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Co-producing interp...
Co-producing interprofessional round work : Designing spaces for patient partnership
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- Thörne, Karin (författare)
- Linköpings universitet,Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Futurum, Academy for Health and Care, Region Jönköping County,Avdelningen för samhällsmedicin,Medicinska fakulteten,Jönköping University, Sweden
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- Andersson-Gäre, Boel (författare)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Jonköping University, Sweden
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- Hult, Håkan (författare)
- Karolinska Institute, Sweden
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- Abrandt Dahlgren, Madeleine (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten
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(creator_code:org_t)
- Wolters Kluwer, 2017
- 2017
- Engelska.
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Ingår i: Quality Management in Health Care. - : Wolters Kluwer. - 1063-8628 .- 1550-5154. ; 26:2, s. 70-82
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Within wide-ranging quality improvement agendas, patient involvement in health care is widely accepted as crucial. Ward rounds that include patients' active participation are growing as an approach to involve patients, ensure safety, and improve quality. An emerging approach to studying quality improvement is to focus on "clinical microsystems," where patients, professionals, and information systems interact. This provides an opportunity to study ward rounds more deeply. A new model of conducting ward rounds implemented through quality improvement work was studied, using the theory of practice architectures as an analytical tool. Practice architecture focuses on the cultural-discursive, social-political, and material-economic conditions that shape what people do in their work. Practice architecture is a sociomaterial theoretical perspective that has the potential to change how we understand relationships between practice, learning, and change. In this study, we examine how changes in practices are accomplished. The results show that practice architecture formed co-productive learning rounds, a possible model integrating quality improvement in daily work. This emerged in the interplay between patients through their "double participation" (as people and as information on screens), and groups of professionals in a ward round room. However, social interplay had to be renegotiated in order to accomplish the goals of all ward rounds.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- SAMHÄLLSVETENSKAP -- Annan samhällsvetenskap -- Tvärvetenskapliga studier inom samhällsvetenskap (hsv//swe)
- SOCIAL SCIENCES -- Other Social Sciences -- Social Sciences Interdisciplinary (hsv//eng)
Nyckelord
- clinical microsystem
- co-production
- practice architectures
- quality improvement
- sociomaterial practice theory
- ward round
- workplace learning
- human
- learning
- theoretical model
- theory-practice relationship
- total quality management
- workplace
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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