Education, organization and sense-making: some intervening hypoteses

The purpose of this work is to illustrate, starting from a concrete training experience, the importance and the use of developing certain opportunities for reflection within organisation, training and communication processes that make it possible to make explicit the contributions of the implicit knowledge possessed by Accident and Emergency Department Nurses and the various organisational players. This may contribute to a better representation and planning of service organisation, thus enabled to express both its distinguishing culture and operative potential in an original way. Through a concise analysis of some of the organisational models used, it shows how Accident and Emergency Department organisation presents certain characteristics of unpredictability, instability and chaos typical of highly complex and high risk systems, which require a particular propensity in their management, in order to favour processes of self-organisation, self-training and sensemaking.