In a wide diversity of workplaces time and temporality are an omnirelevant feature of the praxeological and material environment, as observable by the pervasiveness of chrono-metrical and chronological technologies and artifacts, and by workers’ orientation to matters of punctuality, productivity and other aspects of task dispatch and managerial organization. Professionals’ orientation to time takes an additional complexity in healthcare settings, given the multiple temporalities involved – biological, institutional, social – and the implications of timely professional intervention in the progression of patients’ health. In palliative care, we argue, a practical concern with time and temporality is a constitutive feature of the work of professionals and teams, visible in and built in their interactions. Furthermore, such orientation to time is related to the collective production of justifications for actions. Drawing on conversation analysis of a corpus of audio recordings, we examine how, in team meetings and interactions with other healthcare staff, palliative care professionals make sense of patients’ end of life trajectories in a situated and joint manner, grounding their proposals for action in terms of timeliness – or lack thereof – concerning patients’ current situation and prognoses on their more-or-less foreseeable unfolding, accomplishing a valid rationale for palliative intervention.

中文翻译：

---

姑息治疗团队会议中以时间为导向的决策

在各种各样的工作场所中，时间和时间性是人类行为和物质环境的一个无所不在的特征，这可以从计时和时间技术和人工制品的普遍存在以及工人对准时、生产力和其他方面问题的取向中观察到。任务调度和管理组织。考虑到所涉及的多种时间性——生物的、制度的、社会的——以及及时专业干预对患者健康进展的影响，专业人士对时间的定位在医疗保健环境中变得更加复杂。我们认为，在姑息治疗中，对时间和暂时性的实际关注是专业人员和团队工作的一个基本特征，在他们的互动中可见并内置。此外，这种时间取向与行动理由的集体产生有关。利用对录音语料库的对话分析，我们研究了在团队会议和与其他医护人员的互动中，姑息治疗专业人员如何以情境和联合的方式理解患者的临终轨迹，并将他们的行动建议基于及时性（或缺乏及时性）涉及患者的当前状况和或多或少可预见的发展的预后，从而为姑息治疗提供了有效的理由。