The reform of the health system organization steered towards new modes of cooperation encourages medical teams to be efficient when dealing with communication issues. Considering the specificities involved in nursing practice in mental health through relational care and the continuity of care, there is an increasing number of caregivers dealing with patients. From an Ethnomethodology and Conversational Analysis perspective, we want to analyse the nurses' practices during their work shift meetings, from both conversational and multimodal point of views. Nurses' handovers are described as a moment specifically designed to mutualise information about the patients and are legally mandatory in France.
In this paper, we propose to describe a specific practice occuring during these work shifts meetings. Indeed, we have observed in our data that instead of only mutualising information about the patients, caregivers can actually teach each other some aspects of the expected work itself. In a more concrete aspect, we'll focus on how Conversational Analysis perspective is useful, in this kind of research, to understand the mechanisms of such practices. To do so, we will discuss the sequentiality of conversations in wich these phenomenons appear. We will see that during discussions about the current clinical situation of the patient, participants may produce some side sequences (Jefferson, 1972) to actually teach others a practice they do not know yet. These moments were described from a multimodal point of view in Colón De Carvajal et al. (2020), and we aim to go further by describing how do the teaching sequences interact with the mutualisation of information.
This research - lead with a nurse and in partnership with health professionals - is based on 15 hours of work shift meetings recorded every monday during 5 weeks, in a public psychiatric hospital (Centre hospitalier Le Vinatier), in Lyon, France. Every meeting involves between 4 and 20 participants. The data are transcribed according to the ICOR conventions (ICAR Laboratory, Lyon).
References:
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Colón De Carvajal, Louis Maritaud, Benoit Chalancon, Justine Lascar. (2020). « De la transmission d'informations cliniques au partage de savoir lors de relèves infirmières », Travaux interdisciplinaires sur la parole et le langage la revue (TIPA), vol. 36.
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