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Survey-based experiential learning as a new approach to strengthening non-technical skills in LMIC health care settings

  • Hodza-Beganovic, Ruhija1, 2
  • Berggren, Peter1, 2, 3
  • Hugelius, Karin1
  • Edelbring, Samuel1
  • 1 Örebro University, Örebro, Sweden , Örebro (Sweden)
  • 2 Linköping University Hospital, Linköping, Sweden , Linköping (Sweden)
  • 3 Linköping University, Linköping, Sweden , Linköping (Sweden)
Published Article
BMC Medical Education
Springer (Biomed Central Ltd.)
Publication Date
Apr 26, 2021
DOI: 10.1186/s12909-021-02619-6
Springer Nature


BackgroundThis study outlines key aspects of professional development among health professionals in low- and middle-income countries (LMIC). LMICs need support in developing their continuing medical education, and non-technical skills (NTS) that have been neglected in this respect. Given the nature of NTS, educational methods should be used experientially. This study aims to explore an interactive educational approach to increase NTS among health care professionals in an LMIC setting.MethodsA design-based research approach was applied to develop an educational method. Key NTS concepts were identified, which directed the selection of research-based surveys. A series of workshops was designed in which a survey-based experiential approach was developed. The educational process followed a pattern of individual reflection, small group discussion and relating the concepts to the local practice in a wider group.ResultsAn approach to increase NTS in LMIC settings emerged in iterative development through conducting workshops with health care teams in the Balkans. The topics could be grouped into individual, team, and organisational dimensions. The approach can be described as survey-based experiential learning involving steps in recurring interaction with participants. The steps include identifying concepts in individual, team and organization dimensions and contextualising them using experiential learning on the individual and group levels.ConclusionAn overarching approach has been developed that addresses NTS in an LMIC setting. The survey-based experiential learning approach can be beneficial for raising professional awareness and the development of sustainable healthcare settings in LMICs.

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