Biomedical Engineering Reference
In-Depth Information
In so doing, MCMs are a tool for individual and collective learning,
as professionals are led to take into account a number of new criteria
elicited by their colleagues, and to integrate the rules constructed by the
collective. Because similar problems had been repeatedly dealt with in
MCMs, some rules of circumstantial adaptation become stable rules that
ground the 'local genre', that is, the boundary of rules of adaptation that
are viewed as acceptable.
The second study deals with the method of differential judgement of
acceptability (DJA) proposed by Nascimento (2009). This method is one
form of collective confrontation carried out based on written NNS scenarios.
Analyses were carried out in the field of radiotherapy, a specialty
involving multiple professions (radiotherapists, medical physicists,
dosimetrists, x-ray operators, etc.). These analyses showed that when faced
with the same NNS, the judgement of different professionals relative to
the acceptability of the situation diverges (Nascimento, 2009; Nascimento
and Falzon, 2008) in ways that are related to their activity. Differences in
judgement related to discrepancies lead to extensive discussions, which
make it possible to describe the work in the real world, and its constraints,
supporting the sharing of knowledge and the development of individual
and collective skills. As a tool for action, via the judgement of the space
of acceptable practices, the DJA allows professionals to define together
the boundaries of reliability of their work system. Finally, the method
supports the development of a collective: professionals take into account
the possibilities and constraints of their colleagues and integrate them to
define a space of possibilities.
The golden rules of reflective practice
Instituting a collective reflective practice so that it might contribute to the
sustained development of individuals and organizations equates with
organizing the spaces that will make it possible to debate the trade-offs
that are made by workers in order to respond to the real-world condi-
tions of performing the work activity. However, to do this, a number of
conditions must be met, which we will specify here. This is not a com-
prehensive list, but we do believe that failure to comply with one of the
rules described below will prevent the analyst from achieving the benefits
described above. These golden rules do not aim to describe in detail how
the methods used should be implemented in technical terms, but to specify
the boundaries within which these methods may be deemed constructive.
Focusing on the real aspects of work activity
The object of reflective practices must be work activity in the real world.
To avoid 'drifting' toward a general discussion about work and life in the
