Saturday, May 1, 2010

Envisioning Social Change | Transforming Western Medical Organizations’ Power Imbalance by Designing CMC Technology to Co-Create Chart Narratives

Hi Colleagues,

Here is a revised and shortened version of my Social Change recommendation for Western Medical Organizations (WMOs). It reads as a proposal:


This paper will explore Connie Rice's communication choices to reduce gang and police violence (Lefer, 2008, April). In essence she advocates a community vs. containment paradigm to policing.  This paper will explain the ethical dimensions of these choices as empowering community leaders through dialogue. These communication choices and ethical dimensions created a situation that invited people to collaborate for social change.

This paper will then apply principles from Rice's work to a social problem important to me: transforming Western medical organizations (WMOs) power imbalance in one-sided chart narratives by introducing narrative ethics and by designing computer mediated communication (CMC) for clinicians and constituents to co-create chart narratives. I believe this recommendation will support ethical interactions and outcomes in WMOs by equalizing narrative agency for clinicians and constituents.

I frame my recommendation within three interdisciplinary perspectives on interpersonal and small group communication: Patterns of (Dis)Confirmation, Symbolic-Interpretive, and Conflict, Power, and Status. I draw on my 15 years’ experience as a constituent in WMOs and apply what I’ve learned by suggesting autoethnographic performance narrative for future research. I then illustrate the holistic paradigm needed to implement my recommendations (Figure 1.1).

Thank you for reading,

Please cite this source:

Rosko, D.M. (2010, May 1). Envisioning social change: transforming western medical organizations’ power imbalance by designing communication technology to co-create chart narratives. Retrieved [MONTHNAME, DD, YYYY], from [URL].