Professional learning in healthcare settings in resource-limited environments
What are the tensions for professionals’ knowing and learning about antimicrobial resistance
Bibliographic Data
| ID | 21458668 |
|---|---|
| Authors | Koula Charitonos (0000-0003-4188-196X, The Open University, corresponding author), Allison Littlejohn (0000-0003-1784-3365, UCL Knowledge Lab, UCL, London, UK) |
| Year | 2022 |
| Volume | 44 |
| Issue | 3 |
| Pages | 475-492 |
| Publication date | 2022-09-02 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Studies in Continuing Education (JOURNAL) |
| Journal identifiers | ISSN: 0158-037X • E-ISSN: 1470-126X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/0158037x.2021.1883577 |
| OpenAlex | W3119046228 |
| Language | EN |
| Citations received | 1 |
| References cited | 20 |
This article examines tensions that professionals in healthcare settings in low-to-middle income countries (LMICs) face in the evolving field around surveillance of antimicrobial resistance (AMR). Few public health problems are of greater global importance today than AMR, that poses a threat to our ability to treat infections. In this context, the microbiology laboratory occupies a prominent place and the knowledge field of microbiology is expanding. In this study, we interviewed twenty-three (n = 23) professionals with expertise on AMR and public health systems to synthesise knowledge on strengthening AMR surveillance in LMICs. By drawing on a practice approach [Schatzki, T. R. 2001. “Practice Ttheory.” In The Practice Turn in Contemporary Theory (1–14), edited by T. R. Schatzki, K. Knorr-Cetima, and E. von Savigny. New York: Routledge.] combined with socio-cultural and cultural-historical theories (CHAT) [Engeström, Y. 1987. Learning by Expanding: An Activity-Theoretical Approach to Developmental Research. Helsinki: Orienta-Konsultit] the analysis reveals seven tensions between elements of the systems and discusses how such tensions serve to frame implications for implementing a capacity strengthening programme. The analysis shows that the novelty of the AMR as well as being a multi-disease and multisectoral by nature challenges existing forms of professional practice in healthcare settings. It also suggests that AMR requires to be dealt with through inter-professional and inter-sectoral approaches, while maintaining a focus across the local, national, and global systems, which is essential for initiatives that are set to address challenges to global health
Biology · Geography · Global health · Health care · Health professionals · Knowledge management · Medical education · Novelty · Pedagogy · Political science · Professional development · Public health · Public relations · Social science · Sociology · Computer Science · Education, Healthcare and Sociology Research · Higher Education Practises and Engagement · Innovative Education and Learning Practices · Medicine · Nursing · Psychology
Workplace Learning in Context
Being an Expert Professional Practitioner
Epistemic Fluency and Professional Education
Learning by Expanding
Learning in Moocs
Learning as Apprentices in the Contemporary UK Workplace
Reframing Professional Development Through Understanding Authentic Professional Learning
Sociomaterial approaches to conceptualising professional learning and practice
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |