Making the invisible visible : a place for utilizing activity theory within in situ simulation to drive healthcare organizational development?

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Abstract

Background

The healthcare needs of our societies are continual changing and evolving. In order to meet these needs, healthcare provision has to be dynamic and reactive to provide the highest standards of safe care. Therefore, there is a continual need to generate new evidence and implement it within healthcare contexts. In recent times, in situ simulation has proven to have been an important educational modality to accelerate individuals’ and teams’ skills and adaptability to deliver care in local contexts. However, due to the increasing complexity of healthcare, including in community settings, an expanded theoretical informed view of in situ simulation is needed as a form of education that can drive organizational as well as individual learning.

Main body

Cultural-historical activity theory (CHAT) provides us with analytical tools to recognize and analyse complex health care systems. Making visible the key elements of an in situ simulation process and their interconnections, CHAT facilitates development of a system-level view of needs of change.

Conclusion

In this paper, we theorize how CHAT could help guide in situ simulation processes—to generate greater insights beyond the specific simulation context and bring about meaningful transformation of an organizational activity.

Related collections

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Author and article information

Contributors

Gerard J. Gormley:

ORCID: https://orcid.org/0000-0002-1701-7920

g.gormley@qub.ac.uk

Journal

Journal ID (nlm-ta): Adv Simul (Lond)

Journal ID (iso-abbrev): Adv Simul (Lond)

Title: Advances in Simulation

Publisher: BioMed Central (London )

ISSN (Electronic): 2059-0628

Publication date (Electronic): 23 October 2020

Publication date PMC-release: 23 October 2020

Publication date Collection: 2020

Volume: 5

Electronic Location Identifier: 29

Affiliations

[1 ]GRID grid.4777.3, ISNI 0000 0004 0374 7521, Centre for Medical Education, , Queen’s University Belfast, ; Belfast, Northern Ireland

[2 ]GRID grid.7737.4, ISNI 0000 0004 0410 2071, Faculty of Educational Sciences, , University of Helsinki, ; Helsinki, Finland

Author information

Gerard J. Gormley https://orcid.org/0000-0002-1701-7920

Anu Kajamaa https://orcid.org/0000-0002-6397-545X

Richard L. Conn https://orcid.org/0000-0002-2564-254X

Article

Publisher ID: 148

DOI: 10.1186/s41077-020-00148-8

PMC ID: 7582418

SO-VID: 98c7f8fc-5b74-444e-9110-72a4b7b6ae3c

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 26 June 2020

Date accepted : 9 October 2020

Custom metadata

Keywords: general practice,community-based healthcare,in situ simulation,activity theory

Data availability:

Keywords: general practice, community-based healthcare, in situ simulation, activity theory