Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session

Shelley L Craig,1 Lauren B McInroy,2 Andrew D Eaton3 1Factor-Inwentash Faculty of Social Work (FIFSW) at the University of Toronto, Toronto, ON M5S1V4, Canada; 2College of Social Work at the Ohio State University, Columbus, OH 43210, USA; 3FIFSW at the University of Toronto, Toronto, ON M5S1V4, Cana...

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Main Authors: Craig SL, McInroy LB, Eaton AD
Format: Article
Language:English
Published: Dove Medical Press 2020-10-01
Series:Journal of Multidisciplinary Healthcare
Subjects:
Online Access:https://www.dovepress.com/describing-a-clinical-group-coding-method-for-identifying-competencies-peer-reviewed-article-JMDH
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author Craig SL
McInroy LB
Eaton AD
author_facet Craig SL
McInroy LB
Eaton AD
author_sort Craig SL
collection DOAJ
description Shelley L Craig,1 Lauren B McInroy,2 Andrew D Eaton3 1Factor-Inwentash Faculty of Social Work (FIFSW) at the University of Toronto, Toronto, ON M5S1V4, Canada; 2College of Social Work at the Ohio State University, Columbus, OH 43210, USA; 3FIFSW at the University of Toronto, Toronto, ON M5S1V4, CanadaCorrespondence: Shelley L CraigFactor-Inwentash Faculty of Social Work (FIFSW) at the University of Toronto, Toronto, ON M5S1V4, CanadaTel +1416-978-8847Fax +1416-978-7072Email shelley.craig@utoronto.caIntroduction: Competencies that integrate research findings and practice expertise are necessary to maintain comprehensive evidence-based practice for allied health professions, such as social work. The context of modern multidisciplinary healthcare, especially in acute or emergency settings, means that an individual clinician may only have a single session with a patient. Maximizing the benefit of single sessions requires advanced competence that extends beyond diagnostics and biomedical treatments to the impact of social systems on health outcomes; multi-level advocacy for reduction of existing health disparities and equity in access to health and mental health services; and “working knowledge” of non-pharmacological treatments.Methods: This study employed a practice-based research methodology whereby health social workers group coded 32 simulation videos, drawn from an advanced social work practice course, to develop a practice-based competency framework that incorporates these advanced skills. Constructivist grounded theory was employed through a cyclical coding process of viewing video data, identifying and discussing skills and competencies, and summarizing/synthesizing the discussions for critical reflection.Results: The resulting Clinician Group Coding Method utilized systematic and collaborative group coding of practice simulation videos by three clinicians and two researchers to identify relevant competencies for a single session. Emphasis was placed on the progressive phases of single-session patient interactions (eg, joining, working, ending), a practice format that frequently occurs in social work and other allied health professions. These phases include themes of preparing, agenda setting and refining, addressing context, providing education, planning the next steps, and encouraging success.Discussion: The group coding process allowed for immediate discussions and clarifications, supporting the clinicians to synthesize their experiences toward shared understandings of “best practices” in single-session healthcare contexts. This approach facilitated the understanding of critical actions that allied health clinicians could undertake to improve single-session interactions. This practice-based competency framework may have significant utility for multidisciplinary healthcare education and practice.Keywords: simulation, practice-based research, competence, allied health, group coding, education
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spelling doaj.art-bcc1bab513c34c82a9e681268e57d1192022-12-22T01:23:07ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902020-10-01Volume 131133114257916Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single SessionCraig SLMcInroy LBEaton ADShelley L Craig,1 Lauren B McInroy,2 Andrew D Eaton3 1Factor-Inwentash Faculty of Social Work (FIFSW) at the University of Toronto, Toronto, ON M5S1V4, Canada; 2College of Social Work at the Ohio State University, Columbus, OH 43210, USA; 3FIFSW at the University of Toronto, Toronto, ON M5S1V4, CanadaCorrespondence: Shelley L CraigFactor-Inwentash Faculty of Social Work (FIFSW) at the University of Toronto, Toronto, ON M5S1V4, CanadaTel +1416-978-8847Fax +1416-978-7072Email shelley.craig@utoronto.caIntroduction: Competencies that integrate research findings and practice expertise are necessary to maintain comprehensive evidence-based practice for allied health professions, such as social work. The context of modern multidisciplinary healthcare, especially in acute or emergency settings, means that an individual clinician may only have a single session with a patient. Maximizing the benefit of single sessions requires advanced competence that extends beyond diagnostics and biomedical treatments to the impact of social systems on health outcomes; multi-level advocacy for reduction of existing health disparities and equity in access to health and mental health services; and “working knowledge” of non-pharmacological treatments.Methods: This study employed a practice-based research methodology whereby health social workers group coded 32 simulation videos, drawn from an advanced social work practice course, to develop a practice-based competency framework that incorporates these advanced skills. Constructivist grounded theory was employed through a cyclical coding process of viewing video data, identifying and discussing skills and competencies, and summarizing/synthesizing the discussions for critical reflection.Results: The resulting Clinician Group Coding Method utilized systematic and collaborative group coding of practice simulation videos by three clinicians and two researchers to identify relevant competencies for a single session. Emphasis was placed on the progressive phases of single-session patient interactions (eg, joining, working, ending), a practice format that frequently occurs in social work and other allied health professions. These phases include themes of preparing, agenda setting and refining, addressing context, providing education, planning the next steps, and encouraging success.Discussion: The group coding process allowed for immediate discussions and clarifications, supporting the clinicians to synthesize their experiences toward shared understandings of “best practices” in single-session healthcare contexts. This approach facilitated the understanding of critical actions that allied health clinicians could undertake to improve single-session interactions. This practice-based competency framework may have significant utility for multidisciplinary healthcare education and practice.Keywords: simulation, practice-based research, competence, allied health, group coding, educationhttps://www.dovepress.com/describing-a-clinical-group-coding-method-for-identifying-competencies-peer-reviewed-article-JMDHsimulationpractice-based researchcompetenceallied healthgroup codingeducation
spellingShingle Craig SL
McInroy LB
Eaton AD
Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session
Journal of Multidisciplinary Healthcare
simulation
practice-based research
competence
allied health
group coding
education
title Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session
title_full Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session
title_fullStr Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session
title_full_unstemmed Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session
title_short Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session
title_sort describing a clinical group coding method for identifying competencies in an allied health single session
topic simulation
practice-based research
competence
allied health
group coding
education
url https://www.dovepress.com/describing-a-clinical-group-coding-method-for-identifying-competencies-peer-reviewed-article-JMDH
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