Nurses ‘experiences of interprofessional facilitation in specialist health services
DOI:
https://doi.org/10.7557/14.6210Keywords:
Interprofessional facilitation, competence to facilitate, roles, hierarchyAbstract
Background: This article describes nurses' experiences in facilitating nursing students participating in interprofessional practice in specialist health services in Norway. The study has two research questions: 1) What experiences do nurses have in facilitating nursing students in an interprofessional context between doctors, nurses, medical students and nursing students? 2) How do nurses experience their role in interprofessional meetings?
Method: The study is based on two focus group interviews with a total of nine nurses and is analyzed using systematic text condensation.
Result: The main findings show that Hierarchical organization inhibits student guidance, Interprofessional collaboration (IPC) can be demanding for the facilitator, and The nurses experienced their facilitation as incomplete.
Conclusions: Interprofessional facilitating can be improved by reflecting on hierarchical patterns. The overall competence to facilitate in the nursing group, can be strengthened by building a culture for pedagogical quality. It can also improve the facilitators’ self-complacency.
Metrics
References
Almås, S. H. (2011). Bioingeniør- og sykepleierstudenter i tverrprofesjonell skyggepraksis Erfaringer fra et pilotprosjekt. Bioingeniøren, 9, 14-19. https://www.bioingenioren.no/fag/fag-originalartikkel/bioingenior--og-sykepleierstudenter-i-tverrprofesjonell-skyggepraksis-erfaringer-fra-et-pilotprosjekt/
Ambrose-Miller, W. & Ashcrof, R. (2016). Challenges Faced by Social Workers as Members of Interprofessional Collaborative Health Care Teams. National Association of Social Workers, 41(2), 101-109. https://doi.org/10.1093/hsw/hlw006
Andersen, I. A., Bærheim, A. & Hovland, G. (2017). Lege- og sjukepleiestudentar sine opplevingar av tverrprofesjonell samarbeidslæring i spesialisthelsetenesta: ein kvalitativ studie. Uniped, (04), 361-373. https://doi.org/10.18261/issn.1893-8981-2017-04-07
Andersen, I. A., Kleiven, O. T., Kyte, L. & Pettersen, M. A. S. (2020). Quality of care and job satisfaction in a Hospital Trust before and after The Coordination Reform in Norway. Nursing open, 7(6), 1707-1714. https://doi.org/10.1002/nop2.554
Bernström, V. H. (2014). Implementering av organisasjonsendringer i helsesektoren - hvorfor det ofte går galt. Scandinavian Journal of Organizational Psychology, 6(1), 12-21. https://www.academia.edu/30330352/Implementering_av_organisasjonsendringer_i_helsesektoren_-_hvorfor_det_ofte_g%C3%A5r_galt
Braut, G. S. & Aarheim, K. A. (2020). Det norske helsesystemet: ei innføring i organisering, styring og politikk. Samlaget.
Bærheim, A., Hauksdottir, N. & Iversen, A. (2020). Refleksivitet og refleksjon. I A. Iversen & N. Hauksdottir (Red.), Tverrprofesjonell samhandling og teamarbeid (1. utg., s. 159-173). Gyldendal Norsk Forlag AS.
Eide, H. & Eide, T. (2017). Kommunikasjon i relasjoner: personorientering, samhandling, etikk (3. utg.). Gyldendal akademisk.
Fredriksen, S.-T. D., Kassah, B. L. L. & Tingvoll, W.-A. (2021). Utfordringer i tverrfaglig samarbeid: Kommunal helse- og omsorgstjeneste samt kommunalt barnevern. I B. L. L. Kassah, H. Nordahl-Pedersen & W.-A. Tingvoll (Red.), Handlingsrom for profesjonalisert velferd: Kommunale tjenester for helse, omsorg og barnevern (1. utg., s. 27-45). Cappelen Damm Akademisk.
Gergerich, E., Boland, D. & Scott, M. A. (2018). Hierarchies in interprofessional training. Journal of Interprofessional Care, 33(5), 528-535. https://doi.org/10.1080/13561820.2018.1538110
Grimen, H. (2008). Profesjon og kunnskap. I A. Molander & L. I. Terum (Red.), Profesjonsstudier (s. 71-86). Universitetsforlaget.
Gulden, R. v. d., de Haan, N. D., Greijn, C. M., Looman, N., Tromp, F. & Dielissen, P. W. (2020). Interprofessional education and collaboration between general practitioner trainees and practice nurses in providing chronic care; a qualitative study. BMC Med Educ, 20(1), 290-290. https://doi.org/10.1186/s12909-020-02206-1
Guraya, S. Y. & Barr, H. (2018). The effectiveness of interprofessional education in healthcare: A systematic review and meta-analysis. The Kaohsiung Journal of Medical Sciences, 34(3), 160-165. https://doi.org/10.1016/j.kjms.2017.12.009
Halland, G. (2004). Læring gjennom stimulerende samspill: veiledning, vurdering og ledelse. Fagbokforlaget.
Hatlevik, I. K. R. (2012). The theory-practice relationship: reflective skills and theoretical knowledge as key factors in bridging the gap between theory and practice in initial nursing education. Journal of Advanced Nursing, 68(4), 868-877. https://doi.org/10.1111/j.1365-2648.2011.05789.x
Hauksdottir, N. & Iversen, A. (2020). Profesjoner og roller i helse- og velferdstjenestene. I A. Iversen & N. Hauksdottir (Red.), Tverrprofesjonell samhandling og teamarbeid: Kjernekompetanse for fremtidens helse- og velferdstjenester (s. 50-73). Gyldendal Norsk Forlag AS.
Helse- og omsorgsdepartementet. (2014, 24. november 2014). Utdanning av helsepersonell. https://www.regjeringen.no/no/tema/helse-og-omsorg/sykehus/innsikt/nokkeltall-og-fakta---ny/sykehusenes-hovedoppgaver-/utdanning--av-helsepersonell/id528641/?id=528641
Herath, C., Zhou, Y., Gan, Y., Nakandawire, N., Gong, Y. & Lu, Z. (2017). A comparative study of interprofessional education in global health care: A systematic review. Medicine, 96(38), e7336-e7336. https://doi.org/10.1097/MD.0000000000007336
Høgskulen på Vestlandet. (2022a). Pedagogisk rettleiing. https://www.hvl.no/studier/studieprogram/pedagogisk-rettleiing--innforing/
Høgskulen på Vestlandet. (2022b). Studieplan - Bachelor i sjukepleie. https://www.hvl.no/studier/studieprogram/sykepleie/2022h/studieplan/
Haavik, M. & Toven, S. (2020). Ivaretakelse av hjelpere: er vi ikke betalt for å tåle dette? Universitetsforlaget.
Iversen, A. & Hauksdottir, N. (2020). Tverrprofesjonell samhandling- en kompetanse som må læres. I A. Iversen & N. Hauksdottir (Red.), Tverrprofesjonell samhandling og teamarbeid: Kjernekompetanse for fremtidens helse- og velferdstjenester (s. 11-18). Gyldendal.
Jacobsen, D. I. (2015). Hvordan gjennomføre undersøkelser?: innføring i samfunnsvitenskapelig metode (3. utg.). Cappelen Damm akademisk.
Kristensen, D. V. & Flo, J. (2014). Tverrprofesjonell veiledning av helsefagstudenter i praksis. Tidsskrift for psykisk helsearbeid, 11(04), 317-326. https://doi.org/https://doi.org/10.18261/ISSN1504-3010-2014-04-04
Kunnskapdepartementet. (2017). Forskrift om felles rammeplan for helse- og sosialfagutdanninger. https://www.regjeringen.no/no/dokumenter/forskrift-om-felles-rammeplan-for-helse--og-sosialfagutdanninger/id2569700/
Kunnskapsdepartementet. (2008). Rammeplan for sykepleierutdanning. https://www.regjeringen.no/globalassets/upload/kd/vedlegg/uh/rammeplaner/helse/rammeplan_sykepleierutdanning_08.pdf
Kunnskapsdepartementet. (2019). Forskrift om nasjonal retningslinje for sykepleierutdanning. https://lovdata.no/dokument/SF/forskrift/2019-03-15-412#KAPITTEL_3
Lee, E. A., Hendricks, S., LaMothe, J., Draucker, C. B. & Wright, L. (2020). Coaching Strategies Used to Support Interprofessional Teams in 3 Primary Care Centers. Clinical nurse specialist, 34(6), 263-269. https://doi.org/10.1097/NUR.0000000000000557
Malterud, K. (2017). Kvalitative forskningsmetoder for medisin og helsefag (4. utg.). Universitetsforlaget.
Malterud, K., Siersma, V. D. & Guassora, A. D. (2016). Sample Size in Qualitative Interview Studies: Guided by Information Power. Qualitative Health Research, 26(13), 1753-1760. https://doi.org/10.1177/1049732315617444
Matziou, V., Vlahioti, E., Perdikaris, P., Matziou, T., Megapanou, E. & Petsios, K. (2014). Physician and nursing perceptions concerning interprofessional communication and collaboration. Journal of Interprofessional Care, 28(6), 526-533. https://doi.org/10.3109/13561820.2014.934338
Meld. St. 13. ((2011-2012)). Utdanning for velferd: samspill i praksis. Kunnskapsdepartementet. https://www.regjeringen.no/no/dokumenter/meld-st-13-20112012/id672836/
Méndez, M. J. P., Armayor, N. C., Navarlaz, M. T. D. & Wakefield, A. (2008). The potential advantages and disadvantages of introducing interprofessional education into the healthcare curricula in Spain. Nurse Education Today, 28(3), 327-336. https://doi.org/10.1016/j.nedt.2007.06.007
Okpala, P. (2020). Addressing power dynamics in interprofessional health care teams. International Journal of Healthcare Management, 14(4), 1326-1332. https://doi.org/https://doi.org/10.1080/20479700.2020.1758894
Polanyi, M. & Ra, E. (2000). Den tause dimensjonen: en innføring i taus kunnskap (5. utg.). Spartacus.
Reeves, S. (2016). Sosiologisk forståelse av tverrprofesjonell utdanning og praksis. I E. Willumsen & A. Ødegård (Red.), Tverrprofesjonelt samarbeid et samfunnsoppdrag (2. utg., s. 146-161). Universitetsforlaget.
Reeves, S., Fletcher, S., Barr, H., Birch, I., Boet, S., Davies, N., McFadyen, A., Rivera, J. & Kitto, S. (2016). A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Medical Teacher, 38(7), 656-668. https://doi.org/10.3109/0142159x.2016.1173663
Reeves, S., Lewin, S., Espin, S. & Zwarenstein, M. (2011). Interprofessional Teamwork for Health and Social Care. Wiley. https://doi.org/DOI:10.1002/9781444325027
Schot, E., Tummers, L. & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332-342. https://doi.org/https://doi.org/10.1080/13561820.2019.1636007
Spesialisthelsetjenesteloven. (2001). Lov om spesialisthelsetjenesten m.m. (LOV-1999-07-02-61). Lovdata. https://lovdata.no/dokument/NL/lov/1999-07-02-61#KAPITTEL_3
Sunguya, B. F., Hinthong, W., Jimba, M. & Yasuoka, J. (2014). Interprofessional Education for Whom? — Challenges and Lessons Learned from Its Implementation in Developed Countries and Their Application to Developing Countries: A Systematic Review. PLoS One, 9(5), e96724-e96724. https://doi.org/10.1371/journal.pone.0096724
Tveiten, S. (2019). Veiledning: - mer enn ord (5. utg.). Fagbokforlaget.
Walmsley, L., Fortune, M. & Brown, A. (2018). Experiential interprofessional education for medical students at a regional medical campus. Can Med Educ J, 9(1), e59-67. https://doi.org/10.36834/cmej.42175
WHO. (2010). Framework for action on interprofessional education & collaborative practice.WHO. https://apps.who.int/iris/bitstream/handle/10665/70185/?sequence=1
Wiegleb, D. E., Karlsson, N. & Edelbring, S. (2020). Using interviews and observations in clinical practice to enhance authenticity in virtual patients for interprofessional education. BMC Med Educ, 20(1), 467-467. https://doi.org/10.1186/s12909-020-02379-9
Winship, J. M., Falls, K., Gregory, M., Peron, E. P., Donohoe, K. L., Sargent, L., Slattum, P. W., Chung, J., Tyler, C. M., Diallo, A., Battle, K. & Parsons, P. (2020). A case study in rapid adaptation of interprofessional education and remote visits during COVID-19. Journal of Interprofessional Care, 34(5). https://doi.org/10.1080/13561820.2020.1807921
Yu, C. H. Y., Halapy, H., Kaplan, D., Brydges, R., Hall, S. & Wong, R. (2016). Effects of a Longitudinal Interprofessional Educational Outreach Program on Collaboration. Journal of Continuing Education in the Health Professions, 36(1), 24-31. https://doi.org/10.1097/ceh.0000000000000020
Yu, J., Lee, w., Kim, M., Choi, S., Lee, S., Kim, S., Jung, Y., Kwak, D., Jung, H., Lee, S., Lee, Y.-J., Hyun, S.-J., Kang, Y., Kim, S. M. & Lee, J. (2020). Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: a pre-post survey. BMC Med Educ, 20(1), 476-476. https://doi.org/10.1186/s12909-020-02395-9
Aadland, E. (2011). "Og eg ser på deg-": vitenskapsteori i helse- og sosialfag (3. utg.). Universitetsforlaget.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Irene Aasen Andersen, Sissel Hjelle Øygard, Aud Berit Fossøy, Katrine Sandnes Gornitshni
This work is licensed under a Creative Commons Attribution 4.0 International License.