Activity confrontation methods: A reflexive and metacognitive approach for interprofessional collaboration training

Abstract

Integration of interprofessional collaboration into healthcare education and training programmes has become a fundamental issue. Its objective is to learn how to collectively build collaborative care practice that addresses the uniqueness of each context and the specific situation of the patient. It is also about understanding the process of collectively building collaborative care practice in order to be able to apply it in different contexts. This article describes a study that aimed to examine the value of relying on activity confrontation methods to develop training. These methods consist of filming practitioners during an activity and encouraging them to analyse it. It was found that these methods encourage reflexive analysis of the motives for pursuing interprofessional action (identifying constitutive factors) but also a metacognitive approach on the conditions of learning (p < 0.01). In addition to the educational dimensions (methods and leadership positions) and organisational dimensions (frameworks), it was found that the patient’s role is essential in developing interprofessional care practice and training (p < 0.01). Given the nature of these findings, this article goes on to suggest that the patient must be considered a “partner” in development and delivery of interprofessional learning and care.

• Activity confrontation methods
• experiential learning
• interprofessional education
• organisational learning
• pragmatism

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

Notes

¹The national scale, called AGGIR for Autonomie Gérontologie Groupes Iso-Ressources, assesses the degree of loss of autonomy or the degree of physical or psychological dependence of an elderly person in carrying out their daily activities. The level GIR 1 corresponds to elderly people confined to a bed or to a wheelchair whose mental functions are severely impaired or who require the critical and continuous presence of a caregiver.

²NHS Shared Decision-Making Programme (UK); in France, law of 4 March 2002 pertaining to patients’ rights and the quality of the healthcare system known as the Law on Democracy in healthcare.