Changing Practices for an Innovative Care Pathway, the Mediating Role of the Coordinator
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Getting professionals who have been selected and trained to perform individually to work together is a major challenge. The objective of the article is to identify the mechanisms by which a coordinator can ensure a mediation and boundary spanning role to enable the achievement of a project. Adopting a comprehensive approach, this article is based on the case of an innovative hospital project ‘One-Day Diagnosis’ (1DD) – one day instead of several weeks – of hepatobiliary and pancreatic pathologies, for which the professionals had to change their practices. Based on the results of the study, the findings show that the mediating role of the coordinator consists in making things happen and guiding health care professionals through the innovative pathway until it becomes a routine process. The study contributes to the literature on collaboration and relational coordination by highlighting that the change of practices for collaboration is compatible with personal excellence, by outlining the active role of the boundary spanner in the change of these practices and by demonstrating that the organizational stability of projects based on disembodied procedures is a necessary illusion that requires complementary interindividual relationships and a living leadership.MAD statementExtending the understanding of the ways to get individual performers to work together, the study highlighted how the change of health care professionals’ practices is helped by the coordinator, a boundary spanner who makes things happen and accompanies the innovative pathway until its routinization. The study shows that collaboration is possible without giving up personal excellence and that the processual stability aim is an illusion which requires complementary interindividual relationships and a living leadership.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it