title: Pedagogical processes in healthcare: an exploratory study of pedagogic work with patients and next of kin.
abstract: BACKGROUND
  Care and education have much in common, and work in the healthcare sector is closely associated with learning and teaching. It is felt that many in the healthcare and medical services are not aware of their pedagogic skills and how they can be developed. FRAME OF REFERENCE: Belonging to a community of practice means that you share perspectives, methods and language.
  
  
  OBJECTIVE
  The aim is to describe the pedagogical discourse by identifying pedagogical processes and studying the staff's awareness of such processes or situations in which a pedagogical approach would be useful in their work with patients and next of kin.
  
  
  METHODS
  A qualitative study based on individual and group interviews. The analysis is directed by grounded theory.
  
  
  RESULTS
  The pedagogical processes varied in length and quality. Most were unplanned and were usually embedded in treatment. The pedagogical process is linear (planning, goal setting, teaching and evaluating) in an educational setting but we found that the beginning and end can be unclear and the goals can be vague or non-existent. The pedagogical process is best described using the concepts Read, Guide and Provide learning support.
  
  
  CONCLUSIONS
  The pedagogical discourse in healthcare is almost silent. Data indicate that at the collective level there is very little support for professional development of pedagogical ability. Tacit knowledge may therefore remain silent even though it may be possible to formulate and describe it.
  
  
  CONCLUSIONS
  There is a strong need to focus on the pedagogical parts of the work and to encourage and support the development of professional pedagogical knowledge.
authors.affiliation: Linköping University, Sweden. hakhu@ibv.liu.se
authors.forename: Håkan
authors.initials: H
authors.lastname: Hult
authors.forename: Marianne
authors.initials: M
authors.lastname: Lindblad Fridh
authors.forename: Annika
authors.initials: A
authors.lastname: Lindh Falk
authors.forename: Karin
authors.initials: K
authors.lastname: Thörne
mesh_terms: D005190:Family; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D010353:Patient Education as Topic; D024382:Professional Role; D011369:Professional-Patient Relations; D013663:Teaching / Q000379:methods*