Forming professional identities on the health care team: discursive constructions of the ‘other’ in the operating room

Lingard, Lorelei; Reznick, Richard K.; Devito, Isabella; Espin, Sherry

doi:10.1046/j.1365-2923.2002.01271.x

Cited by 229 publications

(167 citation statements)

References 13 publications

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“…This dynamic also produces the identity of the 'inter-professional', transcending the default and dominant identity of '(uni)professional', and challenges the rhetorical tactics by which professional silo boundaries are maintained and unproductive identity differences are crystallised (Lingard et al 2002;Bleakley 2006).…”

Section: Discussionmentioning

confidence: 99%

Towards culture change in the operating theatre: Embedding a complex educational intervention to improve teamwork climate

2012

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Background: Changing teamwork climate in healthcare through a collective shift in attitudes and values may be a necessary precursor to establishing a positive teamwork culture, where innovations can be more readily embedded and sustained. A complex educational intervention was initiated across an entire UK Trust's surgical provision, and then sustained. Attitudes towards teamwork were measured longitudinally to examine if the intervention produced sustainable results. Aims: The research aimed to test whether sustaining a complex education intervention to improve teamwork would result in an incremental, longitudinal improvement in attitudes and values towards teamwork. The intervention's larger aim is to progress the historical default position of multi-professional work to authentic inter-professional teamwork, as a positive values climate translates in time into behavioural change defining a safety culture. Method: Attitudes were measured at three points across all surgical team personnel over a period of 4 years, using a validated Safety Attitudes Questionnaire with a focus on the 'teamwork climate' domain. Pre-and post-intervention 'teamwork climate' scores were compared to give a longitudinal measure as a test of sustainability. Results: Mean 'teamwork climate' scores improved incrementally and significantly following the series of educational interventions, showing that practitioners' valuing of teamwork activity can be improved and sustained. Conclusions: Longitudinal positive change in attitudes and values towards teamwork can be sustained, suggesting that a deliberate, designed complex intervention can shape a safety climate as a necessary prerequisite for the establishment of a sustainable safety culture.

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Section: Discussionmentioning

confidence: 99%

Towards culture change in the operating theatre: Embedding a complex educational intervention to improve teamwork climate

2012

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“…Constructivism is an increasingly important perspective for interprofessional training as it focuses on relationships, providing a link between shared meaning and normative action that allows critique of discourse. For instance, in one study of a surgical team the differences between a team member's self-image and the description from 'other' professions in how they attributed motivation and responsibility created conflict (Lingard et al 2002). Only after examining these constructs from a 'metaperspective', comparing and contrasting competing discourses, can we begin to be aware of our tacit assumptions and examine our implicit biases and stereotypes.…”

Section: Constructivismmentioning

confidence: 99%

The Foundations of interprofessional curriculum. Finding the right epistemology and learning theory for the task

Smith¹,

King²,

Fisher³

et al. 2017

MedEdPublish

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“…Our theoretical model embodied the core values, beliefs, attitudes, unique clinical skills and roles of the physiotherapists within the health care system [23][24][25][26][27]. Specifically, the questions on our Our Professionalism Inventory consisted of three subscales.…”

Section: Figure-1 Fundamental Elements/core Values/attributes Of Promentioning

confidence: 99%

Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism

Balogun¹,

Mbada

Balogun³

et al. 2017

International Journal of Medical and Health Sciences Research

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Article HistoryBackground and Purpose: There is currently no culturally appropriate instrument to assess Nigerian physiotherapists" knowledge and attributes of professionalism. This study sets out to develop a psychometric instrument to assess the knowledge and attributes of professionalism of Nigerian physiotherapists, and to investigate the instrument's readability, stability, and internal consistency. Methods: A Professionalism Inventory with eight demographic questions, ten knowledge of professionalism questions and sixteen attributes of professionalism perception-based statements was developed. The attributes of professionalism scale assess clinical competence, a spirit of inquiry, accountability, autonomy, advocacy, innovation and visionary, collegiality and collaboration, and ethics and values. The Inventory was completed on two occasions, after two-week interval, by 91 Nigerian physiotherapists. Results: The Inventory"s average grade reading level was 10. The intra class correlation coefficient (ICC 3, 1) for the knowledge of professionalism scale ranged from "moderate" (0.421, p<0.001) to "substantial" (0.770, p<0.001). The Kendall's coefficient of concordance for the attributes of professionalism scale ranged from "fair" (0.368, p<0.001) to "moderate" (0.547, p<0.001). The Cronbach alpha for the knowledge of professionalism scale was "almost perfect" (0.813, p<0.0001); and "substantial" (0.780, p<0.001) for professionalism attributes scale. Conclusion: The knowledge and attributes of professionalism scales are stable and internally consistent. The availability of this psychometric instrument will promote studies of professionalism in physiotherapy. Contribution/Originality:This study is the first psychometric instrument developed to assess Nigerian physiotherapists" knowledge and attributes of professionalism and also the first to document the instrument's readability, stability, and internal consistency statistical properties.

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Forming professional identities on the health care team: discursive constructions of the ‘other’ in the operating room

Cited by 229 publications

References 13 publications

Towards culture change in the operating theatre: Embedding a complex educational intervention to improve teamwork climate

Towards culture change in the operating theatre: Embedding a complex educational intervention to improve teamwork climate

The Foundations of interprofessional curriculum. Finding the right epistemology and learning theory for the task

Development and Evaluation of the Readability, Stability and Internal Consistency of a Psychometric Instrument Designed to Assess Physiotherapists Knowledge and Attributes of Professionalism

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