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Interprofessional education in health and social care: fashion or informed practice?

Craddock, Deborah, O'Halloran, Cath, Borthwick, Alan and McPherson, Kath (2006) Interprofessional education in health and social care: fashion or informed practice? Learning in Health and Social Care, 5 (4). pp. 220-242. ISSN 1473-6853

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This paper presents a critical review of literature on interprofessional education in the continuum of professional development in health and social care. In particular it explores the range and variety of theoretical frameworks underpinning interprofessional education initiatives across the United Kingdom. In doing so this paper highlights the limited application of educational theory within the broader literature, particularly in the description of the methods employed and in the choices of processes or outcome measures selected. Despite these drawbacks, a focus on the learning and teaching methods used within each interprofessional education programme enabled an explicit categorization of the educational theories being applied (albeit implicitly). The educational theories identified predominantly linked to adult learning theory and reflective practitioner theory. It is, however, acknowledged that such theories alone are not enough to underpin interprofessional education. Theories were therefore also derived from social psychological studies of group behaviour and teamwork approaches; group development and team learning theories focusing on intragroup collaboration; and bio-psychological theories to inform interprofessional education. The paper concludes that (a) more explicit consideration of theory is required in the development of new interventions; (b) reference to educational theory in evaluation should be encouraged and facilitated; (c) evaluation of different models of interprofessional educational interventions is required if interprofessional education in health and social care is to develop as an informed practice rather than become a transient educational fashion.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
L Education > L Education (General)
Schools: School of Human and Health Sciences
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References: •Allport G.W. (1979) The Nature of Prejudice, 25th edn. Perseus Books Publishing, Cambridge. •Annandale S., McCann S., Natress H., Regan De Bere S., Williams S. & Evans D. (2000) Achieving health improvement through interprofessional learning in south west England. Journal of Interprofessional Care 14, 161–174. CrossRef, CSA •Atkins J. (1998) Tribalism, loss and grief: issues for multi-professional education. Journal of Interprofessional Care 12, 303–307. CSA •Barnes D., Carpenter J. & Dickinson C. (2000) Interprofessional education for community mental health: attitudes to community care and professional stereotypes. Social Work Education 19, 565–583. CrossRef, CSA •Barr H. (1994) Perspectives on Shared Learning. Centre for Advancement of Interprofessional Education, London. •Barr H. (2002) Assuring the Quality of IPE for Health Social Care a Consultation Paper. UK Centre for Advancement of IPE, London. •Barr H., Freeth D., Hammick M., Koppel I. & Reeves S. (2000) Evaluations of Interprofessional Education. The United Kingdom Centre for the Advancement of Interprofessional Education, London. •Barr H., Koppel I., Reeves S., Hammick M. & Freeth D. (2005) Effective Interprofessional Education: Argument, Assumption and Evidence. Blackwell Publishing, Oxford. •Biggs J. (1999) Teaching for Quality Learning at University: What the student does. Buckingham, Society for Research into Higher Education & Open University Press. •Biley F.C. & Smith K.L. (1999) Following the forsaken: a procedural description of a problem based learning programme in a school of nursing studies. Nursing and Health Sciences 1, 93–102. Synergy, Medline •Boydell T. (1976) Experiential Learning.Monograph 5, University of Manchester Press, Manchester. •Boyer E.L. (1990) Scholarship Reconsidered: Priorities of the Professoriate. Princeton, N.J.: The Carnegie Foundation for the Advancement of Teaching. •Brosnan M.J., Scott F.J., Fox S. & Pye J. (2004) Gestalt processing in autism: failure to process perceptual relationships and the implications for contextual understanding. Journal of Child Psychology and Psychiatry 45, 459–469. Synergy, Medline, ISI •Brown G. & Atkins M. (1988) Effective Teaching in Higher Education. Methuen, London. •Brown R. & Williams J. (1984) Group identification: the same thing to all people? Human Relations 37, 547–564. CrossRef, ISI, CSA •CAIPE (Centre for the Advancement of Interprofessional Education) (1997) Interprofessional Education – A Definition. CAIPE, London. •Cameron A. & Masterson A. (2003) Reconfguring the clinical workforce . In: The Future Health Workforce (ed. C. Davies) , pp. 68–86. Palgrave, London. •Campbell J.K. & Johnson C. (1999) Trend Spotting: fashions in medical education. British Medical Journal 318, 1272–1275. Medline, ISI, CSA •Campion-Smith C. & Wilcock P. (2000) Interprofessional learning and continuous quality improvement in primary care. CAIPE Bulletin 18, 11–12. •Campion-Smith C. & Wilcock P. (2001) Putting patients first will help interprofessional education. British Medical Journal 322, 676. CrossRef, Medline, ISI, CSA •Cannon R. & Newble D. (2003) A Handbook for Teachers in Universities and Colleges, 4th edn. Kogan Page, London. •Cantillon P. & Jones R. (1999) Does continuing medical education in general practice make a difference? British Medical Journal 318, 1276–1279. Medline, ISI, CSA •Carpenter J. (1995) Doctors and nurses stereotype change in interprofessional education. Journal of Interprofessional Care 9, 151–161. CSA •Carpenter J., Barnes D., Dickinson C. & Wooff D. (2006) Outcomes of interprofessional education for Community Mental Health Services in England: the longitudinal evaluation of a postgraduate programme. Journal of Interprofessional Care 20, 145–161. CrossRef, Medline •Carpenter J. & Hewstone M. (1996) Shared learning for doctors and social workers. British Journal of Social Work 26, 239–257. ISI, CSA •Carrier J. & Kendall I. (1995) Professionalism and interprofessionalism in health and community care; some theoretical issues . In: Interprofessional Issues in Community and Primary Health Care. Ch. 10. (eds pp. Owens, J. Carrier & J. Horder), pp. 9–36, MacMillan, Basingstoke. •Chastonay P., Brenner E., Peel S. & Guilbert J.J. (1996) The need for more efficacy and relevance in medical education. Medical Education 30, 235–238. Medline, ISI •Coles C. (1998) How students learn: the process of learning . In: Medical Education in the Millennium (eds B. Jolly & L. Rees) , pp. 63–82. Oxford University Press, Oxford. •Colliver J. (2000) Effectiveness of problem based learning curricula. Academic Medicine 75, 259–266. CrossRef, Medline, ISI, CSA •Coomarasamy A. & Khan K.S. (2004) What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. British Medical Journal 329, 1017. CrossRef, Medline, ISI •Cooper H., Carlisle C., Gibbs T. & Watkins C. (2001) Developing an evidence base for interdisciplinary learning: a systematic review. Journal of Advanced Nursing 35, 228–237. Synergy, Medline, ISI, CSA •Cross K.P. (1981) Adults as Learners. Jossey- Bass, San Francisco, CA. •Davenport J. & Davenport J.A. (1985) A chronology and analysis of the andragogy debate. Adult Education Quarterly 35, 152–159. CrossRef, ISI •Del Mar C., Glasziou P. & Mayer D. (2004) Teaching evidence based medicine. British Medical Journal 329, 989–990. CrossRef, Medline, ISI •Department of Health (1991) Junior Doctors: The New Deal. National Health Service Medical Executive, London. •Department of Health (1993) Hospital Doctors: Training for the Future. Department of Health, London. •Department of Health (1994) The Challenges for Nursing and Midwifery in the 21st Century. The Stationary Office, London. •Department of Health (1999) Clinical Governance: Quality in the New NHS. HMSO, London. •Department of Health (2000a) The NHS Plan. HMSO, London. •Department of Health (2000b) Meeting the Challenge: A Strategy for the Allied Health Professionals. HMSO, London. •Department of Health (2000c) A Health Service of All Talents Developing the NHS Workforce. HMSO, London. •Department of Health (2001a) Working Together–Learning Together. HMSO, London. •Department of Health (2001b) Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–95. The Stationary Office Limited, London. •Department of Health (2002) Learning from Bristol: The Department of Health's Response to the Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–95. The Stationary Office Limited, Norwich. •Department of Health (2003) The Victoria Climbie Inquiry , CM5730. The Stationary Office Limited, Norwich. •Dolmans D. & Schmidt H. (1983) The advantages of problem based curricula. Postgraduate Medicine 17, 11–16. •Donovan T., Hutchison T. & Kelly A. (2003) Using simulated patients in a multiprofessional communications skills programme: reflections from the programme facilitators. European Journal of Cancer Care 12, 123–128. Synergy, Medline, ISI, CSA •Elwyn G., Greenhalgh T. & MacFarlane F. (2001) Groups: A Guide to Small Group Work in Health Care, Management, Education and Research. Radcliffe Medical, Abingdon. •Engel G.L. (1977) The need for a new medical model: a challenge for biomedicine. Science 196, 129–136. CrossRef, Medline, ISI •Engestrom Y., Engestrom R. & Vahaaho T. (1999) When the centre does not hold: the importance of knotworking . In: Activity Theory Social Practice (eds S. Chaklin, M. Hedegaard & U.J. Jensen), pp. 345–374. Aarhus University Press, Aarhus. •Eva K.W. (2002) Teamwork during education: the whole is not always greater than the sum of the parts. Medical Education 36, 314–316. Synergy, Medline, ISI •Finch J. (2000) Interprofessional education and teamworking: a view from the education providers. British Medical Journal 321, 1138–1140. CrossRef, Medline, ISI, CSA •Fitzpatrick J. (1998) Building community: developing skills for interprofessional health professions education and relationship centred care. Journal of Nurse-Midwifery 43, 61–65. CrossRef, Medline •Forbes E.J. & Fitzimmonds V. (1993) Education: the key for holistic interdisciplinary collaboration. Holistic Nursing Practice 7, 1–10. Medline •Frank A. (2000) Interprofessional education and teamworking. British Medical Journal, 321, 1138–1140. CrossRef, Medline, CSA •Freeth D. & Reeves S. (1999) Interprofessional Training Ward Pilot Phase: Evaluation Project Report Internal Research Report No. 14. City University, London. •Freeth D., Hammick M., Koppel I., Reeves S. & Narr H. (2002) A Critical Review of Evaluations of Interprofessional Education: A Review Commissioned by the Learning and Teaching Support Network for Health Sciences and Practice. LTSN–Centre for Health Sciences and Practices, London. •Freeth D., Hammick M., Reeves S., Koppel I. & Barr H. (2005) Effective Interprofessional Education: Development, Delivery and Evaluation. Blackwell Publishing, Oxford. •Gibbs G. (1998) Learning by doing: a guide to teaching and learning methods. FEU, London. •Goosey D. & Barr H. (2002) Selected Case Studies of Interprofessional Education. Centre for the Advancement of Interprofessional Education, London. •Grahem J. & Wealthall S. (1999) Interdisciplinary education for the health professions. Focus on Health Professional Education: A Multi-Disciplinary Journal 1, 49. •Green M.L. and Ellis P.J. (1997) Impact of an evidence-based medicine curriculum based on adult learning theory. Journal of General Internal Medicine 12(12), 742–750. Synergy, Medline, ISI •Greiner A. (2003) Health Professions Education: A Bridge to Quality. National Academies Press, Washington, DC. •Guest C., Smith L., Bradshaw M. & Hardcastle W. (2002) Facilitating interprofessional learning for medical and nursing students in clinical practice. Learning in Health and Social Care 1, 132–138. Synergy •Hale C. (2003) Interprofessional education: the way to a successful workforce? British Journal of Therapy and Rehabilitation 10, 122–127. •Hammick M. (1998) IPED: concept, theory and application. Journal of Interprofessional Care 12, 323–332. CSA •Hammond M. & Collins R. (1991) Self-Directed Learning: Critical Practice. Nichols / GP Publishing, New York. •Hart E. & Fletcher J. (1999) Learning how to change: a selective analysis of literature and experience of how teams learn and organisations change. Journal of Interprofessional Care 13, 53–63. CSA •Hayes E.R. & Wilson A.L. (2001) From the editors: the loss of mastery in adult education scholarship- travel and travail. Adult Education Quarterly 51, 269–272. CrossRef, ISI •Hean S. & Dickinson C. (2005) The contact hypothesis: an exploration of its further potential in interprofessional education. Journal of Interprofessional Care 19, 480–491. CrossRef, Medline •Heath I. (1998) A seamless service. British Medical Journal 317, 1723–1724. Medline, ISI, CSA •Heron J. (1989) The Facilitator's Handbook. Kogan Page, London. •Hind M., Norman I., Cooper S., Gill E., Hilton R., Judd P. & Jones C. (2003) Interprofessional of healthcare students. Journal of Interprofessional Care 17, 21–34. CrossRef, Medline, CSA •Holme H.A. (1998) Quality issues in continuing medical education. British Medical Journal 316, 621–624. Medline, CSA •Jackson N. & Burton J. (2003) Theory and practice of work-based learning and why work-based learning in the new NHS . In: Work-Based Learning in Primary Care (eds J. Burton & N. Jackson) , pp. 13–24. Radcliffe Medical Press, Oxford. •Jacques D. (2000) Learning in Groups: A Handbook for Improving Groupwork, 3rd edn. Kogan Page, London. •Johnson D. (2000) The use of learning theories in the design of a work-based learning course at masters level. Innovations in Education and Training International, 37 (2), 129–133. CrossRef •Jonassen D.H. & Rohrer-Murphy L. (1999) Activity theory as a framework for designing constructivist learning environments. Education Technology Research and Development 47, 61–79. CrossRef, ISI •Kaufman D.M. (2003) Applying educational theory in practice. British Medical Journal 326, 213–216. CrossRef, Medline, ISI, CSA •Kerr J., Mole L. & Bradley P. (2003) Early introduction to interprofessional learning: a simulated ward environment. Medical Education 37, 248–255. Synergy, Medline •Klein R. (2000) The politics of risk. British Medical Journal 321, 1091–1092. CrossRef, Medline, ISI, CSA •Knowles M.S. (1990) The Adult Learner: A Neglected Species. Gulf Publishing, Houston, TX. •Knowles M.S. (1984) Andragogy in Action: Applying Modern Principles of Adult Learning. Jossey-Bass, San Francisco, CA. •Koehn E. (2001) Assessment of communications and collaborative learning in civil engineering education. Journal of Professional Issues in Engineering Education and Practice 127, 160–165. CrossRef, ISI •Kolb D.A. (1984) Experiential Learning: Experience as the Source of Learning and Development. Prentice Hall, Hillside, NJ. •Koppel I., Barr H., Reeves S. et al. (2001) Establishing a systematic approach to evaluating the effectiveness of inter-professional education. Issues in Inter-disciplinary Care 3, 41–49. •Larivaara P. & Taanila A. (2004) Towards interdisciplinary family orientated teams in primary care: evaluation of a training programme. Journal of Interprofessional Care 18, 153–164. CrossRef, Medline •Leathard A. (1991) Going interdisciplinary. Nursing 4, 9–11. Medline •Leathard A. (1994) Interprofessional developments in Britain . In: Going Interprofessional Working Together for Health and Welfare (ed. A. Leathard), pp. 3–37. Routledge, London. •Livingstone D. & Lynch K. (2000) Group project work and student centred active learning: two different experiences. Studies in Higher Education 25, 325–345. CrossRef, ISI •Lohman M.C. & Finkelstein M. (2002) Designing cases in problem-based learning to foster problem-solving skill. European Journal of Dental Education 6, 121–127. Synergy, Medline •Luhtanen R. & Crocker J. (1992) A collective self esteem scale: self evaluation of one's social identity. Personality Social Psychology, Bulletin 18, 302–318. CrossRef, ISI, CSA •Mandy A., Milton C. & Mandy P. (2004) Professional stereotyping and interprofessional education. Learning in Health and Social Care 3, 154–170. Synergy •McPherson K., Headrick L. & Moss F. (2001) Working and learning together: good quality care depends on it, but how can we achieve it? Quality in Health Care 10 (Suppl. II:): ii46–ii53. CrossRef, Medline •Meads G., Ashcroft J., Barr H., Scott R. & Wild A. (2005) The Case for Interprofessional Collaboration in Health Social Care. Blackwell Publishing, Oxford. •Meads G.D., Chesterman D., Goosey D. & Whittington C. (2003) Practice into theory: learning to facilitate new health and social care partnerships in London. Learning in Health and Social Care 2, 123. Synergy •Merriam S.B. (2004) The role of cognitive development in Mezirow's transformational learning theory. Adult Education Quarterly 55, 60–68. CrossRef, ISI •Merriam S.B. & Caffarella R.S. (1991) Learning in Adulthood. Jossey-Bass, San Francisco, CA. •Mezirow J. (1997) Transformative learning: theory to practice. New Directory for Adults and Continuing Education 74, 5–12. CrossRef •Mezirow J. (2004) Forum comment on Sharan Merriam's ‘The role of cognitive development in Mezirow's transformational learning theory’. Adult Education Quarterly 55, 69–70. CrossRef, ISI •Miettinen R. (2000) The concept of experiential learning and John Dewey's theory of reflective thought and action. International Journal of Lifelong Education 19, 54–72. CrossRef •Miller C., Ross N. & Freeman M. (1999) Shared Learning and Clinical Teamwork: New Directions in Education for Multi-professional Practice. English National Board for Nursing, Midwifery and Health Visiting, London. •Miller C., Ross N. & Freeman M. (2001) Inter Professional Education in Health Social Care. Arnold Publications, London. •Newble D.I. (2002) Don't presume about experienced adult learners in medicine. British Medical Journal 325, 779. CrossRef, Medline, ISI •Nisbett R. (2003) The Geography of Thought. Free Press, New York. •Norman G.R. & Schmidt H.G. (2000) Effectiveness of problem based learning curricula: theory, practice and paper darts. Medical Education 34, 721–728. Synergy, Medline, ISI •O’Halloran C., Hean S., Humphris D. & MacLeod-Clark J. (2006) Developing Common Learning: the New Generation Project undergraduate curriculum model. Journal of Interprofessional Care 20, 12–28. CrossRef, Medline •Oandasan I. & Reeves S. (2005a) Key elements for interprofessional education. Part I: The learner, the educator and the learning context. Journal of Interprofessional Care 19 (Suppl. 1), 21–38. CrossRef, Medline •Oandasan I. & Reeves S. (2005b) Key elements for interprofessional education. Part 2. Factors, processes and outcomes. Journal of Interprofessional Care 19 (Suppl. 1), 39–48. CrossRef, Medline •Ovretveit J. (1997) How to describe interprofessional working . In: Interprofessional Working for Health Social Care (eds J. Ovretweit, P. Mathias & T. Thompson), pp. 9–33. MacMillan, London. •Parsell G. & Bligh J. (1999) The development of a questionnaire to assess the readiness of healthcare students for interprofessional learning. Medical Education 33, 95–100. Synergy, Medline, ISI •Puliyel M.M., Puliyel J.M. & Puliyel U. (1999) Drawing on adult learning theory to teach personal and professional values. Medical Teacher 21, 513–515. CrossRef, ISI, CSA •Rachal J.R. (2002) Andragogy's detectives: a critique of the present and a proposal for the future. Adult Education Quarterly 52, 210–227. CrossRef, ISI •Rawson D. (1994) Methods of interprofessional work: likely theories and possibilities . In: Going Interprofessional: Working Together for Health and Welfare (ed. A. Leathard), pp. 38–63. Routledge, London. •Reeves S. & Freeth D. (2002) The London training ward: an innovative interprofessional learning initiative. Journal of Interprofessional Care 16, 41–52. CrossRef, Medline, CSA •Reeves S., Freeth D., McCrorie P. & Perry D. (2002) Teamworking ‘It teaches you what to expect in the future …’: Interprofessional learning on a training ward for medical, nursing, occupational therapy and physiotherapy students. Medical Education 36, 337–344. Synergy, Medline, ISI •Regehr G. & Norman G.R. (1996) Isues in cognitive psychology: implications for professional education. Academic Medicine 71, 988–1001. Medline, ISI, CSA •Reubling I., Lavin M.A., Banks R., Block L., Counte M., Furman G., Miller P., Reese C. & Viehmann V. (2000) Facilitating facilitators for, barriers to, and outcomes of interdisciplinary education projects in the health sciences. Journal of Allied Health 29, 165–170. Medline •Reynolds F. (2003) Initial experiences of interprofessional problem-based learning: a comparison of male and female students’ views. Journal of Interprofessional Care 17, 35–44. CrossRef, Medline, CSA •Richards T. (1998) Continuing medical education. British Medical Journal 316, 246. Medline, ISI, CSA •Roberts C., Howe A., Winterburn S. & Fox N. (2000) Not so easy as it sounds: a qualitative study of a shared learning project between medical and nursing undergraduate students. Medical Teacher 22, 386–391. CrossRef, ISI, CSA •Rodriguez-Illera J.L. (2001) Design of Collaborative Learning Environments. Elsevier-Science, Oxford. •Romer T.A. (2003) Learning process and professional content in the theory of Donald Schon. Reflective Practice 4, 85. CrossRef •Ross F. & Southgate L. (2000) Learning together in medical and nursing training: aspirations and activity. Medical Education 34, 739–743. Synergy, Medline, ISI •Scholes J. & Vaughan B. (2002) Cross-boundry Working: implications for the multiprofessional team. Journal of Clinical Nursing 11, 399–408. Synergy, Medline, ISI, CSA •Schon D.A. (1987) Educating the Reflective Practitioners: Towards a New Design for Teaching and Learning in the Profession. Jossey-Bass, San Francisco, CA. •Sherif M. (1966) Group Conflict and Cooperation: Their Social Psychology. Routledge and Kegan, London. •Spencer J.A. & Jordan R.K. (1999) Learner centred approaches in medical education. British Medical Journal 318, 1280–1283. Medline, ISI, CSA •Streed C.P. & Stoecker J.L. (1991) Stereotyping between physical therapy students and occupational therapy students. Physical Therapy 71, 16–20. Medline, ISI •Terwel J., Gillies R.M., van den Eeden P. & Hoek D. (2001) Co-operative learning processes of students: a longitudinal multilevel perspective. British Journal of Educational Psychology 71, 619–645. CrossRef, Medline, ISI, CSA •Tuckman R.W. (2003) Developmental sequence in small groups. Psychological Bulletin 63, 384–399. CrossRef •Tunstall-Pedoe S., Rink E. & Hilton S. (2003) Students attitudes to undergraduate interprofessional education. Journal of Interprofessional Care 17, 161–172. CrossRef, Medline, CSA •Turner J. (1999) Some current issues in research on social identity and self categorisation theories . In: Social Identity (eds N. Ellemers, R. Spears & B. Dooje), pp. 6–34. Blackwell, Oxford. •West M.A. (1996) Reflexivity and work group effectiveness: a conceptual integration . In: Handbook of Work and Group Psychology (ed. M.A. West), pp. 555–579. Wiley, Chichester. •Wood D. (2001) Interprofessional education – still more questions than answers? Medical Education 35, 816–817. Synergy, Medline, ISI •Wood D.F. (2003) Problem based learning. British Medical Journal 326, 328–330. CrossRef, Medline, ISI, CSA •World Health Organization (1988) Learning Together to Work Together for Health. Report of a WHO Study on Multiprofessional Education for Health Personnel . WHO Technical Report Series 769, WHO, Geneva, Switzerland. •Zwarestein M. & Reeves S. (2000) What's so great about collaboration? British Medical Journal 320, 1022–1023. CrossRef, Medline, CSA
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