Varpio Lara, Teunissen Pim
School of Medicine, The Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Educational Development and Research, Maastricht University, Maastricht, The Netherlands.
Med Teach. 2021 Jan;43(1):32-37. doi: 10.1080/0142159X.2020.1791318. Epub 2020 Jul 16.
Healthcare professionals need to be able to collaborate in interprofessional healthcare teams (IHTs). This paper discusses how healthcare professionals (can) contribute to IHT effectiveness. Using cultural historical activity theory and its affiliated concept of knotworking, it argues that healthcare professionals would benefit from developing not just leadership but also followership skills. Moreover, IHT collaborators need the ability to switch fluently between leader and follower roles as appropriate to advance patient care. This fluency is essential for collaborative knotworking. Knotworking refers to the process of tying and retying together individual threads of activity and expertise from across the IHT, over time, to achieve specific objects. Knotworking highlights the dynamic dimensions of IHT collaboration that require professionals to be both effective leaders followers. The perspectives presented in this paper lead to a different view of IHTs, one that recognizes how leaders and followers co-produce the leadership teams need.
医疗保健专业人员需要能够在跨专业医疗团队（IHTs）中进行协作。本文讨论了医疗保健专业人员如何为IHT的有效性做出贡献。运用文化历史活动理论及其相关的“编织工作”概念，本文认为医疗保健专业人员不仅需要培养领导能力，还需要培养跟随能力，才能从中受益。此外，IHT的协作人员需要能够根据情况在领导者和跟随者角色之间灵活切换，以推进患者护理工作。这种灵活性对于协作性的编织工作至关重要。编织工作指的是随着时间的推移，将IHT中各个活动和专业知识的线索捆绑并重新捆绑在一起，以实现特定目标的过程。编织工作突出了IHT协作的动态维度，这要求专业人员既要成为有效的领导者，也要成为有效的跟随者。本文提出的观点引发了对IHTs的不同看法，即认识到领导者和跟随者如何共同产生团队所需的领导力。
