The Department of Public Health and Primary Health Care, The University of Bergen, Bergen, Norway.
The Department of Education, The University of Bergen, Bergen, Norway.
J Interprof Care. 2020 Jan-Feb;34(1):59-65. doi: 10.1080/13561820.2019.1621805. Epub 2019 May 27.
In this article we aim to elucidate some pedagogical aspects of interprofessional workplace learning, using the learning strategies of the Centre for Interprofessional Workplace Learning, Norway (TVEPS) as a case. We find the Expansive Learning Theory well suited for a creative interaction with the learning strategies at our interprofessional training centre. The Expansive Learning Theory focuses on learning over a substantial time horizon, but also opens for micro-cycles of learning over a shorter time of hours or days, which mirrors the learning system of TVEPS. As the social premises for learning are both situated and in change, human learning as a social process is diverse and in continuous change. Expansive Learning Theory focuses the interprofessional team learning at the workplace rather than on individual learning. Thereby such team learning is regarded as situated at the workplace premises physically, interpersonally, administratively and social-historically. The interprofessional student team's learning process creates an , a construct within the physical, ethical, social, administrative, or theoretical domain. In the TVEPS learning system, the is the patient care plan which the student team produces, by working on in the . By debriefing the (the care plan) with the staff, the is developed further in creative interplay. New may be developed, as changed care or change in administrative systems at the workplace. By linking these concepts, Expansive Learning Theory can function as an analytical tool for understanding interprofessional learning activity at the workplace.
本文旨在阐明一些跨专业工作场所学习的教学方面,以挪威跨专业工作场所学习中心(TVEPS)的学习策略为例。我们发现,扩展学习理论非常适合与我们跨专业培训中心的学习策略进行创造性互动。扩展学习理论侧重于在较长时间内进行学习,但也为在数小时或数天的较短时间内进行学习的微周期打开了大门,这反映了 TVEPS 的学习系统。由于学习的社会前提既具有情境性又在不断变化,因此作为社会过程的人类学习是多样化的,并在不断变化。扩展学习理论将跨专业团队的学习重点放在工作场所,而不是个人学习上。这样,这种团队学习被视为在工作场所的物理、人际、行政和社会历史前提上进行。跨专业学生团队的学习过程在物理、伦理、社会、行政或理论领域内创造了一个“构建”。在 TVEPS 的学习系统中,“构建”是学生团队通过在“情境”中处理“问题”来制作的患者护理计划。通过与员工一起对“护理计划”进行反思,“构建”在创造性的互动中得到进一步发展。可能会开发新的“构建”,例如工作场所的护理或行政系统的改变。通过将这些概念联系起来,扩展学习理论可以作为分析工具,用于理解工作场所的跨专业学习活动。