Dijkstra, Marrit (2024) Collaboration as transactional or relational? - A discourse analysis on collaborative perspectives retrieved from focus groups discussions with nurses, midwifes and residents. thesis, Medicine.
Full text available on request.Abstract
Introduction: Social changes and looming personnel shortages require more interprofessional collaboration.1 The latter consists of professions with each own assumptions, beliefs and values to collaborate. When two or more professions talk differently while assuming they mean the same, this can lead to conflict.19 Different perceptions exist on ‘collaboration’, based upon for example archive studies. 2,3,4 Our study explores how medical personnel actually talks about ‘collaboration’, as an expression of professional culture. This can give insight in what knowledge is needed to learn and improve interprofessional collaboration.4,5,6 Method: This is a qualitative study using a Foucauldian discourse analysis. Monoprofessional focus groups with nurses, midwifes and residents were held. In this study a discourse analysis gives researchers the tools to analyse how language constitutes the social world considering ‘collaboration’.30 It constructs what consequences it has for those living in that social reality. This allowed researchers to investigate discursive constructions of ‘collaboration’ and its consequences. 7,30 Results: At the end of 2023 3 monoprofessional focus group discussions were held. A transactional and relational discourse was found. The transactional discourse uses collaboration as a tool for the medical team to deliver patient care. A relational discourse portrays collaboration as a tool to maintain relations between medical professionals. Nurses shifted from transactional towards relational when talking about IPC. Midwifes used mainly the relational discourse. Residents used mainly the transactional discourse. Conclusion: Awareness on the truths and consequences of both discourses can inform interprofessional collaborative practices and its education as both discourses can interact concomitantly.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | dr. Versluis, M.A.C. |
| Faculty: | Medical Sciences |
| Date Deposited: | 09 Sep 2024 12:42 |
| Last Modified: | 09 Sep 2024 12:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3755 |
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