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Connecting knowledge: First-year health care students learning in early interprofessional tutorials
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-0192-8201
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Mag- tarmmedicinska kliniken. Linköping University, Center for Medical Image Science and Visualization (CMIV).ORCID iD: 0000-0002-5590-8601
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-3307-0748
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0001-5066-8728
2023 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 37, no 5, p. 758-766Article in journal (Refereed) Published
Abstract [en]

Collaboration across professional boundaries is an essential aspect of health care, and interprofessional education (IPE) is a common way to help increase students collaborative abilities. Research on how and when IPE should be arranged in a curriculum remains, however, inconclusive. How students actually develop interprofessional competencies have been difficult to demonstrate and is still an under-researched area. Studying IPE in context is therefore important to understand its full complexity. This paper examines how students work with scenarios from professional health care contexts when learning together in interprofessional problem-based learning tutorials during the first year of undergraduate education. The data are video-recorded tutorials of students from medicine, nursing, occupational therapy, speech and language pathology, and physiotherapy programmes. The analysis focuses on students discussing their readings of the literature. Drawing on "Communities of Practice," findings show that students discuss and connect professional knowledge, with "brokers" (the tutors) and "boundary objects" (scenarios) supporting the emergence of students professional knowledge. The scenarios, as boundary objects, also enabled the students to turn into brokers themselves. The paper contributes to research on interprofessional learning and offers support for implementing IPE in the early stages of undergraduate education.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS INC , 2023. Vol. 37, no 5, p. 758-766
Keywords [en]
Boundary objects; brokers; communities of practice; interprofessional education; video-analysis
National Category
Pedagogy
Identifiers
URN: urn:nbn:se:liu:diva-191192DOI: 10.1080/13561820.2022.2162021ISI: 000906335900001PubMedID: 36588170OAI: oai:DiVA.org:liu-191192DiVA, id: diva2:1730297
Available from: 2023-01-24 Created: 2023-01-24 Last updated: 2024-08-13Bibliographically approved
In thesis
1. Navigating in a landscape of practices: Healthcare students’ interprofessional collaboration and learning
Open this publication in new window or tab >>Navigating in a landscape of practices: Healthcare students’ interprofessional collaboration and learning
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Att navigera i ett landskap av olika praktiker : Hälso- och sjukvårdsstudenters interprofessionella samarbete och lärande
Abstract [en]

Scientific advances, along with better conditions for attaining healthy lifestyles, have had the result that more people live longer. On the flipside of this success, people are also living longer with diseases and are thus in need of more health care than before. This takes up available resources and the health care system must adapt accordingly. One solution that has been put forward for this dilemma is interprofessional collaboration. Resources can be used more efficiently by collaborating across professional boundaries, and we can benefit from each other's competencies in a way that serves both the patient and the system better. However, being able to collaborate with colleagues of different professional backgrounds is not a given. Just because you have a healthcare education does not mean that you automatically know how to collaborate with others. Interprofessional education must therefore be offered to health care students so they can learn to collaborate at an early stage.  

In recent years, more research has been devoted to examining the nature of interprofessional education and what students do when they work together during different interprofessional education activities. However, since interprofessional education comes in many shapes and forms, research must continue with the endeavor to understand what students do during interprofessional learning activities. It is important to expand our collective understanding of the relation between how interprofessional education is arranged and the students’ learning. The thesis therefore focuses on the relation between how students enact interprofessional collaboration during different IPE-activities and the way the learning activities are arranged. I have paid attention to what the students do, what kind of knowledge they share with each other and how, how they negotiate tasks with each other and how they organize their interprofessional collaboration. In addition, the thesis is framed by a practice-oriented approach.  

The thesis is based on four papers, all of which have been conducted with a qualitative approach. Data consist of video-recordings and ethnographic observations. Three settings are included and serve as the foundation for the thesis. In total, data collection has been conducted seven times across the three settings and been combined differently in the papers. The analysis has been supported by different theoretical concepts linked to practice theory.  

Taken together, the papers show that health care students navigate in a landscape of practices. This landscape includes both profession-specific practices and practices shared among students from other study programs. As students learn, they travel through this landscape with their sights set on the goal of working in health care. To get there, they must relate to several different areas of knowledge, ways of doing things, traditions, parallel ongoing practices and much more. They need to navigate their way forward, and they get help from ongoing guidance and support. For example, supervisors help the students understand the practices, the rooms they are in, the scene for how to act, the tasks and the scenarios which show students what is in focus. Not least, students have each other. Through themselves they can connect and share knowledge in a way that enables them to also organize and enact interprofessional collaboration. However, at times they also encounter obstacles - resulting in them ending up caught in the middle of things, not sure what practice to find safety in. Collectively, this demonstrates the importance of consciously designing interprofessional education so that students benefit from all practices in the landscape. 

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2023. p. 67
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1843
Keywords
Interprofessional education, Interprofessional learning, Observational studies, Focused ethnography, Video, Practice theory, Interprofessionell utbildning, Interprofessionellt lärande, Observationsstudier, Fokuserad etnografi, Video, Praktikteori
National Category
Pedagogy
Identifiers
urn:nbn:se:liu:diva-193058 (URN)10.3384/9789180750899 (DOI)9789180750882 (ISBN)9789180750899 (ISBN)
Public defence
2023-05-17, Hasselquistsalen, Building 511, Campus US, Linköping, 09:00 (Swedish)
Opponent
Supervisors
Note

2023-05-24: Errata was added.

Available from: 2023-04-12 Created: 2023-04-12 Last updated: 2023-09-11Bibliographically approved

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Törnqvist, ToveEkstedt, MattiasWiggins, SallyAbrandt Dahlgren, Madeleine

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