‘The unknown becomes the known’: collective learning and change in primary care teams

Abstract

These findings demonstrate that teams share their knowledge because they believe it has value, not because they are driven by external incentives or are monitored. This challenges the prevailing assumption that, to be effective, interprofessional learning should be externally managed. As health care develops, it will become increasingly important to consider how to support the internal learning processes of care teams as they navigate complex organisational changes and the shared learning experiences that characterise those changes. Those who support learning and development within the NHS should therefore focus on how relational processes, as well as educational content, contribute to a team's collective learning capability and the quality of care its members provide.

Percepção dos residentes sobre sua atuação no programa de residência multiprofissional

“…(14)(15)(16) Therefore, it is necessary to transform isolated work in collective work, in which there is appreciation of the work of others, because in the multidisciplinary and interdisciplinary exercise happens the aprehension of multiple knowledge and practices, where actions converge and enable teamwork. (17) Studies indicate that the notion of teamwork is etymologically associated with performing tasks and sharing work among individuals, as the basis for integral actions in health that require the active participation of its members and the conjunction of comprehension of each area of knowledge in the implementation of joint projects to improve the health status of the people. (2,17,18) The importance of the interactive nature of work implies knowing and understanding the participation of the subjects involved in providing services and health actions, seeking an integral and effective care.…”

“…(17) Studies indicate that the notion of teamwork is etymologically associated with performing tasks and sharing work among individuals, as the basis for integral actions in health that require the active participation of its members and the conjunction of comprehension of each area of knowledge in the implementation of joint projects to improve the health status of the people. (2,17,18) The importance of the interactive nature of work implies knowing and understanding the participation of the subjects involved in providing services and health actions, seeking an integral and effective care. (2) It is emphasized that teamwork does not require abolishing the specificities of each professional.…”

Fostering Learning Opportunities Through Employee Participation Amid Organizational Change

“…The processes of organizational change in health care have been investigated in a few studies (Bate 2000;Bunniss and Kelly 2008;Dobers and Söderholm 2009;Edmondson et al 2001), yielding information on the phases of change. Edmondson and colleagues (2001) studied the process of establishing new surgery technology in surgical teams.…”

Collaborative diabetes training in outpatient primary care

“…[2] A key component to improve better acute, chronic and preventive evidence based care and self-care support of the patient is to build effective interprofessional (IP) teams in primary health care. [4–6] In diabetes type 2 care patient centred collaboration between primary and specialised hospital services is essential. To our knowledge there are limited models of this form of collaboration in health care education.…”

“…[7] Janson et al [6] noted that IP teams consisting of primary care internal medicine residents, nurse practitioner students and pharmacy students were effective in improving quality of care for adult patients with diabetes treated in general medicine clinics, and further noted that chronic illness framework resulted in more appropriate health care utilisation. [6] Bunniss and Kelly [4] found out that experimental and shared learning motivated the professionals to prioritise patients’ needs and understand the roles and skills of each other. Delva et al [5] discovered that clear goals and attention to teamwork at all levels of collaboration are needed if effective IPE is to be achieved.…”