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      Learning to teach with patients and caregivers: a focused ethnography

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          Abstract

          Background

          Little is known about what happens when patients and caregivers are involved in an academic setting as co-teachers and how healthcare professionals approach a new model of partnership-based teaching. This study aimed to explore the learning and behavioural patterns of a group of healthcare professionals who were learning to teach with patients and caregivers as co-teachers in a post-graduate course.

          Methods

          A focused ethnographic study involving 11 health professionals was conducted. Data were collected through participatory observation during the course, individual semi-structured interviews, and a follow-up focus group. Taxonomic analysis was performed.

          Results

          Three categories were identified: ‘group’, ‘role of narration’ and ‘applying co-teaching with patients and caregivers ’. Specifically, heterogeneity, absence of hierarchies, and balanced relationships characterised the group dynamic and promoted partnership. Narration played a key role both in learning and in healthcare professionals’ relationship with patients and caregivers and promoted emotional skills and self-awareness. Project planning and lessons simulations were essential aspects of the implementation process.

          Conclusions

          This focused ethnography helped further understanding of the context of a specific project involving patients and caregivers as co-teachers in healthcare professional education. The development of emotional skills and self-awareness are the main learning patterns of co-teaching, and interprofessionalism and balanced relationships are the basis of the behavioural patterns. These patterns facilitated the involvement of patients and caregivers in health education.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12909-024-05197-5.

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          Most cited references47

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          A practical guide to reflexivity in qualitative research: AMEE Guide No. 149

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            Researcher Positionality - A Consideration of Its Influence and Place in Qualitative Research - A New Researcher Guide

            Masters and PhD student researchers in the social sciences are often required to explore and explain their positionality, as, in the social world, it is recognized that their ontological and epistemological beliefs influence their research. Yet novice researchers often struggle with identifying their positionality. This paper explores researcher positionality and its influence on and place in the research process. Its purpose is to help new postgraduate researchers better understand positionality so that they may incorporate a reflexive approach to their research and start to clarify their positionality.
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              Active patient involvement in the education of health professionals.

              Patients as educators (teaching intimate physical examination) first appeared in the 1960s. Since then, rationales for the active involvement of patients as educators have been well articulated. There is great potential to promote the learning of patient-centred practice, interprofessional collaboration, community involvement, shared decision making and how to support self-care. We reviewed and summarised the literature on active patient involvement in health professional education. A synthesis of the literature reveals increasing diversity in the ways in which patients are involved in education, but also the movement's weaknesses. Most initiatives are 'one-off' events and are reported as basic descriptions. There is little rigorous research or theory of practice or investigation of behavioural outcomes. The literature is scattered and uses terms (such as 'patient'!) that are contentious and confusing. We propose future directions for research and development, including a taxonomy to facilitate dialogue, an outline of a research strategy and reference to a comprehensive bibliography covering all health and human services.
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                Author and article information

                Contributors
                sara.alberti@unimore.it
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                3 March 2024
                3 March 2024
                2024
                : 24
                : 224
                Affiliations
                [1 ]Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, ( https://ror.org/02d4c4y02) str. Giuseppe Campi n° 287, Modena, 41125 Italy
                [2 ]Qualitative Research Unit, Azienda USL-IRCCS di Reggio Emilia, viale Umberto I, Reggio Emilia, 42123 Italy
                [3 ]Nursing Research Competence Centre, Ente Ospedaliero Cantonale, str. Officina n°3, Bellinzona, 6500 Switzerland
                [4 ]Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, ( https://ror.org/05ep8g269) str. Violino n°11, Manno, 6928 Switzerland
                Article
                5197
                10.1186/s12909-024-05197-5
                10910666
                38433220
                e5a4fb0e-e274-4ea4-a4a0-6805ca725e38
                © The Author(s) 2024

                Open Access This 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
                : 17 July 2023
                : 19 February 2024
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2024

                Education
                healthcare professional education,patient and caregiver participation,narration,emotions,interprofessional relations,qualitative research

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