Students’ reflections on first-year interprofessional teamwork: Phenomenographic evaluation of function and success

Authors

  • Susan McNaughton Auckland University of Technology

DOI:

https://doi.org/10.11157/fohpe.v16i3.82

Keywords:

interprofessional education, teamwork, reflection, undergraduate, assessment

Abstract

Background: While early interprofessional teamwork is of uncertain benefit to patients, it has value for changing attitudes towards interprofessionalism and for developing skills and traits relevant for healthcare students. Exploring and evaluating changes in these skills and attitudes is under-researched, especially in early healthcare education. Reflective assessment, while frequently used to gauge clinical students’ professional skills and attitudes, is hampered by issues related to authenticity and reliability. A potentially more productive use of reflection is for developing skills and attitudes such as self-awareness, communication and respect in early interprofessional teamwork. The aim of the study was to collect and analyse first-year non-clinical students’ reflections in which they specifically evaluated their own and their team’s success and collaboration on an interprofessional teamwork project.

Methods: Phenomenographic analysis of summative participant reflections was conducted to demonstrate variations in factors and elements that influenced interprofessional teamwork function and success.

Findings: Four factors were perceived to influence team function: individual characteristics, team dynamics, team structure and external factors. From participant responses, four critical elements of successful teamwork emerged: time management, communication, cooperation and leadership. The phenomenographic outcome space shows how variations in the presence of and relationships between these elements produced differences in team function and success. Variation in individual self- awareness and reflective capacity was also identified.

Conclusions: This study identified factors and elements that students believe affect collaboration, and how these influence team success. The findings confirm the value of formal reflection in helping students to develop self-awareness in teamwork settings.

 

References

Akerlind, G. (2012). Variation and commonality in phenomenographic research methods. Higher Education Research and Development, 31, 115‒127. doi:10.1080/ 07294360.2011.642845

Barr, H. (2013). Toward a theoretical framework for interprofessional education. Journal of Interprofessional Care, 27, 4–9. doi:10.3109/13561820.2012.698328

Bell, E., Walker, J., Allen, R., MacCarrick, G., & Albert, E. (2010). Non clinical rural and remote competencies: Can they be defined? Focus on Health Professional Education: A Multidisciplinary Journal, 11, 28–41. Retrieved from http://search. informit.com.au/documentSummary;dn=183471;res=AEIPT

Bryman, A. (2008). Social research methods (3rd ed.). Oxford, England: Oxford University Press.

Cameron, A., Rennie, S., DiProspero, L., Langlois, S., Wagner, S., Potvin, M., . . . Reeves, S. (2009). An introduction to teamwork: Findings from an evaluation

of an interprofessional education experience for 1,000 first-year health science students. Journal of Allied Health, 38, 220–226. Retrieved from http://www.asahp. org/journal_ah.htm

Clark, P. G. (2009). Reflecting on reflection in interprofessional education: Implications for theory and practice. Journal of Interprofessional Care, 23, 213–223. doi:10.1080/13561820902877195

Connaughton, J., & Edgar, S. (2011). Framework for reflective practice. Focus on Health Professional Education: A Multidisciplinary Journal, 12(3), 89–93. Retrieved from http://search.informit.com.au/browseJournalTitle;res=AEIPT;issn=1442-1100

Cousin, G. (2009). Researching learning in higher education: An introduction to contemporary methods and approaches. New York, NY: Routledge.

Curran, V. R., Sharpe, K., Flynn, D., & Button, P. (2010). A longitudinal study of the effect of an interprofessional education curriculum on student satisfaction and attitudes towards interprofessional teamwork and education. Journal of Interprofessional Care, 24, 41–52.

doi:10.3109/13561820903011927

Dahlin, B. (2007). Enriching the theoretical horizons of phenomenography, variation theory and learning studies. Scandinavian Journal of Educational Research, 51, 327–346. doi:10.1080/00313830701485437

Divall, M. V., Kolbig, L., Carney, M., Kirwin, J., Letzeiser, C., & Mohammed,

S. (2014). Interprofessional socialization as a way to introduce collaborative competencies to first-year health science students. Journal of Interprofessional Care, 28, 576–578. doi:10.3109/13561820.2014.917403

Gibson, S., & Molloy, E. (2012). Professional skill development needs of newly graduated health professionals: A systematic literature review. Focus on Health Professional Education: A Multidisciplinary Journal, 13(3), 71–83. Retrieved from http://search.informit.com.au/browseJournalTitle;res=AEIPT;issn=1442-1100

Hayashi, T., Shinozaki, H., Makino, T., Ogawara, H., Asakawa, Y., Iwasaki, K., . . . Watanabe, H. (2012). Changes in attitudes toward interprofessional health care teams and education in the first- and third-year undergraduate students. Journal of Interprofessional Care, 26, 100–107. doi:10.3109/13561820.2011.644355

Hood, K., Cant, R., Baulch, J., Gilbee, A., Leech, M., Anderson, A., & Davies, K. (2014). Prior experience of interprofessional learning enhances undergraduate nursing and healthcare students' professional identity and attitudes to teamwork. Nurse Education in Practice, 14, 117–22. doi:10.1016/j.nepr.2013.07.013

Howard, D., Ryan, K., Eudy, R., Mosser, G., & Boyd, K. (2010). Critical

decision points in designing inter-professional education. The Journal of Health Administration Education, 27, 135–144. Retrieved from http://www.aupha.org/ i4a/pages/index.cfm?pageid=3321

Interprofessional Practice Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice. Retrieved from http://www. aacn.nche.edu/education-resources/ipecreport.pdf

Levinson, M. R., & McGillion, T. (2011). Changing perceptions and opinions in nursing and medical students through interprofessional education. Focus on Health Professional Education: A Multidisciplinary Journal, 13(2), 13–24. Retrieved from http://search.informit.com.au/browseJournalTitle;res=AEIPT;issn=1442-1100

Marton, F. (2000). The structure of awareness. In J. Bowden & E. Walsh (Eds.), Phenomenography (pp. 102–116). Melbourne, Australia: RMIT Publishing.

Mayne, L. (2012). Reflective writing as a tool for assessing teamwork in bioscience: Insights into student performance and understanding of teamwork. Biochemistry and Molecular Biology Education, 40, 234–240. doi:10.1002/bmb.20621

Molinari, C. A. (2012). Online and blended learning: Are we delivering quality undergraduate programs in health administration? The Journal of Health Administration Education, 29, 71–85. Retrieved from http://www.aupha.org/i4a/ pages/index.cfm?pageid=3321

Osborne, J. E. (2009). Alternative models for sharing common content across health curricula. Focus on Health Professional Education: A Multidisciplinary Journal, 11(1), 49–60. Retrieved from http://search.informit.com.au/browseJournalTitle;re s=AEIPT;issn=1442-1100

Pang, M. F. (2003). Two faces of variation: On continuity in the phenomenographic movement. Scandinavian Journal of Educational Research, 47, 145–156. doi:10.1080/0031383032000047466

Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Hammick, M., & Koppel, I. (2008). Interprofessional education: Effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews, 1. doi:10.1002/14651858.CD002213.pub2

Rhee, J., Parent, D., & Basu, A. (2013). The influence of personality and ability on undergraduate teamwork and team performance. SpringerPlus, 2(1), 16. doi:10.1186/2193-1801-2-16

Ryan, M., & Ryan, M. (2013). Theorising a model for teaching and assessing reflective learning in higher education. Higher Education Research & Development, 32, 244–257. doi:10.1080/07294360.2012.661704

Sendall, M. C., & Domocol, M. L. (2013). Journalling and public health education: Thinking about reflecting . . . Education + Training, 55, 52–68. doi:10.1108/00400911311294997

Sitzmann, T., Ely, K., Brown, K. G., & Bauer, K. N. (2010). Self-assessment of knowledge: A cognitive learning or affective measure? Academy of Management Learning & Education, 9, 169–191. doi:10.5465/AMLE.2010.51428542

Tseng, H., Wang, C-H., Ku, H-Y., & Sun, L. (2009). Key factors in online collaboration and their relationship to teamwork satisfaction. The Quarterly Review of Distance Education, 10, 195–206. Retrieved from http://search.proquest.com/do cview/231183153?accountid=8440

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Published

2015-07-29

How to Cite

McNaughton, S. (2015). Students’ reflections on first-year interprofessional teamwork: Phenomenographic evaluation of function and success. Focus on Health Professional Education: A Multi-Professional Journal, 16(3), 86–100. https://doi.org/10.11157/fohpe.v16i3.82

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