I conducted a mixed-methods collaborative ethnography using the lens of relational coordination theory. This included a qualitative survey using an established tool to analyze the relational dimensions of multidisciplinary teamwork, participant observation, interviews, and narrative surveys. Findings were presented to clinicians in working groups for further interpretation and to facilitate co-creation of targeted interventions designed to improve team relationships and performance. I engaged a complex multidisciplinary network of ~500 care providers dispersed across seven core interdependent clinical disciplines. Initial findings highlighted the importance of each dimension of relational coordination in trauma care. Narrative survey and ethnographic findings further highlighted the centrality of team briefings and a translational simulation program in contributing positively to team culture and relational ties. A range of 16 interventions – focusing on structural, process and relational dimensions – were co-created with participants after reflecting on findings and are now being implemented and evaluated by various trauma care providers. Relational coordination theory is a valuable way to conceptualize the coordination of trauma care. Collaborative reflection on quantitative and narrative data through this lens can be used as a community-based quality improvement tool.

This ethnography examines the processes in which rooted but overlapping forms of cosmopolitan engagements implicate the Tausug imagination of collectivity. It investigates Tausug expression of connection and belonging as they find themselves entangled into global cultural flow and caught up in the state and secessionist politics of attachment. Utilising methodological and theoretical approaches engendered by visual and material anthropology, the ethnography locates rooted cosmopolitan imagination in the works and lives of creative but marginalised and often silenced Tausug cultural agents engaged in street-based production, circulation, and consumption of popular music and dance videos on compact discs. The ethnography follows these cosmopolitan expressions as they are being imagined, embodied, reproduced, and shared by and across Tausug communities in the Zamboanga peninsula, the Sulu archipelago, and beyond through the digital spaces of the internet and cross-border flow of the videos. How the translocality of imaginaries reflected on the videos play out in everyday life and the broader politics of representation are demonstrated here as vital to the understanding of Tausug imagined community as an open, flexible, and dynamically engaging Muslim society despite long-standing political turbulence and economic uncertainty in their midst. Saliently, the thesis argues that Tausug cosmopolitanism cannot be reduced into a phenomenon driven by the expansive currents of Western-led globalisation. Rather, Tausug cosmopolitanism constitutes both continuity of and departure from past forms of translocal connections of Zamboanga and Sulu, which as a region was once integrated to a pre-colonial Southeast Asian emporium and continually through varying ways of connectedness. Old and new global processes come into play in shaping the everyday production of Tausug imaginaries inevitably rendering Tausug identity formation as a trajectory rather than an unchanging fact of being. Drawing from the Tausug ethnographic experience, the thesis contends that rooted cosmopolitanism does not necessarily constitute a singular condition but rather a contested and distinctively multifaceted phenomenon.

D’après les écrits scientifiques, les infirmières auraient du mal à exercer leur pouvoir d’influence dans le but de modifier les politiques en faveur de la santé. Ces difficultés vécues par des infirmières en santé communautaire importent puisque d’une part, les actions politiques sont nécessaires à la réduction des inégalités sociales qui minent la santé des populations et d’autre part, ces infirmières constituent des témoins privilégiées des conditions de vie nuisibles. Cette thèse doctorale s’intéresse aux conceptions et pratiques en matière d’action politique chez des infirmières francophones canadiennes exerçant en santé communautaire. Son regard porte spécifiquement sur les contextes du travail des infirmières qui influencent leurs pratiques. Les objectifs sont : - Décrire les conceptions des infirmières francophones canadiennes quant à l’action politique en santé communautaire; - Témoigner des pratiques des infirmières francophones canadiennes pour améliorer les conditions de vie des personnes et communautés; - Rendre compte des éléments contextuels qui touchent les pratiques infirmières en matière d’action politique. L’étude présente deux volets : une enquête historique réalisée dans le Bulletin des gardes-malades catholiques du Canada entre 1934 et 1959, et une ethnographie collaborative menée auprès de 21 infirmières travaillant dans un Centre de santé communautaire. Les résultats montrent l’attachement des infirmières aux valeurs de justice sociale et de respect de la dignité humaine. Certains savoirs infirmiers – tels que les savoirs éthiques, la défense de l’accès aux soins et les soins de proximité – sont mis en danger par la domination dans le réseau de la santé du modèle biomédical et de la reddition de comptes. Les résultats mettent en évidence le rôle joué par les organisations en santé dans l’avènement d’opportunités pour les infirmières de mener des actions permettant de perpétuer leurs pratiques d’équité. Ces constats mènent à l’élaboration de pistes émancipatrices pour la profession infirmière. En somme, cette thèse jette un nouveau regard sur l’héritage du savoir infirmier francophone au Canada. Elle rend compte de la diversité des actions politiques chez les infirmières et questionne les obstacles contemporains à l’exercice de ce rôle.

The research project 'This is my Face: Audio-visual practice as collaborative sense-making among men living with HIV in Chile' is an interdisciplinary project that explores 'collaborative mise en-scène' as a method to further understand the sense-making processes around the biographical disruption caused by HIV. It combines Anthropology and Arts methods as part of the PhD in Anthropology, Media and Performance, a practice-based program that fosters interdisciplinary approaches to the production of original knowledge, based on self-reflexive and critical research practices (The University of Manchester, 2018). Relying on the specific competences of photography and film and the co-creation of an ethnographic context based in hermeneutic reflexivity, the collaborators on the project created and explored representations of critical life events, in order to make sense of the disruption HIV brought to their lives. The collaborators were highly stigmatised individuals living with HIV, which hindered their possibilities for sharing narratives and for reflection, and as such, made it more difficult for them to come to terms with a diagnosis they described as a 'fracture' in their lives. This project analyses the creative process of 'collaborative mise-en-scène' as a way to provide further opportunities for reflexivity and sense making, a method that departs from their everyday face-to-face encounters as means of understanding what they are going through. Representations of life events emerged from our practice, as well as evocations, which provided a means by which to understand their experiences with HIV, and opened up ways to resignify their past experiences and projections of the future. Photography and film offered their specific expressive competences to the project, but also gave the possibility of making visible the collaborators' experiences in order to promote a dialogue with others, moving beyond our creative encounters. Therefore, their evocations became 'statements' of what it means to live with HIV in Chile, and at the same time, by taking part in its creation, it provided access to the particularities of the sense-making process in which those images were embedded. This collaborative creative process opened up ways to highlight the relevance for sense-making in face-to-face encounters, demonstrating that hermeneutic reflexivity as a practice-based form of mutual questioning can promote a critical engagement with life trajectories and with others beyond our practice.