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Faculty of Medical Sciences

A harmonious conflict: junior doctors’ experiences of interprofessional collaboration

van Duin, T.S. (2020) A harmonious conflict: junior doctors’ experiences of interprofessional collaboration. thesis, Medicine.

Full text available on request.

Abstract

Background: Interprofessional collaboration (IPC) takes place when different health care professionals work together to achieve a high quality of care. Interprofessional Education (IPE) aims to prepare junior doctors for IPC. In order to further optimize IPE, we need to understand how junior doctors—new to working autonomously in a multi-professional team—experience IPC. The aim of this study is to investigate what factors impact on how junior doctors experience IPC, and to understand their needs as learners. Methods: In this multicentre qualitative study, 13 junior doctors each drew two rich pictures of IPC experiences, one exciting and/or rewarding and one frustrating and/or challenging. A rich picture is a visual representation of a particular situation, intended to capture an experience in all its complexity. The pictures were used to support semi-structured interviews and were analysed aesthetically. Both visual materials and interview transcripts were analysed iteratively, for which we adopted an inductive constructivist thematic analysis. Results: The rich pictures showed collaborations in different contexts, with the transition from medical student to doctor playing an important role in how IPC was experienced. Factors that impacted the experiences of IPC were divided in five main themes. Feeling competent as a doctor, understanding one’s own role, having harmonious collaborations and a ‘good’ outcome all contributed to positive IPC experiences. However, most junior doctors struggled with taking on different perspectives, handling conflicts and navigating power-relations. Junior doctors depicted strong emotions in the rich pictures, especially in challenging collaborations. Conclusions: Key to the experiences of IPC was the junior doctor’s challenge to combine learning ‘how to be’ a doctor with learning IPC. Medical educators should be aware of the emotionality of IPC, as well as junior doctors’ expectations regarding good IPC.

Item Type: Thesis (UNSPECIFIED)
Supervisor name: Versluis, Dr. M.A.C. and de Carvalho Filho, Dr. M.A.
Faculty: Medical Sciences
Date Deposited: 12 Sep 2023 11:29
Last Modified: 12 Sep 2023 11:29
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/3683

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