Disputats, Stockholms universitet, 2008.

This thesis explores the process of an annual appraisal strategy, ‘clinical conversation’, from the perspective of seven nurses who were assessed using this technique. The findings demonstrate that clinical conversation is a strategy which facilitates reflection, both as a solitary exercise and with others, to ensure that learning from experience is optimized. The research used a qualitative interpretive approach informed by the model of Grounded Theory espoused by Strauss and Corbin. All eight nurses who were assessed using the clinical conversation strategy were advanced practitioners working within the scope of sexual and reproductive health. Two of the actual appraisals were observed and seven of the nurses were interviewed within eight weeks of being assessed. The outcome of the clinical conversation was primarily one of learning; the acquisition of new insights into self as practitioner. The learning was facilitated through the process of narration; telling the story of clinical practice. Three distinct narrative cycles were identified, each an experiential learning episode. The experience of undertaking a variety of assessment activities created a narrative with self and triggered an internal reflective thinking process; the experience of working with a peer created an additional narrative, a mutual dialogue reflecting back on practice; the experience of sharing practice with an assessor created a further and final narrative, a learning conversation. Each narrative can be seen as a catalyst for change. Primarily, the nurses felt differently about themselves in practice, the way they saw themselves had shifted. Such a change can be described as an alteration in perspective. These alterations in perspective led all nurses to identify ways in which they would change their actual clinical practice. In this way the nurses attempted to align their espoused beliefs about practice with their actual practice. My study shows that each nurse responded differently to each narrative learning cycle: for some the conversation with the assessor was more of a catalyst for change than for others. In this way clinical conversation may be flexible enough to respond to a variety of differing learning styles. Learning was person specific which is an imperative for the continued professional development of already highly skilled clinicians. The implication of the research is that whilst clinical conversation was designed as a tool for appraising clinical competence, its intrinsic value lies in supporting the professional development of nurses.

This thesis explores the process of an annual appraisal strategy, ‘clinical conversation’, from the perspective of seven nurses who were assessed using this technique. The findings demonstrate that clinical conversation is a strategy which facilitates reflection, both as a solitary exercise and with others, to ensure that learning from experience is optimized. The research used a qualitative interpretive approach informed by the model of Grounded Theory espoused by Strauss and Corbin. All eight nurses who were assessed using the clinical conversation strategy were advanced practitioners working within the scope of sexual and reproductive health. Two of the actual appraisals were observed and seven of the nurses were interviewed within eight weeks of being assessed. The outcome of the clinical conversation was primarily one of learning; the acquisition of new insights into self as practitioner. The learning was facilitated through the process of narration; telling the story of clinical practice. Three distinct narrative cycles were identified, each an experiential learning episode. The experience of undertaking a variety of assessment activities created a narrative with self and triggered an internal reflective thinking process; the experience of working with a peer created an additional narrative, a mutual dialogue reflecting back on practice; the experience of sharing practice with an assessor created a further and final narrative, a learning conversation. Each narrative can be seen as a catalyst for change. Primarily, the nurses felt differently about themselves in practice, the way they saw themselves had shifted. Such a change can be described as an alteration in perspective. These alterations in perspective led all nurses to identify ways in which they would change their actual clinical practice. In this way the nurses attempted to align their espoused beliefs about practice with their actual practice. My study shows that each nurse responded differently to each narrative learning cycle: for some the conversation with the assessor was more of a catalyst for change than for others. In this way clinical conversation may be flexible enough to respond to a variety of differing learning styles. Learning was person specific which is an imperative for the continued professional development of already highly skilled clinicians. The implication of the research is that whilst clinical conversation was designed as a tool for appraising clinical competence, its intrinsic value lies in supporting the professional development of nurses.

The purpose of this study is to describe and interpret the process by which pupils collectivelybuild a text during discussion of a group task. The study also has two further aims: firstly toexemplify task-oriented, interactionist and genre-specific conversational moves; and secondly todescribe, interpret and compare symmetric and asymmetric co-operative and competitive conversationalmoves, and laughter, in the interaction. At the same time, the way in which the participantsconstruct gender is also discussed.In spring 1997, conversations with pupils were video recorded; the pupils being in the finalyear of compulsory education at school. The pupils were divided up into six groups of fourpupils. The groups were determined according to gender, two all-girl groups, two all-boygroups and two mixed groups. By dividing the groups in this way gender aspects were takeninto account. The conversations of each group were recorded on three separate occasions withouta teacher being present. The task which the pupils were given was to talk about and write apoem together. The conversations were then transcribed, described and interpreted.The results showed the pupils in the different groups used different conversational stylesduring problem-solving. This was partly dependent on whether the group was all girls, all boys,or a mixed group. The pupils' conversational styles and the groups' conversational patternswere categorised and evaluated according to their didactic function.This study belongs to the field of research called "Swedish at School." It deals specificallywith interaction, function and learning in pupils' collective text-building as they solve a problemthrough discussion. Learning in these problem-solving group discussions is promoted bythe four-dimensional conversational style i.e. dominant, asymmetric, task-oriented and grouporiented,being shown by at least one pupil whose style is accepted by the group. The criteriaused in these learning conversations can also become a support for teachers when forminggroups. Group discussions are generally regarded by teachers as providing excellent occasionsfor pupils to learn. However, the study also shows that this type of activity can be pedagogicallycomplicated for the teacher to lead, and it is not always an effective way for pupils to learn. / digitalisering@umu

An action research design, incorporating the repertory grid as a framework for Learning Conversations, is used to examine the management of change for a group of teachers and their schools. The study sets out to analyse how individual, teachers, from twelve primary and middle schools, in three outer London boroughs, learnt about managing change in their schools, in relation to children with Special Educational Needs. To study how the school supported these individuals, Headteachers and Deputy Heads were also included in the research. The sample of teachers was chosen from those who had attended either of two sets of in-service courses on Special Educational Needs in Ordinary Schools. The first set of teachers had recently completed their course; the second had completed courses between five and eight years previously. This gave an opportunity to compare short-term and long-term learning outcomes from these courses. As the study progressed, so did the development of the use of the conversational techniques. Flexible Learning Conversations, which went beyond the repertory grid techniques, were developed, and the evidence showed that this improved individuals' ability to reflect on their work, thus gaining confidence for future action in their schools. It was, also possible to develop a procedure for small groups of participants to share their own constructs, elicited from personal grid conversations. This led, into a Group Learning Conversation, which also included future action planning. The research also examines the interaction of action research and the Learning Conversation using the repertory grid, in helping to develop reflective practitioners and effective schools. As co-ordinating tutor for both sets of in-service courses, as a co-ordinator of LEA support services in two of the LEAs, and in the role as action researcher, my personal learning has formed part of the research outcomes.

George Kelly's Personal Construct Theory, especially as subsumed within the “conversational science" paradigm developed by Thomas and Harri-Augstein, is fundamentally a framework for a geometry of personal meaning in which all of the dimensions of distinction within a person’s experience are like the dimensions of geometric space. A person's system of constructs is not just a framework for predicting the attributes of future events; it is a coordinate system for navigating the dimensionality of experience. The work of F. M. Alexander is primarily concerned with the "psycho-physical unity of the individual," and thus with the continuity of experience. The present work has two aims. The first, drawing on the work of Merleau-Ponty and John Dewey, and culminating in the concept of "Conductive Reasoning", is to lay a theoretical foundation for a synthesis of the practical work of Kelly and Alexander. The primary premise is that the act of comprehending is an embodied act, and as such is as subject to the conditions of the coordination of the whole person as is any other act. The second, practical, aim has been to develop a conversational methodology for dealing with learning in a more fully embodied way. This method of "conductive conversation," formally derived from the "Learning Conversation," evolved from the author's teaching experience with the Alexander Technique. Appendix 1, "A Conversational Introduction to Conductive Reasoning," is an interactive conversational structure which incorporates a development of these concepts in the context of personal experiments for generating the kinds of experiences from which the reader may draw something of the intended meaning, and some skill in using the conductive conversational tools for exploring embodied dimensions in their own meaning. It is intended as a piece that will stand on its own as a conversational research instrument for personal scientists.

This thesis investigates the use of metalanguage and its relation to learning outcome in group discussions. Metalanguage is defined as a language about language, a way to talk about the features of a language using a specific vocabulary with great precision. It is suggested that metalanguage is necessary in order to develop the pupils' awareness when text analyses are carried out in school. The purpose of the study is to understand how pupils take on the task presented by the teacher, how they reach consensus, if and how they make use of some kind of metalanguage, and to what degree their discussions can be regarded as learning conversations. Twelve conversations in groups were recorded on video. The pupils were in the first or the final year of upper secondary school and they all attended either Natural Science Programme or Technology Programme. The conversations took place without the teacher being present. In three groups the conversation was observed by the researcher. The task was to talk about a phishing mail using questions provided by the teacher. The three observed conversations were transcribed following principles from Conversation Analysis, CA. The rest of the conversations were transcribed following a key close to written language in order to simplify the reading. Two analyses were carried out. First, the conversations were analysed regarding how to take on the task, interaction and use of metalanguage. Secondly, the structures of the conversations were analysed using concepts from systemic functional grammar. The results show that the conversations are symmetrical and co-operative and that the pupils are focused on solving the task. No metalanguage is used by the students; the discussions are performed using colloquial speech and dramatizations and referring to experiences. The absence of metalanguage is contrasted in effectiveness by the using of terms from the field of information technology. Using experiences from texts outside school proves to be a way of dealing with the task. However, experiences and results are not abstracted into scientific terms and no learning concerning language and text seems to take place. The using of concepts from systemic functional grammar shows that the pupils are mainly concerned with interpersonal aspects of the text, somewhat concerned with ideational aspects – especially logical – and to a less degree concerned with textual aspects. It is suggested that the lower degree of textual focus is related to the absence of metalanguage. It is also shown that the pupils discuss features of the text focusing on various strata of language. Although the pupils' frequent use of experiences from text encounters should be regarded as a great potential from a pedagogical point of view, the results indicate the need of a metalanguage to achieve precision and effectiveness in discussions about texts. Also, the need of instructions guiding the pupils to make use of metalanguage is indicated. The possibility of using concepts from systemic functional grammar is pointed out and further research is suggested.