27.02.15: Forskriftskravet om trening i samhandling utenfor sykehus kan bedre samarbeidet lokalt. Leder i akuttmedisinsketeam er legen ut fra rett til å bestemme diagnose og behandling. Forskerteamet til Brandstorp finner at legen forventes å ha oversikt, innsikt og bidra til ro, men andre tar over styringen når de har den beste komeptansen - uten at noen reagerer. Noen uskrevne, dype regler for samspill er også med på lede teamet.
E-mail adress: helen.brandstorp@uit.no, cellphone 99152115
Advisor Frank Remman: +47-77645512
Mailing adress:
Nasjonalt senter for distriktsmedisin,
Boaittobealmedisiinna našunála guovddáš
ISM; Helsefak; UiT
N-9037 Tromsø
Hopp over tips en venn - Hovedinnhold - Topp
Hopp over seksjon - Til hovedinnhold - Topp
2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | Januar - Februar - Mars - April - Mai - Juni - Juli - August - September - Oktober - November - Desember
27.02.2015
Artikkelen inngår i et større kritisk aksjonsforskningsprosjekt der utforsking og forbedring av Kommune-BEST-treninger i Alta er det lokale målet og ny kunnskap med overføringsverdi er bidraget til samfunnet.
Leadership practice as interaction in primary care emergency team training
Av Helen Brandstorp, Anna Luise Kirkengen, Birgitte Sterud, Bjørgun Haugland, Peder A. Halvorsen. Action Research Vol 13, No 1 2015. Sage publications
The present study, framed as critical action research, aimed at contributing to the improvement of training emergency teams in primary care. The first author was a participating observer in local simulation sessions performed by ten different teams. Leadership practice as interaction was analysed in three types of communicative spaces: in the review and debriefing sessions; in the author group; and in focus groups involving local stakeholders.
The teams practiced both designated and distributed leadership in the course of the various training sessions. During the simulation sessions, the teams remained aware of the physicians’ formal responsibility for decisions concerning diagnosis and medication. Shifts in leadership modes coincided with situational changes requiring particular competencies. Distribution of leadership and teamwork dynamics were informed by simple, yet fundamental principles: strong commitment to the task at hand even though "unreal"; responsibility for the patient’s life and health; responsibility for the colleagues’ functioning and well-being; and, a perception of calmness as an indicator of good teamwork. A rising awareness with regard to leadership practice as interaction was facilitated by critical application of theory and engaged participation of local personnel in several analytical phases.
Research from the same group:
Training interaction in primary care emergency teams: the role of the patient. Brandstorp, Kirkengen, Halvorsen, Sterud, Haugland. International Journal of Person Centered Medicine, 2012
Nasjonalt senter for distriktsmedisin. Institutt for samfunnsmedisin, 9037 Tromsø. Telefon: +47 776 45 512