Developing a collaborative, humanistic interprofessional healthcare culture: a multi-site study

Introduction:Developing a collaborative, humanistic interprofessional healthcare culture requires optimal relational skills, respect, interpersonal cohesion, and role clarity. We developed a longitudinal curriculum to engender these skills and values in institutional leaders. We report results of a qualitative study at seven US-based academic health centers to identify participants’ learning. Methods:At each institution, participants from at least three different professions met in small group sessions twice-monthly over nine months. Sessions focused on relational capacities to enhance leadership and professionalism, and utilized critical reflection and experiential learning to promote teamwork, self-knowledge, communication skills, and address challenges encountered by a healthcare team. Participants completed reflective responses to open-ended questions asking what knowledge, insights, or skills they gained by working in this interprofessional group and applications of their learning. Five investigators analyzed the anonymized responses using the constant comparative method. Results:Overarching themes centered on relationships and the strength of the relational nature of the learning. We observed learning on three levels: a) Intrapersonal learning included self-awareness, mindfulness, and empathy for self that translated to reflections on application of these to teamwork and teaching; b) Interpersonal learning concerned relational skills and teaching about listening, understanding others’ perspectives, appreciation/respect for colleagues, and empathy for others; c) Systems level learning included teaching skills about resilience, conflict management, team dynamics and cultural norms, and appreciation of resources from interprofessional colleagues. Discussion:A curriculum focusing on humanistic teaching for leaders led to new insights and positive changes in relational perspectives. Learning occurred on multiple levels. Many learners reported revising previous assumptions, a marker for transformative learning. Humanistic faculty development can facilitate deep bonds between professions.

The influence of attachment style on interpersonal learning in substance use psychotherapy groups

Substance Use Disorders (SUDs) are prevalent, long-term conditions, commonly treated via group intervention. Additionally, interpersonal learning (IL) is a therapeutic factor unique to group treatment programs, which has been associated with successful group therapy outcomes. While previous research has suggested attachment styles may predict experiences of IL within groups, research in this area is limited. Therefore, this study aims to investigate if attachment style impacts IL, within SUD group treatment programs and specifically, if anxious and avoidant attachment styles influence IL. Participants (N = 38) were recruited voluntarily from an outpatient SUD open group therapy program at a private mental health hospital in Sydney. All participants completed paper-based self-report questionnaires to assess attachment style and IL. Two separate Multiple Linear Regressions (MLRs) revealed anxious attachment was not a significant predictor of IL and avoidant attachment was a significant, negative predictor of IL. Additionally, thematic analysis of qualitative data revealed themes and behaviours which may improve IL. Thus, future directions and implications of the study’s findings indicate the need to conduct additional research into members attachment-based needs to enhance SUD group treatment outcomes.

Opening the black box of leadership coaching: an examination of coaching behaviors

PurposeLeadership coaching is an increasingly popular development tool for school principals. However, specific coaching behaviors are rarely conceptualized or examined in prior research. This study presents a coaching behavior framework and then analyzes actual coaching conversations between principals and coaches to illustrate how specific coaching behaviors create opportunities for principals to reflect and think critically about their leadership.Design/methodology/approachBuilding on theories of interpersonal learning, the authors develop a framework of coaching behaviors to distinguish coaching inquiries and assertions that facilitate critique and reflection and, therefore, activate opportunities for learning. The authors use this framework to code transcripts of 55 principal coaching sessions. The authors analyze the prevalence of certain coaching behaviors and then examine qualitative patterns in how the use of certain behaviors shapes the nature of coaching conversations.FindingsOnly about one-third of coded coaching behaviors in the analytic sample are categorized as coaching inquiries and assertions that activate opportunities for learning. In the qualitative comparisons of extracts from coaching conversations, the authors find coaches' use of these behaviors produced richer, more meaningful dialogue.Originality/valueUnlike much of the past research on leadership coaching, this analysis examines what happens in conversations between coaches and principals. This framework could be applied to a broad range of coaching programs intended to promote professional learning.

Collaborative learning experiences in the university jazz/creative music ensemble: Student perspectives on instructional communication

While the ensemble is a ubiquitous learning environment within jazz education, opportunities to learn through engagement in ensemble performances and industry-level recording opportunities are rare classroom environments tertiary jazz music institutions offer. This qualitative study examines jazz performance contexts within an Australian tertiary music course, exploring students’ learning experience spanning three diverse collaborative projects across nine months. Phenomenological analysis explores the instructional relationship outlining connection between the student and instruction, the subject matter that is taught, and the connection between the student and the teacher as master improviser. Findings outline substantive teacher crafting of learning, relationship building and learning experiences garnered from interpersonal learning relationships, and the application of content with pedagogy that aims to build a positive learning climate between improvising teachers and their students. The author contends that a phenomenological perspective can highlight this diversity and emphasize effective interpersonal strategies and ensemble pedagogies that enhance student learning and potentially enculturate richer and more sophisticated musicianship in students and their developing creative abilities.

“We Copy to Join in, to Not Be Lonely”: Adolescents in Special Education Reflect on Using Dramatic Imitation in Group Dramatherapy to Enhance Relational Connection and Belonging

This paper focuses on doctoral research which explored relationships and interpersonal learning through group dramatherapy and creative interviewing with adolescents in special education. A constructivist grounded theory study, positioning adolescents with intellectual/developmental disabilities as experts of their own relational experiences, revealed a tendency to “copy others.” The final grounded theory presented “copying” as a tool which participants consciously employed “to play with,” “learn from,” and “join in with” others. Commonly experiencing social ostracism, participants reflected awareness of their tendency to “copy others” being underpinned by a need to belong. Belonging was therefore expressed as the ultimate therapeutic experience participants wished to have. Participant responses which link dramatic imitation to a self-identified tendency “to copy,” are discussed with regard to how imitation provides an accessible point of dramatic entry from which adolescents in special education begin to explore new ways of being and inter-relating. Recommendations for how dramatherapists might centralize imitative aspects of the dramatic process to achieve therapeutic intent when working alongside adolescents in special education are discussed with specific focus on creating a space of belonging.Note on type: Participant quotes extracted from the data are included throughout this article. In order to highlight participant’s contributions quotes are italicized and presented within speech marks.

Les facteurs d’aide : Pour une meilleure compréhension des éléments-clés de l’intervention en contexte de nature et d’aventure

Les programmes d’intervention en contexte de nature et d’aventure (INA) font l’objet d’études depuis plus d’une cinquantaine d’années. Malgré la reconnaissance des effets qui leur sont attribués, peu de travaux portent sur les processus s’opérant dans ces interventions. L’objectif de cet article est d’identifier ces processus et de mieux comprendre leur influence sur l’expérience de groupe. Pour ce faire, le modèle des facteurs d’aide (FA) a été retenu. Des entrevues semi-dirigées ont été réalisées auprès de 23 sujets âgés de 17 à 21 ans ayant participé à une expédition de 18 jours. Les éléments-clés de l’INA sont les suivants : la multitude de défis, la déstabilisation, la relation entre les enseignants et les participants et le milieu naturel. Ensuite, leur relation avec les FA est mise en relief. Il est question de : l’altruisme, les comportements d’imitation, la cohésion, la connaissance de soi, le partage d’information, l’universalité et les techniques de socialisation. Les apprentissages interpersonnels, la catharsis, l’espoir, les facteurs existentiels et la récapitulation corrective de la famille sont absents. Ces résultats mettent en lumière l’interaction entre les éléments-clés de l’INA et les FA, et la pertinence de s’y intéresser en travail social de groupe.A number of studies have addressed outdoor and adventure programs over the past fifty years. Despite empirical evidence that demonstrates the personal benefits of these programs, research investigating the key features responsible for these effects is scarce. The purpose of this article is to identify them and understand their influence. In order to achieve this goal, the data were examined from the perspective of helping factors (HFs). Semi-structured interviews were undertaken with 23 subjects aged between 17 and 21 who had participated in an 18 day expedition. The results show that participation in the program promoted key features: multiple challenges, the experience of destabilization, the relationship between the facilitators and group members and finally, the experience of being in wilderness. Then, relationships between key features and HFs are highlighted. Many of them are found: altruism, imitative behavior, cohesiveness, self-understanding, imparting information, development of socializing techniques, and universality. Interpersonal learning, catharsis, hope, existential factors, and corrective recapitulation of the primary family group are absent. These results give a better understanding of how key features interact with HFs in nature and adventure settings and its relevance in social work with groups.

Gaya Belajar Interpersonal dan Pemahaman Konsep Peserta Didik terhadap Materi Pokok Statistika

Understanding the concept for students becomes an important basis in thinking so as to solve the problems that exist in real life. This study aims to determine the level of interpersonal learning styles and students' understanding of the concepts of statistics. This research is qualitative in nature, with the research subjects being 6 students of class XII MIPA 1 in Madrasah Aliyah in Lamongan and 1 mathematics subject teacher. The object in this study is the ability to understand statistical concepts and interpersonal learning styles in students. The instruments used were observation, questionnaires, test questions, interviews, and documentation. Based on the analysis of qualitative data that has been done, the results obtained interpersonal learning styles in students are in the high and medium categories. with different levels of interpersonal learning styles. Even though they have a high level of interpersonal learning style, not all are able to understand statistical concepts well. Abstrak:Pemahaman konsep bagi peserta didik menjadi dasar penting dalam berpikir sehingga dapat menyelesaikan permasalahan-permasalahan yang ada dikehidupan nyata. Penelitian ini memiliki tujuan untuk mengetahui tingkat gaya belajar interpersonal dan pemahaman konsep peserta didik terhadap statistika. Penelitian ini bersifat kualitatif, dengan subjek penelitian adalah 6 peserta didik kelas XII MIPA 1 di salah satu Madrasah Aliyah di Lamongan dan 1 orang guru matapelajaran matematika. Objek dalam penelitian ini adalah kemampuan dalam pemahaman konsep statistika dan gaya belajar interpersonal pada peserta didik. Instrumen yang digunakan adalah observasi, angket, tes soal, wawancara, dan dokumentasi. Berdasarkan analisis data kualitatif yang telah dilakukan, diperoleh hasil gaya belajar interpersonal pada peserta didik berada dalam kategori tinggi dan sedang. dengan tingkat gaya belajar interpersonal yang berbeda. Meskipun memiliki tingkat gaya belajar interpesonal tinggi namun tidak semua mampu memahami konsep statistika dengan baik.

How Generation Z College Students Prefer to Learn: A Comparison of U.S. and Brazil Students

The purpose of this study was to engage in a comparative analysis of Generation Z college students in the United States and Brazil regarding characteristics, motivations, interpersonal styles, learning styles, and learning methods. Quantitative data in both countries were collected and analyzed to formulate comparative findings. Themes that emerged include learning that makes a difference, achievement orientation, logic-based learning, intrapersonal and interpersonal learning, applied and hands-on experiences, learning through words, recognition, and lacking vision, inspiration, and creativity. More similarities than differences were found across themes in both populations.

Cocreating Meaning Through Expressive Writing and Reading for Cancer Caregivers

Purpose: Caregivers of patients with cancer cope with socioemotional challenges, which can adversely affect their well-being. We developed an intervention, expressive writing and reading (EWR), to promote emotional processing and social connectedness among caregivers. In a single-arm pilot study, we assessed its feasibility and perceived usefulness. Methods: Caregivers participated in weekly 1.5-hour EWR workshops offered over 20 weeks. After 4 sessions, they completed semistructured interviews, which were analyzed using qualitative descriptive analysis. Findings: Of 65 caregivers approached, 25 were eligible, 18 consented, and 9 (50%) caregivers completed at least 4 workshops and the interview. Their responses revealed 3 themes: “inner processing,” “interpersonal learning,” and “enhanced processing and preparedness.” Perceived benefits of EWR included emotional and cognitive processing (individual and collaborative), learning from the emotions and experiences of other caregivers, and preparing for upcoming challenges. Conclusions: Expressive writing and reading can be a safe and cost-effective supportive intervention for caregivers of patients with cancer.

Helping factors in an outdoor adventure program

Summary A number of studies have addressed outdoor and adventure programs over the past 50 years. Despite empirical evidence that demonstrates the personal benefits of group interventions, research investigating the mechanisms responsible for these effects is scarce. This is particularly so for groups in natural outdoor and adventure settings. There is therefore a need to improve our understanding of the processes involved. This research focused on personal and interpersonal processes that occurred during an outdoor group expedition. Semi-structured interviews were undertaken with 23 subjects aged between 17 and 21 who had participated in an 18-day expedition. The data are examined through a theoretical framework known as “helping factors” often used when studying benefits of a group intervention. Findings The results show that participation in the program promoted self-understanding, interpersonal learning, socializing techniques, and cohesion. Altruism, imitative behavior, universality, and imparting information were also important. As for existential factors, corrective recapitulation of the family, catharsis, and hope, these were rarely mentioned if not absent. Applications The results give a better understanding of the helping factors in such programs and of their potential role in the group process, as well as their application in social work practice.