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How workplace learning is put into practice : contrasting the medical and nursing contexts from the perspective of teaching and learning regimes

Liljedahl, Matilda ; Björck, Erik and Bolander Laksov, Klara LU (2023) In Advances in Health Sciences Education 28(3). p.811-826
Abstract

Health professions education places significant emphasis on learning in the clinical environment. While experiences of workplace learning have been extensively investigated, practices of workplace learning explored through field work have been less utilized. The theoretical framework of teaching and learning regimes acknowledges aspects of power and conflict in its consideration of what guides teachers and learners in their practice of workplace learning. This study aimed to explore practices of workplace learning in the two adjacent healthcare professions; medicine and nursing. We adopted an ethnographic qualitative design. Field observations and follow-up interviews were performed in three clinical departments and the data set... (More)

Health professions education places significant emphasis on learning in the clinical environment. While experiences of workplace learning have been extensively investigated, practices of workplace learning explored through field work have been less utilized. The theoretical framework of teaching and learning regimes acknowledges aspects of power and conflict in its consideration of what guides teachers and learners in their practice of workplace learning. This study aimed to explore practices of workplace learning in the two adjacent healthcare professions; medicine and nursing. We adopted an ethnographic qualitative design. Field observations and follow-up interviews were performed in three clinical departments and the data set comprised 12 full days of observations and 16 formal follow-up interviews. Thematic analysis was performed deductively according to the theoretical framework. Four teaching and learning regimes were found in the data. In the medical context, workplace learning was either practiced as reproduction of current practice or through stimulation of professional development. In the nursing context, workplace learning was either based on development of partnership between student and supervisor or on conditional membership in a professional community. The medical and nursing contexts demonstrated varying underpinnings and assumptions relating to teaching and learning. The respective practices of workplace learning in the medical and nursing context appear to hold substantial differences which might have implications for how we understand practices of workplace learning. We further conclude that the theoretical framework of teaching and learning regimes in this study proved useful in exploring workplace learning.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Qualitative Research, Learning, Workplace, Students, Medical, Students, Nursing
in
Advances in Health Sciences Education
volume
28
issue
3
pages
16 pages
publisher
Springer
external identifiers
  • scopus:85143242439
  • pmid:36459259
ISSN
1573-1677
DOI
10.1007/s10459-022-10195-7
language
English
LU publication?
no
additional info
© 2022. The Author(s).
id
d731a74f-ebc5-42e8-9a67-11131b4592bc
date added to LUP
2024-02-09 13:36:47
date last changed
2024-04-26 06:22:17
@article{d731a74f-ebc5-42e8-9a67-11131b4592bc,
  abstract     = {{<p>Health professions education places significant emphasis on learning in the clinical environment. While experiences of workplace learning have been extensively investigated, practices of workplace learning explored through field work have been less utilized. The theoretical framework of teaching and learning regimes acknowledges aspects of power and conflict in its consideration of what guides teachers and learners in their practice of workplace learning. This study aimed to explore practices of workplace learning in the two adjacent healthcare professions; medicine and nursing. We adopted an ethnographic qualitative design. Field observations and follow-up interviews were performed in three clinical departments and the data set comprised 12 full days of observations and 16 formal follow-up interviews. Thematic analysis was performed deductively according to the theoretical framework. Four teaching and learning regimes were found in the data. In the medical context, workplace learning was either practiced as reproduction of current practice or through stimulation of professional development. In the nursing context, workplace learning was either based on development of partnership between student and supervisor or on conditional membership in a professional community. The medical and nursing contexts demonstrated varying underpinnings and assumptions relating to teaching and learning. The respective practices of workplace learning in the medical and nursing context appear to hold substantial differences which might have implications for how we understand practices of workplace learning. We further conclude that the theoretical framework of teaching and learning regimes in this study proved useful in exploring workplace learning.</p>}},
  author       = {{Liljedahl, Matilda and Björck, Erik and Bolander Laksov, Klara}},
  issn         = {{1573-1677}},
  keywords     = {{Humans; Qualitative Research; Learning; Workplace; Students, Medical; Students, Nursing}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{811--826}},
  publisher    = {{Springer}},
  series       = {{Advances in Health Sciences Education}},
  title        = {{How workplace learning is put into practice : contrasting the medical and nursing contexts from the perspective of teaching and learning regimes}},
  url          = {{http://dx.doi.org/10.1007/s10459-022-10195-7}},
  doi          = {{10.1007/s10459-022-10195-7}},
  volume       = {{28}},
  year         = {{2023}},
}