Students’ reflections on first-year interprofessional teamwork: Phenomenographic evaluation of function and success
Keywords:interprofessional education, teamwork, reflection, undergraduate, assessment
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.
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.
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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