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Coordinating Flexible Performance During Everyday Work: An Ethnomethodological Study of Handoff Routines

机译：在日常工作中协调灵活的绩效：移交程序的民族方法学研究

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摘要

Our paper examines the challenge of coordinating flexible performance during everyday work. We draw on routine dynamics and ethnomethodology to examine how intensive care unit (ICU) physicians coordinate their actions-flexibly yet intelligibly-as they handoff patients at change of shift. Through our analysis of interview and video data, we demonstrate how physicians use the sequential features of the handoff routine-i.e., the expected moves and their expected sequence-to adapt each performance of the routine to the unique needs of each patient. We show the need for ongoing coordinating despite a strongly shared ostensive pattern and we illustrate how participants use the sequential nature of the ostensive pattern of the routine as a resource for flexible performance, to manage sequential variation and the sufficiency of moves at transitions. Our findings contribute to the routine dynamics and coordination literatures by providing a more nuanced understanding of how mutual intelligibility is achieved through coordinating, whereby participants create the conditions to move forward with a common project.
机译：本文探讨了在日常工作中协调灵活绩效的挑战。我们利用常规动态和民族方法论来研究重症监护病房（ICU）医师在轮班变更时交接患者时如何灵活，清晰地协调其行为。通过对访谈和视频数据的分析，我们证明了医生如何使用切换例程的顺序功能（即预期动作及其预期顺序）来使例程的每种性能适应每个患者的独特需求。尽管有很强的共同表现模式，我们仍显示需要进行持续的协调，并且说明参与者如何使用例程的表现模式的顺序性质作为灵活执行的资源，以管理顺序变化和过渡时动作的充分性。我们的发现通过提供关于如何通过协调实现相互可懂度的更加细致的理解，从而为常规动力和协调文献做出了贡献，从而为参与者创造了推进共同项目的条件。

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