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How Professional Education Can Foster Praxis and Critical Praxis: An Example of Changing Practice in Healthcare
Univ Technol Sydney, Australia; Stellenbosch Univ, South Africa.
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.
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: Vocations and Learning, ISSN 1874-785X, E-ISSN 1874-7868, Vol. 15, no 1, p. 49-70Article in journal (Refereed) Published
Abstract [en]

Learning is crucial to how professionals enact practices, and to how practices change. Professionals frequently encounter uncertainty regarding what to do, requiring praxis informed by practical wisdom, which takes into account the virtues of practice. Critical praxis takes this further, questioning current norms to reduce untoward effects. A simulation-based education program for healthcare professionals was selected for study due to strong evidence of sustained improvements in handling a rare and challenging birth emergency (shoulder dystocia). Videos of simulations and debrief discussions were analysed in terms of complexes of sayings, doings and relatings. Practitioners learned to respond in agile, collective ways to specific situations, through praxis. An extension to the theory of practice architectures is offered, based on two new concepts. Connective enactments involved narration, questioning, and directing actions. These contributed to collective accomplishments of fluid role-switching, responsive sequencing and pacing, and producing calm. These new concepts help to theorise how professional education can contribute to practice change by fostering praxis and critical praxis, addressing the architectures that shape practices.

Place, publisher, year, edition, pages
SPRINGER , 2022. Vol. 15, no 1, p. 49-70
Keywords [en]
Practice theory; Professional learning; Simulation; Praxis; Healthcare; Collaboration
National Category
Pedagogy
Identifiers
URN: urn:nbn:se:liu:diva-179413DOI: 10.1007/s12186-021-09277-1ISI: 000693704100001OAI: oai:DiVA.org:liu-179413DiVA, id: diva2:1596068
Available from: 2021-09-21 Created: 2021-09-21 Last updated: 2022-10-14

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Blomberg, MarieDahlberg, JohannaAbrandt Dahlgren, Madeleine
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Division of Children's and Women's HealthFaculty of Medicine and Health SciencesDepartment of Gynaecology and Obstetrics in LinköpingDivision of Society and Health
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