Contradictions as Opportunities for Innovation in the Case of TAVI
In Chapter 4, Mørk et al. explore the intrinsically contested, negotiated and contradictory nature of collective work through the case of Transcatheter Aortic Valve Implantation (TAVI). TAVI represents one of a range of new therapies replacing traditional surgery, thus producing tensions between old and new ways of practising. The authors draw upon Cultural Historical Activity Theory (CHAT), which views such tensions as potential generators of new forms of practice. The authors suggest that this dialectical view offers a useful counterpoint to approaches to practice where collective activities unfold harmoniously around a common telos, and where learning occurs unproblematically. By exploring the way multiple actors, mediators and activity systems involved in the process converge at some points and diverge at others, contradictions can be considered as signs of development.
This chapter is based on a study funded by the Research Council of Norway (grant no. 210511) and Fulbright Norway. We would also like to express our gratitude to our informants for generously allowing us to closely follow your activities over several years, and to the editors for constructive feedback on how to improve the chapter.
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