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Pedagogical approaches in quality improvement coaching in healthcare: A Swedish case study of how improvement coaches approach learning in a contemporary healthcare system
Linnaeus University, Faculty of Social Sciences, Department of pedagogy. Jönköping University. (Bridging the Gaps)ORCID iD: 0000-0002-3164-8462
Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
Jönköping University ; Academy for Health and Care Region Jönköping County.
2015 (English)In: Nordic Journal of Studies in Educational Policy, ISSN 2002-0317, Vol. 1, 30178Article in journal (Refereed) Published
Abstract [en]

In this study we adopt a critical perspective and explore different coaching styles in quality improvement (QI) work in the provision of healthcare. Coaching has gained attention as an effective way to enhance QI in healthcare. This study investigates how coaching is realized in terms of learning: What kinds of learning ideals pervade QI coaching, and how is support for learning realized, given the prevailing conditions in a contemporary healthcare system? For the purpose of this case study, a group of coaches exchanged experiences of their pedagogic roles and the strategies that they employ, on four occasions, over a period of four months. The conversations were filmed and then analyzed, using critical discourse analysis as an analytic framework. Three parallel styles of coaching were identified, which were symbolized by (i) a pointing, (ii) a bypassing, and (iii) a guiding discourse. No persistent dominance of any one of the discourses was found, which suggests that there exists an ever-present tension between a pointing and a guiding pedagogy in the coaching activities. The findings indicate that QI coaching in healthcare is more complex than previous conceptualizations of coaching. Additionally, the findings present a new, ‘bypassing’ coaching style which the coaches themselves were not fully aware of.

Place, publisher, year, edition, pages
2015. Vol. 1, 30178
Keyword [en]
coaching, quality improvement in healthcare, critical discourse analysis
National Category
Pedagogy Other Health Sciences
Research subject
Pedagogics and Educational Sciences, Pedagogics
URN: urn:nbn:se:lnu:diva-48544DOI: 10.3402/nstep.v1.30178OAI: diva2:889726
Bridging the Gaps
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2015-12-28 Created: 2015-12-28 Last updated: 2016-05-18Bibliographically approved

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Norman, Ann-CharlottFritzén, Lena
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