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Standards and Standardization

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Practice-based Learning in Higher Education

Part of the book series: Professional and Practice-based Learning ((PPBL,volume 10))

Abstract

This chapter explores the ways in which standards have impacted on the practice-based learning experiences of health students. Using a critical discourse analysis of standardization processes, the limitations placed by health service standards on the education of health students are illustrated. A description is provided of the ways in which these standards have become self-evident claims of best practice, together with expectations of compliance by health professionals and health students alike. The authors argue that the biomedical paradigm and ideology of economic rationalism have influenced what constitutes evidence-based ‘best’ practice standards, with a subsequent subordination of humanist discourses. The authors conclude by encouraging the development of innovative pedagogies for practice-based learning that promote critical thinking about the structures that support practice as well as the practice itself.

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References

  • Allan, J., O’Meara, P., Pope, R., Higgs, J., & Kent, J. (2011). The role of context in establishing university clinics. Health & Social Care in the Community, 19(2), 217–224.

    Google Scholar 

  • Althusser, L. (1971). Ideology and ideological state apparatuses. Lenin and Philosophy and Other Essays Monthly Review Press.

    Google Scholar 

  • Alvesson, M., & Karreman, D. (2000). Varieties of discourse: On the study of organizations through discourse analysis. Human Relations, 53(9), 1125–1149.

    Article  Google Scholar 

  • Angell, M. (2004). Excess in the pharmaceutical industry. Canadian Medical Association Journal, 171(12), 1451–1453.

    Article  Google Scholar 

  • Argyris, C. (1999). On organizational learning (2nd edn.). Oxford: Blackwell.

    Google Scholar 

  • Arndt, M., & Bigelow, B. (2009). Evidence-based management in health care organizations: A cautionary note. Health Care Management Review, 34(3), 206–213.

    Article  Google Scholar 

  • Australian Nursing and Midwifery Council (ANMC) Dec. (2005). National competency sandards for registered nurses. Canberra: ANMC.

    Google Scholar 

  • Australian Commission on Safety and Quality in Health Care. (2010a). Australian safety and quality framework for healthcare. Canberra: Australian Health Ministers, Commonwealth of Australia.

    Google Scholar 

  • Australian Commission on Safety and Quality in Health Care. (2010b). Patient-centred care: Improving quality and safety by focusing care on patients and consumers: A discussion paper. Canberra: Australian Health Ministers, Commonwealth of Australia.

    Google Scholar 

  • Australian Universities Quality Agency. (2010). AUQA Occasional Publications Number 22. Proceedings of the AuQF2010 conference: Quality in uncertain times: 30 June—2 July 2010. Gold Coast, Australia.

    Google Scholar 

  • Bail, K., Cook, R., Gardner, A., & Grealish, L. (2009). Writing ourselves into a web of obedience: A nursing policy analysis. International Journal of Nursing Studies, 46, 1457–1466.

    Article  Google Scholar 

  • Beauchamp, T., & Childress, J. (2009). Principles of biomedical ethics (6th edn.). Oxford: Oxford University Press.

    Google Scholar 

  • Billett, S. (2002). Toward a workplace pedagogy: Guidance, participation, and engagement. Adult Education Quarterly, 53(1), 27–43.

    Article  Google Scholar 

  • Birrell, B., & Smith, F. (2010). Export earnings from the overseas student industry: How much? Australian Universities Review, 52(1), 4–12.

    Google Scholar 

  • Bradley, D., Noonan, P., Nugent, H., & Scales, B. (2008). Review of Australian higher education—Final report. Canberra: Department of Education, Employment and Workplace Relations.

    Google Scholar 

  • Bradshaw, A. (2011). Compassion: What history teaches us. Nursing Times, 107(19–20), 12–14.

    Google Scholar 

  • Braine, M. (2006). Clinical governance: Applying theory to practice. Nursing Standard, 20, 56–65.

    Google Scholar 

  • Braithwaite, J., & Travaglia, J. (2008). An overview of clinical governance policies, practices and initiatives. Australian Health Review, 32(1), 10–22.

    Article  Google Scholar 

  • Bridges, D., Davidson, R., Odegard, P., Maki, I., & Tomkowiak, J. (2011). Interprofessional collaboration: Three best practice models of interprofessional education. Medical Education Online, 16, 1034021606035.

    Article  Google Scholar 

  • Business Council of Australia (BCA). (2008). Submission to the review of the australian higher education system. Melbourne: BCA.

    Google Scholar 

  • Chaput, C. (2008). Lest we go the way of vocational training: Developing undergraduate writing programs in the humanist tradition. Journal of the Council of Writing Program Administrators, 31(3), 15–31.

    Google Scholar 

  • Cochrane Collaboration. (2011). Background of the Cochrane collaboration. http://www.cochrane.org/about-us/history/archie-cochrane. Accessed 25 May 2011.

  • Corrigan, P., & Ralph, R. (2005). Recovery as a consumer vision and research paradigm. In P. Corrigan, & R. Ralph (Eds.), Recovery in mental illness: Broadening our understanding. Washington: American Psychological Society.

    Google Scholar 

  • Department of Education, Training and Youth Affairs. (2000). The Australian higher education quality assurance framework. Canberra: Commonwealth of Australia. http://dest.gov.au/highered/occpaper/00g/00g.pdf.

  • Department of Education, Training and Youth Affairs. (2001). Submission to senate community affairs reference Committee: Inquiry into Nursing. Canberra: Commonwealth of Australia.

    Google Scholar 

  • Department of Education, Science and Training (DEST). (2002). Striving for quality: Learning, teaching and scholarship. Canberra: Commonwealth of Australia.

    Google Scholar 

  • Department of Health and Ageing. (2009). Primary health care reform in australia: report to support australia’s first national primary health care strategy, Canberra: Commonwealth of Australia.

    Google Scholar 

  • Department of Health and Aged Care. (2001). Setting the Standards: A national health information standards plan for Australia, Canberra: Commonwealth of Australia.

    Google Scholar 

  • Fairclough, N., & Wodak, R. (1997). Critical discourse analysis. In T. Van Dijk (Ed.), Discourse as social interaction (pp. 258–284). London: Sage.

    Google Scholar 

  • Findlow, S. (2012). Higher education change and professional-academic identity in newly ‘academic’ disciplines: The case of nurse education. Higher Education, 63(1), 117–133.

    Article  Google Scholar 

  • Foucault, M. (1972). The archaeology of knowledge (and the discourse of language), trans. S Smith. London: Pantheon.

    Google Scholar 

  • Frenk, J., Chen, L., Bhutta, Z., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. Lancet, 376(97556), 1923–1958.

    Article  Google Scholar 

  • Goodwin, V., & Happell, B. (2008). Psychiatric nurses’ attitude toward consumer and carer participation in care: Part 2: Barriers to participation. Policy, Politics and Nurse Practice, 9(4), 249–256.

    Article  Google Scholar 

  • Hobsons, A. (2011). The Good Universities Guide: Australia’s only Degree and University Performance Ratings. http://www.gooduniguide.com.au. Accessed 15 Dec 2011.

  • Holmes, D., Murray, S., Perron, A., & Rail, G. (2006). Deconstructing the evidence-based discourse in health sciences: Truth, power and fascism. International Journal of Evidence-Based Healthcare, 4(3), 180–186.

    Google Scholar 

  • Hughes, C. (1998). Practicum Learning: Perils of the authentic workplace. Higher Education Research & Development, 17(2), 207–227.

    Article  Google Scholar 

  • Hungerford, C., & Bourgeois, S. (2012). Supporting WIL: A faculty-wide mapping tool at the University of Canberra. In A. Williams, T. Levett-Jones, W. Sher, C. Simmons, B. Bowen, & N. Gu (Eds.), Facilitating work integrated learning through skill-enabled e-portfolios, DEEWR: Canberra.

    Google Scholar 

  • Hungerford, C., Molan, E., Gilbert, B., & Kellett, J. (2010). ‘Tools of trade’: Supporting consistency in processes related to work-integrated learning (WIL). Asia-Pacific Journal of Cooperative Education, 11(3), 115–124.

    Google Scholar 

  • International Organization for Standardization. (2011). International Standards for Business, Government and Society. World Wide Web: http://www.iso.org/iso/about/international_standardization_and_education.htm. Accessed Oct 2011.

  • Iriart, C., Franco, T., & Merhy, E. (2011). The creation of the health consumer: Challenges on health sector regulation after managed care era. Globalization and Health, 7(2). http://www.globalizationandhealth.com/content/7/1/2.

  • Kaldis, B. (2009). The University as Microcosm. Educational Philosophy and Theory, 41(5), 53–574.

    Google Scholar 

  • Keleher, H., & Murphy, B. (2006). Understanding health: A determinants approach. Melbourne: Oxford University Press.

    Google Scholar 

  • Kronenfeld, M., Stephenson, P., Nail-Chiwetalu, B., Tweed, E., Sauers, E., McLeod, T., Guo, R., Trahan, H., Alpi, K., Hill, B., Sherwill-Navarro, P., Allen, M., Hartman, L., Burnham, J., Fell, D., Pavlick, R., MacNaughton, E., & Nail-Chiwetalu, B. (2007). Review of librarians of evidence-based practice in nursing and the allied health professions in the United States. Journal of Medical Librarians Association, 95(4), 394–407.

    Article  Google Scholar 

  • Lee-Aschcraft, K., & Mumby, D. (2004). Organizing a critical communicology of gender and work. International Journal of the Sociology of Language, 166(1), 19–43.

    Google Scholar 

  • Lomas, L., & Tomlinson, K. (2000). Standards: The varying perceptions of senior staff in higher education institutions. Quality Assurance in Education, 8(3), 131–138.

    Article  Google Scholar 

  • Marginson, S., Weko, T., Channon, N., Luukkonen, T., & Oberg, J. (2007). Thematic review of tertiary education. Paris: Organisation for Economic Co-operation and Development, Directorate for Education Education and Training Policy Division.

    Google Scholar 

  • Marquis, B., Lillibridge, J., & Madison, J. (1993). Problems and progress as Australia adopts the bachelor’s degree as the only entry to nursing practice. Nursing Outlook, 41(3), 135–140.

    Google Scholar 

  • Moynihan, R., & Cassells, A. (2005). Selling sickness: How the world’s biggest pharmaceutical comapnies are turning us all into patients, New York: Nation Books.

    Google Scholar 

  • National Health and Hospitals Reform Commission. (2009). A healthier future for all Australians. Canberra: Attorney-General’s Department, Commonwealth of Australia.

    Google Scholar 

  • O’Connor, N., & Paton, M. (2008). ‘Governance of’ and ‘Governance by’: Implementing a clinical governance framework in an area mental health service. Australasian Psychiatry, 16(2), 69–73.

    Article  Google Scholar 

  • Office of the Vice Chancellor, University of Melbourne. (2011). Higher education based funding review submission. Melbourne, University of Melbourne.

    Google Scholar 

  • O’Keefe, B. (2008). Private graduates “not a bigger burden”, The Australian: Higher education. http://www.theaustralian.com.au/higher-education/private-graduates-not-a-bigger-burden/story-e6frgcjx–1111115325071. Accessed 15 Dec 2011.

  • Oliver, K., Dalrymple, P., Lehmann, H., McClellan, D., Robinson, K., & Twose, C. (2008). Bringing evidence to practice: A team approach to teaching skills required for an informationist role in evidence-based clinical and public health practice. Journal of Medical Library Association, 96(1), 50–57.

    Article  Google Scholar 

  • Organization for Economic Development (OECD). (2010) OECD Health Data 2010-Frequently Requested Data. http://www.ecosante.org/oecd.htm. Accessed 20 May 2011.

  • Owen, C. (2009). Consumer-driven health service: Answer to global competition or threat to social justice? Social Work, 54(4), 307–315.

    Article  Google Scholar 

  • Parker, I. (1999). Introduction: Varieties of discourse and analysis. In I. Parker (Ed.), Critical textwork: An introduction to varieties of discourse and analysis. Buckingham: Open University Press.

    Google Scholar 

  • Porter, R. (1997). The greatest benefit to mankind: A medical history of humanity from antiquity to the Present, New York, Harper Collins.

    Google Scholar 

  • Postgraduate Medical Council of Victoria (PMVC). (2011). Hitting the ground running: Centralised Victorian IMG Orientation Program 2011. Melbourne: PMCV.

    Google Scholar 

  • Pratt, C. (2008). Social ecology and creative pedagogy: Using creative arts and critical thinking in co-creating and sustaining ecological learning webs in university pedagogies. Transnational Curriculum Inquiry, 5(1), 4–15.

    Google Scholar 

  • Precision Consultancy. (2007). Graduate employability skills: Prepared for the business, industry and higher education collaboration council. Canberra: Australian Government Department Education Science & Training.

    Google Scholar 

  • Pusey, M. (1991). Economic rationalism in Canberra: A nation-building state changes its mind. Melbourne: Cambridge University Press.

    Google Scholar 

  • Rautio, A., Sunnari, V., Nuutinen, M., & Laitala, M. (2005). Mistreatment of university students most common during medical studies. BMC Medical Education, 5, 36.

    Article  Google Scholar 

  • Said, E. (2004). Humanism and democratic criticism. Hampshire: Palgrave Macmillan.

    Google Scholar 

  • Scarvell, J., & Stone, J. (2010). An interprofessional collaborative practice model for preparation of clinical educators. Journal of Interprofessional Care, 24(4), 386–400.

    Article  Google Scholar 

  • Scollon, R. (2001). Action and text: Towards an integrated understanding of the place of text in social (inter)action, medicated discourse analysis and the problem of social action. In R. Wodak, & M. Meyer (Eds.), Methods of critical discourse analysis (pp. 139–183). London: Sage.

    Google Scholar 

  • Segal, L., & Murphy, M. (2011). An evidence-based health workforce model for primary and community care. Implementation Science, 6, 93.

    Article  Google Scholar 

  • Segouin, C., Hodges, B., & Brechat, P. (2005). Globalization in health care: Is international standardization of quality a step toward outsourcing? International Journal for Quality in Health Care, 17(4), 277–279.

    Article  Google Scholar 

  • Senge, P. (2006). The fifth dscipline: The art & practice of the learning organization, revised edn. New York: Currency Doubleday.

    Google Scholar 

  • Silverman, D. (2003). Theorizing in the shadow of foucault: facets of female sexuality. Psychoanalytic Dialogues, 13(2), 243–273.

    Article  Google Scholar 

  • Smith, R., Mackay, D., Challis, D., & Holt, D. (2006). Seeking industry perspectives to enhance experiential education in university-industry partnerships: Going beyond mere assumptions. Asia-Pacific Journal of Cooperative Education, 7(2), 1–9.

    Google Scholar 

  • Spencer, E., & Walshe, K. (2009). National quality improvement policies and strategies in European healthcare systems. Quality and Safety in Health Care, 18(Suppl_1), i22–i27.

    Article  Google Scholar 

  • Stone, J. (2010). Moving interprofessional learning forward through formal assessment. Medical Education, 44(4), 396–403.

    Article  Google Scholar 

  • Tait, A. (2004). Clinical governance in primary care: A literature review. Journal of Clinical Nursing, 13(6), 723–730.

    Article  Google Scholar 

  • Thornborrow, J. (2002). Power talk: Language and interaction in institutional discourse. London: Longman.

    Google Scholar 

  • Van Dijk, T. (1993). Principles of critical discourse analysis. Discourse and Society, 4(2), 249–283.

    Article  Google Scholar 

  • Van Dijk, T. (1997). The study of discourse. In T. Van Dijk (Ed.), Discourse as structure and process (pp. 1–34). London: Sage.

    Google Scholar 

  • Van Dijk, T., Ting-Toomey, S., Smitherman, G., & Troutman, D. (1997). Discourse, Ethnicity, Culture and Racism. In T. Van Dijk (Ed.), Discourse as social interaction (pp. 144–180). London: Sage.

    Google Scholar 

  • Warner, J. (2011). The humanising power of medical history: Responses to biomedicine in the twentieth century United States. Medical Humanities, 37(2), 91–96.

    Article  Google Scholar 

  • Watson, J. (1999). Postmodern nursing and beyond. Edinburgh: Churchill Livingstone.

    Google Scholar 

  • Wieland, E., Manheimer, E., & Berman, B. (2011). Development and classification of an operational definitions of complementary and alternative medicine for the Cochrane collaboration. Alternative Therapies in Health and Medicine, 17(2), 50–59.

    Google Scholar 

  • Wong, B., Levinson, W., & Shojania, K. (2012). Quality improvement in medical education: Current state and future direction. Medical Education, 46(1), 107–119.

    Article  Google Scholar 

  • World Health Organization (WHO). (2002). Towards a common language for functioning, disability and health: icf: The international classification of functioning, disability and health. Geneva: WHO.WHO/EIP/GPE/CAS/01.3.

    Google Scholar 

  • World Health Organization (WHO). (2010). World health report 2010—Health systems financing-The path to universal coverage (Executive Summary). Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization (WHO). (2012). Definition of health. www.who.int/en/. Accessed 15 Dec 2011.

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Correspondence to Catherine Hungerford RN, PhD .

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Hungerford, C., Kench, P. (2015). Standards and Standardization. In: Kennedy, M., Billett, S., Gherardi, S., Grealish, L. (eds) Practice-based Learning in Higher Education. Professional and Practice-based Learning, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9502-9_5

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