura, Dafne (2010). Conocimiento experto y etnografía audiovisual: una propuesta teórico- metodológica. EMPIRIA. Revista de Metodología de Ciencias Sociales 20, 109-133. http://dx.doi.org/10.5944/empiria.20.2010.2042

Muntanyola-Saura, Dafne (2012) Expert Knowledge And Video Aided Ethnography: A Methodological Account. Révue de Synthèse, 4(133), 75-100. http://dx.doi.org/10.1007/s11873-012-0176-x

Muntanyola-Saura, Dafne. 2014. A cognitive account of expertise: Why Rational Choice Theory is (often) a fiction. Theory & Psychology 24:19-39. http://dx.doi.org/10.1177/0959354313513510

Muntanyola-Saura, Dafne, Kirsh, David (2010). Marking as Physical Thinking: A cognitive ethnography of dance. Proceedings of the IWCogSc-10 ILCLI, Donosti, 339-355.

Murphy, Keith (2004). Imagination As Joint Activity: The Case Of Architectural Interaction. Mind, Culture and Activity, 11(4), 267-278. http://dx.doi.org/10.1207/s15327884mca1104_3

Myers, Natasha (2008). Molecular Embodiment and the Body-work of Modeling in Protein Crystallography. Social Studies of Science, 38(2), 163-199. http://dx.doi.org/10.1177/0306312707082969

Norman, Daniel (1988). The Design Of Everyday Things. New York: Basic Books.

Peneff, Jean (1997). Le travail du chirurgien: les opérations à cœur ouvert. Sociologie du travail, 39(3), 265-296.

Timmermans, Stefan (2013). Seven warrants for qualitative health sociology. Social Science & Medicine, 77, 1-8. http://dx.doi.org/10.1016/j.socscimed.2012.10.004

Wenger, Edmund (1991). Situated learning. Legitimate peripheral participation. Cambridge: Cambridge University Press.

Publicades

05-07-2016

Com citar

Muntanyola, D., & Belli, S. (2016). Etnografia cognitiva delle interazioni mediche. Medici e infermieri prendono decisioni. Athenea Digital. Revista De Pensamiento E investigación Social, 16(2), 67–87. https://doi.org/10.5565/rev/athenea.1563

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