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Contextualizing interprofessional competencies in the Balkans: Healthcare workers’ understanding of the concepts based on an existing framework and a self-report instrument
Örebro University, School of Health Sciences. International Medical Program, Centre for Teaching and Research in Disaster Medicine, Region Östergötland, Linköping, Sweden.ORCID iD: 0000-0001-9187-4755
International Medical Program, Centre for Teaching and Research in Disaster Medicine, Region Östergötland, Linköping, Sweden; Center for Disaster Medicine and Traumatology, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Department of Computer and Information Science, Linköping University, Linköping, Sweden.
Örebro University, School of Health Sciences. School of Education, Culture and Communication, Mälardalen University, Västerås, Sweden.ORCID iD: 0000-0002-1110-0782
2025 (English)In: Journal of Interprofessional Education and Practice, ISSN 2405-4526, Vol. 41, article id 100787Article in journal (Refereed) Published
Abstract [en]

This paper emphasizes adapting frameworks for interprofessional collaboration (IPC) from high-income settings to culturally distinct, resource-constrained regions. We adapted and validated the Interprofessional Education Collaborative (IPEC) competency framework within a Balkan healthcare context facing systemic, educational, and financial challenges. Frameworks such as IPEC may not fully capture contextual nuances in lower-middle-income countries (LMICs). Therefore, we examined how the IPEC framework could be culturally adapted for healthcare workers in the Balkans. A convergent mixed-methods design was employed, involving two interprofessional workshops and a follow-up survey. Healthcare workers from Bosnia and Herzegovina, Montenegro, and Kosovo participated in reflective discussions and prioritized competencies from the original 38-item IPEC instrument. The adapted instrument (IPEC-21B) was evaluated for psychometric reliability and contextual relevance and proved to be both valid and practical due to its shorter format. The instrument measured attitudes toward IPC and encouraged critical dialogue about hierarchy, communication, and shared roles, positioning it as both an assessment tool and a catalyst for professional learning. The results demonstrate how an adapted survey on IPC foster systemic thinking and professional development provides a tool for increased awareness. By retaining all core IPEC domains, IPEC-21B provides a tool for increasing awareness and developing interprofessional competencies in a way that aligns with local cultural and educational needs in settings with limited traditions of interprofessional practice. Tailoring an IPC instrument to local contexts enhances healthcare workers’ understanding of collaboration and may improve patient outcomes and care equity. The participatory adaptation process emphasizes embedding dialogue and shared understanding into interprofessional education and assessment in LMICs.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 41, article id 100787
Keywords [en]
Contextualization, Interprofessional competence, Mokken scale analysis, Self-report
National Category
Other Educational Sciences Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-126264DOI: 10.1016/j.xjep.2025.100787Scopus ID: 2-s2.0-105024324430OAI: oai:DiVA.org:oru-126264DiVA, id: diva2:2028077
Available from: 2026-01-14 Created: 2026-01-14 Last updated: 2026-03-26Bibliographically approved
In thesis
1. Developing non-technical skills through designed experiential learning: participatory research in a Balkan healthcare context
Open this publication in new window or tab >>Developing non-technical skills through designed experiential learning: participatory research in a Balkan healthcare context
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Rapid changes in population health needs have increased the importance of understanding how healthcare institutions in low- and middle-income countries (LMICs) support the development of healthcare professionals’ competencies. While traditional training has primarily emphasised clinical and technical skills, healthcare systems in LMICs often face additional challenges related to limited resources, entrenched hierarchies, and complex cultural contexts. These conditions highlight the need to better understand the development of non-technical skills (NTSs), including communication, teamwork, leadership, and interprofessional collaboration.

This thesis examines how healthcare professionals understand and develop NTSs, with particular attention to leadership and interprofessional collaboration within healthcare settings in the Balkan region and in the context of international healthcare partnerships in Sweden. The study applies a designed experiential learning approach grounded in participatory and interactive educational practices. Kolb’s experiential learning theory serves as the overarching conceptual framework and is applied across individual, team, and organisational levels, with surveys-used to stimulate dialogue.

The thesis is presented as a compilation, consisting of an introduction and four empirical studies employing both qualitative and quantitative research methods. Data were collected through interviews, focusgroups, and observations.

The findings indicate that designed experiential learning approaches effectively foster the development and understanding of NTSs. These skills develop in ways that are closely shaped by organisational structures and cultural contexts. The results contribute to a growing body of evidence supporting experiential, participatory, and context-sensitive approaches in healthcare education and suggest that traditional dyadic mentoring alone is insufficient to support professional development in increasingly complex healthcare environments.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2026. p. 99
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 350
Keywords
non-technical skills, experiential learning, healthcare professionals, survey-based experiential learning
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-127364 (URN)9789175297538 (ISBN)9789175297545 (ISBN)
Public defence
2026-04-16, Örebro universitet, Forumhuset, Hörsal F, Fakultetsgatan 1, Örebro, 09:00 (English)
Opponent
Supervisors
Available from: 2026-02-17 Created: 2026-02-17 Last updated: 2026-04-14Bibliographically approved

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Hodza-Beganovic, RuhijaEdelbring, Samuel

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