Social work is a profession that is very much part of and contributes to an ever changing and evolving society. It is therefore essential that social work is able to respond to the diverse and dynamic demands that it may encounter in that society and in the future. The critique of social work is, however, present and growing. The profession can no longer deny or ignore the need to legitimize its value and effectiveness. In this article, a research project – entitled Procivi – aimed at developing a method of legitimizing social work is presented. The method developed in Procivi proposes a way of legitimizing social work through the development of reflective professionals. The method teaches professionals to take a research frame of mind towards their own practice and helps them develop a vocabulary to describe their work to different audiences. The paper discusses whether and how this method forms a viable way of legitimizing social work and as such could be an alternative for the growing demand for social work based on scientific evidence (evidencebased practice, EBP).
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Background: Dermoscopy is known to increase the diagnostic accuracy of pigmented skin lesions (PSLs) when used by trained professionals. The effect of dermoscopy training on the diagnostic ability of dermal therapists (DTs) has not been studied so far. Objectives: This study aimed to investigate whether DTs, in comparison with general practitioners (GPs), benefited from a training programme including dermoscopy, in both their ability to differentiate between different forms of PSL and to assign the correct therapeutic strategy. Methods: In total, 24 DTs and 96 GPs attended a training programme on PSLs. Diagnostic skills as well as therapeutic strategy were assessed, prior to the training (pretest) and after the training (post-test) using clinical images alone, as well as after the addition of dermatoscopic images (integrated post-test). Bayesian hypothesis testing was used to determine statistical significance of differences between pretest, post-test and integrated post-test scores. Results: Both the DTs and the GPs demonstrated benefit from the training: at the integrated post-test, the median proportion of correctly diagnosed PSLs was 73% (range 30–90) for GPs and 63% (range 27–80) for DTs. A statistically significant difference between pretest results and integrated test results was seen, with a Bayes factor>100. At 12 percentage points higher, the GPs outperformed DTs in the accuracy of detecting PSLs. Conclusions: The study shows that a training programme focusing on PSLs while including dermoscopy positively impacts detection of PSLs by DTs and GPs. This training programme could form an integral part of the training of DTs in screening procedures, although additional research is needed.
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Chronic pain rehabilitation programs are aimed at helping patients to increase their functioning despite being in pain, thereby improving their quality of life. However, conversations between patients and practitioners about how the patient could deal with his/her pain and pain-related disabilities in a different way can be interactionally challenging. This study adopts a discursive psychological perspective to explore how pain-related disability is negotiated by patients and practitioners during consultations. The analysis shows that pain-related disability is treated by both patients and practitioners as negotiable rather than a fixed reality. Moreover, it shows that patients’ and practitioners’ negotiations of disability are subject to issues of agency, accountability, and blame, and it provides insight into the interactional dilemmas that are at stake, both for patients and practitioners. Revalidatieprogramma’s voor patiënten met chronische pijn zijn gericht op het verbeteren van het functioneren ondanks de pijn, waardoor kwaliteit van leven wordt bevorderd. Conversaties tussen patiënten en behandelaars over de manier waarop de patiënt kan omgaan met de pijn en gerelateerde beperkingen kunnen interactionele uitdagingen met zich meebrengen. Dit hoofdstuk verkent vanuit discursief-psychologisch perspectief hoe beperkingen worden onderhandeld door patiënten en behandelaars in consulten. De analyse toont aan dat de beperkingen worden behandeld als onderhandelbaar in plaats van als een onveranderbare werkelijkheid. Bovendien toont de analyse dat in deze onderhandelingen bepaalde issues relevant worden gemaakt, zoals ‘agency’, verantwoordelijkheid en schuld. Inzicht wordt geboden in de interactionele dilemma’s die op het spel staan voor zowel patiënten als behandelaars.
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The concept of internationalization has been seen as a buzz word and container concept. The meaning of internationalization includes everything that relates to international, meanwhile internationalization is losing its meaning. This study takes a practical approach to searching for some clarification of this concept. During the period 2009-2011, 73 key actors in the field of internationalization at 16 Dutch higher education institutions (HEIs) were interviewed. Among the 14 elements identified by this study as constituting the concept of internationalization, many may be commonly know. However, the value of this study is that it ranks their significance and provides a sound base for further comparative studies in other countries. Moreover, this study compares and contrasts the differing interpretations of what the pursuit of internationalization means in research universities and universities of applied sciences and concludes that internationalization is pursued differently in the two sectors and clarifies the cause of these differences. These sectoral differences are important but have so far been rarely acknowledged in the internationalization literature. Finally, knowledge about practitioners’ perceptions of internationalization is not widely available in the education literature on internationalization. This study provides this knowledge based on the Dutch situation and argues that the current trend of theoretical development and general conceptualization in this field needs to recognize the actual practices, if our aim is to produce meaningful and feasible models/guidelines/frameworks that are recognizable by the practitioners.
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The main challenge of today’s musicians and music educators trained in our conservatoires and music academies is navigating in a rapidly changing cultural landscape. In short, these changes are helping to shape a very different workplace for musicians and music educators. Flexible portfolio careers are held by musicians and music educators, which require finely tuned transferable skills and a more entrepreneurial attitude towards work. Increasingly musicians and music educators work collaboratively with professionals in other fields – in cross-arts, cross-cultural and cross-sector contexts. Moreover, they now have to perform different roles as they are expected to respond creatively to new cultural and educational contexts. They need to be entrepreneurs, innovators, connectors, partners and, most of all, reflective practitioners
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Binnen twee zorginnovatiecentra in de ouderenzorg wordt op bijzondere wijze theoretische en praktische kennis geïntegreerd. Lecturer practitioners ondersteunen deze integratie van meerdere kennisbronnen. In dit artikel wordt ingegaan op de context en inhoud van de rol van de Lecturer Practitioner en wordt aan de hand van enkele praktijkvoorbeelden geïllustreerd hoe kennisbronnen geïntegreerd worden.
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The current paper is a reflective discussion report that describes the advantages and limitations of online teaching and learning at master’s level healthcare education from the teachers’ point of view. The aim is to open dialogue between nursing educators and healthcare providers on how exclusively online education can ensure the development of healthcare professionals who master the requirements of today´s working life and contribute to innovations in healthcare. This paper addresses specifically how to strengthen master students’ interprofessional communication skills and improve their multicultural competence by developing a well-designed assignment in e-Learning environment. Perceptions and views are based on seven years of experience on online education in cooperation with two educators from different countries.
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When it comes to hard to solve problems, the significance of situational knowledge construction and network coordination must not be underrated. Professional deliberation is directed toward understanding, acting and analysis. We need smart and flexible ways to direct systems information from practice to network reflection, and to guide results from network consultation to practice. This article presents a case study proposal, as follow-up to a recent dissertation about online simulation gaming for youth care network exchange (Van Haaster, 2014).
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Due to the challenges produced by the individualisation of society and the flexibilisation of employment relationships, universities are increasingly investing in career guidance. Managers, however, have little or no vision regarding guidance and counselling. In this article we make a plea for an approach in which students are enabled to develop a career identity (i.e. a story about the meaning of their lives) as a basis for self-directedness. Such stories emerge during a dialogue about felt experiences. Evidence is given that such dialogues are to a large degree absent in educational contexts. Universities are to a large extent ‘disembodied’ places where almost no room exists for emotions and felt experiences. Therefore, a work/learning environment is needed within universities that enables ‘passionate self-directedness’. A short outline for creating such an environment is given. https://doi.org/10.20853/30-3-636
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To bridge the gap between design practice and academic design research, no off the shelf methods exist for practitioners to contribute to the body of literature. Practitioners face epistemological challenges that disable generalizing their expertise. Dewey’s pragmatism recasts these challenges empowers practitioners to conduct design research trough experimentation and reflection on outcomes. A methodology, based on Dewey's inquiry, is presented and tested, demonstrating it offers rigor for practitioners to contribute to the academic debate. At the same time the method somewhat lacked the volatility practice demands, requiring adaptation.
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