Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Region North, Viborg, Denmark.
PLoS One. 2023 May 9;18(5):e0284999. doi: 10.1371/journal.pone.0284999. eCollection 2023.
The morning report is one of the longest surviving hospital practices. Most studies of the morning report focus on the effectiveness of formal medical training, while focus on social and communicative aspects is rarer. This study explores the social interactions and communication in morning reports, examining the ways in which they contribute to the construction of professional identity and socialization into the community of the clinical department.
We used a qualitative explorative design with video observations of morning reports. Our data consisted of 43 video-recorded observations (in all, 15.5 hours) from four different hospital departments in Denmark. These were analyzed using the theoretical framework of positioning theory.
A key finding was that each department followed its own individual structure. This order was not articulated as such but played out implictly. Two alternative storylines unfolded in the elements of the morning report: 1) being equal members of the specialty and department, and 2) preserving the hierarchical community and its inherent positions.
The morning report can be seen as playing an important role in community making. It unfolds as a "dance" of repeated elements in a complex collegial space. Within this complexity, the morning report is a space for positioning oneself and others as a collegial "we", i.e., equal members of a department and specialty, at the same time as "having a place" in a hierarchal community. Thus, morning reports contribute to developing professional identity and socialization into the medical community.
晨交班是医院历史最悠久的实践之一。大多数关于晨交班的研究都集中在正式医学培训的有效性上，而对社交和交际方面的关注则较少。本研究探讨了晨交班中的社交互动和交流，考察了它们如何有助于构建专业身份认同和融入临床科室社区。
我们采用了定性探索性设计，并对晨交班进行了视频观察。我们的数据来自丹麦四个不同医院科室的 43 次视频记录观察（共计 15.5 小时）。这些数据使用定位理论的理论框架进行了分析。
一个主要发现是每个科室都遵循自己独特的结构。这种秩序不是明确表达的，而是隐含的。晨交班的要素中展开了两种替代的故事情节：1）作为专业和科室的平等成员，2）维护等级社区及其固有地位。
晨交班可以被视为在社区建设中发挥重要作用。它作为一个复杂的同事空间中重复元素的“舞蹈”展开。在这种复杂性中，晨交班是一个自我定位和他人定位的空间，即作为科室和专业的平等成员，同时在等级社区中“有一席之地”。因此，晨交班有助于培养专业身份认同和融入医疗社区。
