In evidence-based practices, narratives are the vehicle through which medical knowledge is shared and clinical judgment is grounded. This paper explores narratives as a sanctioned social practice that help a group of clinicians in a healthcare institution in New Zealand build and negotiate expertise and accountability, as they discuss clinical cases. To this end, the paper investigates narratives in six staff meetings, which were video and audio recorded. The paper presents a discursive analysis of the functions of narratives in this context to show how narratives are interactional achievements that are pivotal to clinical decision-making and to building and contesting professional stances. Finally, the paper reflects on the value of narratives as shared resources that are sometimes revisited and reframed over time and that help construct a common thread of history that becomes part of the cultural capital of the organization and positions clinicians as core members of their community.

中文翻译：

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循证实践时代临床医生的叙述

在循证实践中，叙述是分享医学知识和临床判断的载体。本文探讨叙述作为一种认可的社会实践，帮助新西兰一家医疗机构的一组临床医生在讨论临床病例时建立和协商专业知识和责任感。为此，本文调查了六次员工会议中的叙述，并记录了视频和音频。本文对叙述在这种情况下的功能进行了论述性分析，以展示叙述如何成为对临床决策以及建立和挑战专业立场至关重要的互动成就。最后，