Applying a participatory systems and value approach in a transdisciplinary exercise
on assessing the impact of training and education initiatives
Emmanuel A. Akinluyi (Guy's and St Thomas’ NHS Foundation Trust)
Anne Greenough (Guy's and St Thomas’ NHS Foundation Trust, King’s College London)
Keith Ison (Guy's and St Thomas’ NHS Foundation Trust)
P. J. John Clarkson (University of Cambridge)
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Abstract
Participatory systems approaches are readily used in multi- and inter-disciplinary exploration of shared processes, but are less-commonly applied in trans-disciplinary efforts eliciting principles that generalise across contexts. The authors were charged with developing a transdisciplinary framework for prospectively or retrospectively assessing initiatives to improve education and training within a multifaceted organisation. A common System Impact Model (SIM) was developed in a series of workshops involving thirty participants from different disciplines, clinical specialisms, and organisations. The model provided a greater understanding of the interrelationships between factors influencing the benefits of education and training and development as seen from various stakeholder perspectives. It was used to create a system for assessing the impact of initiatives on service-users/patients, trainees, and organisations. It was shown to enable a range of participants to connect on common challenges, to maximise cross-, multi-, and inter-disciplinary learning, and to uncover new strategies for delivering value, as system designers.
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