Individuals after anterior cruciate ligament reconstruction (ACLR) have a high rate of reinjury upon return to competitive sports. Deficits in motor control may influence reinjury risk and can be addressed during rehabilitation with motor learning strategies. When instructing patients in performing motor tasks after ACLR, an external focus of attention directed to the intended movement effect has been shown to be more effective in reducing reinjury risk than an internal focus of attention on body movements. While this concept is mostly agreed upon, recent literature has made it clear that the interpretation and implementation of an external focus of attention within ACLR rehabilitation needs to be better described. The purpose of this commentary is to provide a clinical framework for the application of attentional focus strategies and guide clinicians towards effectively utilizing an external focus of attention in rehabilitation after ACLR.
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Het ontwerpen en realiseren van bewegingsactiviteiten die door iedere leerling betekenisvol en uitdagend ervaren worden, is geen sinecure. We kunnen vaststellen dat dit voor ons als professionals enerzijds een complexe en ingewikkelde opgave en anderzijds een uitdagende ambitie is. Kunnen de gereedschappen uit de toolbox van het nieuwe motorische leren de professional de benodigde structuur en houvast bieden? Geven deze gereedschappen voldoende richting om nog krachtiger bewegingsarrangementen te ontwerpen?
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Het ontwerpen en realiseren van bewegingsactiviteiten die door iedere leerling betekenisvol en uitdagend ervaren worden, is geen sinecure. We kunnen vaststellen dat dit voor ons als professionals enerzijds een complexe en ingewikkelde opgave en anderzijds een uitdagende ambitie is. Kunnen de gereedschappen uit de toolbox van het nieuwe motorische leren de professional de benodigde structuur en houvast bieden? Geven deze gereedschappen voldoende richting om nog krachtiger bewegingsarrangementen te ontwerpen?
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Dossieronderzoek wijst uit dat het advies van de brandweer slechts beperkt wordt gebruikt bij de groepsrisicoverantwoording. In dit artikel wordt ingegaan op de oorzaken van dit beperkte gebruik. Daarbij ligt de focus op de interactie tussen de lokale overheid en de brandweerorganisatie. Afsluitend betogen de auteurs noodzakelijke veranderingen in de adviespraktijk van de brandweer die de effectiviteit van de advisering vergroten.
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Background: Determining what constitutes an excellent allied health care professional (AHCP) is important, since this is what will guide the development of curricula for training future physical therapists, oral hygienists, speech therapists, diagnostic radiographers, and dietitians. This also determines the quality of care.Aim: To describe perspectives of AHCPs on which characteristics are commonly associated with an excellent AHCP.Methods: AHCPs’ perspectives were derived from three focus group discussions. Twenty-one health care professionals participated. The final analysis of the focus group discussions produced eight domains, in which content validity was obtained through a Delphi panel survey of 27 contributing experts.Results: According to the survey, a combination of the following characteristics defines an excellent AHCP: (1) cognizance, to obtain and to apply knowledge in a broad multidisciplinary health care field; (2) cooperativity, to effectively work with others in a multidisciplinary con¬text; (3) communicative, to communicate effectively at different levels in complex situations; (4) initiative, to initiate new ideas, to act proactively, and to follow them through; (5) innovative, to devise new ideas and to implement alternatives beyond current practices; (6) introspective, to self-examine and to reflect; (7) broad perspective, to capture the big picture; and (8) evidence-driven, to find and to use scientific evidence to guide one’s decisions.Conclusion: The AHCPs perspectives can be used as a reference for personal improvement for supervisors and professionals in clinical practice and for educational purposes. These perspectives may serve as a guide against which talented students can evaluate themselves.
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De impact van technologie wordt in allerlei beroepen steeds groter. Hoe stoomt HR medewerkers klaar voor een digitale toekomst? En vergeet HR zichzelf niet? HR loopt achter en datagestuurd werken op de HR-afdeling is nog ver weg. Technologie heeft veel impact op organisaties. en op het werk zelf. Ook voor HR betekent digitalisering verandering van het werk. Er worden in het verlengde hiervan ook andere competenties en kwalificaties van HR zelf verwacht. De zogeheten 21st century skills spelen een belangrijke rol: analytisch vermogen, probleemoplossend vermogen, samenwerking, creativiteit én in het bijzonder het vermogen om met grote hoeveelheden informatie om te gaan.
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Background: The number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines collaborate. This study aims to explore influential factors regarding interprofessional collaboration related to care plan development in primary care. Methods: A qualitative study, including four semi-structured focus group interviews (n = 4). In total, a heterogeneous group of experts (n = 16) and health care professionals (n = 15) participated. Participants discussed viewpoints, barriers, and facilitators regarding interprofessional collaboration related to care plan development. The data were analysed by means of inductive content analysis. Results: The findings show a variety of factors influencing the interprofessional collaboration in developing a care plan. Factors can be divided into 5 key categories: (1) patient-related factors: active role, self-management, goals and wishes, membership of the team; (2) professional-related factors: individual competences, domain thinking, motivation; (3) interpersonal factors: language differences, knowing each other, trust and respect, and motivation; (4) organisational factors: structure, composition, time, shared vision, leadership and administrative support; and (5) external factors: education, culture, hierarchy, domain thinking, law and regulations, finance, technology and ICT. Conclusions: Improving interprofessional collaboration regarding care plan development calls for an integral approach including patient- and professional related factors, interpersonal, organisational, and external factors. Further, the leader of the team seems to play a key role in watching the patient perspective, organising and coordinating interprofessional collaborations, and guiding the team through developments. The results of this study can be used as input for developing tools and interventions targeted at executing and improving interprofessional collaboration related to care plan development.
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Stress is van alle tijden en iedereen heeft er wel eens mee te maken. Er zijn veel vormen van stress. Bij de één komt het vooral terug in het werk, bij de ander gaat het om een klusproject dat misloopt. Gelukkig is het meestal tijdelijk en kun je er na afloop met een positief gevoel op terugkijken. Helaas zijn er ook mensen die altijd stress ervaren. En deze groep groeit met de dag. Zeker in deze moeilijke tijd van stijgende energiekosten, dure boodschappen, hoge huren en huizenprijzen. Over dit onderwerp is al veel geschreven en gepubliceerd. Met deze gids voegen de schrijvers iets nieuws toe, want de aandacht voor de doorwerking van stress en met name hoe hier als hulp- of dienstverlener mee om te gaan is belangrijk. Belangrijk om allereerst te begrijpen wat mensen doormaken en daarnaast kan het inleven in iemands persoonlijke situatie helpen om meer begrip te hebben voor omstandigheden waar mensen - vaak als gevolg van externe factoren - in zijn beland. Begrip is in die situaties nodig om een vertrouwensrelatie op te bouwen. Dit boekje is in opdracht van de gemeente Dordrecht, De Sociale Dienst Drechtsteden en MEEVivenz opgesteld door het project Schouder Onder Stress, het lectoraat schulden en incasso van de Hogeschool Utrecht en Marivonne de Groot
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Background: The number of people with multiple chronic conditions receiving primary care services is growing. To deal with their increasingly complex health care demands, professionals from different disciplines need to collaborate. Interprofessional team (IPT) meetings are becoming more popular. Several studies describe important factors related to conducting IPT meetings, mostly from a professional perspective. However, in the light of patient-centeredness, it is valuable to also explore the patients’ perspective. Objective: The aim was to explore the patients’ perspectives regarding IPT meetings in primary care. Methods: A qualitative study with a focus group design was conducted in the Netherlands. Two focus group meetings took place, for which the same patients were invited. The participants, chronically ill patients with experience on interprofessional collaboration, were recruited through the regional patient association. Participants discussed viewpoints, expectations, and concerns regarding IPT meetings in two rounds, using a focus group protocol and selected video-taped vignettes of team meetings. The first meeting focused on conceptualization and identification of themes related to IPT meetings that are important to patients. The second meeting aimed to gain more in-depth knowledge and understanding of the priorities. Discussions were audio-taped and transcribed verbatim, and analyzed by means of content analysis. Results: The focus group meetings included seven patients. Findings were divided into six key categories, capturing the factors that patients found important regarding IPT meetings: (1) putting the patient at the center, (2) opportunities for patients to participate, (3) appropriate team composition, (4) structured approach, (5) respectful communication, and (6) informing the patient about meeting outcomes. Conclusions: Patients identified different elements regarding IPT meetings that are important from their perspective. They emphasized the right of patients or their representatives to take part in IPT meetings. Results of this study can be used to develop tools and programs to improve interprofessional collaboration.
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It is unknown how movement patterns that are learned carry over to the field. The objective was to deter- mine whether training during a jump-landing task would transfer to lower extremity kinematics and kinetics during sidestep cutting.Methods Forty healthy athletes were assigned to the ver- bal internal focus (IF, n = 10), verbal external focus (EF, n = 10), video (VI, n = 10) or control (CTRL, n = 10) group. A jump-landing task was performed as baseline followed by training blocks (TR1 and TR2) and a post-test. Group-spe- cific instructions were given in TR1 and TR2. In addition, participants in the IF, EF and VI groups were free to ask for feedback after every jump during TR1 and TR2. Retention was tested after 1 week. Transfer of learned skill was deter- mined by having participants perform a 45° unanticipated sidestep cutting task. 3D hip, knee and ankle kinematics and kinetics were the main outcome measures.Results During sidestep cutting, the VI group showed greater hip flexion ROM compared to the EF and IF groups (p < 0.001). The EF (p < 0.036) and VI (p < 0.004) groups had greater knee flexion ROM compared to the IF group. Conclusions Improved jump-landing technique car- ried over to sidestep cutting when stimulating an external attentional focus combined with self-controlled feedback. Transfer to more sport-specific skills may demonstrate potential to reduce injuries on the field. Clinicians and practitioners are encouraged to apply instructions that stimulate an external focus of attention, of which visual instructions seem to be very powerful.
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