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Ecological interchangeability: supporting team adaptive expertise in moments of disruption.
Cristancho, Sayra; Field, Emily; Lingard, Lorelei; Taylor, Taryn; Hibbert, Kathy; Thompson, Graham; Hibbert, William.
Afiliação
  • Cristancho S; Department of Surgery, Centre for Education Research & Innovation, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada. sayra.cristancho@schulich.uwo.ca.
  • Field E; Centre for Education Research & Innovation (CERI), Western University, London, ON, Canada.
  • Lingard L; Department of Medicine, Centre for Education Research & Innovation, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
  • Taylor T; Department of Obstetrics and Gynecology, Centre for Education Research & Innovation, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
  • Hibbert K; Faculty of Education, Western University, London, ON, Canada.
  • Thompson G; Department of Biology, Western University, London, ON, Canada.
  • Hibbert W; Police Foundations, Fanshawe College, London, ON, Canada.
Adv Health Sci Educ Theory Pract ; 27(5): 1361-1382, 2022 Dec.
Article em En | MEDLINE | ID: mdl-36357657
While undesirable, unexpected disruptions offer unique opportunities to enact adaptive expertise. For adaptive expertise to flourish, individuals and teams must embrace both efficiency and adaptation. While some industries do it readily, others continue to struggle with the tension between efficiency and adaptation, particularly when otherwise stable situations are unexpectedly disrupted. For instance, in healthcare settings, the efficiency mandate for strict compliance with scopes of practice can deter teams from using the adaptive strategy of making their members interchangeable. Yet, interchangeability has been hinted as a key capacity of today' teams that are required to navigate fluid team structures. Because interchangeability - as an adaptive strategy - can generate antagonistic reactions, it has not been well studied in fluid teams. Thus, in this exploratory qualitative study we sought to gain insights into how interchangeability manifests when fluid teams from five different contexts (healthcare, emergency services, orchestras, military, and business) deal with disruptive events. According to our participants, successful interchangeability was possible when people knew how to work within one's role while being aware of their teammates' roles. However, interchangeability included more than just role switching. Interchangeability took various forms and was most successful when teams capitalized on the procedural, emotional, and social dimensions of their work. To reflect this added complexity, we refer to interchangeability in fluid teams as Ecological Interchangeability. We suggest that ecological interchangeability may become a desired feature in the training of adaptive expertise in teams, if its underlying properties and enabling mechanisms are more fully understood.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Atitude do Pessoal de Saúde Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Revista: Adv Health Sci Educ Theory Pract Assunto da revista: EDUCACAO / SAUDE PUBLICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Canadá País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Equipe de Assistência ao Paciente / Atitude do Pessoal de Saúde Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Revista: Adv Health Sci Educ Theory Pract Assunto da revista: EDUCACAO / SAUDE PUBLICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Canadá País de publicação: Holanda