Action Research as a Professional Development Strategy to Improve Interprofessional Collaboration
Author(s):
Twyla Salm (presenting / submitting)
Conference:
ECER 2012
Format:
Paper

Session Information

05 SES 06 B, Urban Education & Children and Youth at Risk

Parallel Paper Session

Time:
2012-09-19
15:30-17:00
Room:
ESI 1 - Aula 25
Chair:
Twyla Salm

Contribution

While the idea of school-linked service and interprofessional collaboration is often considered attractive, actualizing collaboration to improve student health and learning outcomes for at-risk students has proven far more difficult to achieve.  It has become increasing clear that professional development opportunities are necessary to foster capacity building for complex partnerships and new skills among the various professionals who work with at-risk children in schools (Barr, Koppel, Reeves, Hammick & Freeth, 2005; Anderson-Butcher et al., 2010).  The purpose of this research is to explore action research as professional development strategy to improve collaborative competencies in an interprofessional team focused on supporting students with complex health and learning needs.

The participants called themselves the I-team and were all employed by a common school district. The I-team consisted of eleven members: two Occupational Therapists (OT), three Speech and Language Pathologists (SLP), a Psychologist, a Social Worker (SW), three teachers and the researcher.  Using action research as the professional development strategy to improve their practice, the I-team focused on three questions over the course of 12 months: 1) How can we learn more about the scope of practice of each of our professions 2) What are some of the challenges to collaboration? 3)  How can we overcome those challenges to improve health and learning outcomes for at-risk youth.?

Even though this research project was grounded in the “communities of practice” (Wenger, 1998), “community schools” (Blank, Melaville, & Shah, 2003) and “full service schools” (Dryfoos & Maguire, 2002) literature, understanding “interprofessional competencies” through interprofessional education is complex and professional development in this area is still in its infancy (Canadian Interprofessional Health Collaborative [CIHC], 2010 p. 9; Joyce and Calhoun, 2010).  Increasingly, significant contributions have been made to the ways pre-service interprofessional education is organized and implemented but meaningful, comprehensive professional development for in-service professionals continues to evolve (CIHC, 2010). Similarly, the Commission on the Future of Health Care in Canada (2002) underscored the need for human service professionals to collaborate, calling for changes to the way professionals are not only trained, but receive professional development while in-service.

Understanding how in-service professionals develop collaborative competencies and how professional development models might support growth in each of these domains is challenging since competencies develop at different rates, over a career and vary depending on context (Oandasan & Reeves, 2005). Joyce and Calhoun, (2010) suggest several collaborative models useful for fostering staff development including study groups, professional learning communities and action research. Specifically, they state that collaborative professional development models increase positive affect, providing collegial and desirable opportunities for partners to engage in their practice.  Additionally, these models empower the participant and foster greater personal investment of the partners, which increases learning and implementation of selected knowledge and skills.

Method

In between school-based interventions, the I-team met 13 times for 2-3 hour focus group sessions planning and debriefing sessions. All meetings were audio taped and transcribed and augmented with researcher field notes and journal entries. At the end of the study, individual 60-90 minute interviews were conducted with all of the I-team members as well as the participating classroom teachers. Classroom observations were also conducted in order to enhance clarity of the I-team goals. The analysis of the data was guided by a Basic Interpretative Qualitative research design which illuminates a deeper understanding of the participants’ lived experience (Merriam, 2002). A Grounded Theory (Charmaz, 2011) approach was used to code and identify emerging themes. All data was manually aggregated, coded and themed using two complementary strategies constant comparison method (Strauss & Corbin, 1998) and “initial and focused coding” (Charmaz, 2006).

Expected Outcomes

Action research successfully served as an effective professional development model for multiple professions who worked with at-risk youth in schools. The most salient competency development occurred in the role clarification and team functioning domains. Role clarification was most pronounced during classroom observation debriefing sessions, when each of the professionals observed the same teacher, students and lesson but recorded vastly different observations. Additionally, the contextual, systematic, sustained action and reflection was a highly effective way to foster improved team functioning. Team functioning involved more than the way the professionals worked together, but it also included the structures that shaped how they collaborated. Varying levels of access to confidential information frequently creates tension on interprofessional teams; however action research offered a structure for the I-team to immerse themselves in a way that helped them work through protocols related to confidentiality. One of the most substantial challenges was for the researcher to constantly interrogate the research position as a gate-keeper of information and constructor of the knowledge. While power relations were discussed, member checks used, transcriptions shared, ideas co-constructed and a level of critical analysis available, there was a question whether the researcher had a normative if not disciplinary (Foucault, 1977) effect.

References

Anderson-Butcher, D., Lawson, H., Iachini, A., Flaspohler, P., Bean, J., & Mdivanian, R. (2010). Emergent evidence in support of a community collaboration model for school improvement. Children and Schools, 32 (3),160-171. Barr, H., Koppel, I., Reeves, S., Hammick, M., & Freeth, D. (2005). Effective interprofessional education: Argument, assumption & evidence. Oxford: Blackwell Publishing. Blank, M., Melaville, A., & Shah, B. (2003). Making the Difference: Research and Practice in Community Schools. Coalition for Community Schools, Institute for Educational Leadership. Retrieved June 20, 2011 from www.communityschools.org/mtdhomepage.html Charmaz, K. (2011). Grounded theory methods in social justice research. In N. Denzin & Y. Lincoln (Eds.), The Sage Handbook of Qualitative Research (pp.341-358). London. SAGE. Charmaz, K. (2006). Constructing grounded theory. A practical guide through quantitative analysis. London: SAGE. CIHC, (2010). A national interprofessional competency framework. Vancouver, BC: Canadian Interprofessional Health Collaborative. Retrieved May 31, 2010, from http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf Dryfoos, J., & Maguire, S. (2002). Inside full service community schools. Thousand Oaks, CA: Corwin. Glaser, B., & Struass, A. (1967). The discovery of grounded theory. Chicago: Aldine. Oandasan, I., & Reeves, S. (2005). Key elements for interprofessional education. Journal of Interprofessional Care [Special Issue], 19(1), 21-38. Strauss A Corbin J (1998). Basics of Qualitative Research grounded theory procedures and techniques (2nd. Ed.) Thousand Oaks, CA. SAGE. Wenger, E. (1998). Communities of practice: Learning, meaning, and identity. Cambridge, UK: Cambridge University Press.

Author Information

Twyla Salm (presenting / submitting)
University of Regina
Faculty of Education
Regina

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