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

supervisors participated.

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

professional borders.

Läs mer:

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.

Fulltext: http://dx.doi.org/10.1136/bmjopen-2018-027590