Health Professional Education, Faculty of Health Sciences, Western University, 1201 Western Rd., Elborn College, London, ON, N6G 1H1, Canada.
Institute of Health Sciences Education, Faculty of Medicine and Health Sciences, McGill University, 1110 Pine Avenue West, Montreal, QC, H3A 1A3, Canada.
Adv Health Sci Educ Theory Pract. 2023 May;28(2):387-410. doi: 10.1007/s10459-022-10157-z. Epub 2022 Sep 8.
It has become relatively common practice within health professional education to invite people who have used mental health and social care services (or service user educators) to share their stories with health professional learners and students. This paper reports on findings from a postcritical ethnographic study of the practice of service user involvement (SUI), in which we reflexively inquired into conceptualizations of service user educators' knowledge contributions to health professional education in the accounts of both service user- and health professional educators. This research was conducted in response to recent calls for greater scrutiny surrounding the risks, challenges, and complexities inherent in involving service users in health professional education spaces. 'Story/telling' was identified as a pronounced overarching construct in our analysis, which focuses on participants' reports of both the obvious and more subtle tensions and complexities they experience in relation to storytelling as a predominant tool or approach to SUI. Our findings are presented as three distinct, yet overlapping, themes related to these complexities or tensions: (a) performative expectations; (b) the invisible work of storytelling; and (c) broadening conceptualizations of service user educators' knowledge. Our findings and discussion contribute to a growing body of literature which problematizes the uncritical solicitation of service user educators' stories in health professional education and highlights the need for greater consideration of the emotional and epistemic labour expected of those who are invited to share their stories. This paper concludes with generative recommendations and reflexive prompts for health professional educators seeking to engage service user educators in health professional education through the practice of storytelling.
在健康专业教育中,邀请使用过心理健康和社会保健服务的人(或服务使用者教育者)与健康专业学习者和学生分享他们的故事,这已成为一种相对常见的做法。本文报告了一项后批判民族志研究服务使用者参与(SUI)实践的结果,我们在服务使用者教育者和健康专业教育者的叙述中,反思性地探究了服务使用者教育者的知识对健康专业教育的贡献的概念化。这项研究是对最近呼吁对将服务使用者纳入健康专业教育空间所固有的风险、挑战和复杂性进行更严格审查的回应。“讲故事”被确定为我们分析中的一个突出的总体结构,重点关注参与者对讲故事作为 SUI 的主要工具或方法的明显和更微妙的紧张关系和复杂性的报告。我们的发现以三个不同但重叠的主题呈现,这些主题与这些复杂性或紧张关系有关:(a)表现性期望;(b)讲故事的无形工作;(c)拓宽服务使用者教育者知识的概念化。我们的研究结果和讨论有助于解决健康专业教育中不加批判地征求服务使用者教育者的故事这一问题日益增多的文献,并强调需要更加考虑到那些被邀请分享他们的故事的人的情感和认识论劳动。本文最后为希望通过讲故事实践让服务使用者教育者参与健康专业教育的健康专业教育者提出了一些有创造性的建议和反思性的提示。