How do interprofessional student teams interact in a primary care clinic? A qualitative analysis using activity theory
| Autor: | Jennifer Margaret Newton, Alison Francis-Cracknell, Fiona Kent, Miodrag Dodic, Rachael McDonald, Jennifer Lyn Keating |
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| Rok vydání: | 2015 |
| Předmět: |
Cooperative learning
Male 020205 medical informatics Social Values Attitude of Health Personnel media_common.quotation_subject Health Personnel Interprofessional Relations education Entry Level Collaborative Care 02 engineering and technology Education Interviews as Topic 03 medical and health sciences 0302 clinical medicine Professional Role Nursing Health care 0202 electrical engineering electronic engineering information engineering Medicine Humans 030212 general & internal medicine Anthropology Cultural Qualitative Research media_common Patient Care Team Medical education Teamwork Primary Health Care business.industry Information seeking Professional development General Medicine Professional-Patient Relations Interprofessional education Leadership Workforce Female business |
| Zdroj: | Advances in health sciences education : theory and practice. 21(4) |
| ISSN: | 1573-1677 |
| Popis: | Practice based interprofessional education opportunities are proposed as a mechanism for health professionals to learn teamwork skills and gain an understanding of the roles of others. Primary care is an area of practice that offers a promising option for interprofessional student learning. In this study, we investigated what and how students from differing professions learn together. Our findings inform the design of future interprofessional education initiatives. Using activity theory, we conducted an ethnographic investigation of interprofessional education in primary care. During a 5 months period, we observed 14 clinic sessions involving mixed discipline student teams who interviewed people with chronic disease. Teams were comprised of senior medicine, nursing, occupational therapy, pharmacy and physiotherapy entry level students. Semi-structured interviews were also conducted with seven clinical educators. Data were analysed to ascertain the objectives, tools, rules and division of labour. Two integrated activity systems were identified: (1) student teams gathering information to determine patients' health care needs and (2) patients either as health consumers or student educators. Unwritten rules regarding 'shared contribution', 'patient as key information source' and 'time constraints' were identified. Both the significance of software literacy on team leadership, and a pre-determined structure of enquiry, highlighted the importance of careful consideration of the tools used in interprofessional education, and the way they can influence practice. The systems of practice identified provide evidence of differing priorities and values, and multiple perspectives of how to manage health. The work reinforced the value of the patients' voice in clinical and education processes. |
| Databáze: | OpenAIRE |
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