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Double stimulation in healthcare emergencies: fostering expansive, collective tool use through simulation-based continuing professional education
School of international Studies and Education, University of Technology Sydney, Sydney, Australia; Department of Curriculum Studies, University of Stellenbosch, South Africa.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Children's and Women's Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
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
2022 (English)In: Pedagogy, Culture & Society, ISSN 1468-1366, E-ISSN 1747-5104, Vol. 30, no 1, p. 71-87Article in journal (Refereed) Published
Abstract [en]

This paper explains how simulation-based continuing professional education can enable professionals to overcome significant challenges in healthcare practice. It focuses on pedagogies that address conflicts of motives experienced by teams at work by promoting collective use of protocols and an auxiliary motive to collaborate in agile, relational practices. Data relating to a simulation programme (PROBE) associated with reduced injuries in emergency birth situations are examined. The concept of double stimulation informs analysis of simulated scenarios and linked debriefs. PROBE transforms a commonly used protocol from a memory tool used by individuals to an ‘in-between’ tool used expansively and collectively across the birthing team. Crucial to this are diverse epistemic levels of mediation that enable teams to resolve conflicted, high-stakes situations through fluid, responsive interactions. Indications in the data that PROBE pedagogies foster transformative agency among health professionals are highlighted and discussed. The paper thus adds to understanding of how double stimulation as a principle of volitional action can be put to work in continuing professional education.

Place, publisher, year, edition, pages
Routledge, 2022. Vol. 30, no 1, p. 71-87
Keywords [en]
Emergency care; professional learning; simulation; debriefing; workplace learning; midwifery; birth
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-174788DOI: 10.1080/14681366.2020.1805496ISI: 000923939900004Scopus ID: 2-s2.0-85089585086OAI: oai:DiVA.org:liu-174788DiVA, id: diva2:1541659
Available from: 2021-04-01 Created: 2021-04-01 Last updated: 2023-03-02Bibliographically approved

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Gustavsson, JohannaBlomberg, MarieAbrandt Dahlgren, Madeleine

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Gustavsson, JohannaBlomberg, MarieAbrandt Dahlgren, Madeleine
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Division of Society and HealthFaculty of Medicine and Health SciencesDivision of Children's and Women's HealthDepartment of Gynaecology and Obstetrics in Linköping
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Pedagogy, Culture & Society
Public Health, Global Health, Social Medicine and Epidemiology

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