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(p. 263) Learning at work: Toward a learning stance in teams 

(p. 263) Learning at work: Toward a learning stance in teams
Chapter:
(p. 263) Learning at work: Toward a learning stance in teams
Author(s):

Dickon Bevington

, Peter Fuggle

, Liz Cracknell

, and Peter Fonagy

DOI:
10.1093/med-psych/9780198718673.003.0007
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date: 30 March 2020

Team learning, the focus of the fourth quadrant of the AMBIT wheel, is justified by strong evidence about the weak translation of evidence-based trainings into practice fidelity, and weak clinical outcomes from even the most powerfully evidenced practices. The need for strong leadership (and what this entails) to support development of a learning organization is described. Research findings on quality improvements and outcomes in health and social care settings lead to a framework of AMBIT competencies. The notion of local team “manualization” is introduced; this is the systematic effort of a team over time to reflect upon and record (mentalize) how the team works, and why. Discussion of treatment manuals and (as the AMBIT stance presents it) the tension between “Respect for evidence” and “Respect for local practice and expertise” lead to notions of co-construction. Technical aspects of AMBIT’s wiki manual are described, along with how these aspects support a community of practice and mirror “open-source” IT developments.

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