Purpose: Collaborative deliberation comprises personal engagement, recognition of alternative actions, comparative learning, preference elicitation, and preference integration. Collaborative deliberation may be improved by assisting preference elicitation during shared decision-making. This study proposes a framework for preference elicitation to facilitate collaborative deliberation in long-term care consultations. Methods: First, a literature overview was conducted comprising current models for the elicitation of preferences in health and social care settings. The models were reviewed and compared. Second, qualitative research was applied to explore those issues that matter most to clients in long-term care. Data were collected from clients in long-term care, comprising 16 interviews, 3 focus groups, 79 client records, and 200 online client reports. The qualitative analysis followed a deductive approach. The results of the literature overview and qualitative research were combined. Results: Based on the literature overview, five overarching domains of preferences were described: “Health”, “Daily life”, “Family and friends”, ”Living conditions”, and “Finances”. The credibility of these domains was confirmed by qualitative data analysis. During interviews, clients addressed issues that matter in their lives, including a “click” with their care professional, safety, contact with loved ones, and assistance with daily structure and activities. These data were used to determine the content of the domains. Conclusion: A framework for preference elicitation in long-term care is proposed. This framework could be useful for clients and professionals in preference elicitation during collaborative deliberation.
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Educational innovations often tend to fail, mainly because teachers and school principals do not feel involved or are not allowed to have a say. Angela de Jong's dissertation shows the importance of school principals and teachers leading 'collaborative innovation' together. Collaborative innovation requires a collaborative, distributed approach involving both horizontal and vertical working relationships in a school. Her research shows that teams with more distributed leadership have a more collaborative 'spirit' to improve education. Team members move beyond formal (leadership) roles, and work more collectively on school-wide educational improvement from intrinsic motivation. De Jong further shows that school principals seek a balance in steering and providing space. She distinguished three leadership patterns: Team Player, Key Player, Facilitator. Team players in particular are important for more collaborative innovation in a school. They balance between providing professional space to teachers (who look beyond their own classroom) and steering for strategy, frameworks, boundaries, and vision. This research took place in schools working with the program of Foundation leerKRACHT, a program implemented by more than a thousand schools (primary, secondary, and vocational education). The study recommends, towards school principals and teachers, and also towards trainers, policymakers, and school board members, to reflect more explicitly on their roles in collaborative innovation and talk about those roles.
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Learning teams in higher education executing a collaborative assignment are not always effective. To remedy this, there is a need to determine and understand the variables that influence team effectiveness. This study aimed at developing a conceptual framework, based on research in various contexts on team effectiveness and specifically team and task awareness. Core aspects of the framework were tested to establish its value for future experiments on influencing team effectiveness. Results confirmed the importance of shared mental models, and to some extent mutual performance monitoring for learning teams to become effective, but also of interpersonal trust as being conditional for building adequate shared mental models. Apart from the importance of team and task awareness for team effectiveness it showed that learning teams in higher education tend to be pragmatic by focusing primarily on task aspects of performance and not team aspects. Further steps have to be taken to validate this conceptual framework on team effectiveness.
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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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PURPOSE: To test if a collaborative care program (CCP) with nurses in a coordinating position is beneficial for patients with severe personality disorders. DESIGN AND METHODS: A pilot study with a comparative multiple case study design using mixed methods investigating active ingredients and preliminary results. FINDINGS: Most patients, their informal caregivers, and nurses value (parts of) the CCP positively; preliminary results show a significant decrease in severity of borderline symptoms. PRACTICE IMPLICATIONS: With the CCP,we may expand the supply of available treatments for patients with (severe) personality disorders, but a larger randomized controlled trial is warranted to confirmour preliminary results.
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Background: Structured psychotherapy is recommended as the preferred treatment of personality disorders. A substantial group of patients, however, has no access to these therapies or does not benefit. For those patients who have no (longer) access to psychotherapy a Collaborative Care Program (CCP) is developed. Collaborative Care originated in somatic health care to increase shared decision making and to enhance self management skills of chronic patients. Nurses have a prominent position in CCP’s as they are responsible for optimal continuity and coordination of care. The aim of the CCP is to improve quality of life and self management skills, and reduce destructive behaviour and other manifestations of the personality disorder. Methods/design: Quantitative and qualitative data are combined in a comparative multiple case study. This makes it possible to test the feasibility of the CCP, and also provides insight into the preliminary outcomes of CCP. Two treatment conditions will be compared, one in which the CCP is provided, the other in which Care as Usual is offered. In both conditions 16 patients will be included. The perspectives of patients, their informal carers and nurses are integrated in this study. Data (questionnaires, documents, and interviews) will be collected among these three groups of participants. The process of treatment and care within both research conditions is described with qualitative research methods. Additional quantitative data provide insight in the preliminary results of the CCP compared to CAU. With a stepped analysis plan the ‘black box’ of the application of the program will be revealed in order to understand which characteristics and influencing factors are indicative for positive or negative outcomes. Discussion: The present study is, as to the best of our knowledge, the first to examine Collaborative Care for patients with severe personality disorders receiving outpatient mental health care. With the chosen design we want to examine how and which elements of the CC Program could contribute to a better quality of life for the patients.
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In this study we measured the effect of COIL on intercultural competence development using a quasi-experimental design. Our sample consisted of 108 undergraduate students from two universities, one located in the Netherlands (NL) and one in the United States (US). Students’ self-reported intercultural competence was measured using a pre-post survey which included the Cultural Intelligence Scale (CQS) and Multicultural Personality Questionnaire (MPQ). Qualitative data were collected to complement our quantitative findings and to give a deeper insight into the student experience. The data showed a significantly bigger increase in intercultural competence for the US experimental group compared to the US control group, supporting our hypothesis that COIL develops intercultural competence. This difference was not observed for the NL students, possibly due to the NL control group being exposed to other international input during the course.
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In this article, we describe a study on the impact of an ethics program aimed at strengthening the ethical agency of 15 social workers of three welfare organizations. The goal of the study was to make an inventory of the impact of the program, and to evaluate the relevance of this impact with the help of several stakeholders. The most significant change (MSC) approach was used as a research strategy, though some changes to the approach were made with a view to our research goal. We explain the MSC approach and how we used it in our study design. Further, we describe the research process, answering the question whether our adaptation of the MSC was helpful to inventory the impact of our ethics program and the evaluation of its relevance. The implications of MSC's focus on "most significant" changes and the need for a thorough feedback of the results of the evaluation process in the participating organizations are discussed.
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To elucidate how authoritative knowledge is established for better dealing with unstructured urban problems, this article describes how collaborations between researchers and officials become an instrument for conceptualizing and addressing policy problems. A case study is used to describe a research consortium evaluating the controversial practice of ‘Lifestyle’ based housing allocation in the Dutch domain of social-housing. Analyzing this case in key episodes, we see researchers and policymakers selectively draw on established institutional practices—their so called ‘home practices’—to jointly (re-)structure problems. In addition, we find that restructuring problems is not only intertwined with, but also deliberately aimed at (re-)structuring the relations within and between the governmental practices, the actors are embedded in. It is by selectively tinkering with knowledges, values, norms, and criteria that the actors can deliberately enable and constrain the ways a real-world problem is addressed.
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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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