Related Experiment Video
Updated: Dec 13, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
24.2K
Using activity theory to transform medical work and learning.
Yrjö Engeström1, Eeva Pyörälä2
1Center for Research on Activity, Development and Learning, University of Helsinki, Helsinki, Finland.
Medical Teacher
|July 28, 2020
Summary
Activity theory and expansive learning offer new ways to study workplace challenges. Formative interventions in healthcare highlight the need for collaborative medical expertise development and evolving medical education.
Area of Science:
- * Educational Psychology
- * Sociocultural Theory
- * Workplace Learning
Background:
- * Cultural-historical activity theory (CHAT) provides a framework for understanding complex work environments.
- * Expansive learning is a research approach for studying authentic workplace challenges and contradictions.
- * Change Laboratory is a method for formative interventions in transitioning workplaces.
Purpose of the Study:
- * To introduce activity theory and expansive learning concepts.
- * To present formative interventions in healthcare settings.
- * To explore opportunities for developing medical expertise.
Main Methods:
- * Application of cultural-historical activity theory (CHAT) principles.
- * Utilization of the Change Laboratory method for formative interventions.
- * Analysis of healthcare contexts with fragmented care and collaboration issues.
Main Results:
- * Identified fragmentation and collaboration disturbances compromising patient care in healthcare.
- * Proposed three pathways for developing medical expertise: activity systems, knotworking, and expansive learning.
- * Highlighted the need for medical education to evolve and address societal challenges.
Conclusions:
- * Medical expertise requires collaborative and transformative development.
- * Medical education must adapt to societal demands and integrate with practice.
- * An interventionist approach and intensified collaboration are crucial for medical education reform.
Related Concept Videos
01:29Issues And Trends In Healthcare Delivery System
6.0K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.0K
01:15Methods of Documentation VI: Case Management Model
770
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
770
01:26Methods Of Healthcare Delivery System
3.8K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.8K
01:30Current Trends in Nursing II
2.0K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
2.0K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.2K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.2K
01:26Methods of Documentation II: POMR
1.3K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.3K