Instruction at heart. Activity-theoretical studies of learning and development in coronary clinical work

Document type: Dissertations
Full text:
Author(s): Berthel Sutter
Title: Instruction at heart. Activity-theoretical studies of learning and development in coronary clinical work
Translated title: Verksamhetsteoretiska studier av kranskärlsdiagnostiskt arbete
Series: Blekinge Institute of Technology Dissertation Series
Year: 2002
Issue: 1
Pagination: 276
ISBN: 91-7295-006-4
ISSN: 1650-2159
Publisher: Blekinge Institute of Technology
City: Ronneby
Organization: Blekinge Institute of Technology
Department: Department of Human Work Science and Media Technology (Institutionen för arbetsvetenskap och medieteknik)
Dept. of Human Work Science and Media Techn., S-372 25 Ronneby
+46 455 38 50 00
Authors e-mail:
Language: English
Abstract: The aim of the thesis is to study the role of instruction in the interconnection of instruction-learning-development. The thesis consists of six empirical papers and a summing-up and perspectivizing introductory paper. Five of the empirical studies concern so called heart conferences, clinical diagnostic meetings, which at the time of my study, 1995-1996, were arranged as telemediated conferences between a sub-team of surgeons and radiologists in a university clinic, and a sub-team of cardiologists and radiologists in a regional hospital. The outcome of the coronary diagnostic work in the heart conferences was patient diagnoses and decided-upon treatment (surgery, balloon dilatation, or conservative treatment). The sixth empirical study, conducted in the autumn 2000, investigates the design and redesign of a central artifact used in the heart conference, ?the angio film,? produced in the angio lab. A recurrent theme in the empirical papers is whether artifacts might be instructive and, if so, in what ways. The introductory paper is a hybrid between an ordinary summing-up paper of the findings in the empirical studies, and a perspectivizing presentation of activity-theoretical approaches to instruction, learning and development, elaborating on three basic aspects (learning as a collaborative phenomenon, the instructiveness of artifacts, and the relation between learning and development on an individual level, but primarily on an activity level). In conclusion, my study outlines an approach to learning based on new perspectives on instruction.
Summary in Swedish: Studier av läkares co-coaching av varandra som ett led i deras samarbete rörande kranskärlsdiagnostiskt arbete. Artefaktanvändning, lärande och versamhetsutveckling.
Subject: Human Work Science\Work Practice
Human Work Science\Computer Supported Cooperative Work
Human Work Science\Human Computer Interaction
Keywords: Activity-theory, work practice studies, artifacts and learning
URN: urn:nbn:se:bth-00185