Abstract
ABSTRACT This field study of a hospital emergency department (ED) examined role negotiations among ED care providers in teaming (i.e., the process of bringing individuals in distinct roles to collaborate as a temporary unit). A grounded qualitative analysis revealed that although a prescriptive role structure enables teaming through role-based coordination, ED providers negotiated one another’s role shifts via brief communicative acts to work through novel situations. Whereas role negotiation has traditionally been theorized as individuals’ attempts to (re)shape their roles throughout their organizational membership, this study showed how roles are negotiated in action quickly and as needed to adapt to emergent needs. Based on the findings, we reconceptualized role negotiation as swift communication situated in short-lived moments of collaboration.
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