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The purpose of this paper is to coordinate the different stages involved in designing a “CSR approach” in order to visualize and analyze micro-contradictions occurring between players in a multidisciplinary team.

This intervention research project was spread over three years and conducted within an establishment for dependent elderly people (EDE).

This research extends Engeström's work to highlight the micro-contradictions identified and their nature. These micro-contradictions are reduced and investigated through mediator artifacts incorporating new knowledge.

The main limitation of the research study is that the authors were unable to completely validate Engeström's model, including the notion of instrument. The actors involved all belong to the same organization and use the same tools. This study would be worth repeating with a project team featuring actors from different organizations in order to grasp the concept of instruments used by individual actors.

On the managerial front, the authors draw managers' attention to the importance of collaborative construction of management tools, which can improve the governance of their organizations.

The originality of this paper is based on the opportunity for the long-term analysis of the relationship between potential disturbances and the generation of new knowledge during collaborative work involving a multidisciplinary team. This study is useful for this type of establishment, especially within the context of the current health crisis.