Ny forskningsartikel av Ann Hägg Matinell och medarbetare
Ann Hägg Martinell och medarbetare
Objectives Almost all healthcare today is team-based
in collaboration over professional borders, and numerous
students have work-based learning in such contexts.
However, interprofessional learning (IPL) in clinical settings
has mostly been systematically explored in specially
designed contexts dedicated to interprofessional education
(IPE). This study aimed to explore the possibilities for
IPL activities, and if or how they occur, in an acute ward
context not dedicated to IPE.
Design and setting Between 2011 and 2013
ethnographic observations were performed of medical
and nursing students’ interactions and IPL during early
clerkship at an acute internal medicine ward in Sweden.
Field notes were taken and analysed based on the
framework of IPE: learning with, from and about.
Participants 21 medical, 4 nursing students and 30
Results Learning with—there were no organised IPE
activities. Instead, medical and nursing students learnt in
parallel. However, students interacted with staff members
from other professions. Learning from—interprofessional
supervision was frequent. Interprofessional supervision
of nursing students by doctors focused on theoretical
questions and answers, while interprofessional supervision
of medical students by nurses focused on the performance
of technical skills. Learning about—students were
observed to actively observe interactions between staff
and learnt how staff conducted different tasks.
Conclusion This study shows that there were plenty of
possibilities for IPL activities, but the potential was not fully
utilised or facilitated. Serendipitous IPL activities differed
between observed medical and nursing students. Although
interprofessional supervision was fairly frequent, students
were not learning with, from or about each other over
Possibilities for interprofessional learning at a Swedish acute healthcare ward not dedicated to interprofessional education: an ethnographic study.
Hägg-Martinell A, Hult H, Henriksson P, Kiessling A.
BMJ Open. 2019 Jul 29;9(7):e027590. doi: 10.1136/bmjopen-2018-027590.