Patience, persistence and pragmatism : experiences and lessons learnt from the implementation of clinically integrated teaching and learning of evidence-based health care – a qualitative study

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dc.contributor.authorYoung, Tarynen_ZA
dc.contributor.authorRohwer, Ankeen_ZA
dc.contributor.authorVan Schalkwyk, Susanen_ZA
dc.contributor.authorVolmink, Jimmyen_ZA
dc.contributor.authorClarke, Mikeen_ZA
dc.date.accessioned2016-08-26T09:21:15Z
dc.date.available2016-08-26T09:21:15Z
dc.date.issued2015-06en_ZA
dc.descriptionCITATION: Young, T., et al. 2015. Patience, persistence and pragmatism : experiences and lessons learnt from the implementation of clinically integrated teaching and learning of evidence-based health care – a qualitative study. PLoS ONE, 10(6):1-19, doi:10.1371/journal.pone.0131121.
dc.descriptionThe original publication is available at http://journals.plos.org/plosone
dc.description.abstractBackground: Clinically integrated teaching and learning are regarded as the best options for improving evidence-based healthcare (EBHC) knowledge, skills and attitudes. To inform implementation of such strategies, we assessed experiences and opinions on lessons learnt of those involved in such programmes. Methods and Findings: We conducted semi-structured interviews with 24 EBHC programme coordinators from around the world, selected through purposive sampling. Following data transcription, a multidisciplinary group of investigators carried out analysis and data interpretation, using thematic content analysis. Successful implementation of clinically integrated teaching and learning of EBHC takes much time. Student learning needs to start in pre-clinical years with consolidation, application and assessment following in clinical years. Learning is supported through partnerships between various types of staff including the core EBHC team, clinical lecturers and clinicians working in the clinical setting. While full integration of EBHC learning into all clinical rotations is considered necessary, this was not always achieved. Critical success factors were pragmatism and readiness to use opportunities for engagement and including EBHC learning in the curriculum; patience; and a critical mass of the right teachers who have EBHC knowledge and skills and are confident in facilitating learning. Role modelling of EBHC within the clinical setting emerged as an important facilitator. The institutional context exerts an important influence; with faculty buy-in, endorsement by institutional leaders, and an EBHC-friendly culture, together with a supportive community of practice, all acting as key enablers. The most common challenges identified were lack of teaching time within the clinical curriculum, misconceptions about EBHC, resistance of staff, lack of confidence of tutors, lack of time, and negative role modelling. Conclusions: Implementing clinically integrated EBHC curricula requires institutional support, a critical mass of the right teachers and role models in the clinical setting combined with patience, persistence and pragmatism on the part of teachers.en_ZA
dc.description.versionPublisher's versionen_ZA
dc.format.extent19 pagesen_ZA
dc.identifier.citationYoung, T., et al. 2015. Patience, persistence and pragmatism : experiences and lessons learnt from the implementation of clinically integrated teaching and learning of evidence-based health care – a qualitative study. PLoS ONE, 10(6):1-19, doi:10.1371/journal.pone.0131121en_ZA
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0131121
dc.identifier.urihttp://hdl.handle.net/10019.1/99481
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectClinically integrated teaching and learningen_ZA
dc.subjectEvidence based healthcareen_ZA
dc.subjectMedical personnelen_ZA
dc.titlePatience, persistence and pragmatism : experiences and lessons learnt from the implementation of clinically integrated teaching and learning of evidence-based health care – a qualitative studyen_ZA
dc.typeArticleen_ZA
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