Skip to main content

Advertisement

Log in

Development of critically reflective dialogues in communities of health professionals

  • Published:
Advances in Health Sciences Education Aims and scope Submit manuscript

Abstract

Critically reflective dialogues (CRD) are important for knowledge sharing and creating meaning in communities. CRD includes different aspects: being open about mistakes, critical opinion sharing, asking for and giving feedback, experimentation, challenging groupthink and research utilisation. In this article we explore whether CRD aspects change over time, through a study of two dialogues each from six different communities of veterinary health professionals. Change was studied from the perspective of observations, through analysing transcripts of dialogues, and from the perspective of community members’ perceptions, through an evaluative discussion with members. The results showed that some communities became more open about mistakes, a finding that is related to an increase in trust. Other observed aspects of CRD seemed to be fairly stable over time. Community members perceived research utilisation and asking for and giving feedback to have been increased. From an analysis of perceptions of the community members it emerged that limited interaction could be associated with the epistemological conceptions of community members.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ahuvia, A. (2001). Traditional, interpretive, and reception based content analyses: Improving the ability of content analysis to address issues of pragmatic and theoretical concern. Social Indicators Research, 54(2), 139–172.

    Article  Google Scholar 

  • Bok, H. G. J., Jaarsma, A. D. C., Teunissen, P. W., Van Der Vleuten, C. P. M., & Van Beukelen, P. (2011). Development and validation of a competency framework for veterinarians. Journal of Veterinary Medical Education, 38(3), 262–269.

    Article  Google Scholar 

  • Brouwer, P., Brekelmans, J. M. G., Nieuwenhuis, A. F. M., & Simons, P. R. J. (2012). Community development in the school workplace. International Journal of Educational Management, 26(4), 403–418.

    Article  Google Scholar 

  • Buetow, S. (2011). The virtue of uncertainty in health care. Journal of Evaluation in Clinical Practice, 17(5), 873–876.

    Article  Google Scholar 

  • Butler, A., Reed, M., & Le Grice, P. (2007). Vocational training: trust, talk and knowledge transfer in small businesses. Journal of Small Business and Enterprise Development, 14(2), 280–293.

    Article  Google Scholar 

  • Cho, Y. H., Lee, J., & Jonassen, D. H. (2011). The role of tasks and epistemological beliefs in online peer questioning. Computers & Education, 56(1), 112–126.

    Article  Google Scholar 

  • De Groot, E. (2012). Learning of veterinary professionals in communities, using the theory of critically reflective work behaviour, with regard to evidence based practice. Dissertation, Utrecht University.

  • De Groot, E., van den Berg, B. A. M., Endedijk, M. D., Van Beukelen, P., & Simons, P. R. J. (2010). Critically reflective work behaviour within autonomous professionals’ learning communities. Vocations and Learning, 4(1), 41–62.

    Google Scholar 

  • Dooner, A., Mandzuk, D., & Clifton, R. A. (2008). Stages of collaboration and the realities of professional learning communities. Teaching and Teacher Education, 24(3), 564–574.

    Article  Google Scholar 

  • Griffiths, F., Green, E., & Bendelow, G. (2006). Health professionals, their medical interventions and uncertainty: A study focusing on women at midlife. Social Science and Medicine, 62(5), 1078–1090.

    Article  Google Scholar 

  • Gruenfeld, D. H., Mannix, E. A., Williams, K. Y., & Neale, M. A. (1996). Group composition and decision making: How member familiarity and information distribution affect process and performance. Organizational Behavior and Human Decision Processes, 67(1), 1–15.

    Article  Google Scholar 

  • Harford, J., & MacRuairc, G. (2008). Engaging student teachers in meaningful reflective practice. Teaching and Teacher Education, 24(7), 1884–1892.

    Article  Google Scholar 

  • Hofer, B. K. (2001). Personal epistemology research: Implications for learning and teaching. Educational Psychology Review, 13(4), 353–383.

    Article  Google Scholar 

  • Holmes, M. A., & Cockcroft, P. (2004). Evidence-based veterinary medicine 1. Why is it important and what skills are needed? In Practice, 26(1), 28–33.

    Article  Google Scholar 

  • Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288.

    Article  Google Scholar 

  • Knight, L. V., & Mattick, K. (2006). ‘When I first came here, I thought medicine was black and white’: Making sense of medical students’ ways of knowing. Social Science and Medicine, 63(4), 1084–1096.

    Article  Google Scholar 

  • Lew, M. D. N., & Schmidt, H. G. (2011). Self-reflection and academic performance: Is there a relationship? Advances in Health Sciences Education, 16(4), 529–545.

    Article  Google Scholar 

  • Lingard, L., Garwood, K., Schryer, C. F., & Spafford, M. M. (2003). A certain art of uncertainty: Case presentation and the development of professional identity. Social Science and Medicine, 56(3), 603–616.

    Article  Google Scholar 

  • Marshall, M., Sheaff, R., Rogers, A., Campbell, S., Halliwell, S., Pickard, S., et al. (2002). A qualitative study of the cultural changes in primary care organisations needed to implement clinical governance. British Journal of General Practice, 52(481), 641–645.

    Google Scholar 

  • Moore, D. A. (2003). Introducing the theme—Continuing veterinary medical education: Where are we? Journal of Veterinary Medical Education, 30(1), 12.

    Article  Google Scholar 

  • Norman, G. R. (1999). Examining the assumptions of evidence-based medicine. Journal of Evaluation in Clinical Practice, 5(2), 139–147.

    Article  Google Scholar 

  • Olson, C. A., Tooman, T. R., & Alvarado, C. J. (2010). Knowledge systems, health care teams, and clinical practice: a study of successful change. Advances in Health Sciences Education, 15(4), 491–516.

    Article  Google Scholar 

  • Oxman, A. D., Thomson, M. A., Davis, D. A., & Haynes, B. (1995). No magic bullets: A systematic review of 102 trials of interventions to improve professional practice. Canadian Medical Association Journal, 153(10), 1423–1431.

    Google Scholar 

  • Parboosingh, J. T. (2002). Physician communities of practice: Where learning and practice are inseparable. The Journal of Continuing Education in the Health Professions, 22(4), 230–236.

    Article  Google Scholar 

  • Piggot-Irvine, E. (2010). Confronting evaluation blindness: Evidence of impact of action science-based feedback. American Journal of Evaluation, 31(3), 314–325.

    Article  Google Scholar 

  • Profetto-McGrath, J., Hesketh, K. L., Lang, S., & Estabrooks, C. A. (2003). A study of critical thinking and research utilization among nurses. Western Journal of Nursing Research, 25(3), 322–337.

    Article  Google Scholar 

  • Ranmuthugala, G., Plumb, J. J., Cunningham, F. C., Georgiou, A., Westbrook, J. I., & Braithwaite, J. (2011). How and why are communities of practice established in the healthcare sector? A systematic review of the literature. BMC Health Services Research, 273.

  • Swanwick, T. (2005). Informal learning in postgraduate medical education: From cognitivism to ‘culturism’. Medical Education, 39(8), 859–865.

    Article  Google Scholar 

  • Sweet, M., & Michaelsen, L. K. (2007). How group dynamics research can inform the theory and practice of postsecondary small group learning. Educational Psychology Review, 19(1), 31–47.

    Article  Google Scholar 

  • Thompson, M. (2005). Structural and epistemic parameters in communities of practice. Organization Science, 16(2), 151–164.

    Article  Google Scholar 

  • Vachon, B., Durand, M., & LeBlanc, J. (2010). Using reflective learning to improve the impact of continuing education in the context of work rehabilitation. Advances in Health Sciences Education, 15(3), 329–348.

    Article  Google Scholar 

  • Van Den Bossche, P., Gijselaers, W. H., Segers, M., & Kirschner, P. A. (2006). Social and cognitive factors driving teamwork in collaborative learning environments: Team learning beliefs and behaviors. Small Group Research, 37(5), 490–521.

    Article  Google Scholar 

  • Van Rossum, E. J., & Hamer, R. N. (2010). The meaning of learning and knowing. Dissertation, Utrecht University.

  • Van Woerkom, M., & Croon, M. (2008). Operationalising critically reflective work behaviour. Personnel Review, 37(3), 317–331.

    Article  Google Scholar 

  • Wangensteen, S., Johansson, I. S., Bjorkstrom, M. E., & Nordstrom, G. (2011). Research utilisation and critical thinking among newly graduated nurses: Predictors for research use. A quantitative cross-sectional study. Journal of Clinical Nursing, 20(17–18), 2436–2447.

    Article  Google Scholar 

  • Wood, D. R. (2007). Professional learning communities: Teachers, knowledge, and knowing. Theory into Practice, 46(4), 281–290.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Esther de Groot.

Rights and permissions

Reprints and permissions

About this article

Cite this article

de Groot, E., Endedijk, M., Jaarsma, D. et al. Development of critically reflective dialogues in communities of health professionals. Adv in Health Sci Educ 18, 627–643 (2013). https://doi.org/10.1007/s10459-012-9403-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10459-012-9403-y

Keywords

Navigation