NEITHER CLINIC NOR LECTURES
– BUT A POWERFUL HYBRID LEARNING ENVIRONMENT
Facilitating students’ interprofessional and didactic competencies in a student-led clinic offering antenatal classes
Mulle Signe Nielsen, Annemette Rasmussen & Nynne Sindberg
NJF - 4. May, 2019
University College Copenhagen 2
The birth of a student-led health clinic
Established in 2011
Collaborations between students and lectures from 8 educations
Various activities, eg;
Antenatal classes x 4 annual
Each class: 10 couples, 5 sessions of two hours
4 teams of 8-10 students from
Midwifery, Physiotherapy and Nutrition
& Health
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A general transfer problem and a need for experimental forms of learning settings
The student-led clinic as a new hybrid learning settting with focus on transfer
(Haastrup et al. 2013; Wahlgren & Aarkrog 2012)
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WHO’s Key Message on Interprofessional collaboration:
• ”Collaborative practice strengthens health systems and improve health outcomes” (WHO 2010)
Learning outcomes in curriculum for Midwifery Program:
• To develop competencies for interprofessional and crosssectoral collaboration in the healthcare system (Midwifery Program 2009, 2016, 2018)
A setting where students from different educations can learn about, from and with one another
A generel increased focus on
interprofessional education (IPE)
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A specifik concern for Midwifery students learning process
Financial cut downs and lack of midwives.
Reshaping af smaller antenatal classes to larger auditorium lectures
A possibility for students to train competencies in didactic and teaching
(© Danmarks Radio)
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Hybrid learning environment
Transfer learning Interprofessionel
collaboration
Didactic and teaching competencies
Clinic Theory
The student-led clinic
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Mixed Methods Design
02-05-2019
Develope
the program Document the
effects
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8 02-05-2019
Observations
Observing the students work
2011-
Focusgroups
7 explorative focus groups with
students 2012- 1016
Questionaries
Questionaire about factors contributing to learning - 2014
Selfmonitoring competencies on a before and after the
program - 2014
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Ways of facilitating a hybrid learning environment
Before: Planning seminars
During: teaching breastfeeding
After: Supervision
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How we facilitate Interprofessional Education: Passing on a present
Your profession is good at x- competence
Thank you - I am good at the given competence
I am also good at …
Your profession is good at Y-competence
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How to succeed as an interprofessional
team
Breastfeeding as an interprofessional topic in
the antenatal class
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The effect of Interprofessional Learning
“My experince of working in an
interprofessional team is, that you can learn a lot from each other.
When we first started out at the seminars, we had a lot of ideas, and then I sat there thinking to myself, very selfish, that we alone as midwives easily could teach all the
subjects, but then of course it turned out that the other professions could add more specific knowledge to the users in our classes.
This was a good experience”.
(Focusgroup 2016)
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Narrative supervision
Solo writing Duo interview
Plenum storytelling
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How we facilitate IPE, transfer and didactic competencies
What did you do?
What is it that you can?
What do you know?
What is important for you?
What it all says about who you are as a
team?
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The effect of the narrative supervision
I got a good understanding of what the other professions have to offer.
What their cultures are and how they cope in different situations.
And I also got an understanding of why we sometimes disagree on how to do things. It is like, ok now I understand, they are simply used to work in a completely different way than us.
I learned that by listening to their perspectives in a totally different way during the supervision.
(Focus gruop 2014)
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Narrative supervision
Solo writing Duo interview
Solo reflection
Plenum storytelling
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Do the supervisors support transfer learning?
• 80 % of the student state that the supervisors have supported their transfer learning process.
• 82 % of the students agree that the supervisors are helping them to systematize and understand their own experiences.
• 79 % of the students agree that the supervisors have been supporting their use of experiences in a new setting.
(From Questionnaire 2014)
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How much do you know about the other professions in the team (1-5)?
2 May, 2019
Before participating in the health clinic %
1 2 3 4 5
After participating in the health clicnic %
1 2 3 4 5
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How competent are you to work in a interprofessional team (rated 1-5)?
2 May, 2019
Before participating in the health clinic (%)
1 2 3 4 5
After participating in the health clinic (%)
1 2 3 4 5
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95 % of the students will recommend a fellow student to participate in the Health Clinic.
02-05-2019
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On the edge of a new normal?
What are the potentials for new hybrid learning environments?
• Study units?
• …?
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Contact
Nynne Ek Sindberg
Associate Lecturer, Midwifery Program nysi@kp.dk
Anne Mette Rasmussen
Associate Lecturer, Midwifery Program amra@kp.dk
Mulle Signe Nielsen
Associate Lecturer, Nutrion & Health Program
muni@kp.dk
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