Health professional students’ emotional responses to effective and ineffective teamwork

Authors

DOI:

https://doi.org/10.11157/fohpe.v25i3.692

Keywords:

emotion, hidden curriculum, interprofessional education, pre-registration, reflection, teamwork

Abstract

Introduction: Pre-registration students learn interprofessional competencies for effective teamwork through interprofessional education (IPE), yet they do not always see effective teamwork in the clinical workplace or experience it in IPE learning activities. In this study, we explored: (1) what students recall of experiences of interprofessional teamwork interactions in workplace settings or in IPE learning activities and (2) what and how they describe the emotion attached to these experiences.

Methods: A pre- and post-test survey design was used, which included qualitative questions administered before and after a clinical workplace-based cancer and life-limiting illness IPE activity for two cohorts of students. We surveyed students about teamwork experiences in both workplace and IPE learning activities and how they felt about them emotionally. A content and thematic analysis was undertaken, the latter using a process adapted from Attride-Stirling (2001).

Results: For the before-IPE responses, 31 out of 50 students in the two cohorts responded (62%), and for the after-IPE responses, 29 out of 50 in the two cohorts responded (58%). There were two global themes: (1) students readily recognise both effective and ineffective teamwork and (2) ineffective teamwork experiences can evoke strong emotional responses.

Conclusion: Students’ emotional responses from being involved in or observing effective and ineffective teamwork may influence their future engagement in interprofessional teamwork and IPE activities.

References

Aase, I., Sæthre Hansen, B., & Aase, K. (2014). Norwegian nursing and medical students’ perception of interprofessional teamwork: A qualitative study. BMC Medical Education, 14, Article 170. https://doi.org/10.1186/1472-6920-14-170

Ajjawi, R., Olson, R. E., & McNaughton, N. (2021). Emotion as reflexive practice: A new discourse for feedback practice and research. Medical Education, 56(5),480–488. https://doi.org/10.1111/medu.14700

Arieli, D. (2013). Emotional work and diversity in clinical placements of nursing students. Journal of Nursing Scholarship, 45(2), 192–201. https://doi.org/10.1111/jnu.12020

Artino, A. R., Jr., & Naismith, L. M. (2015). "But how do you really feel?" Measuring emotions in medical education research. Medical Education, 49(2), 140–142. https://doi.org/10.1111/medu.12642

Attride-Stirling, J. (2001). Thematic networks: An analytic tool for qualitative research. Qualitative Research, 1(3), 385–405. https://doi.org/10.1177/146879410100100307

Bain, J. D., Mills, C., Ballantyne, R., & Packer, J. (2002). Developing reflection on practice through journal writing: Impacts of variations in the focus and level of feedback. Teachers and Teaching, 8(2), 171–196. https://doi.org/10.1080/13540600220127368

Bianchi, M., Bagnasco, A., Ghirotto, L., Aleo, G., Catania, G., Zanini, M., Carnevale, F., & Sasso, L. (2019). The point of view of undergraduate health students on interprofessional collaboration: A thematic analysis. SAGE Open Nursing, 5. https://doi.org/10.1177/2377960819835735

Canadian Interprofessional Health Collaborative. (2010). National interprofessional competency framework. http://ipcontherun.ca/wp-content/uploads/2014/06/National-Framework.pdf

Centre for the Advancement of Interprofessional Education (CAIPE). (2017). About CAIPE. Retrieved May 10, 2023, from https://www.caipe.org/about-us

Clark, P. G. (2006). What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training. Journal of Interprofessional Care, 20(6), 577–589. https://doi.org/10.1080/13561820600916717

Dadich, A., & Olson, R. E. (2017). How and why emotions matter in interprofessional healthcare. International Journal of Work Organisation and Emotion, 8(1), 59–79. https://doi.org/10.1504/IJWOE.2017.083799

Derbyshire, J. A., & Machin, A. (2021). The influence of culture, structure, and human agency on interprofessional learning in a neurosurgical practice learning setting: A case study. Journal of Interprofessional Care, 35(3), 352–360. https://doi.org/10.1080/13561820.2020.1760802

Dornan, T., Pearson, E., Carson, P., Helmich, E., & Bundy, C. (2015). Emotions and identity in the figured world of becoming a doctor. Medical Education, 49(2), 174–185. https://doi.org/10.1111/medu.12587

Evans, J., Henderson, A., & Johnson, N. (2012). Interprofessional learning enhances knowledge of roles but is less able to shift attitudes: A case study from dental education. European Journal of Dental Education, 16(4), 239–245. https://doi.org/10.1111/j.1600-0579.2012.00749.x

Fitzsimmons, A., Topp, K. S., & O'Brien, B. C. (2017). Investigation into physical therapist students’ interprofessional experiences during an 8-week clinical clerkship: A qualitative study. Journal of Physical Therapy Education, 31(2), 44–53. https://doi.org/10.1097/00001416-201731020-00006

Giroux, H. A., & Penna, A. N. (1979). Social education in the classroom: The dynamics of the hidden curriculum. Theory & Research in Social Education, 7(1), 21–42. https://doi.org/10.1080/00933104.1979.10506048

Ingleton, C. (1999). Emotion in learning: A neglected dynamic. HERDSA Annual International Conference, Melbourne, July 12–15, 1999.

Institute of Medicine. (2015). Measuring the impact of interprofessional education on collaborative practice and patient outcomes. https://www.nap.edu/catalog/21726/measuring-the-impact-of-interprofessional-education-on-collaborative-practice-and-patient-outcomes

Krippendorff, K. (2018). Content analysis: An introduction to its methodology (4th ed.). Sage Publications. https://doi.org/10.4135/9781071878781

LeBlanc, V. R., McConnell, M. M., & Monteiro, S. D. (2015). Predictable chaos: A review of the effects of emotions on attention, memory and decision making. Advances in Health Sciences Education, 20(1), 265–282. https://doi.org/10.1007/s10459-014-9516-6

Leedham-Green, K. E., Knight, A., & Iedema, R. (2019). Intra- and interprofessional practices through fresh eyes: A qualitative analysis of medical students’ early workplace experiences. BMC Medical Education, 19, Article 287. https://doi.org/10.1186/s12909-019-1722-8

McCloughen, A., Levy, D., Johnson, A., Nguyen, H., & McKenzie, H. (2020). Nursing students’ socialisation to emotion management during early clinical placement experiences: A qualitative study. Journal of Clinical Nursing, 29(13–14), 2508–2520. https://doi.org/10.1111/jocn.15270

McKinlay, E., White, K., Garrett, S., Gladman, T., & Pullon, S. (2023). Work-place cancer and palliative care interprofessional education: Experiences of students and staff. Journal of Interprofessional Care, 37(1), 29–38. https://doi.org/10.1080/13561820.2021.1981259

McKinlay, E., White, K., McChesney, P., Hardie, C., Higgs, R., Hilder, J., & Gallagher, P. (2019). Interprofessional education for cancer care. The Clinical Teacher, 16(5), 519–524. https://doi.org/10.1111/tct.12985

McNaughton, N. (2013). Discourse(s) of emotion within medical education: The ever‐present absence. Medical Education, 47(1), 71–79. https://doi.org/10.1111/j.1365-2923.2012.04329.x

Mills, L. (2022). Expanding the discourse on emotion across health professions education. Medical Education, 56(5), 470–472. https://doi.org/10.1111/medu.14746

Mohr, S., Grahn, H., Krohne, C., Brätz, J., & Guse, A. H. (2021). Academic emotions during an interprofessional learning episode in a clinical context: Assessing within- and between-variation. Journal of Interprofessional Care, 35(2), 248–256. https://doi.org/10.1080/13561820.2020.1721445

Monrouxe, L. V., Rees, C. E., Dennis, I., & Wells, S. E. (2015). Professionalism dilemmas, moral distress and the healthcare student: Insights from two online UK-wide questionnaire studies. BMJ Open, 5(5), Article e007518. https://doi.org/10.1136/bmjopen-2014-007518

Monrouxe, L. V., Rees, C. E., Endacott, R., & Ternan, E. (2014). "Even now it makes me angry": Health care students’ professionalism dilemma narratives. Medical Education, 48(5), 502–517. https://doi.org/10.1111/medu.12377

Moon, J. (2004). A handbook of reflective and experiential learning: Theory and practice. RoutledgeFalmer. https://doi.org/10.4324/9780203416150

Morphet, J., Hood, K., Cant, R., Baulch, J., Gilbee, A., & Sandry, K. (2014). Teaching teamwork: An evaluation of an interprofessional training ward placement for health care students. Advances in Medical Education and Practice, 5, 197–204. https://doi.org/10.2147/AMEP.S61189

Nyström, S., Dahlberg, J., Edelbring, S., Hult, H., & Dahlgren, M. A. (2016). Debriefing practices in interprofessional simulation with students: A sociomaterial perspective. BMC Medical Education, 16, Article 148. https://doi.org/10.1186/s12909-016-0666-5

Olson, R. E., & Dadich, A. (2019). Power, (com)passion and trust in interprofessional healthcare. In R. Patulny, A. Bellocchi, R. Olsen, S. Khorana, J. McKenzie, & M. Peterie (Eds.), Emotions in late modernity (pp. 267–281). Routledge. https://doi.org/10.4324/9781351133319

Ong, R. S. R., Wong, R. S. M., Chee, R. C. H., Quek, C. W. N., Burla, N., Loh, C. Y. L., Wong, Y. A., Chok, A. K.-L., Teo, A. Y. T., & Panda, A. (2022). A systematic scoping review moral distress amongst medical students. BMC Medical Education, 22, Article 466. https://doi.org/10.1186/s12909-022-03515-3

Peterson, D. T., Brown, M., Wingo, N., & Watts, P. (2018). Exploring hidden curricula in an interprofessional intensive care unit simulation. Clinical Simulation in Nursing, 22, 22–25. https://doi.org/10.1016/j.ecns.2018.07.001

Pinto, A., Lee, S., Lombardo, S., Salama, M., Ellis, S., Kay, T., Davies, R., & Landry, M. D. (2012). The impact of structured inter-professional education on health care professional students' perceptions of collaboration in a clinical setting. Physiotherapy Canada, 64(2), 145–156. https://doi.org/10.3138/ptc.2010-52

Pomare, C., Long, J. C., Churruca, K., Ellis, L. A., & Braithwaite, J. (2020). Interprofessional collaboration in hospitals: A critical, broad-based review of the literature. Journal of Interprofesssional Care, 34(4), 509–519. https://doi.org/10.1080/13561820.2019.1702515

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

Robson, M., & Kitchen, S. (2007). Exploring physiotherapy students' experiences of interprofessional collaboration in the clinical setting: A critical incident study. Journal of Interprofesssional Care, 21(1), 95–109. https://doi.org/10.1080/13561820601076560

Schmutz, J. B., Meier, L. L., & Manser, T. (2019). How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: A systematic review and meta-analysis. BMJ Open, 9(9), Article e028280. https://doi.org/10.1136/bmjopen-2018-028280

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/10.1080/13561820.2019.1636007

Seaton, J., Jones, A., Johnston, C., & Francis, K. (2021). Allied health professionals’ perceptions of interprofessional collaboration in primary health care: An integrative review. Journal of Interprofessional Care, 35(2), 217–228. https://doi.org/10.1080/13561820.2020.1732311

Talarico, J. M., LaBar, K. S., & Rubin, D. C. (2004). Emotional intensity predicts autobiographical memory experience. Memory & Cognition, 32(7), 1118–1132. https://doi.org/10.3758/BF03196886

Thomson, K., Outram, S., Gilligan, C., & Levett-Jones, T. (2015). Interprofessional experiences of recent healthcare graduates: A social psychology perspective on the barriers to effective communication, teamwork, and patient-centred care. Journal of Interprofessional Care, 29(6), 634–640. https://doi.org/10.3109/13561820.2015.1040873

Tyng, C. M., Amin, H. U., Saad, M. N., & Malik, A. S. (2017). The influences of emotion on learning and memory. Frontiers in Psychology, 8, Article 1454. https://doi.org/10.3389/fpsyg.2017.01454

Uygur, J., Stuart, E., De Paor, M., Wallace, E., Duffy, S., O’Shea, M., Smith, S., & Pawlikowska, T. (2019). A Best Evidence in Medical Education systematic review to determine the most effective teaching methods that develop reflection in medical students: BEME Guide No. 51. Medical Teacher, 41(1), 3–16. https://doi.org/10.1080/0142159X.2018.1505037

van Vuuren, E. C. J., Bodenstein, K., & Nel, M. (2018). Stressors and coping strategies among physiotherapy students: Towards an integrated support structure. Health SA Gesondheid, 23, Article 1091. https://doi.org/10.4102/hsag.v23i0.1091

Weurlander, M., Lönn, A., Seeberger, A., Hult, H., Thornberg, R., & Wernerson, A. (2019). Emotional challenges of medical students generate feelings of uncertainty. Medical Education, 53(10), 1037–1048. https://doi.org/10.1111/medu.13934

Zarezadeh, Y., Pearson, P., & Dickinson, C. (2009). A model for using reflection to enhance interprofessional education. International Journal of Education, 1(1). http://www.macrothink.org/journal/index.php/ije/article/view/191

Downloads

Published

2024-09-30

How to Cite

McKinlay, E., Gladman, T., Burrow, M., & Pullon, S. (2024). Health professional students’ emotional responses to effective and ineffective teamwork. Focus on Health Professional Education: A Multi-Professional Journal, 25(3), 103–120. https://doi.org/10.11157/fohpe.v25i3.692

Issue

Section

Interprofessional Education