The development of a theory-informed Communities of Practice Framework for pharmacy and other professional healthcare education programmes
Keywords:
Communities of Practice, Learning Theories, Practical Placements, Preceptors, Professional Healthcare EducationAbstract
This paper describes the development of a novel Communities of Practice (CoP) theory-informed framework. The CoP framework, developed through a rigorous process of extensive review of the literature and peer review by selected healthcare education scholars, comprises six key components: enablers, challenges, curriculum, teaching strategies, assessment, and outcomes. The CoP framework provides a basic conceptual structure to align CoP learning theory to educational practice, in order to understand the interaction between learning theories and educational practices and to reduce the possible disconnect within this interaction. It can be used as a theoretical instrument to inform the design of new professional healthcare education programmes or to analyse the evidence of CoP application in existing programmes. This is important to reduce the gap between learning theory and educational practices in programme design, and to enhance students’ learning experience.
References
Allan, H. & Smith, P. (2010). Are pedagogies used in nurse education research evident in practice? Nurse Education Today, 30(5), 476-479
Andrew, N., Ferguson, D., Wilkie, G., Corcoran, T. & Simpson, L. (2009). Developing professional identity in nursing academics: The role of communities of practice. Nurse Education Today, 29(6), 607-611
Andrew, N., Tolson, D. & Ferguson, D. (2008). Building on Wenger: Communities of practice in nursing. Nurse Education Today, 28(2), 246-252
Andrew, N. O. & Ferguson, D. (2008). Constructing Communities for Learning in Nursing. International Journal of Nursing Education Scholarship, 5(1), 1-15
Austin, Z. & Duncan-Hewitt, W. (2005). Faculty, student, and practitioner development within a community of practice. American Journal of Pharmaceutical Education, 69(3), 55
Austin, Z. & Ensom, M.H. (2008). Education of pharmacists in Canada. American Journal of Pharmaceutical Education, 72(6), 1
Barnett, S., Jones, S.C., Caton, T., Iverson, D., Bennett, S. & Robinson, L. (2014). Implementing a virtual community of practice for family physician training: a mixed-methods case study. Journal Medical Internet Research, 16(3), e83
Bates, J., Konkin, J., Suddards, C., Dobson, S. & Pratt, D. (2013). Student perceptions of assessment and feedback in longitudinal integrated clerkships. Medical Education, 47(4), 362-374
Benor, D. (1982). Interdisciplinary integration in medical education: theory and method. Medical Education, 16(6), 355-361
Bentley, C., Browman, G.P. & Poole, B. (2010). Conceptual and practical challenges for implementing the communities of practice model on a national scale-a Canadian cancer control initiative. BMC Health Services Research, 10(1), 3
Bertone, M.P., Meessen, B., Clarysse, G., Hercot, D., Kelley, A., Kafando, Y., Lange, I., Pfaffmann, J., Ridde, V., Sieleunou, I. & Witter, S. (2013). Assessing communities of practice in health policy: a conceptual framework as a first step towards empirical research. Health Research Policy & Systems, 11(1), 39
Black, P., Harrison, C. & Lee, C. (2003). Assessment for learning: Putting it into practice: McGraw-Hill Education, UK
Botma, Y., Van Rensburg, G.H., Coetzee, I.M. & Heyns, T. (2015). A conceptual framework for educational design at modular level to promote transfer of learning. Innovations in Education and Teaching International, 52(5), 499-509
Burton, S., Boschmans, S.-A. & Hoelson, C. (2013). Self- perceived professional identity of pharmacy educators in South Africa. American Journal of Pharmaceutical Education, 77(10)
Cope, P., Cuthbertson, P. & Stoddart, B. (2000). Situated learning in the practice placement. Journal of Advanced Nursing, 31(4), 850-856
Duncan, W.C., & Gleason, B.L. (2015). Knowledge, Abilities, Responsibilities: The Design of a Three- Dimensional Curriculum Framework for Modern Pharmacy Education. International Journal of Process Education, 7(1), 10
Duncan-Hewitt, W., & Austin, Z. (2005). Pharmacy schools as expert communities of practice? A proposal to radically restructure pharmacy education to optimize learning. American Journal of Pharmaceutical Education, 69(3), 54
Eraut, M. (2004). Informal learning in the workplace. Studies in Continuing Education, 26(2), 247-273
Evans, K., Guile, D. & Harris, J. (2009). Putting knowledge to work: Integrating work-based and subject- based knowledge in intermediate level qualifications and workforce upskilling. London: University of London
Fitzsimmons, T.J. (2007). Using communities of practice for the professional development of workplace learning and performance professionals: ProQuest
Frankel, G., Louizos, C., & Austin, Z. (2014). Canadian educational approaches for the advancement of pharmacy practice. American journal of pharmaceutical education, 78(7)
Fung-Kee-Fung, M., Boushey, R. & Morash, R. (2013). Exploring a “community of practice” methodology as a regional platform for large-scale collaboration in cancer surgery—the Ottawa approach. Current Oncology, 21(1), 13-18
Garrard, J. (2013). Health sciences literature review made easy: Jones & Bartlett Publishers
Garrison, C. & Ehringhaus, M. (2007). Formative and summative assessments in the classroom.
Garrow, A. & Tawse, S. (2009). An exploration of the assessment experiences of new academics as they engage with a community of practice in higher education. Nurse Education Today, 29(6), 580-584
Harden, R.M. (1999). What is a spiral curriculum? Medical Teacher, 21(2), 141-143
Harden, R.M. (2000). The integration ladder: a tool for curriculum planning and evaluation. Medical Education- Oxford, 34(7), 551-557
Hart, A. & Wolff, D. (2006). Developing local ‘communities of practice’through local community– university partnerships. Planning, Practice & Research, 21(1), 121-138
Hean, S., Anderson, E., Bainbridge, L., Clark, P.G., Craddock, D., Doucet, S., Hammick,M., Mpofu, R., O'Halloran, C., Pitt, R. & Oandasan, I. (2013). IN-2- THEORY-Interprofessional theory, scholarship and collaboration: A community of practice. Journal of Interprofessional care, 27(1), 88-90
Holden, C.A., Collins, V.R., Anderson, C.J., Pomeroy, S., Turner, R., Canny, B.J., Yeap, B.B.,Wittert, G. & McLachlan, R.I. (2015). “Men’s health–a little in the shadow”: a formative evaluation of medical curriculum enhancement with men’s health teaching and learning. BMC Medical Education, 15(1), 210
Husband, A.K., Todd, A. & Fulton, J. (2014). Integrating Science and Practice in Pharmacy Curricula. American Journal of Pharmaceutical Education, 78(3)
Janke, K.K., Seaba, H.H., Welage, L.S., Scott, S.A., Rabi, S.M., Kelley, K.A. & Mason, H.L. (2012). Building a Multi-Institutional Community of Practice to Foster Assessment. American Journal of Pharmaceutical Education, 76(4)
Jaye, C., Egan, T. & Smith-Han, K. (2010). Communities of clinical practice and normalising technologies of self: learning to fit in on the surgical ward. Anthropology and Medicine, 17(1), 59-73
Jiwa, M., Ping-Delfos, W.C.S., Ross, J., Shaw, T. & Magin, P. (2011). Communities of practice: Quality improvement or research in general practice. Australian Family Physician, 40(1/2), 72
Jungnickel, P.W., Kelley, K.W., Hammer, D.P., Haines, S.T. & Marlowe, K.F. (2009). Addressing competencies for the future in the professional curriculum. American Journal of Pharmaceutical Education, 73(8)
Kelly, M.A., Berragan, E., Husebø, S.E. & Orr, F. (2016). Simulation in Nursing Education—International Perspectives and Contemporary Scope of Practice. Journal of Nursing Scholarship, 48(3), 312-321
Kerno, S.J. (2008). Limitations of Communities of Practice A Consideration of Unresolved Issues and Difficulties in the Approach. Journal of Leadership & Organizational Studies, 15(1), 69-78
Kislov, R., Harvey, G. & Walshe, K. (2011). Collaborations for Leadership in Applied Health Research and Care: lessons from the theory of communities of practice. Implementation Science, 6(1), 64-74
Kothari, A., Boyko, J.A., Conklin, J., Stolee, P. & Sibbald, S.L. (2015). Communities of practice for supporting health systems change: a missed opportunity. Health Research Policy and Systems, 13(1), 33
Lave, J. & Wenger, E. (1991). Situated learning: Legitimate peripheral participation: Cambridge University Press
Lees, A. & Meyer, E. (2011). Theoretically speaking: use of a communities of
practice framework to describe and evaluate interprofessional education. Journal of Interprofessional Care, 25(2), 84-90
Li, L.C., Grimshaw, J.M., Nielsen, C., Judd, M., Coyte, P.C. & Graham, I.D. (2009a). Evolution of Wenger's concept of community of practice. Implementation Science, 4(1), 11
Li, L. C., Grimshaw, J.M., Nielsen, C., Judd, M., Coyte, P.C. & Graham, I.D. (2009b). Use of communities of practice in business and health care sectors: A systematic review. Implementation Science, 4(27), 16
Mayne, W., Andrew, N., Drury, C., Egan, I., Leitch, A. & Malone, M. (2015). ‘There’s more unites us than divides us!’A further and higher education community of practice in nursing. Journal of Further and Higher Education, 39(2).
Mazel, O. & Ewen, S. (2015). Innovation in Indigenous Health and Medical Education: The Leaders in Indigenous Medical Education (LIME) Network as a Community of Practice. Teaching and Learning in Medicine, 27(3), 314-328
McAllister, M., Oprescu, F. & Jones, C. (2014). N2E: Envisioning a process to support transition from nurse to educator. Contemporary Nurse, 46(2), 242-250
McKellar, K. A., Pitzul, K.B., Juliana, Y.Y. & Cole, D.C. (2014). Evaluating communities of practice and knowledge networks: A systematic scoping review of evaluation frameworks. EcoHealth, 11(3), 383-399
Mukhalalati, B. (2016). Examining the disconnect between learning theories and educational practices in the Pharm.D. programme at Qatar University: a case study (Doctoral dissertation, University of Bath). Available from: http:// opus.bath.ac.uk/56680/ or ProQuest database: https:// 0search.proquest.com. mylibrary.qu.edu.qa/docview/ 2001105336/417383825 F64085PQ/1?accountid=13370
Noble, C., Shaw, P.N., Nissen, L. & Coombes, I. (2011). Curriculum for uncertainty: certainty may not be the answer. American Journal of Pharmaceutical Education, 75(1)
Offorma, G.C. (2016). Integrating components of culture in curriculum planning. International Journal of Curriculum and Instruction, 8(1), 1-8
Pearson, M.L. & Hubball, H.T. (2012). Curricular integration in pharmacy education. American Journal of Pharmaceutical Education, 76(10)
Probst, G. & Borzillo, S. (2008). Why communities of practice succeed and why they fail. European Management Journal, 26(5), 335-347
Pugsley, L. (2008). Expectation and experience: dissonances between novice and expert perceptions in medical education research. Medical Education, 42(9), 866-871
Ranmuthugala, G., Cunningham, F.C., Plumb, J.J., Long, J., Georgiou, A., Westbrook, J. I. & Braithwaite, J. (2011). A realist evaluation of the role of communities of practice in changing healthcare practice. Implementation Science, 6(1), 1
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, 11(1), 1
Ranse, K. & Grealish, L. (2007). Nursing students’ perceptions of learning in the clinical setting of the Dedicated Education Unit. Journal of Advanced Nursing, 58(2), 171-179
Ratka, A. (2012). Integration as a paramount educational strategy in academic pharmacy. American Journal of Pharmaceutical Education, 76(2)
Roberts, G.I. (2015). Communities of practice: Exploring enablers and barriers with school health clinicians Explorer les facteurs favorables et défavorables à la participation aux communautés de pratique avec des cliniciens de la santé en milieu scolaire. Canadian Journal of Occupational Therapy, 82(5), 294-306
Roberts, J. (2006). Limits to communities of practice. Journal of Management Studies, 43(3), 623-639
Sadideen, H. & Kneebone, R. (2012). Practical skills teaching in contemporary surgical education: how can educational theory be applied to promote effective learning? The American Journal of Surgery, 204(3), 396-401
Sayer, L. (2014). Communities of practice, a phenomenon to explain student development in community nursing. Primary Health Care Research & Bevelopment, 15(4)
Seibert, S. (2015). The Meaning of a Healthcare Community of Practice. Nursing Forum, 50(2), 69-74
Sherbino, J., Snell, L., Dath, D., Dojeiji, S., Abbott, C. & Frank, J.R. (2010). A national clinician–educator program: a model of an effective community of practice. Medical Education online, 15
Spilg, E., Siebert, S. & Martin, G. (2012). A social learning perspective on the development of doctors in the UK National Health Service. Social Science & Medicine, 75(9), 1617-1624
Steinert, Y. (2011). Commentary: Faculty development: The road less traveled. Academic Medicine, 86(4), 409-411
Tastle, W.J., Wierman, M.J. & Dumdum, U.R. (2005). Ranking ordinal scales using the consensus measure. Issues in Information Systems, 6(2), 96-102
Thrysoe, L., Hounsgaard, L., Dohn, N.B. & Wagner, L. (2010). Participating in a community of practice as a prerequisite for becoming a nurse–Trajectories as final year nursing students. Nurse Education in Practice, 10(6), 361-366
Waterfield, J. (2011). Two approaches to vocational education and training. A view from pharmacy education. Journal of Vocational Education and Training, 63(2), 235-246
Wenger, E. (1998). Communities of practice: Learning, meaning, and identity: Cambridge University Press
Wenger, E., McDermott, R.A. & Snyder, W. (2002). Cultivating communities of practice: A guide to managing knowledge: Harvard Business Press.
White, C. (2010). A socio-cultural approach to learning in the practice setting. Nurse Education Today, 30(8), 794-797