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Collective commitment and collective efficacy: A theoretical model for
understanding the motivational dynamics of collaborative
processesdilemma resolution in inter-professional work
Abstract
This paper presents a new theoretical model which conceptualizes inter-
professional and multi-agency collaborative working, at the level of the
individual within a group. This arises from a review of the literature around joint
working, and is based on social psychological theories which refer to shared
goals. The model assumes that collective commitment, collective efficacy, and
process and outcome beliefs interact and feed into the development and
maintenance of collaborative processes and outcomes. This is situated within an
ecological framework that summarises the context of inter-professional and
multi-agency collaboration. The model illustrates working resolutions of specific
inter-professional dilemmas around identity, role and control. This paper extends
the literature around theoretical approaches to collaborative work in a multi-
agency or inter-professional context, with its specific social-psychological focus
on the motivations of the individual within the group.
Keywords: inter-professional work, professional collaboration; joint work
Collective commitment and collective efficacy: A theoretical model for
understanding the motivational dynamics of collaborative
processesdilemma resolution in inter-professional work
Authors: Jo Rose*a and Brahm Norwichb
*Corresponding Author
aGraduate School of Education, University of Bristol, 35 Berkeley Square,
Bristol BS8 1JA UK. [email protected]
b Graduate School of Education, University of Exeter, Heavitree Road, Exeter
EX1 2LU UK.
Acknowledgements
This research was carried out at the Graduate School of Education, University
of Exeter, Heavitree Road, Exeter EX1 2LU. It was funded by a British
Academy Small Grant, award number SG-46750.
Thank you to Professor Jo-Anne Baird, and anonymous referees, for their
helpful comments on earlier versions of this paper.
Introduction
This paper presents a new theoretical model conceptualising inter-
professional collaboration, and shows how this model links with the resolution
of dilemmas in inter-professional working. Inter-professional and multi-agency
teams, by nature, are likely to experience problems (e.g. Sloper 2004; Watson,
2006), particularly around developing and coordinating collective goals.
Widely-used theoretical perspectives in this field include activity theory
(Engeström, 1999) and communities of practice (Wenger, 1998), which are
generally framed in terms of social theory, and as such do not address in detail
interaction between individuals and the groups in which they work (Edwards,
2007). Work on relational agency (Edwards, 2006, 2007; Edwards, Lunt &
Stamau, 2010) begins to address this, focusing on collaborative processes,
specifically the capacity of individuals to develop shared understandings in
joint work. However, there is a need for greater understanding about ways in
which individuals develop commitment to the processes of joint work, and how
such motivation can resolve inter-professional dilemmas. The model presented
in this paper addresses this need with a specific analysis of the social-
psychological processes involved in inter-professional collaboration and
motivation.
With the introduction of Every Child Matters (Department for
Education and Skills [DfES], 2004) followed by The Children’s Plan
(Department for Children, Schools and Families [DCSF], 2007), inter-
professional and multi-agency collaboration became increasingly important to
policy-makers and practitioners in children’s services. The restructuring of
government departments in 2007 created the Department for Children, Schools
and Families, illustrating the Labour government’s policy thrust towards child-
centred provision. The 2010 Coalition government returned to a separate
Department for Education, and subsequent changes to Local Authority funding
resulted in expectations that services will develop efficient ways of working
together around child-centred provision. There is an increasing requirement,
therefore, for professionals from different agencies and backgrounds to work
together. In education for example, Behaviour Support Teams might bring
together professionals such as advisory teachers, clinical and educational
psychologists, mental health workers, speech and language therapists, social
workers, and school nurses. Such mixes of professionals work across children’s
services in Youth Offending Teams, Teams Around the Child, Child and
Adolescent Mental Health Services, and many other groups and teams. Despite
this, guidance about the practicalities of joint working is lacking (Dalzell,
Nelson, Haigh, Williams & Monti§, 2007). Unique problems arise when
professionals from different backgrounds and agencies work together, in
addition to issues arising from collaboration in a single profession or discipline.
These difficulties stem partially from differing ideologies, working practices
and priorities that are encountered when practitioners from education, social
services, health and elsewhere work collaboratively to further children’s
interests. Such difficulties are common to inter-professional working in many
fields: the way in which this paper addresses these problems can be generalized
across the disciplinesdifferent occupational roles in different services and
industry.
The main theoretical perspectives used in this field include activity
theory (Engeström, 1999) and communities of practice (Wenger, 1998). The
alternative presented by this paper starts with an ecological framework of
processes and factors at national, local, group, and individual levels, based on
Easen, Atkins and Dyson (2000). We then propose a model drawing on
theoretical developments in the fields of team reasoning and collective
preferences (Gilbert, 2001; Sugden, 2005), joint commitment (Gilbert, 2005),
and collective efficacy and process/outcome beliefs (Bandura, 1997). These
perspectives are integrated into a model that sits within the context of the
ecological framework, representing the collaborative processes played out at the
interface between group and individual levels of analysis. This model shows
how dilemmas and tensions arising in inter-professional work may be resolved,
and addresses the need for a comprehensive model of processes and factors that
could be relevant to the success of multi-agency collaboration (Salmon, 2004).
The model extends existing perspectives of activity theory and community of
practice frameworks, providing greater clarity and detail of analysis around
collaborative motivation than previous conceptualizations of collaboration.
As will be argued in this paper, collaboration across professional
boundaries highlights issues at policy, social and individual levels. This means
that an integrated conceptualization will be at various levels of analysis and
need to be inter-disciplinary. We argue that this is necessary to understanding
the complexity of the issues.
The Contextual Perspective
Easen et al. (2000) take an ecological approach to help them describe
multi-agency collaboration. Their framework uses nested contexts to model
relationships between factors that affect multi-agency working. They see the
over-arching context as being the nature of the political economy and the
current government’s policies: in short, the general historical and prevailing
political ethos of the government. Easen et al. describe the streams of policies
that compete and interact within a government system. They then focus in more
to consider the specific instance of collaboration: what is a piece of
collaborative work for, and what is it supposed to do? Finally, situated in the
local context, are issues affecting how collaborative working is played out: the
people involved, how they conceptualise their practice, what their conditions of
work are, what resources are available to them to support the collaborative
work, and specifics of the locality in which they work. Easen et al.’s model
presents a comprehensive overview of the layers of context within which
collaboration works, although they did not expand on the interactions between
the different levels of context, and they do not go beyond the contextual
analysis to consider the micro-processes of collaborative working in detail.
Social Theory Perspectives
Of more pertinence to the specifics of collaborative working, is the use
of cultural historical activity theory (Engeström, 1999, 2001). The relevance of
activity theory lies in its focus on knowledge creation and exchange in the
workplace and how tasks come to be redistributed in changing organisations
and teams. Conflict is seen to be generated as different communities or activity
systems come together to pursue common goals, as in children’s services. A
cycle of ‘expansive learning’ is described in this coming together that
eventuates in finding solutions and agreeing shared models of working. For
example, Engeström (2001) describes how children’s health care practitioners
were discussing a case where information sharing processes had broken down.
Individual practitioners made different claims about what had happened to the
notes on the case. The disagreements led to a suggestion of exploring the
systems of information sharing – an illustration of expansive learning. Activity
theory is presented in general terms and so it would be expected that its
influence would be most useful in framing issues rather than specific analyses.
This is what Robinson, Anning and Frost (2005) found in their study of multi-
agency teams, where the process of expansive learning helped them understand
how dilemmas might be resolved. However, these authors identify a gap in
activity theory; the lack of focus on the role of professional relationships and
rituals to sustain emergent shared models. This focus, according to these
authors, is important in facilitating the take-up of shared values.
Other work which uses activity theory to explore inter-professional
collaboration focuses on some process issues. In another study of multi-agency
working, Leadbetter et al. (2007) and Edwards, Daniels, Gallagher, Leadbetter
and Warmington (2009) use activity theory to illustrate the construction of a
shared common goal. They discuss the work that takes place at boundaries of
existing systems and organisations with established procedures and protocols.
Edwards et al. (2009) describe how practitioners
‘needed to become attuned to how other professions might
primarily interpret a child, for example, as a victim of family
disruption rather than primarily as a participant in crime. They also
need to learn how other practitioners would respond to those
interpretations and to become aware of resources they could bring
to bear to support a child and how they might use them’ (p.91)
Neutral spaces for discussion, with an emphasis on professional respect,
meant that practitioners could learn from each other in order to develop their
repertoire of preventative practice when working with children. It is these
boundary spaces, they Edwards et al. suggest, that provide the flexibility and
opportunities to develop new shared ways of working, although the extent to
which boundaries are defended and adhered to can affect the capability of
professionals to successfully collaborate. Leadbetter et al acknowledge tensions
that arise from the division of labour, sharing and distributing professional
expertise, and evaluations of professional knowledge. They suggest that there is
a need to work with more shared understanding while maintaining specialisms,
and activity theory has enabled them to identify contradictions between
systems, and where these tensions may arise. However, this use of activity
theory focuses mainly on the social aspects of collaborative work, rather than
individual characteristics. It does not provide a complete analysis of
collaborative dilemmas, so only partially explores ways in which individuals
can come to terms with problems that emerge from collaborative working. It
has been suggested that activity theory needs to work harder to incorporate the
individual and the collective (e.g. Edwards, 20062005), which has led to the
development of the idea of relational agency (Edwards, 20062005, 2007;
Edwards et al., 2010). Relational agency is the ‘capacity to align one’s thoughts
and actions with those of others to interpret aspects of one’s world and to act on
and respond to those interpretations’ (Edwards, 2007, p.4). In other words,
Edwards suggests that through interaction with others, individuals develop and
change how they think about concepts, problems and contexts. These
interactions, and resultant shifts in perspectives, inform how individuals
interpret contexts and others’ actions, and guide future experiences with others
in joint work. As an example, Edwards (2005) describes how
‘a teacher and a social worker might jointly expand their
understandings of a child’s trajectory using the conceptual and
material tools of their own specialisms. Following that
interpretation their different professional expertise is brought into
play in response to the expanded problem and their work is aligned
in the knowledge of the expertise of the other.’ (p. 178).
This linking of the individual and the social contributes to an
understanding of processes involved in joint work, particularly regarding how
individuals integrate their versions of knowledge and develop new, shared
understandings to take work forward.
Nonetheless, activity theory still has limitations in its applicability to
multi-agency and inter-professional working. The components of the theory are,
in general terms, applicable to many situations and instances of collaborative
work. While some may see this as a theoretical strength, we consider that over-
generalisability does, in fact, highlight a limitation to the usefulness of activity
theory: there is a need to develop more subtlety and detail to facilitate the
detailed analysis of individual motivations within collaborative working. The
individual as part of the group is a key feature of collaborative working.
Relational agency contributes to an understanding of certain aspects of this, in
terms of how individuals develop shared interpretations, but there is still a need
to consider in detail how individuals commit to ideas of working together in the
first place.
Wenger’s (1998) work on communities of practice is also used as a lens
through which to consider inter-professional work (e.g. Frost & Robinson,
2007; Gaskell & Leadbetter, 2009). Wenger suggests that through participation
in group activities, and formalization of group procedures, individuals come to
see themselves as team members. Wenger considers the role of the individual
within the group, and describes how identities change as individuals begin to
see themselves as part of a multi-professional team. Wenger acknowledges that
multiple identities held by individuals may conflict and create tension, needing
some kind of reconciliation, and suggests that individuals renegotiate and
reshape their identities through developing roles and redistributing knowledge.
As Robinson et al. (2005) found, changes in professional identities are an
important aspect of developing effective multi-agency teamwork. In a similar
vein to activity theory, however, the communities of practice framework is
essentially a social theory deploying generalised concepts with a broad scope.
As with activity theory, the communities of practice framework is useful in
enabling framing of key issues, but the core concepts need more detail to
examine specifics of individual motivations and processes. This is particularly
applicable when considering specific tensions over identity, which are
identified in the wider literature in this field and were prominent in Robinson et
al’s study.
In summary, Easen et al.’s ecological framework, and those of
Engeström (1999) and of Wenger (1998), which have their origins in social
theory, are able to frame collaboration in general terms. Edwards’ (20062005,
2007) work on relational agency also sheds some light on some aspects of the
interface between groups and individuals. However, more work is needed to
understand processes that arise at this interface, particularly around
collaborative motivation. Concepts relating to motivational processes at this
interface will enable a fuller analysis of difficulties encountered in multi-agency
and inter- professional collaboration, and also help us to understand ways of
resolving such difficulties.
An Inter-Disciplinary Framework of Collaborative Working
Social level of analysis
The framework of collaborative working proposed here situates
collaborative practices in the context of a specific field of provision (‘local
context of collaboration’), set within and interacting with a national policy field
(‘policy context’) (see Figure 1 for a contextualised framework of
collaboration). Interacting at the heart of the model are group and individual
processes. This framework used Easen et al’s (2000) explanatory model of
inter-professional collaboration as a starting point, and developed it according
to the literature review. The literature search used the British Education Index,
Education Resources Information Center, and PsychInfo databases: search
terms included “inter agency”, “inter professional”, “multi agency”, “multi
professional”, “professional collaboration”, and “professional cooperation”.
Studies that focused on professionals from different organizations working
together to support children and young people were considered. In view of its
levels of analysis, this the framework presented here assumes that interactions
between professionals (inter-professional collaboration, e.g. social workers and
psychologists) are distinct from interactions between agencies (inter-agency
collaboration e.g. schools and mental health service).
Insert Figure 1 about here
In the policy context the key factors identified by research are:
national and local Government policies and structures (O’Brien
et al., 2006);
interactions and tensions between different policies (Bagley,
Ackerley, & Rattray, 2004; Harris, 2003); and
the regulations and codes of practice of different services and
professions (Hartas, 2004).
The policy context establishes general frameworks and approaches that
need to be worked out in the local context. These approaches pose problems
and challenges which have to be worked out within the real, ‘messier’ contexts
of practice. A two-way interaction between the local and policy contexts is
assumed, because of the impact of national policy on local contexts and the way
local contexts ultimately feed back into future policy development. The key
factors and processes in the local context of collaboration as identified by
research involve:
the purpose of collaborative action (Bachmann et al., 2009;
Easen et al., 2000; Glenny, 2005; Skinner & Bell, 2007);
roles and responsibilities of specific professions (Abbo, Watson
& Townsley, 2005; Bell & Allain, 2011; Frost & Robinson, 2007; Moran,
Jacobs, Bunn & Bifulco, 2007);
leadership and management structures (Bagley et al., 2004;
Watson, 2006);
lines of accountability (Frost & Robinson, 2007);
resourcing (Easen et al., 2000; O’Brien et al., 2006; Sloper,
2004; Tett, Crowther & O’Hara, 2003); and
shared/differing concepts and knowledge (Frost & Robinson,
2007; Moran et al., 2007; Salmon, 2004).
The local context of collaboration sets the scene for and interacts with
group collaboration. The key factors and processes in group functioning as
identified in research involve:
roles and responsibilities within collaborative groups and teams;
(Considine, 2002; Frost & Robinson, 2007; Gaskell & Leadbetter, 2009;
Sloper, 2004);
kinds of joint activities (Frost & Robinson, 2007; Hartas, 2004;
Watson, 2006); and
history, duration, continuity and kinds of collaborative
relationships (Abbot et al., 2005; Easen et al., 2000; Skinner & Bell, 2007;
Sloper, 2004).
Finally, key factors and processes in individual factors identified by
research are:
individual professional expertise, perceived status, and
professional experiences (Bell & Allain, 2011; Frost & Robinson, 2007);
past experiences of collaboration (Cameron & Lart, 2003;
Sloper, 2004); and
personal skills (Abbot et al., 2005; Cameron & Lart, 2003;
Skinner & Bell, 2007).
Social-Psychological Level of Analysis
The above parts of this new framework are based on Easen et al.’s
(2000) model of relationships between factors affecting inter-professional
collaboration, and draw on relevant literature to exemplify key factors and
processes at these levels. What is new about the framework is the integration of
a conceptualization of the interaction between the group and individuals into
these social levels of analysis as a descriptive model of collaborative processes.
This paper introduces a social social psychological level of conceptualization
analyses into this inter-disciplinary framework of collaborative working. By
focusing on the interaction between the individual and the collective, we show
by showing how conclusions from literature about multi-agency and inter-
professional collaboration can be conceptualised as social psychological
processes and factors.
Shared purposes and common goals are themes running through the
literature on inter-professional and partnership working. Shared goals need to
be clear (e.g. Anning, Cottrell, Frost, Green & Robinson, 2006; Dhillon, 2007;
Sloper, 2004), and commitment to those goals and to the process of joint work
is critical to effective collaboration, from managerial levels through to delivery
levels (eg Atkinson, Wilkin, Stott. Doherty & Kinder, 2002; Dowling, Powell
& Glendinning, 2004; Sloper, 2004). Motivation to work in partnership across
professional boundaries can be enhanced where a single profession on its own
would struggle to meet the demands of a complex problem. In such cases as
these all parties could benefit from collaboration (Hartas, 2004; Dhillon, 2007).
Trust and confidence that other professions are ready to come on board in cases
such as these can contribute to a sense of shared responsibility for successful
outcomes, but communication systems must support this (Glenny and Roaf,
2008).
The principles and strategies for collaborative work also need to be
agreed by those working together (Harris, 2003; Tett et al, 2003). Differences in
values, concepts and knowledge bases, however, need not hinder collaborative
work: shared goals can be general enough to allow for differences in particular
values, and can still refer to group processes around how an issue can be
addressed (Frost & Robinson, 2007).
This framework outlined in this paper draws on theoretical concepts of
collective preferences (Gilbert, 2001), team reasoning (Sugden, 2005), and joint
commitment (Gilbert 2005). These ideas about shared purposes, joint
responsibility for and commitment to these purposes are brought together as the
basis for finding strategies to progress these purposes. Experimental work on
decision making revealed demonstrated that collective preferences come into
play where contributions are required from several people to achieve a stated
goal, especially in situations involving public accountability for actions
(Colman, Pulford & Rose, 2008; Rose & Colman, 2007). Collective preferences
are demonstrated when actions and resultant outcomes are considered in terms
of ‘what the group wants’, rather than what each individual wants. The
assumption behind this perspective, therefore, is that individuals in interaction
are focused on the group’s goals and outcomes, and feel a sense of commitment
and shared responsibility. Collective preferences, then, are illustrated by the
following conditions:
i. the group prefers and intends to achieve the best outcome for
the group, and
ii. the individual acts as a part of the group to achieve this outcome
iii. the individual is accountable to the rest of the group for their
actions.
Collective preferences are useful for analysis of multi-agency and inter-
professional collaboration, because they can elaborate on the key role of shared
goals in informing ways that individuals work together to solve problems.
Considered in this way, collective preferences involve: i. the processes of
generating shared goals, ii. shared perceptions of collective responsibility and
iii. a willingness to act as part of a group. However, Gilbert (2005) has
extended her discussion of collective preferences to describe the idea of joint
commitment, which describes how group members can all be committed to a
joint course of action, and be answerable to everyone else who is committed. In
joint commitment there is an intention to coordinate action in order to achieve a
joint goal, with some expectation that the goal cannot be achieved by
individuals alone. This leads to an obligation to perform the planned actions, to
achieve the goal.
These concepts integrate and highlight some of the underlying processes
in inter-professional groups; they pull together the different stages of decision-
making and action that are involved in joint work. Together they can be
summarized as ‘collective commitment’: the key aspect of relevance is the
assumption that individuals in interaction develop commitments to the group’s
goals and outcomes. This concept of collective commitment to group goals has
affinity with Considine’s (2002) notion of a ‘culture of responsibility’ in which
professionals come to see themselves as responsible for ensuring positive
outcomes. As such, collective commitment is applicable to collaborative group
work and can help to explain some of the underlying processes in inter-
professional collaborative working. Collective commitment identifies the key
role of shared goals in collaborative processes, with these goals guiding the way
that individuals work together to solve problems.
However, there is more to the processes of collaborative working. This
is where a further theoretical approach is relevant; the social cognitive theory of
group motivation, commitment and performance (Bandura, 1997). Of particular
relevance from this theory are the concepts of collective efficacy beliefs, on one
hand, and collective process and outcome beliefs, on the other. This theoretical
focus on collective beliefs fits neatly with and complements the focus of
collective commitment on shared goals, as goals and beliefs are core parts of
social cognitive theory’s explanatory concepts. Collective efficacy refers to a
group’s beliefs about its capabilities to carry out a course of action. It is an
extension of Bandura’s work on human agency; where he extended the idea of
self efficacy to explain groups’ motivation, commitment and performance.
Perceived self efficacy refers to an individual’s beliefs about her or his
capability to successfully execute a certain course of action in a given context,
with reference to ‘the control of action, regulation of thought processes,
motivation, and affective and physiological states’ (Bandura, 1997, p.36). In
collective efficacy, the group’s perception is taken as an aggregate of
individuals’ perceptions. However, collective efficacy relates not only to a
group’s perceptions of the ability of individuals to successfully carry out certain
courses of action, but also to the interactive aspects of group functioning; how
the group operates as a whole. Group motivation and performance depend on
both collective efficacy in social cognitive theory, and on collective process and
outcome beliefs. To initiate and maintain collaborative actions, according to the
theory, depends not only on shared goals and collective efficacy beliefs, but
also on collective beliefs that undertaking collaborative actions leads to positive
outcomes.
Figure 2 illustrates this integration of the shared group goal aspect of
collective commitment with collective efficacy, and process and outcome
beliefs from social cognitive theory. These three parts interact with each other
in initiating and maintaining collaborative actions and outcomes. Collaborative
action is likely to be initiated if there is collective commitment to group goals,
and there are beliefs that collaborative action will lead to desired outcomes
(‘process and outcome beliefs’), as well as efficacy perceptions about the
capabilities of the group to carry out collaborative actions (‘individual and
collective efficacy’). Once collaborative actions begin, early actions and interim
outcomes feed back to the motivational processes in a dynamic way, where
there may be changes to collaborative actions. In this respect, the model
presented in this paper illustrates an iterative process that can allow for the
development, responsiveness and continuation of collaborative processes.
These collaborative processes represented in Figure 2 are seen as operating at
the interface of individual and group levels of analysis in the overall contextual
framework of collaborative working (as in Figure 1).
Insert Figure 2 about here
This model of collaborative team processes illustrates the social
psychological processes that occur to differing extents in collaborative teams.
The extent to which collective commitment, individual and collective efficacy,
and process and outcome beliefs occur will affect the nature, development and
maintenance of collaborative processes. Therefore, this model provides a
framework with which to analyse such processes with a particular focus that has
not been used before. This paper will now illustrate the relevance of this model
to collaborative practice, in particular, the resolution of inter-professional
dilemmas.
Dilemmas in inter-professional teams
The way in which inter-professional teams operate means that there are
certain types of problems that they are likely to encounter, particularly around
defining and working towards a shared goal. This is demonstrated by the
extensive literature on barriers to inter-professional and multi-agency working
(e.g. Sloper, 2004; Watson, 2006). Anning et al. (2006) outline a number of
tensions in inter-professional work, but this paper, as in Rose (2011),
recognizes the distinction between fairly straightforward problems and more
complex dilemmas. Dilemmas are a particular type of hard-to-solve problem,
where there is no clear solution because all possible courses of action have
disadvantages, This paper conceptualizes inter-professional dilemmas in three
ways: dilemmas around role, identity and control.
Role dilemmas
Dilemmas around role happen when there is a mismatch or conflict
between the level of expertise and the type of task. In a role dilemma, a
specialist may be asked to take on a more generic role which does not use their
expertise, or a professional may feel that their expertise is devalued when a
less-specialized individual takes on specialist roles. In inter-professional work,
there is often a need for both specialized expertise and more generic work, but
some specialists may not be keen to carry out the necessary generic work: this
can be problematic in a team of specialists. Undertaking generic roles can,
however, be useful to help practitioners overcome professional boundaries
(Abbot et al., 2005; Gaskell & Leadbetter, 2009) and sharing working practices
can help avoid compartmentalized views of the child (Leadbetter, 2008).
Although generic roles can be useful in terms of speed of delivery,
professionals may feel anxieties around others carrying out “their” rles, and
concerns around the quality of service provision (Frost & Robinson, 2007;
Gaskell & Leadbetter, 2009; Webb & Vulliamy, 2001). In essence, then, role
dilemmas concern the appropriateness of tasks undertaken by an individual.
Identity dilemmas
The conflict between deep, but bounded, specialist knowledge and
wider knowledge which spans professional boundaries can result in an identity
dilemma. Hybrid professionals, with experience, knowledge and approaches
that draw from a range of disciplines, are now becoming more commonplace
(e.g. Sloper, 2004). It can take time to develop a clear idea of what it means to
be a hybrid or ‘multi-agency’ professional in practice, which can result in
practitioners feeling insecure within such a role (Hymans, 2008; Leadbetter,
2006). The resulting change in status, as well as blurring of role boundaries,
can also be threatening to professional identity (Abbot et al., 2005; Frost &
Robinson, 2007; Leadbetter, 2006; Robinson et al., 2005). Stepping outside
ones area of specialist expertise into a more wide-ranging role can also reduce
an individual’s sense of unique professional contribution (Frost & Robinson,
2007; Moran et al., 2007), and it can be hard to maintain deep specialist
knowledge and hold onto specialist identities, while constructing new ‘multi-
agency identities’, particularly where knowledge bases and professional
cultures conflict (Bell & Allain, 2011; Gaskell & Leadbetter, 2009; Robinson et
al., 2005). In essence, then, identity dilemmas are about how an individual sees
themselves and how others see them.
Control dilemmas
When professionals from different disciplines come together, they may
bring with them contradictory models of practice and use of different causal
models to analyse cases, and different versions of knowledge (Easen et al.,
2000; Frost & Robinson, 2007; O’Brien et al., 2006; Sloper, 2004). This can
result in a control dilemma: where one perspective is given priority over
another, some professionals may feel undervalued or ignored, and there may be
resultant confusion for service users. Different agencies may have different
specific agendas, priorities and approaches (O’Brien et al., 2006; Warin, 2007),
as well as different structures and conditions of work (Easen et al., 2000). In
essence, then, control dilemmas centre upon professional disagreements in
collaborative decision-making processes.
Figure 3 applies the model of collaborative motivational processes
(collective commitment to group goals, collective efficacy, process and
outcome beliefs, as in Figure 2) to kinds of tensions and dilemmas around role,
identity and control and their resolution, discussed above. Figure 3 represents
how the assumed motivational processes operate in the context of the working
out of these tensions and the resolving of these dilemmas. This model therefore
shows how the working out of the tensions and dilemmas influences
collaborative actions and outcomes and are mediated by these motivational
processes. In this way, collaborative outcomes represent the working resolution
of these role, identity and control dilemmas. So, as professionals accept and
work with the emergent tensions, we assume that resolutions are rooted in, and
feed back into the development of collective commitment, process/outcome
beliefs and efficacy beliefs that comprise the motivational processes.
Insert Figure 3 about here
To illustrate this, we can use examples of the three different dilemmas
discussed in Rose (2011). In an example of a role dilemma, an educational
psychologist was asked to contribute to a support programme for children with
emotional and behaviour al difficulties, and she felt that this contribution would
not make use of her specialist skills. A portage worker identified tensions
around goals (such as whether people’s agenda in being involved in
collaborative work was about being seen to lead or take over, rather than
working as part of a team), around efficacy (particularly around different skill
sets being valued), and around process-outcome beliefs (such as perceptions of
how different inputs will contribute to supporting a child). When discussing
potential resolutions for this dilemma, the portage worker commented,
‘I suppose that they need to get together and just discuss what
actually needs to be done and how that actually needs to be carried
out or where it needs to be carried out. So you know it is that they
are saying it needs to be carried out in the school throughout the
day then it’s not possible for an EP to be there every day, carrying
it out throughout the day, so then they have to look who is there
throughout the day, who can be working with that child, and
looking at that person’s skills and how they can use the skills that
they’ve got to help implement the programme, and whether they
need a bit more support or some extra training. Or it may be that
they have already got those skills but no one has actually said well,
actually you can do this because remember when you worked with
this child you did this and you did that, well actually that’s what we
want you to do for this one’
In the first sentence, the portage worker is discussing establishing joint
goals, in terms of ‘what actually needs to be done’. She then goes on to discuss
process-outcome beliefs – looking at how and where the work needs to be
carried out, and who will be implementing it. Finally, she ends up discussing
efficacy beliefs – around people believing that they have the skills to carry out a
piece of work. When role dilemmas were discussed, joint goals, process-
outcome beliefs, and efficacy beliefs all featured in the suggested resolutions.
In identity dilemmas, however, efficacy beliefs and process-outcome
beliefs were more prevalent in suggested resolutions. Process-outcome beliefs
arose when people discussed ‘what is going to be most valuable in the long
term?’ and considered how sharing ideas with other types of professionals can
provide the means to work effectively with children. Efficacy beliefs arose in
discussions around how confident people were in carrying out their role and
maintaining their expertise in order to do their job effectively. When discussing
an identity dilemma where a CAMHS nurse was facing a choice between being
based with an education team, or with health colleagues, for example, a clinical
psychologist reflected on how well-established people were in their roles:
‘Certainly at the beginning of someone’s career, I think if you’ve
been working as a CAMHS nurse for 20 years and you are very
well rooted in your professional identity and the kinds of things
that you keep abreast of, and you are really closely linked to
different networks, then it might not affect you as much as if you
were, it was your first job for example and suddenly you are
thinking hold on I am not sure what I would do in this situation as a
CAMHS nurse, and the educationalist is saying I should do this,
and I am not seeing my supervisor for another two weeks so I don’t
know really what I should do. So I think there’s a definite tension
there and I think how it will play itself out depends on I think how
experienced you are and how confident you are in your world.’
Discussions around control dilemmas focused mostly on group goals,
and process-outcome beliefs. Suggested resolutions included thinking about
‘what you are actually trying to achieve’, and in an example where an
educational psychologist and a SENCo were arguing about the best course of
action, a primary mental health worker suggested ‘I would maybe want to ask
her some questions about the sort of outcomes she was looking for and how she
would know when she’d got them.’
Process-outcome beliefs were connected to issues around goals –
participants considered goals, and then how those could best be achieved. The
same primary mental health worker, for example, said
‘If I was the ed psych and the SENCO was absolutely driven to do
this then I would be really clear with her about where I thought the
pitfalls were.’
In a similar vein, a learning mentor explained:
‘It’s difficult because the professions that do come into our school
we know them and you can sit down and you can be reasonable and
you can have child-centred conversations, really it’s not about what
I want and it’s not about you want, it’s about what do you think is
going to work best.’
Conclusion
This paper presents an Inter-Disciplinary Framework of Collaborative
Working that integrates social with psychological levels of analysis. Its
originality involves two broad aspects. First, it draws together the ideas of
collective commitment, collective efficacy, and process and outcome beliefs, on
one hand, with ideas about tensions and dilemmas in multi-agency group
functioning, on the other. Second, it locates these ideas about motivational
processes within social processes and factors relevant to multi-agency and inter-
professional collaboration. The potential usefulness of this model is that as it is
situated within a set of social contexts it provides a way of gauging the extent to
which such teams can work constructively. It does this by examining whether
the possible tensions and dilemmas are resolved to an extent where the group
achieves collective commitment, has collective efficacy about joint working
and holds collective beliefs that joint working will eventuate in constructive
outcomes.
The model also implies that there is a two way relationship between
collaborative outcomes, motivational processes and group tensions and
dilemmas. Motivational processes feed into collaborative outcomes, and in turn
are responsive to such outcomes. These processes and outcomes also affect the
ways in which professionals interpret and respond to inter-professional
dilemmas, and this response will in turn feed back into how motivation and
collaborative processes develop. To achieve a working level of collaborative
processes, involving collective commitment, collective efficacy, and process-
outcome beliefs, would suggest that individuals within a group had accepted
such dilemmas and were prepared to resolve these tensions. As such, achieving
a level of collaborative process as represented by this model can be seen as a
working resolution of dilemmas.
This framework has drawn on and conceptualized existing literature
about inter-professional and multi-agency working, with the detailed focus on
the social-psychological motivational processes that operate within the
individual as a part of the group. It situates these processes within an ecological
model of inter-professional working similar to that proposed by Easen et al.
(2000). While Wenger’s (1998) work on communities of practice acknowledges
that individual identities play a role in group processes its main strength is as a
middle level social theory. Its conceptual terms, therefore, are not best suited to
addressing the specific issues of collaborative working at the interface between
groups and individuals. The framework presented in this paper presents an
analysis that is both specific, and situated within the wider local and national
contexts – this distinction comes from Easen et al. (2000), but is not considered
in detail in the communities of practice literature (Wenger, 1998). Work on
relational agency (Edwards, 2006, 2007; Edwards et al., 2010) has brought the
interaction between the group and the individual in activity theory into sharper
focus. The main agenda of this work is to look at the actual processes of
developing shared conceptualizations. The current paper, therefore, presents a
new contextualized framework for considering the social-psychological
motivational processes involved in collaborative working.
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Figure Captions
Figure 1. A contextual framework of collaboration
Figure 2. A model of collaborative team processes
Figure 3. The relationship between tensions in groups and resolution of
dilemmas on collaborative team processes