For students who want support to continue their education.
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Binnen de nieuwe opleiding Social Work van de Hogeschool Utrecht is gehoor gegeven aan de toenemende wens van studenten om meer te doen met eigen ervaringen met psychische kwetsbaarheid. Deze wens is onder meer vertaald in een peersupportgroep voor studenten, die in de periode maart t/m juni in 2018 en 2019 liep. Veel studenten beschikken over een behoorlijk potentieel aan ervaringskennis wat door middel van peer support in een veilige setting kan worden verkend. Deelnemers worden zich bewust van dit potentieel door hierop met elkaar reflecteren en (verder) te ontwikkelen. Een peer support groep werkt taboedoorbrekend en biedt ondersteuning aan studenten met een psychische kwetsbaarheid. Peer support ondersteunt ook aankomend professionals gebruik te maken van eigen kwetsbaarheid. Voor veel (aankomend) hulpverleners was het tot voor kort ongebruikelijk om dit te doen. Intussen worden de verhoudingen tussen cliënt en hulpverlener anders gedefinieerd en richt de (herstelgerichte) zorg zich steeds nadrukkelijker op destigmatisering, de inzet van ervaringsdeskundigheid, gelijkwaardigheid en openheid in de begeleidingsrelatie. Peer support-programma’s worden steeds vaker geïmplementeerd in (zorg)organisaties om mensen te helpen omgaan met problemen, maar spelen ook in de beroepsontwikkeling van aankomend sociaal werkers een belangrijke rol. Deze rapportage is een samenvoeging van een eerdere interne rapportage van de peer supportgroep uit 2018 (Leunen; Lamers & Van Slagmaat, 2018) en een evaluatie van de peer supportgroep in 2019.
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Chronic diseases represent a significant burden for the society and health systems; addressing this burden is a key goal of the European Union policy. Health and other professionals are expected to deliver behaviour change support to persons with chronic disease. A skill gap in behaviour change support has been identified, and there is room for improvement. Train4Health is a strategic partnership involving seven European Institutions in five countries, which seeks to improve behaviour change support competencies for the self-management of chronic disease. The project envisages a continuum in behaviour change support education, in which an interprofessional competency framework, relevant for those currently practising, guides the development of a learning outcomes-based curriculum and an educational package for future professionals (today’s undergraduate students).
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Self-management is widely seen as a viable contribution to sustainable health care as it allows to promote physical and mental well-being. A promising approach to promoting a healthy lifestyle is the deployment of personalized virtual coaches, especially in combination with the latest developments in the fields of Data Science and Artificial Intelligence. This paper presents a framework for a virtual coaching system, as well as a use case in which parts of this framework are applied. The virtual coach in the use case aims to encourage customer contact center employees to protect their mental health. This article outlines one part of the use-case in particular, viz. how to promote employee autonomy and supervisor support by, inter alia, monitoring employees’ levels of emotional exhaustion. Current systems focus on providing users with insight in their health status or behavior, the authors developed the functional architecture for a system that can be implemented for different goals and generates personalized, real-time advice based on the combination of user preferences, motivational success and predicted user behavior.
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Europe’s aging population is leading to a growing number of people affected by chronic disease, which will continue over the coming decades. Healthcare systems are under pressure to deliver appropriate care, partly due to the burden imposed on their limited financial and human resources by the growing number of people with (multiple) chronic diseases. Therefore, there is a strong call for patient self-management to meet these patients’ healthcare needs. While many patients experience medication self-management as difficult, it poses additional challenges for people with limited health literacy. This thesis aims to explore the needs of patients with a chronic disease and limited health literacy regarding medication self-management and how support for medication self-management can be tailored to those needs.
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Physical and social distancing measures during the COVID-19 pandemic had the potential to jeopardize health and well-being of older adults. Especially older adults who lived alone faced challenges due to restrictive COVID-19 measures. In this study, we explored views and support needs to maintain health and well-being of older adults living in a single household during the COVID-19 pandemic.We employed an interpretative phenomenological analysis, including twenty semi-structured interviews with older adults (≥65 years old) living in single households during the pandemic. Interviews were conducted between June and September 2021, audio-recorded and lasted approximately one hour. Data analysis was guided by the heuristic framework of Smith et al. Trustworthiness of the study was enhanced through bracketing and multiple interdisciplinary moments of revision of the data analysis.The views and support needs of participants to maintain health and well-being during the pandemic were captured in three overarching themes: ‘A lingering search for connectedness’, ‘Dealing with a discouraging situation to stay well’, and ‘Leaning on lessons learned during life’. Important resources that enabled participants to maintain health and well-being were: experiences of social connectedness, acceptance of the situation, and (re)gaining a sense of control. Participants described how they leaned on lessons learned from life-experiences when facing situations that challenged their health and well-being.Our study points out that views and support needs of older adults to maintain health and well-being during the pandemic were diverse and rooted in various coping mechanisms. During future situations similar to the pandemic, public health policies should include strategies to promote social connectedness among older adults who live alone, to prevent adverse health outcomes.• Experiences of social connectedness, acceptance, and (re)gaining a sense of control were coping mechanisms that enabled older adults to maintain health and well-being during the COVID-19 pandemic. • Public health policies should include strategies to promote social connectedness among older adults who live alone, to prevent adverse health outcomes during future pandemics.
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Nurses are accountable to apply the nursing process, which is key for patient care: It is a problem-solving process providing the structure for care plans and documentation. The state-of-the art nursing process is based on classifications that contain standardized concepts, and therefore, it is named Advanced Nursing Process. It contains valid assessments, nursing diagnoses, interventions, and nursing-sensitive patient outcomes. Electronic decision support systems can assist nurses to apply the Advanced Nursing Process. However, nursing decision support systems are missing, and no "gold standard" is available. The study aim is to develop a valid Nursing Process-Clinical Decision Support System Standard to guide future developments of clinical decision support systems. In a multistep approach, a Nursing Process-Clinical Decision Support System Standard with 28 criteria was developed. After pilot testing (N = 29 nurses), the criteria were reduced to 25. The Nursing Process-Clinical Decision Support System Standard was then presented to eight internationally known experts, who performed qualitative interviews according to Mayring. Fourteen categories demonstrate expert consensus on the Nursing Process-Clinical Decision Support System Standard and its content validity. All experts agreed the Advanced Nursing Process should be the centerpiece for the Nursing Process-Clinical Decision Support System and should suggest research-based, predefined nursing diagnoses and correct linkages between diagnoses, evidence-based interventions, and patient outcomes.
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Onderzoek in de Verenigde Staten naar opvattingen en ervaringen van patiënten met het online inzien van hun eigen dossier (personal health record, PHR), inclusief aantekeningen van de behandelaren.
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The Internet offers many opportunities to provide parenting support. An overview of empirical studies in this domain is lacking, and little is known about the design of webbased parenting resources and their evaluations, raising questions about its position in the context of parenting intervention programs. This article is a systematic review of empirical studies (n = 75), published between 1998 and 2010, that describe resources of peer and professional online support for parents. These studies generally report positive outcomes of online parenting support. A number of recent experimental studies evaluated effects, including randomized controlled trials and quasi-experimental designs (totaling 1,615 parents and 740 children). A relatively large proportion of the studies in our sample reported a content analysis of emails and posts (totaling 15,059 coded messages). The results of this review show that the Internet offers a variety of opportunities for sharing peer support and consulting professionals. The fi eld of study refl ects an emphasis on online resources for parents of preschool children, concerning health topics and providing professional support. A range of technologies to facilitate online communication is applied in evaluated websites, although the combination of multiple components in one resource is not very common. The fi rst generation of online resources has already changed parenting and parenting support for a large group of parents and professionals. Suggestions for future development and research are discussed.
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