Learning to plan? A critical fiction about the facilitation of professional and practice development plans in primary care.
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| Title: | Learning to plan? A critical fiction about the facilitation of professional and practice development plans in primary care. |
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| Authors: | Elwyn, Glyn, Hocking, Paul, Burtonwood, Ann, Harry, Karan, Turner, Arthur |
| Source: | Journal of Interprofessional Care. Nov2002, Vol. 16 Issue 4, p349-358. 10p. |
| Subjects: | Primary health care, Health care teams, Medical education |
| Geographic Terms: | Wales |
| Abstract: | A shift from continuing medical education towards professional and organisational development policies, coupled with the introduction of accountability frameworks (clinical governance), has generated interest in professional and practice development plans (PPDPs) in general practice. The problems of implementing this change in an independent contractor-based service remain unexplored and the aims of this study were to focus on the facilitator's experience of the issues that hampered or fostered development in general practice. Facilitators of PPDPs were asked to document their experience of supporting 12 practices in an all Wales feasibility study. In order to maintain organisational anonymity while reporting accurate accounts of the obstacles encountered, a method known as critical fiction was employed. This method allowed the authors to write detailed reflective accounts that were then fictionalised. The culture of general practice reflects the development of an independent contractor service that has developed into partnerships that employ some professionals (practice nurses, managers and administrative staff) and collaborate with others in variable arrangements (community nurses, health visitors, midwives and others). Developing organisationwide systems in so-called 'primary health care teams' is a difficult exercise, given the ethos of autonomous decision-making processes and the lack of experience of 'whole systems' approaches in primary care. The potential for multiprofessional synergy and the evidence that systematic changes lead to sustained health care improvements are well established. But the implementation issues of these concepts have not been addressed. Existing educational policies are based in uniprofessional paradigms and the protected time requirements and funding streams required for PPDPs have not been clarified. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 7870315 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Learning to plan? A critical fiction about the facilitation of professional and practice development plans in primary care. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Elwyn%2C+Glyn%22">Elwyn, Glyn</searchLink><br /><searchLink fieldCode="AR" term="%22Hocking%2C+Paul%22">Hocking, Paul</searchLink><br /><searchLink fieldCode="AR" term="%22Burtonwood%2C+Ann%22">Burtonwood, Ann</searchLink><br /><searchLink fieldCode="AR" term="%22Harry%2C+Karan%22">Harry, Karan</searchLink><br /><searchLink fieldCode="AR" term="%22Turner%2C+Arthur%22">Turner, Arthur</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Interprofessional+Care%22">Journal of Interprofessional Care</searchLink>. Nov2002, Vol. 16 Issue 4, p349-358. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Wales%22">Wales</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: A shift from continuing medical education towards professional and organisational development policies, coupled with the introduction of accountability frameworks (clinical governance), has generated interest in professional and practice development plans (PPDPs) in general practice. The problems of implementing this change in an independent contractor-based service remain unexplored and the aims of this study were to focus on the facilitator's experience of the issues that hampered or fostered development in general practice. Facilitators of PPDPs were asked to document their experience of supporting 12 practices in an all Wales feasibility study. In order to maintain organisational anonymity while reporting accurate accounts of the obstacles encountered, a method known as critical fiction was employed. This method allowed the authors to write detailed reflective accounts that were then fictionalised. The culture of general practice reflects the development of an independent contractor service that has developed into partnerships that employ some professionals (practice nurses, managers and administrative staff) and collaborate with others in variable arrangements (community nurses, health visitors, midwives and others). Developing organisationwide systems in so-called 'primary health care teams' is a difficult exercise, given the ethos of autonomous decision-making processes and the lack of experience of 'whole systems' approaches in primary care. The potential for multiprofessional synergy and the evidence that systematic changes lead to sustained health care improvements are well established. But the implementation issues of these concepts have not been addressed. Existing educational policies are based in uniprofessional paradigms and the protected time requirements and funding streams required for PPDPs have not been clarified. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=7870315 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/1356182021000008274 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 349 Subjects: – SubjectFull: Primary health care Type: general – SubjectFull: Health care teams Type: general – SubjectFull: Medical education Type: general – SubjectFull: Wales Type: general Titles: – TitleFull: Learning to plan? A critical fiction about the facilitation of professional and practice development plans in primary care. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Elwyn, Glyn – PersonEntity: Name: NameFull: Hocking, Paul – PersonEntity: Name: NameFull: Burtonwood, Ann – PersonEntity: Name: NameFull: Harry, Karan – PersonEntity: Name: NameFull: Turner, Arthur IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2002 Type: published Y: 2002 Identifiers: – Type: issn-print Value: 13561820 Numbering: – Type: volume Value: 16 – Type: issue Value: 4 Titles: – TitleFull: Journal of Interprofessional Care Type: main |
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