De ontwikkelingen en veranderingen in de gezondheidszorg maken het noodzakelijk dat verpleegkundigen door middel van bij- en nascholing hun deskundigheid op peil houden. Deskundigheid is de basis waarop herregistratie in het BIG-register zal gaan plaatsvinden. Per 1 januari 2009 moeten zorgverleners na vijf jaar hun deskundigheid aantonen door te voldoen aan de werkervaringseis en, als ze daar niet aan voldoen, de scholingseis1. Deskundigheidsbevordering en Lifelong Learning - levenslang leren - gaan hand in hand. Lifelong Learning is het principe dat mensen gedurende hun hele leven in staat en gemotiveerd zijn om te leren en dat de omgeving daartoe mogelijkheden biedt2, 3. E-learning wordt geassocieerd met leeractiviteiten die plaatsvinden op een zelfgekozen moment waarbij een met een computernetwerk verbonden computer interactief gebruikt wordt. ‘Any place, any time’ is een wezenlijk aspect van e-learning. E-learning is belangrijk voor het levenslang leren van verpleegkundigen.
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Equestrianism is currently facing a range of pressing challenges. These challenges, which are largely based on evolving attitudes to ethics and equine wellbeing, have consequences for the sport’s social licence to operate. The factors that may have contributed to the current situation include overarching societal trends, specific aspects of the equestrian sector, and factors rooted in human nature. If equestrianism is to flourish, it is evident that much needs to change, not the least,human behaviour. To this end, using established behaviour change frameworks that have been scientifically validated and are rooted in practice — most notably, Michie et al.’s COM-B model and Behaviour Change Wheel — could be of practical value for developing and implementing equine welfare strategies. This review summarises the theoretical underpinnings of some behaviour change frameworks and provides a practical, step-by-step approach to designing an effective behaviour change intervention. A real-world example is provided through the retrospective analysis of an intervention strategy that aimed to increase the use of learning theory in (educational) veterinary practice. We contend that the incorporation of effective behaviour change interventions into any equine welfare improvement strategy may help to safeguard the future of equestrianism.
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This article reports on a literature review on empirical research investigating learning for vocations in the context of vocational education. We included 36 studies in which learning for vocations is empirically studied. Learning for vocations is characterised based upon prevalent research traditions in the field and framed from the perspective of vocational education and organised learning practices. This framing and characterisation directed the search terms for the review. Results show empirical data on vocational learning and illustrate how learning processes for the functions of vocational education - vocational identity development, development of a vocational repertoire of actions, and vocational knowledge development - actually take place. The review further shows that, empirical illustrations of learning processes that occur in the context of vocational education and organised learning practices are relatively scarce. The findings can be typified in relation to our theoretical framework in terms of three learning processes, that is learning as a process of (a) belonging, becoming, and being, (b) recontextualization, and (c) negotiation of meaning and sense-making. We argue that more empirical research should be carried out, using the functions of vocational education and the three learning processes to better understand vocational learning.
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Introduction: Undergraduate healthcare students on placement abroad can experience challenges that affect their wellbeing, personal and professional development. These challenges may result in students taking a more peripheral role in workplace activities, which negatively impacts learning. We studied how personal and professional challenges affect students’ learning and wellbeing during a clinical placement abroad.Methods: We used the rich pictures drawing method to elicit semi-structured student interviews and capture personal and professional challenges within different contexts. Language, culture, education, and belonging were used as sensitizing concepts, underlying thematic analysis. We conducted a parallel and iterative analysis of the transcripts and rich pictures. Team discussions focused on developing patterns and further conceptualization of results.Results: Based on thirteen student accounts, we identified four main themes: ‘Learning to work in the international context’; ‘Cultural differences shape professional identity’; ‘Deliberate social connections’; and ‘Personal growth through international experiences’. Active participation in local practices was crucial to overcome barriers in language, culture or education, and increase belonging. Local healthcare teams and peers supported students’ wellbeing, personal and professional development by helping them establish their role as a learner, whilst exploring the scope and boundaries of their future profession.Conclusions: Language, cultural and educational challenges can be considered an inevitable part of student placement abroad. Local peers and staff may support this transition and help recognize learning opportunities and challenges in the workplace. Clinical educators can facilitate learning and wellbeing by providing social support and guidance on professional behavior, including communication.
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Background: Differences in professional practice might hinder initiation of student participation during international placements, and thereby limit workplace learning. This study explores how healthcare students overcome differences in professional practice during initiation of international placements. Methods: Twelve first-year physiotherapy students recorded individual audio diaries during the first month of international clinical placement. Recordings were transcribed, anonymized, and analyzed following a template analysis approach. Team discussions focused on thematic interpretation of results. Results: Students described tackling differences in professional practice via ongoing negotiations of practice between them, local professionals, and peers. Three themes were identified as the focus of students’ orientation and adjustment efforts: professional practice, educational context, and individual approaches to learning. Healthcare students’ initiation during international placements involved a cyclical process of orientation and adjustment, supported by active participation, professional dialogue, and self-regulated learning strategies.Conclusions: Initiation of student participation during international placements can be supported by establishing a continuous dialogue between student and healthcare professionals. This dialogue helps align mutual expectations regarding scope of practice, and increase understanding of professional and educational practices. Better understanding, in turn, creates trust and favors meaningful students’ contribution to practice and patient care.
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Background: Physical activity is an important intervention for improving disease-related symptoms and systemic manifestations in rheumatic and musculoskeletal disease (RMDs). However, studies suggest that RMD patients report that the lack of individualized and consistent information about physical activity from managing doctors and healthcare professionals, acts as a barrier for engagement. On the other hand, managing doctors and healthcare professionals report lack of knowledge in this area and thus lack of confidence to educate and advise RMD patients about the beneficial effects of physical activity. The aim of the present study therefore, is to develop two e-Learning courses for RMD doctors and health professionals: a) the first one to provide consistent information about the collective benefits of physical activity in RMDs and b) the second on how to implement physical activity advice in routine clinical practice. Methods: An international collaboration of seven countries, consisting of one academic institution and one patient organization from each country, will co-develop the two e-Learning courses. The final e-Learning courses will primarily target to improve – through physical activity advice – RMD symptoms which are important for patients. Discussion: The main result of this study will be to co-develop two e-Learning courses that can be used by managing RMD doctors and healthcare professionals to be made aware of the overall benefits of physical activity in RMDs as well as how to implement physical activity advise within their practice.
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Increasing flexibilisation and personalisation of education creates challenges in terms of students’ social connectedness with each other, with the programme and with lecturers. For this reason, a team of researchers and professors from four universities of applied sciences in the Netherlands carried out research into how a sense of community can be created in learning communities. On the basis of a literature review and design-oriented research, we conducted experiments aimed at fostering social connectedness in eight learning communities. These learning communities were in the domains of Nursing, Healthcare and Welfare Teacher Training, Management in Care, Teacher Training, and Nutrition and Dietetics (part-time, full-time and dual programme variants). The above research resulted in this Social connectedness in Online and Blended Learning Communities guide, which consists of two parts. Part one outlines the seven design principles (focused on content, attitude and preconditions) which lecturers can work with in their role as facilitator. The lecturer can apply these design principles to promote social connectedness in online and blended learning communities, including when flexible student paths are involved. These design principles are supported by practical IT tools and working methods and are widely applicable. The design principles involved are: A. Getting to know each other B. Trust and cooperationC. Shared and common goals D. Willingness to participate E. Programme and instruction strategies F. Sharing information and knowledge G. Resources and preconditions. Part 2 consists of a methodological justification and substantiation of the research underpinning the guide as well as a description of the results and ends with a conclusion, discussion and recommendations for further research.The experiments showed that learning communities that were newly established or had changed in composition after some time mainly opted for design principles A. Getting to know each other and B. Trust and cooperation. Learning communities that had been active for a longer period chose mainly C. Shared and common goals. Further longitudinal and other research is needed to determine to what extent the design principles and the role of the facilitators can be applied in other domains (such as technology, economics, etc.).
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BackgroundPhysical exercise in cancer patients is a promising intervention to improve cognition and increase brain volume, including hippocampal volume. We investigated whether a 6-month exercise intervention primarily impacts total hippocampal volume and additionally hippocampal subfield volumes, cortical thickness and grey matter volume in previously physically inactive breast cancer patients. Furthermore, we evaluated associations with verbal memory.MethodsChemotherapy-exposed breast cancer patients (stage I-III, 2–4 years post diagnosis) with cognitive problems were included and randomized in an exercise intervention (n = 70, age = 52.5 ± 9.0 years) or control group (n = 72, age = 53.2 ± 8.6 years). The intervention consisted of 2x1 hours/week of supervised aerobic and strength training and 2x1 hours/week Nordic or power walking. At baseline and at 6-month follow-up, volumetric brain measures were derived from 3D T1-weighted 3T magnetic resonance imaging scans, including hippocampal (subfield) volume (FreeSurfer), cortical thickness (CAT12), and grey matter volume (voxel-based morphometry CAT12). Physical fitness was measured with a cardiopulmonary exercise test. Memory functioning was measured with the Hopkins Verbal Learning Test-Revised (HVLT-R total recall) and Wordlist Learning of an online cognitive test battery, the Amsterdam Cognition Scan (ACS Wordlist Learning). An explorative analysis was conducted in highly fatigued patients (score of ≥ 39 on the symptom scale ‘fatigue’ of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire), as previous research in this dataset has shown that the intervention improved cognition only in these patients.ResultsMultiple regression analyses and voxel-based morphometry revealed no significant intervention effects on brain volume, although at baseline increased physical fitness was significantly related to larger brain volume (e.g., total hippocampal volume: R = 0.32, B = 21.7 mm3, 95 % CI = 3.0 – 40.4). Subgroup analyses showed an intervention effect in highly fatigued patients. Unexpectedly, these patients had significant reductions in hippocampal volume, compared to the control group (e.g., total hippocampal volume: B = −52.3 mm3, 95 % CI = −100.3 – −4.4)), which was related to improved memory functioning (HVLT-R total recall: B = −0.022, 95 % CI = −0.039 – −0.005; ACS Wordlist Learning: B = −0.039, 95 % CI = −0.062 – −0.015).ConclusionsNo exercise intervention effects were found on hippocampal volume, hippocampal subfield volumes, cortical thickness or grey matter volume for the entire intervention group. Contrary to what we expected, in highly fatigued patients a reduction in hippocampal volume was found after the intervention, which was related to improved memory functioning. These results suggest that physical fitness may benefit cognition in specific groups and stress the importance of further research into the biological basis of this finding.
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The use of machine learning in embedded systems is an interesting topic, especially with the growth in popularity of the Internet of Things (IoT). The capacity of a system, such as a robot, to self-localize, is a fundamental skill for its navigation and decision-making processes. This work focuses on the feasibility of using machine learning in a Raspberry Pi 4 Model B, solving the localization problem using images and fiducial markers (ArUco markers) in the context of the RobotAtFactory 4.0 competition. The approaches were validated using a realistically simulated scenario. Three algorithms were tested, and all were shown to be a good solution for a limited amount of data. Results also show that when the amount of data grows, only Multi-Layer Perception (MLP) is feasible for the embedded application due to the required training time and the resulting size of the model.
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Purpose of this studyThis study aims to better understand the deliberate design of student learning in living labs.Theoretical backgroundThe intended purpose of living labs in higher education is to integrate education, research and professional practice and thereby integrate initial learning (of students) and innovation (Schipper, Vos & Wallner, 2022). Yet, the literature shows a divide between innovation focused labs and student focused labs. Innovation focused labs hardly include students (Kalinauskaite, Brankaert, et. al., 2021; Westerlund, Leminen, & Habib, 2018), while student focused labs are framed as sec pedagogical devices, with transferable innovation positioned as a mere by-product of education (Admiraal et al., 2019; McLaughlan & Lodge, 2019). A review of the international literature on higher education living labs calls for both practice and research to be developed to realize the intended integration between initial learning and innovation in living labs (Griffioen & van Heijningen, 2023).A way to follow up on that call is to better position students in living lab practices. Students’ learning experiences in living labs are so far rather weakly framed compared to their learning in traditional, transmissive educational settings such as lectures. One of the differences is that the relationships in living labs are more open to initiative and have shown to require more autonomy in students (Barnett & Coate, 2005, p. 34). This asks of students to take on other roles and of lecturers that they tailor their pedagogical practices to student learning in the lab setting (McLaughlan & Lodge, 2019). Moreover, students and lecturers collaborate with professional partners in labs, adding to the complexity of labs as learning environments.Following Markauskaite and Goodyear (2017) can be said that living labs that include students bring together three discourses in their collaborative practices: a professional discourse linked to practice, a pedagogical discourse for learning structures and an accountability discourse for assessment. Each having their own artefacts and practices, and not all focused to student learning. In these situations, “[p]ractice is not always committed to more abstract student assignments […] and professionals do not always have time to work with students or feel lacking in capability to construct an assignment.”, and “[i]t is a challenge to create a shared interest besides the individual interests of the participants” (Huber et al. 2020, p. 5-6).This poster studies how student learning in living labs comes about in professional, pedagogical and assessment practices as perceived by students, lecturers and professionals.Research design, methodologySettingThis project takes place in the Social Professions Faculty of a single applied university in The Netherlands. Undergraduate students in different bachelor programs follow part of their education in labs. Seven social learning settings in two labs are analyzed in the project as a whole, this poster reports findings in the first lab with three social learning settings.The labs included in this multiple case study showed willing to improve their student learning through analysis and collaborative re-design. Labs were eligible when students had to collaborate with professionals and citizens to solve a real-life issue, as part of their education in the lab.SampleThe poster reports findings in the first case lab that consisted of three classes of 20 fourth year undergraduate students (N=60 in total) and their three lecturers (N=3). They collaborated with local community workers to improve the process of citizens making use of municipal public services, an assignment assigned by the regional ombudsman.MethodThe researcher participated in the lab team in the preparation and execution of the lab work and captured insights on reflective memo’s throughout the project. Based on evaluations of the previous year and ambitions for the coming year, adjustments were made to improve student learning and collaboration in the lab.Pre and post descriptions were captured of the professional, pedagogical and assessment practices in the lab, based on documents of educational and professional materials (e.g. study guide, assignments, meeting notes, flyer of national ombudsman), field notes and memo’s. Descriptions of the practices were checked with students, lecturers and professional partners.The perceptions of the practices of students, lecturers and professionals were collected after implementation through semi-structured interviews (N=3 lecturers; 9 students, and 3 professional partners). The interview guide focused on interviewees experiences and perceptions of their lab work, their collaboration and student learning in the lab, triangulating their perceptions of the professional, pedagogical and assessment practices and artefacts in the lab (Markauskaite & Goodyear, 2017).Coding and analysisIn this study, thematic analysis of the interviews is conducted (Braun & Clarke, 2022). This analysis is informed by the conceptual lens of professional practices, pedagogical practices, assessment practices, and their corresponding artefacts, in professional higher education (Markauskaite & Goodyear, 2017). Deductive coding for present and absent activities and artefacts and for the different actors’ perceptions of those activities and artefacts is complemented with inductive codes and themes.FindingsAt the time of submission, data collection in the first lab with three social learning settings is nearly finished, and implementation in a second set of four labs is work in progress. The data of the first lab will be analyzed in the period between submission and the CHER2024 conference.Practical/social implications:The proposed analysis will result in an understanding of the dynamics of practices and learning in the lab, from multiple perspectives. This understanding will be translated into design principles for balanced professional, pedagogical and assessment practices in this lab. Furthermore, this project has resulted in lab practices to improve student learning in three living labs.Originality/value of posterThis study offers a perspective on and understanding of practices and student learning in higher education living labs. It responds to a call for development of practice and research of higher education living labs, based on a review of international literature, so labs can realize the intended integration between initial learning and innovation in living labs (Griffioen & van Heijningen, 2023).Keywords: living labs, lab practices, design principles, collaboration
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