Author Archives: JICare

Liberating the NHS: Developing the Healthcare Workforce

Workforce planning is an ongoing discussion for health and social care policymakers across the world. Attempting to educate different professional groups to equip them with a suitable skills mix to meet the growing and evolving demands of patients/clients and their families is clearly no mean feat. It is certainly one which needs to be continually… Read More »

Exploring power in interprofessional education

As we know, IPE is considered a key mechanism in enhancing communication and practice among health care providers, optimizing participation in clinical decision making and improving the delivery of care. An important, though under-explored, factor connected to this form of education is the unequal power relations that exist between the health and the social care… Read More »

Appreciative inquiry within interprofessional education: how it overlooks the influence of social structures

Appreciative inquiry (AI) is a relatively new approach to initiating or managing organizational change that is associated with the ‘positiveness’ movement in psychology and its offshoot positive organizational scholarship. Rather than dwelling upon problems related to change, AI encourages individuals to adopt a positive, constructive approach to managing change. In recent years, AI has been… Read More »

Interprofessional simulated learning and sociological fidelity: Part 2

As noted in the last blog entry (see May 2, 2011), the use of interprofessional simulation based on psychological conceptions of non-technical skills tends also to emphasise the individual as the site of the ‘problem’ and ‘solution’ to communication and collaboration.  As a result, there appears to be a disconnect between the theoretical and methodological approach… Read More »

Interprofessional simulated learning and sociological fidelity: Part 1

Poor interprofessional communication and teamwork are now well recognised as significant contributors to adverse events in healthcare.  These ‘non-technical skills’ are particularly pertinent in high-hazard areas such as obstetric settings, operating rooms, emergency departments and intensive care units. Recognition of the magnitude of these teamwork issues has led to calls for improved interprofessional training in many… Read More »

Interprofessional teamwork research – part 2

Research is central to developing knowledge on the effects and effectiveness of interprofessional teamwork. Research though demands a critical stance – one that has as a starting point the possibility that different teamwork approaches are needed, depending on local needs; and accepts that teamwork interventions may have a range of outcomes (e.g. success, no effect,… Read More »

Interprofessional teamwork research – part 1

While there is a growing research literature on interprofessional teamwork, much of it consists of unproblematised accounts of health and social care teams.  For example, many studies rely on locally developed surveys or on data drawn from interviews with team members. These insights have provided a normative view of teamworking.  Furthermore, most evaluations rest upon… Read More »

The use of magical thinking – an example

In the past few years I’ve noticed a growing use of consultants employed by health and social care institutions to ‘intervene’ in order to provide ‘solutions’ to poor interprofessional team relations.  An increasingly popular approach used by consultants attempting to offer solutions to teamwork problems is appreciative inquiry which encourages individuals to adopt a positive… Read More »

Classifying interprofessional interventions

Despite a growing amount of research on interprofessional interventions to promote collaboration and teamwork, systematic reviews in the interprofessional field have indicated that there was a continuing problem with the conceptualisation of different types of interprofessional educational and practice interventions.  Clarity has been traditionally inhibited by the lack of a robust evidence base for the… Read More »

The difficulties with Quality Improvement in health and social care

The focus on industrial quality improvement (QI) and teamwork emerged in the 1940s in response to the need for high quality, low cost materials for World War II.  The quality improvement approach was subsequently popularised in the Japanese automobile manufacturing industry in the 1960s and 1970s.  Supported by influential organisations such as the Institute for… Read More »