Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges

Background: The delivery of patient care in the United Kingdom is under increasing financial pressure. The need to continuously improve service delivery while making financial savings is challenging. Alongside this, National Health Service (NHS) Trusts must provide a suitable educational environment...

Full description

Bibliographic Details
Main Authors: Suzanne Gawne, Rebecca Fish, Laura Machin
Format: Article
Language:English
Published: SAGE Publishing 2020-07-01
Series:Journal of Medical Education and Curricular Development
Online Access:https://doi.org/10.1177/2382120520947063
_version_ 1818305890548187136
author Suzanne Gawne
Rebecca Fish
Laura Machin
author_facet Suzanne Gawne
Rebecca Fish
Laura Machin
author_sort Suzanne Gawne
collection DOAJ
description Background: The delivery of patient care in the United Kingdom is under increasing financial pressure. The need to continuously improve service delivery while making financial savings is challenging. Alongside this, National Health Service (NHS) Trusts must provide a suitable educational environment that meets the needs of all learners while meeting performance standards and targets set by external regulating authorities. This research addresses the gap in literature concerning educational culture in the NHS. Methods: This case study examines the delivery of postgraduate medical education in the workplace. Semi-structured interviews were conducted with 6 lead educators in the Medical Division of a North West NHS Trust to glean their insights into what works and what needs to change. Results: A thematic analysis of the transcripts revealed a number of factors that facilitated and hindered educational opportunities for doctors in training, including the role of leadership, the demands of external regulatory authorities, and the pressures on frontline staff to deliver safe, personal, and effective care. Conclusion: Opportunities for developing a collaborative approach between educational and clinical leaders and the individuals delivering education in the workplace to enhance the educational environment are discussed. Finally, an evaluatory toolkit based on the themes emerging from the data is proposed, as a resource for other health care organisations to help improve the delivery of workplace-based medical education.
first_indexed 2024-12-13T06:33:47Z
format Article
id doaj.art-e71cb6caefc74d1690f4d8c71827b87e
institution Directory Open Access Journal
issn 2382-1205
language English
last_indexed 2024-12-13T06:33:47Z
publishDate 2020-07-01
publisher SAGE Publishing
record_format Article
series Journal of Medical Education and Curricular Development
spelling doaj.art-e71cb6caefc74d1690f4d8c71827b87e2022-12-21T23:56:34ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052020-07-01710.1177/2382120520947063Developing a Workplace-Based Learning Culture in the NHS: Aspirations and ChallengesSuzanne Gawne0Rebecca Fish1Laura Machin2East Lancashire Hospitals NHS Trust, Blackburn, UKLancaster Medical School, Lancaster University, UKLancaster Medical School, Lancaster University, UKBackground: The delivery of patient care in the United Kingdom is under increasing financial pressure. The need to continuously improve service delivery while making financial savings is challenging. Alongside this, National Health Service (NHS) Trusts must provide a suitable educational environment that meets the needs of all learners while meeting performance standards and targets set by external regulating authorities. This research addresses the gap in literature concerning educational culture in the NHS. Methods: This case study examines the delivery of postgraduate medical education in the workplace. Semi-structured interviews were conducted with 6 lead educators in the Medical Division of a North West NHS Trust to glean their insights into what works and what needs to change. Results: A thematic analysis of the transcripts revealed a number of factors that facilitated and hindered educational opportunities for doctors in training, including the role of leadership, the demands of external regulatory authorities, and the pressures on frontline staff to deliver safe, personal, and effective care. Conclusion: Opportunities for developing a collaborative approach between educational and clinical leaders and the individuals delivering education in the workplace to enhance the educational environment are discussed. Finally, an evaluatory toolkit based on the themes emerging from the data is proposed, as a resource for other health care organisations to help improve the delivery of workplace-based medical education.https://doi.org/10.1177/2382120520947063
spellingShingle Suzanne Gawne
Rebecca Fish
Laura Machin
Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges
Journal of Medical Education and Curricular Development
title Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges
title_full Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges
title_fullStr Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges
title_full_unstemmed Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges
title_short Developing a Workplace-Based Learning Culture in the NHS: Aspirations and Challenges
title_sort developing a workplace based learning culture in the nhs aspirations and challenges
url https://doi.org/10.1177/2382120520947063
work_keys_str_mv AT suzannegawne developingaworkplacebasedlearningcultureinthenhsaspirationsandchallenges
AT rebeccafish developingaworkplacebasedlearningcultureinthenhsaspirationsandchallenges
AT lauramachin developingaworkplacebasedlearningcultureinthenhsaspirationsandchallenges