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dc.contributor.authorBrandstorp, Helen
dc.contributor.authorHalvorsen, Peder Andreas
dc.contributor.authorSterud, Birgitte
dc.contributor.authorHaugland, Bjørgun
dc.contributor.authorKirkengen, Anna Luise
dc.date.accessioned2017-01-31T08:43:59Z
dc.date.available2017-01-31T08:43:59Z
dc.date.issued2016-07-21
dc.description.abstract<b>Objective:</b> The purpose of our study was to explore the local learning processes and to improve in situ team training in the primary care emergency teams with a focus on interaction.<br> <b>Design, setting and subjects:</b> As participating observers, we investigated locally organised trainings of teams constituted ad hoc, involving nurses, paramedics and general practitioners, in rural Norway. Subsequently, we facilitated focus discussions with local participants. We investigated what kinds of issues the participants chose to elaborate in these learning situations, why they did so, and whether and how local conditions improved during the course of three and a half years. In addition, we applied learning theories to explore and challenge our own and the local participants’ understanding of team training.<br> <b>Results:</b> In situ team training was experienced as challenging, engaging, and enabling. In the training sessions and later focus groups, the participants discussed a wide range of topics constitutive for learning in a sociocultural perspective, and topics constitutive for patient safety culture. The participants expanded the types of training sites, themes and the structures for participation, improved their understanding of communication and developed local procedures. The flexible structure of the model mirrors the complexity of medicine and provides space for the participants’ own sense of responsibility.<br> <b>Conclusion:</b> Challenging, monthly in situ team trainings organised by local health personnel facilitate many types of learning. The flexible training model provides space for the participants’ own sense of responsibility and priorities. Outcomes involve social and structural improvements, including a sustainable culture of patient safety.en_US
dc.descriptionThis is an Open Access article distributed under the terms of <a href="http://creativecommons.org/licenses/by-nc/4.0/">the Creative Commons Attribution-NonCommercial License</a>, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. <br> This article is also available via DOI:<a href="http://dx.doi.org/10.1080/02813432.2016.1207150">10.1080/02813432.2016.1207150</a>en_US
dc.identifier.citationBrandstorp H, Halvorsen PA, Sterud B, Haugland B, Kirkengen AL. Primary care emergency team training in situ means learning in real context. Scandinavian Journal of Primary Health Care. 2016;34(3):295-303en_US
dc.identifier.cristinIDFRIDAID 1372272
dc.identifier.doi10.1080/02813432.2016.1207150
dc.identifier.issn0281-3432
dc.identifier.issn1502-7724
dc.identifier.urihttps://hdl.handle.net/10037/10238
dc.language.isoengen_US
dc.publisherTaylor & Francis Openen_US
dc.relation.journalScandinavian Journal of Primary Health Care
dc.rights.accessRightsopenAccessen_US
dc.subjectGeneral practiceen_US
dc.subjectin situ team trainingen_US
dc.subjectmedical emergency teamen_US
dc.subjectNorwayen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Family practice: 751en_US
dc.titlePrimary care emergency team training in situ means learning in real contexten_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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