FINCA – a conceptual framework to improve interprofessional collaboration in health education and care

The health care system in Germany and in many other countries is facing fundamental challenges due to demographic change, which require new integrated care concepts and a revision of the collaboration between health care professions in everyday clinical practice. Internationally, several competency...

Full description

Bibliographic Details
Main Authors: Matthias J. Witti, Jan M. Zottmann, Birgit Wershofen, Jill E. Thistlethwaite, Frank Fischer, Martin R. Fischer
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1213300/full
_version_ 1827801434672857088
author Matthias J. Witti
Jan M. Zottmann
Birgit Wershofen
Jill E. Thistlethwaite
Frank Fischer
Martin R. Fischer
author_facet Matthias J. Witti
Jan M. Zottmann
Birgit Wershofen
Jill E. Thistlethwaite
Frank Fischer
Martin R. Fischer
author_sort Matthias J. Witti
collection DOAJ
description The health care system in Germany and in many other countries is facing fundamental challenges due to demographic change, which require new integrated care concepts and a revision of the collaboration between health care professions in everyday clinical practice. Internationally, several competency framework models have been proposed, but a framework that explicitly conceptualizes collaborative activities to improve interprofessional problem-solving competency in health care is still missing. Such a framework should define contextual, person-related, process-related, and outcome-related variables relevant to interprofessional problem solving in health care. Against this background, we present a conceptual framework to improve interprofessional collaboration in health education and care (FINCA) developed with scientific consideration of empirical data and various theoretical references. FINCA reflects an interprofessional learning and interaction process involving two persons from different health care professions and with different individual learning prerequisites. These two initially identify a problem that is likely to require interprofessional collaboration at some point. FINCA acknowledges the context of interprofessional learning, teaching, and working as well as its action-modifying context factors. We follow the reasoning that individual learning prerequisites interact with the teaching context during learning activities. At the heart of FINCA are observable collaborative activities (information sharing and grounding; negotiating; regulating; executing interprofessional activities; maintaining communication) that can be used to assess individuals’ cognitive and social skills. Eventually, the framework envisages an assessment of the outcomes of interprofessional education and collaboration. The proposed conceptual framework provides the basis for analysis and empirical testing of the components and variables it describes and their interactions across studies, educational interventions, and action-modifying contexts. FINCA further provides the basis for fostering the teaching and learning of interprofessional problem-solving skills in various health care settings. It can support faculty and curriculum developers to systematize the implementation and improvement of interprofessional teaching and learning opportunities. From a practical perspective, FINCA can help to better align curricula for different health professions in the future. In principle, we also see potential for transferability of the framework to other areas where different professions collaborate.
first_indexed 2024-03-11T20:25:18Z
format Article
id doaj.art-605928a407634ba89d6f19ca67853a60
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-03-11T20:25:18Z
publishDate 2023-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-605928a407634ba89d6f19ca67853a602023-10-02T17:03:09ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-10-011010.3389/fmed.2023.12133001213300FINCA – a conceptual framework to improve interprofessional collaboration in health education and careMatthias J. Witti0Jan M. Zottmann1Birgit Wershofen2Jill E. Thistlethwaite3Frank Fischer4Martin R. Fischer5Institute of Medical Education, LMU University Hospital, LMU Munich, Munich, GermanyInstitute of Medical Education, LMU University Hospital, LMU Munich, Munich, GermanyInstitute of Medical Education, LMU University Hospital, LMU Munich, Munich, GermanyFaculty of Health, University of Technology Sydney, Ultimo, NSW, AustraliaChair of Education and Educational Psychology, Department of Psychology, LMU Munich, Munich, GermanyInstitute of Medical Education, LMU University Hospital, LMU Munich, Munich, GermanyThe health care system in Germany and in many other countries is facing fundamental challenges due to demographic change, which require new integrated care concepts and a revision of the collaboration between health care professions in everyday clinical practice. Internationally, several competency framework models have been proposed, but a framework that explicitly conceptualizes collaborative activities to improve interprofessional problem-solving competency in health care is still missing. Such a framework should define contextual, person-related, process-related, and outcome-related variables relevant to interprofessional problem solving in health care. Against this background, we present a conceptual framework to improve interprofessional collaboration in health education and care (FINCA) developed with scientific consideration of empirical data and various theoretical references. FINCA reflects an interprofessional learning and interaction process involving two persons from different health care professions and with different individual learning prerequisites. These two initially identify a problem that is likely to require interprofessional collaboration at some point. FINCA acknowledges the context of interprofessional learning, teaching, and working as well as its action-modifying context factors. We follow the reasoning that individual learning prerequisites interact with the teaching context during learning activities. At the heart of FINCA are observable collaborative activities (information sharing and grounding; negotiating; regulating; executing interprofessional activities; maintaining communication) that can be used to assess individuals’ cognitive and social skills. Eventually, the framework envisages an assessment of the outcomes of interprofessional education and collaboration. The proposed conceptual framework provides the basis for analysis and empirical testing of the components and variables it describes and their interactions across studies, educational interventions, and action-modifying contexts. FINCA further provides the basis for fostering the teaching and learning of interprofessional problem-solving skills in various health care settings. It can support faculty and curriculum developers to systematize the implementation and improvement of interprofessional teaching and learning opportunities. From a practical perspective, FINCA can help to better align curricula for different health professions in the future. In principle, we also see potential for transferability of the framework to other areas where different professions collaborate.https://www.frontiersin.org/articles/10.3389/fmed.2023.1213300/fullinterprofessional educationinterprofessional collaborationcollaborative problem-solving skillsobservable collaborative activitieslearningteaching
spellingShingle Matthias J. Witti
Jan M. Zottmann
Birgit Wershofen
Jill E. Thistlethwaite
Frank Fischer
Martin R. Fischer
FINCA – a conceptual framework to improve interprofessional collaboration in health education and care
Frontiers in Medicine
interprofessional education
interprofessional collaboration
collaborative problem-solving skills
observable collaborative activities
learning
teaching
title FINCA – a conceptual framework to improve interprofessional collaboration in health education and care
title_full FINCA – a conceptual framework to improve interprofessional collaboration in health education and care
title_fullStr FINCA – a conceptual framework to improve interprofessional collaboration in health education and care
title_full_unstemmed FINCA – a conceptual framework to improve interprofessional collaboration in health education and care
title_short FINCA – a conceptual framework to improve interprofessional collaboration in health education and care
title_sort finca a conceptual framework to improve interprofessional collaboration in health education and care
topic interprofessional education
interprofessional collaboration
collaborative problem-solving skills
observable collaborative activities
learning
teaching
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1213300/full
work_keys_str_mv AT matthiasjwitti fincaaconceptualframeworktoimproveinterprofessionalcollaborationinhealtheducationandcare
AT janmzottmann fincaaconceptualframeworktoimproveinterprofessionalcollaborationinhealtheducationandcare
AT birgitwershofen fincaaconceptualframeworktoimproveinterprofessionalcollaborationinhealtheducationandcare
AT jillethistlethwaite fincaaconceptualframeworktoimproveinterprofessionalcollaborationinhealtheducationandcare
AT frankfischer fincaaconceptualframeworktoimproveinterprofessionalcollaborationinhealtheducationandcare
AT martinrfischer fincaaconceptualframeworktoimproveinterprofessionalcollaborationinhealtheducationandcare