AimsTo explore the possible extension of the illness script theory used in medicine to the nursing context.DesignA qualitative interview study.MethodsThe study was conducted between September 2019 and March 2020. Expert nurses were asked to think aloud about 20 patient problems in nursing. A directed content analysis approach including quantitative data processing was used to analyse the transcribed data.ResultsThrough the analysis of 3912 statements, scripts were identified and a nursing script model is proposed; the medical illness script, including enabling conditions, fault and consequences, is extended with management, boundary, impact, occurrence and explicative statements. Nurses often used explicative statements when pathophysiological causes are absent or unknown. To explore the applicability of Illness script theory we analysed scripts’ richness and maturity with descriptive statistics. Expert nurses, like medical experts, had rich knowledge of consequences, explicative statements and management of familiar patient problems.ConclusionThe knowledge of expert nurses about patient problems can be described in scripts; the components of medical illness scripts are also relevant in nursing. We propose to extend the original illness script concept with management, explicative statements, boundary, impact and occurrence, to enlarge the applicability of illness scripts in the nursing domain.ImpactIllness scripts guide clinical reasoning in patient care. Insights into illness scripts of nursing experts is a necessary first step to develop goals or guidelines for student nurses’ development of clinical reasoning. It might lay the groundwork for future educational strategies.
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In het middelbaar beroepsonderwijs (mbo) worden vooral voor de beroepsgerichte vakken zij-instromers ingezet als docent omdat zij actuele kennis en vaardigheden uit het werkveld hebben. Veel van deze zij-instromers verlaten het onderwijs alweer binnen drie tot vijf jaar wat bijdraagt aan het actuele lerarentekort. Inductietrajecten ondersteunen startende docenten bij de spanningen die zij ervaren in hun nieuwe beroep en kunnen zorgen voor meer welzijn en minder uitval. Deze interviewstudie heeft als vraagstelling: hoe ervaren zij-instromers staande inductietrajecten wat betreft hun beroepsidentiteitsontwikkeling, leerprocessen, passende begeleiding en co-creatie? Vier mogelijk werkzame elementen in inductietrajecten geïdentificeerd in eerder onderzoek, zijn benut als startpunt voor interviews met acht zij-instromers in het mbo. Deze elementen zijn: 1) de ontwikkeling van de beroepsidentiteit van de zij-instromer, 2) leerprocessen van volwassenen, 3) co-creatie van inductietrajecten en 4) begeleiding op maat. De interviewdata zijn thematisch geanalyseerd volgens de directed content analysis aanpak. In deze ronde tafel vragen we de deelnemers kritisch mee te kijken naar de interpretatie van de data.
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Social media platforms such as Facebook, YouTube, and Twitter have millions of users logging in every day, using these platforms for commu nication, entertainment, and news consumption. These platforms adopt rules that determine how users communicate and thereby limit and shape public discourse.2 Platforms need to deal with large amounts of data generated every day. For example, as of October 2021, 4.55 billion social media users were ac tive on an average number of 6.7 platforms used each month per internet user.3 As a result, platforms were compelled to develop governance models and content moderation systems to deal with harmful and undesirable content, including disinformation. In this study: • ‘Content governance’ is defined as a set of processes, procedures, and systems that determine how a given platform plans, publishes, moder ates, and curates content. • ‘Content moderation’ is the organised practice of a social media plat form of pre-screening, removing, or labelling undesirable content to reduce the damage that inappropriate content can cause.
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