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One lens missing? Clarifying the clinical microsystem framework with learning theories
Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare. Jönköping University, The Jönköping Academy for Improvement of Health and Welfare. Linnéuniversitetet.
Linnéuniversitetet, Institutionen Pedagogik.
Jönköping University, School of Health Science, HHJ, Quality Improvement and Leadership in Health and Welfare.
2013 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 22, no 2, 126-136 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: The clinical microsystem (CMS)approach is widely used and is perceived as helpfulin practice but, we ask the question: “Is its learningpotential sufficiently utilized?”

Objectives: Toscrutinize aspects of learning within the CMSframework and to clarify the learning aspects theframework includes and thereby support theframework with the enhanced learning perspectivethat becomes visible.

Methods: Literature on theCMS framework was systematically searched andselected using inclusion criteria. An analytical toolwas constructed in the form of a theoretical lensthat was used to clarify learning aspects that areassociated with the framework.

Findings: Theanalysis revealed 3 learning aspects: (1) The CMSframework describes individual and social learningbut not how to adapt learning strategies forpurposes of change. (2) The metaphorical languageof how to reach a holistic health care system foreach patient has developed over time but can stillbe improved by naming social interactions totranscend organizational boundaries. (3) Powerstructures are recognized but not as a characteristicthat restricts learning due to asymmetriccommunication.

Conclusion: The “lens” perspectivereveals new meanings to learning that enhance ourunderstanding of health care as a social system andprovides new practical learning strategies.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2013. Vol. 22, no 2, 126-136 p.
Keyword [en]
Clinical microsystem, Learning theory, Quality improvement, Workplace learning
National Category
Pedagogy
Identifiers
URN: urn:nbn:se:hj:diva-22588DOI: 10.1097/QMH.0b013e31828c22e2OAI: oai:DiVA.org:hj-22588DiVA: diva2:665206
Projects
Bridging the gaps
Funder
Vinnova, A2007037
Available from: 2013-11-19 Created: 2013-11-19 Last updated: 2014-03-06Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
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  • nn-NO
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  • Other locale
More languages
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