{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:19:16Z","timestamp":1788175156714,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Educational activities are increasingly implemented in clinical nursing practice with the expectation that teaching will improve care. Drawing on Biesta and van Braak's theoretical perspective on learning as professional formation, this study critically examines a video\u2010based educational activity as a case of workplace\u2010based clinical education in an acute hospital ward in Denmark. Based on interviews and an interactionist, abductive analytical approach, the analysis shows how learning in clinical settings is shaped by organisational, epistemic and socio\u2010material conditions, challenging assumptions of education as a linear process of knowledge transfer leading to practice improvement. The article shows that rather than operating as neutral interventions, clinical educational activities are embedded within existing clinical systems that shape what learning can become. The activity was experienced by nursing professionals as providing new knowledge; however, this knowledge was framed through risk communication and medical authority, reconfiguring oral care from a relational, well\u2010being\u2013oriented nursing practice into a treatment\u2010focused and risk\u2010oriented intervention, functioning as a socialising and identity\u2010forming force. We conclude that without organisational engagement in the learning process, knowledge does not translate into learning in practice, and clinical workplace\u2010based educational initiatives risk reinforcing existing constraints, transforming learning into professional adaptation rather than professional formation.<\/jats:p>","DOI":"10.1111\/nin.70105","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T21:05:25Z","timestamp":1777842325000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Learning Caught in the System: An Interactionist Qualitative Study of Workplace\u2010Based Clinical Education in an Acute Hospital Ward"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5410-7987","authenticated-orcid":false,"given":"Trine Schifter","family":"Larsen","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Copenhagen University Hospital Hvidovre Denmark"},{"name":"Department of Clinical Research Copenhagen University Hospital Hvidovre Denmark"},{"name":"Department of People and Technology Roskilde University Roskilde Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6119-947X","authenticated-orcid":false,"given":"Louise S\u00f8gaard","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of People and Technology Roskilde University Roskilde Denmark"},{"name":"Center for Health University College Absalon  Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9056-3530","authenticated-orcid":false,"given":"Nina","family":"Halberg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Copenhagen University Hospital Hvidovre Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia Alberte Fisker","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Department of Clinical Research Copenhagen University Hospital Hvidovre Denmark"},{"name":"Department of People and Technology Roskilde University Roskilde Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0116-722X","authenticated-orcid":false,"given":"Pia S\u00f8e","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Copenhagen University Hospital Hvidovre Denmark"},{"name":"Department of Clinical Research Copenhagen University Hospital Hvidovre Denmark"},{"name":"Department of People and Technology Roskilde University Roskilde Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.glmedi.2024.100051"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-06016-7"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13561820.2021.1956444"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/345321"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/edth.12411"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10401334.2020.1798240"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-42276-8_5"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/12913"},{"key":"e_1_2_14_10_1","volume-title":"I Database of Abstracts of Reviews of Effects (DARE): Quality\u2010Assessed Reviews","author":"Cook D. 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