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One lens missing? Clarifying the clinical microsystem framework with learning theories
Ann-Charlott Norman1, Lena Fritzen, Marianne Lindblad Fridh
1School of Education, Psychology, and Sport Science, Linnaeus University, Vaxjo, Sweden. ann-charlott.norman@lnu.se
Quality Management in Health Care
|April 2, 2013
Summary
The clinical microsystem (CMS) approach
Area of Science:
- Healthcare Management
- Organizational Learning
- Systems Thinking
Background:
- The clinical microsystem (CMS) approach is a widely adopted framework in healthcare.
- Its practical utility is recognized, but its full learning potential remains underexplored.
Purpose of the Study:
- To critically examine the learning dimensions embedded within the CMS framework.
- To identify and clarify specific learning aspects to enhance the framework's educational value.
Main Methods:
- Systematic literature review of the CMS framework.
- Development and application of a theoretical lens to analyze learning aspects.
Main Results:
- The CMS framework addresses individual and social learning but lacks strategies for adaptive change.
- Metaphorical language for holistic care can be improved by emphasizing cross-boundary social interactions.
- Power structures and asymmetric communication are identified as barriers to learning.
Conclusions:
- A new perspective on learning within healthcare systems emerges from this analysis.
- Enhanced practical learning strategies are proposed to improve healthcare delivery.
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