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A process oriented approach to promoting collaborative practice: Incorporating complexity methods

机译:促进协作实践的面向过程的方法:合并复杂性方法

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Background: Only recently have complexity informed methods been viewed as a strategy for changing health care systems and care delivery. Aims: This article reports on participants' perceptions of being involved in a complexity informed educational approach to promote interprofessional collaboration in a system of care for children with disabilities. Methods: Over a one-year period, all employees within a network of eight community agencies participated in three day-long workshops. A subset of twenty-four employees participated in eight monthly facilitated discussion groups. The workshops and discussion groups focused on processes rooted in complexity sciences which value small-scale interaction to improve the quality of discovery and shared problem solving. Learning group members (n=24) and their facilitators (n=4) participated in interviews and focus groups at the end of the project. Results: Qualitative content analyses of the transcriptions of the interviews and focus groups revealed that participants identified tangible benefits of the process oriented approach. Challenges related to the lack of structure and emergent nature of the methods were identified. Conclusions: Lessons learned include incorporating a gradual shift to emergent methods, fostering ownership from the beginning of the process, providing ongoing training to facilitators, flexibility and use of small-group scenarios.
机译:背景:直到最近,复杂性告知方法才被视为改变卫生保健系统和护理服务的策略。目的:本文报道了参与者对参与复杂性知情教育方法的看法,以促进在残疾儿童照料系统中的专业间合作。方法:在一年的时间内,由八个社区机构组成的网络中的所有员工都参加了为期三天的研讨会。二十四名员工中的一部分参加了八个每月的便利讨论小组。研讨会和讨论小组专注于植根于复杂性科学的过程,这些过程重视小规模的互动,以提高发现和共享问题解决的质量。在项目结束时,学习小组成员(n = 24)和他们的主持人(n = 4)参加了访谈和焦点小组。结果:对访谈和焦点小组的笔录进行的定性内容分析表明,参与者确定了面向过程的方法的切实好处。确定了与方法缺乏结构和紧急性质有关的挑战。结论:获得的经验教训包括逐步过渡到新兴方法,从流程开始就培养主人翁精神,为推动者提供持续的培训,灵活性和小组情景的使用。

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