title: Working collaboratively in health care contexts: the influence of bioscientific knowledge on patient outcomes.
abstract: This paper explores work-based learning and collaborative working in health care by drawing on the findings of a completed study about the influence of nursing knowledge on patient outcomes. A qualitative research approach was used to explore the experiences of nurses in critical care settings. Interviews and analysis produced a descriptive and interpretive account of everyday working and learning for these specialist nurses. Findings showed that nursing knowledge influenced patient outcomes in a number of ways. Nurses draw on bio-scientific knowledge and experience in order to achieve patient outcomes. Moreover, they collaborated with other health professionals in everyday working and learning. The study findings are explored with reference to the literature about situated knowledge, clinical problem solving and work-based learning. The significance of the findings is that the kind of 'collaborative competence' identified here contributes to the achievement of the aims of the NHS plan and ' Working Together, Learning Together' [Department of Health, 2001. Working Together, Learning Together. Department of Health, London]. Despite the centrality of team working and the trend for more work-based learning in NHS contexts, there is a limited evidence base to date about the influence of team working or work-based learning on patient outcomes. The analysis and discussion in this paper adds to this body of knowledge.
authors.affiliation: School of Nursing and AcuteCare, Faculty of Health and Social Work, University of Plymouth, Plymouth, Devon PL4 4AA, UK. mprowse@plymouth.ac.uk
authors.forename: Morag A
authors.initials: MA
authors.lastname: Prowse
authors.forename: Valerie
authors.initials: V
authors.lastname: Heath
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D004509:Education, Nursing, Continuing / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033183:Interdisciplinary Communication; D015402:Nursing Education Research; D010043:Outcome and Process Assessment, Health Care; D016528:Postanesthesia Nursing / Q000193:education; D018794:Problem-Based Learning / Q000379:methods; D036301:Qualitative Research; D006113:United Kingdom