Search results

The paradoxes of communication and collaboration in maternity care

Background: Research on maternity care often focuses on factors that prevent good communication and collaboration and rarely includes important stakeholders – parents – as co-researchers. To understand how professionals and parents in Dutch maternity care accomplish constructive communication and collaboration, we examined their interactions in the clinic, looking for “good practice”. Methods: We used the video-reflexive ethnographic method in 9 midwifery practices and 2 obstetric units. Findings: We conducted 16 meetings where participants reflected on video recordings of their clinical interactions. We found that informal strategies facilitate communication and collaboration: “talk work” – small talk and humour – and “work beyond words” – familiarity, use of sight, touch, sound, and non-verbal gestures. When using these strategies, participants noted that it is important to be sensitive to context, to the values and feelings of others, and to the timing of care. Our analysis of their ways of being sensitive shows that good communication and collaboration involves “paradoxical care”, e.g., concurrent acts of “regulated spontaneity” and “informal formalities”. Discussion: Acknowledging and reinforcing paradoxical care skills will help caregivers develop the competencies needed to address the changing demands of health care. The video-reflexive ethnographic method offers an innovative approach to studying everyday work, focusing on informal and implicit aspects of practice and providing a bottom up approach, integrating researchers, professionals and parents. Conclusion: Good communication and collaboration in maternity care involves “paradoxical care” requiring social sensitivity and self-reflection, skills that should be included as part of professional training.

Conceptualizing empathy competence: a professional communication perspective

Empathy competence is considered a key aspect of excellent performancein communication professions. But we lack an overview of the specificknowledge, attitudes, and skills required to develop such competence inprofessional communication. Through interviews with 35 seasoned communication professionals, this article explores the role and nature ofempathy competence in professional interactions. The analysis resulted in aframework that details the skills, knowledge, and attitudinal aspects ofempathy; distinguishes five actions through which empathy manifests itself;and sketches relationships of empathy with several auxiliary factors. Theframework can be used for professional development, recruitment, and thedesign of communication education programs.

Self-regulated reasoning on social interactions in children with Autism Spectrum Disorder

It can be very challenging for practitioners to talk with children with Autism Spectrum Disorder (ASD), especially when the conversation calls for self-regulation.Autonomy as a basic psychological need that fosters competence is the key to self-regulated reasoning (SRR), since it helps children to know how to regulate interactions with others. Little is known about how autonomy influences competence in SRR of children with ASD. Central question in this study was: to what extent can autonomy provided scaffolding elicit high levels of SRR on social interactions over time? We used interaction data of three session between one special needs child and a practitioner, contextualized by a set of animated SRR, DSM-5 based items. Interaction variables were child’s level of SRR and practitioner’s level of provided autonomy.Results showed large proportions of high-level provided autonomy in all sessions and a decline of this level in last session. SRR improved significantly each session. When exploring the dynamics of the micro-data we found contingency over time and feedback-loops of high- level provided autonomy and high-level SRR. Since the child showed a significant improvement of SRR over time, our research question provides a promising perspective. Sessions positively affected SRR of the child with ASD and the role of the practitioner in autonomy provided scaffolding has been very important. Contrary to what one might expect in autism spectrum disorders, providing autonomy supported the performance of the child. These outcomes underline the relevance of giving a voice to children with a diagnose in the spectrum of autism.

The design and usability testing of a mHealth application for supporting self-regulation of exercising older adults

The (im)possibility of new learning and selfdirection.

In this chapter it is argued that self-direction is currently well above the head of the majority of youngsters and even of many adults. Evidence for this conclusion stems from developmental and brain research. However, for various reasons it is important that people develop the competences that are necessary for self-direction. To what degree is it possible to develop these competences? Are they 'learnable'? What can education contribute?

New moral dilemmas in online journalism

In this article, the main question is whether and, if so, to what extent online journalism raises new moral issues and, if any, what kind of answers are preferable. Or do questions merely appear new, since they are really old ones in an electronic wrapping, old wine in new bottles? And how does journalism deal with the moral aspects of online journalism? The phenomenon of the Internet emerged in our society a few years ago. Since then, a large number of Dutch people have gone online, and the World Wide Web is now an integral part of our range of means of communication. Dutch journalism is online too, although certainly not in the lead. More and more journalists use the Internet as a source, especially for background information. Newspapers have their web sites, where the online version of the printed paper can be read. And that is it for the time being. There are no more far-reaching developments at present, certainly not on a large scale. Real online journalism is rather scarce in the Netherlands. The debate concerning the moral aspects of online journalism is mainly being conducted in the United States. First of all, by way of introduction, I will present an outline of online journalism. The first instance is the online version of the newspaper. Here, only to a certain degree new issues come up for discussion, since the reputation of reliability and accuracy of the papers, in spite of all criticism, also applies to their online versions. Besides, especially in the United States and increasingly in European countries as well, there is the so-called dotcom journalism, the e-zines, the online news sites without any relationship with printed newspapers. This may be the reason why these sites do not have a strong commitment to moral standards, at least as they have developed in the journalistic culture of the newspapers. After having outlined the moral issues arising in online journalism, the question will be addressed whether and, if so, to what extent it is meaningful and desirable to develop instruments of self-regulation for this new phenomenon of journalism.