Article 2016

Inter-professional working and learning: instructional actions and boundary crossing or boundary making in oral healthcare

Journal of Education and Work
Journal · Vol. 29 · Issue 5 · pp. 614-636
Abstract

Inter-professional teams are typical in health care, and inter-professional education has thus become more common. This empirical study explores the instruction-related challenges when students of dentistry and oral hygiene collaborate during their internship in caring for the oral health of patients. The conceptual framework of the study stems from cultural-historical activity theory, the aim being to explore the instructional actions and boundary crossing of clinical instructors while they were supervising the students. The main data comprise 17 videotaped treatment sessions, which were organised three-dimensionally in sequences, themes and topics, and analysed in terms of the instructional and boundary-crossing actions. The results reveal chains of subtle and rich instructional actions classified as instructive, evaluative and collaborative. Instructional boundary crossing occurred rarely and was also boundary-making: positioning, moving and communicating. It should be taken into account in the field of inter-professional working and learning that instructional boundaries seem easier to maintain than to cross, and professional teachers at educational institutions and instructors in workplaces need to be aware of this. © 2015 Taylor & Francis.

Keywords

Author Keywords

boundary crossing Activity theory Inter-professional education instructional action

Index Keywords

Author Affiliations
Development and Learning (CRADLE), Helsingin Yliopisto, Helsinki, Uusimaa, Finland
Funding & Acknowledgements
No funding information
References 10 References
1 Akkerman, Sanne Floor, Boundary crossing and boundary objects, Review of Educational Research, 81, 2, pp. 132-169, (2011)
2 Collin, Kaija Marjukka, Promoting inter-professional teamwork and learning - the case of a surgical operating theatre, Journal of Education and Work, 23, 1, pp. 43-63, (2010)
3 Curran, Vernon R., An approach to integrating interprofessional education in collaborative mental health care, Academic Psychiatry, 36, 2, pp. 91-95, (2012)
4 Being an Expert Professional Practitioner the Relational Turn in Expertise, (2010)
5 Edwards, Anne R., Building common knowledge at the boundaries between professional practices: Relational agency and relational expertise in systems of distributed expertise, International Journal of Educational Research, 50, 1, pp. 33-39, (2011)
6 Edwards, Anne R., Inter-professional work and expertise: New roles at the boundaries of schools, British Educational Research Journal, 36, 1, pp. 27-45, (2010)
7 Journal of Education and Work, (2001)
8 Engeström, Yrjö, From teams to knots: Activity-theoretical studies of collaboration and learning at work, From Teams to Knots: Activity-Theoretical Studies of Collaboration and Learning at Work, pp. 1-264, (2008)
9 Engeström, Yrjö, Polycontextuality and boundary crossing in expert cognition: Learning and problem solving in complex work activities, Learning and Instruction, 5, 4, pp. 319-336, (1995)
10 Ammatillisuus Ja Ammatillinen Kasvu Promoting Professional Growth, (2006)
Quick Actions
Full Text via DOI
Citation Metrics
7
Times Cited (Scopus)

References 10
Document Identifiers