A special Women's Day edition of the podcast with the leading ladies of our Centre of Expertise on Global Governance. Your hosts Mendeltje and Ruud have a talk with Alanna O'Malley, Barbara Warwas en Sylvia Bergh on the international position of women and their research on the UN, alternative ways of conflict resolution and applied research worldwide. A conversation about experiences, education and change.
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A positive experience of the perinatal period is significant for women in midwifery care. The literature on women’s experiences of the care in this period is extensive. However, a clear overview of the dimensions important for women’s experiences is lacking. Consequently, care providers and researchers may ignore aspects significant to women’s experience. In this short communication, we present a framework identifying the dimensions relevant for women’s experiences of the perinatal period.
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With regard to the increasing global competition for highly-skilled labour, the group of mobile international students is becoming more and more prominent in the considerations of national policy-makers. One concrete idea is to develop policies in order to bind international students and foreign knowledge workers and make them valuable contributors to the country, economically but also in terms of social and cultural aspects. The Dutch government has put this issue on the agenda and emphasized their interest in binding international talent to the Netherlands. Therefore, it is crucial to learn about the factors, which are decisive in staying and going and which are particularly appealing or unappealing about the Netherlands. In order to contribute to this process, a study was done among international students, alumni, and staff at The Hague University of Applied Sciences. This study's findings have been validated and enriched by the results of a broader survey which has been conducted among the talented international students participating in the Nuffic NL4Talents conference of 4 February 2013 in The Hague. This study suggests that two principal reasons are relevant in residence decisions: career perspective and personal factors, such as having a Dutch partner or circle of friends. Additionally, a number of further factors seems to influence whether internationals want to stay in the Netherlands. All these factors are classified in four groups: those related to the Netherlands in general, to the region/city of residence, personal aspects and aspects related to the university. With regard to the Netherlands, appealing factors appear to be the standard of living, the socio-political environment in the Netherlands and the supposedly welcoming Dutch culture. There are, however, people - in particular those who cannot fully enjoy all rights of the EU citizenship - who feel underprivileged in terms of administrative procedures and in their everyday life in the Netherlands. When it comes to the regional aspects in The Hague, appealing factors are apparently the clean and safe environment to live as well as the availability of several offers for leisure time, including an attractive cultural agenda. Here, the housing situation - more precisely the cost and quality of accommodation - appears as a rather unappealing aspect. In terms of personal considerations, the family-friendly environment in the Netherlands has been rated as particularly appealing. Also having a Dutch partner or Dutch friends may encourage international students to stay and work in the Netherlands. The findings suggest, however, that international students are more embedded in an international circle of friends than linked with the locals. Only few respondents felt being actively excluded from Dutch circles, but a majority agrees that it is difficult to establish bonds with the local population. At the same time, it has been raised that international students voluntarily live in their expat bubble. Lastly, the university experience can contribute to retaining international students. Here, appealing factors were the international study environment which makes the foreign student feel at home, as well as the level and focus of education at The Hague University of Applied Sciences. By contrast, critical views have been raised in relation to a suggested lack of career counselling and support in learning the Dutch language at university. Based on these findings, the report concludes with some recommendations which might serve as a springboard to develop strategies to bind international talent. As the discussion of findings shows, the insights of this study can be validated by insights of a related study that has recently been conducted by Agentschap NL and the advice of the Social and Economic Council of the Netherlands. Based on the findings, the report concludes with a number of recommendations outlining how national, regional, local authorities as well as universities can help to retain more international talent in the Netherlands.
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Objective To synthesise qualitative studies on women’s psychological experiences of physiological childbirth. Design Meta-synthesis. Methods Studies exploring women’s psychological experiences of physiological birth using qualitative methods were eligible. The research group searched the following databases: MEDLINE, CINAHL, PsycINFO, PsycARTICLES, SocINDEX and Psychology and Behavioural Sciences Collection. We contacted the key authors searched reference lists of the collected articles. Quality assessment was done independently using the Critical Appraisal Skills Programme (CASP) checklist. Studies were synthesised using techniques of meta-ethnography. Results Eight studies involving 94 women were included. Three third order interpretations were identified: ‘maintaining self-confidence in early labour’, ‘withdrawing within as labour intensifies’ and ‘the uniqueness of the birth experience’. Using the first, second and third order interpretations, a line of argument developed that demonstrated ‘the empowering journey of giving birth’ encompassing the various emotions, thoughts and behaviours that women experience during birth. Conclusion Giving birth physiologically is an intense and transformative psychological experience that generates a sense of empowerment. The benefits of this process can be maximised through physical, emotional and social support for women, enhancing their belief in their ability to birth and not disturbing physiology unless it is necessary. Healthcare professionals need to take cognisance of the empowering effects of the psychological experience of physiological childbirth. Further research to validate the results from this study is necessary.
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Increasingly aware of the importance of active lifestyles, many people intend to exercise more. One of the main challenges is to translate exercise intentions into actual exercise behaviour, the so-called intention-behaviour gap. To investigate barriers and enablers that affect this gap, we conducted a 7-day diary study with 16 women. Participants indicated what their exercise intentions and behaviour were per day, and whether and why they changed retrospectively during the day. Through the diary study, we gain insights into (i) the intention-behaviour interplay, and (ii) the experienced barriers and enablers that influence this interplay throughout the day. Based on the findings, we contribute new implications for design in supporting people translating their intentions into exercise behaviour. We propose three design concepts to illustrate underlying design opportunities. The focus is on positively influencing the interplay of enablers and barriers of exercising and how these can be addressed through design
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Despite the consequences for women’s health, a repeat cesarean section (CS) birth after a previous CS is common in Western countries. Vaginal Birth After Cesarean (VBAC) is recommended for most women, yet VBAC rates are decreasing and vary across maternity organizations and countries. We investigated women’s views on factors of importance for improving the rate of VBAC in countries where VBAC rates are high. We interviewed 22 women who had experienced VBAC in Finland, the Netherlands, and Sweden. We used content analysis, which revealed five categories: receiving information from supportive clinicians, receiving professional support from a calm and confident midwife/obstetrician during childbirth, knowing the advantages of VBAC, letting go of the previous childbirth in preparation for the new birth, and viewing VBAC as the first alternative for all involved when no complications are present. These findings reflect not only women’s needs but also sociocultural factors influencing their views on VBAC.
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To be able to ‘survive’ in a more and more globalising world, students of universities and universities of applied sciences must attain international competencies, in this study defined as respectively general personal, social competencies, intercultural competencies, a command of foreign languages and international academic and professional competencies. International competencies can be attained in different ways by students: internally (via foreign teachers and/or students) and/or externally (via internships and/or exchanges). The external attainment of competencies is far more successful when students are well prepared and when they receive proper supervision, both during and after their stay abroad. If this is not the case, students often tend to develop at a personal, social and (inter)cultural level, but significantly less at an academic and professional level (Stronkhorst, 2005). These students are also often unable to recognize and express which knowledge and skills they attained during their stay abroad (Orahood et al., 2004; CERI, 2008; Deardorff, 2009). With the preceding information as a starting point, the Social Work degree programme of Windesheim University of Applied Sciences in Zwolle started the minor ‘Social Work in Africa & Asia’ in the beginning of 2014. Students who participate firstly pass through a a six-week preparatory theoretical programma, followed by a three-month internship in Uganda or Vietnam. The minor concludes with a two-week postmortem programme. The practical component of the minor involves Eye4Africa, a Dutch internship supervision agency for internships in Uganda, Kenya and Vietnam. Eye4Africa arranges the internships, prepares the students for their stay abroad, both in the Netherlands and abroad, and then offers them support, coaching and intervision meetings. At the initiative of and in collaboration with Eye4Africa The Hague University of Applied Sciences carried out a qualitative study amongst eight female students of the Social Work degree programme of Windesheim University of Applied Sciences who followed the minor ‘Social Work in Africa & Asia’ during the academic year 2014-2015. The following was key to the research conducted: the question of the extent to which preparation for the Social Work in Africa & Asia minor at Windesheim University of Applied Sciences and the supervision that the Eye4Africa internship agency offers fourth-year Social Work students during their internships in Uganda in the autumn of 2014 had a positive impact on the attainment and further development of international competencies. The results have shown that the students found it very easy to recognise and express the knowledge and skills they gained during their internships. Secondly, the students mentioned clear professional, intercultural and personal, social growth. No growth or development in relation to academic competencies was observed in this study. However, this is not unusual, as the students were doing internships. Academic competencies are particularly attained when studying abroad, while professional competencies are particularly attained during internships (Hoven & Walenkamp, 2013; 2015). The main conclusion of this study is that the preparation and the supervision by Windesheim University of Applied Sciences and Eye4Africa within the framework of the minor ‘Social Work in Africa & Asia’ has aided students with regard to growth and the (further) development of international competencies. Some important short comments are that a relatively small, very one-sided sample has been interviewed and that there was no control group.
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The Hague University of Applied Sciences has high ambitions in the field of internationalisation. Two out of four priorities in the institutional policy touch this theme: global citizenship and internationalisation. In order to ensure that the curriculum of the new degree programme HBO ICT meets these priorities, it is interesting to know which international competencies the ICT sector requires. The main research questions in this report is: Which international competencies does the ICT sector demand of ICT graduates and how can these be embedded in the curriculum of the new HBO ICT degree programme? That the question is relevant, is shown by the fact that 25% of the respondents, ICT graduates, indicated that they actually work abroad for longer and shorter periods. In this research an online survey was held among alumni (n = 315) of the precursors of the HBO ICT degree programme in order to find out which international competencies are important. By conducting interviews on the same target group, this information was deepened. In an online survey among graduation supervisors (n = 202) it is examined to what extent the graduates master the required skills by the end of their training. This combined information provides the input to develop the new curriculum of the HBO ICT degree programme and its specialisations. The results show that English and especially English listening and reading skills are considered to be very important. Our alumni master these skills highly satisfactorily. It was specifically mentioned, however, that alumni must overcome a certain reluctance to speak. Intercultural and personal and social competencies are found very important. To master these competencies, students should learn by experiencing. This can be done by working together in international teams, but also in national teams as long as they are supervised explicitly on intercultural, personal and social competencies. As far as the international academic and professional competencies concerned, especially internationally accepted professional knowledge is considered important. On these categories the HBO ICT graduates score satisfactorily (a score of 6 or 6,5 out of 10). Depending on the ambitions of the programme, some improvements could be made here. In general, the ICT sector is quite satisfied with the extent to which our students possess international competencies they consider to be relevant. However, there are suggestions for improvement and some of them have already been included in the toolkit internationalisation as part of the development of the curriculum of HBO ICT.
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Purpose: This study examined the effects of a giant (4×3 m) exercising board game intervention on ambulatory physical activity (PA) and a broader array of physical and psychological outcomes among nursing home residents. Materials and methods: A quasi-experimental longitudinal study was carried out in two comparable nursing homes. Ten participants (aged 82.5±6.3 and comprising 6 women) meeting the inclusion criteria took part in the 1-month intervention in one nursing home, whereas 11 participants (aged 89.9±3.1 with 8 women) were assigned to the control group in the other nursing home. The giant exercising board game required participants to per-form strength, flexibility, balance and endurance activities. The assistance provided by an exercising specialist decreased gradually during the intervention in an autonomy-oriented approach based on the self-determination theory. The following were assessed at baseline, after the intervention and after a follow-up period of 3 months: PA (steps/day and energy expenditure/day with ActiGraph), cognitive status (mini mental state examination), quality of life (EuroQol 5-dimensions), motivation for PA (Behavioral Regulation in Exercise Questionnaire-2), gait and balance (Tinetti and Short Physical Performance Battery), functional mobility (timed up and go), and the muscular isometric strength of the lower limb muscles. Results and conclusion: In the intervention group, PA increased from 2,921 steps/day at baseline to 3,358 steps/day after the intervention (+14.9%, P=0.04) and 4,083 steps/day (+39.8%, P=0.03) after 3 months. Energy expenditure/day also increased after the intervention (+110 kcal/day, +6.3%, P=0.01) and after 3 months (+219 kcal/day, +12.3%, P=0.02). Quality of life (P<0.05), balance and gait (P<0.05), and strength of the ankle (P<0.05) were also improved after 3 months. Such improvements were not observed in the control group. The preliminary results are promising but further investigation is required to confirm and evaluate the long-term effectiveness of PA interventions in nursing homes.
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At present, leading international agencies, such as the United Nations Environmental Programme, are largely focused on what they claim to be ‘win-win’ scenarios of ‘sustainable development’ rhetoric. These combine social, economic and environmental objectives. However, as noted by the ‘Scientists’ Warning to Humanity’, environmental integrity is the essential precondition for the healthy functioning of social and economic systems, and thus environmental protection needs to be prioritized in policy and practice. Ecological sustainability cannot be reached without realizing that population growth and economic growth, with attendant increased rates of depletion of natural resources, pollution, and general environmental degradation, are the root causes of unsustainability. This article argues that to strategically address ecological unsustainability, the social, economic and political barriers to addressing the current economic model and population growth need to be overcome. Strategic solutions proposed to the current neoliberal economy are generic – namely, degrowth, a steady-state economy, and a ‘circular economy’. Solutions to demographic issues must be sensitive to the countries' cultural, social, political and economic factors to be effective as fertility differs from country to country, and culture to culture. As discussed here, Mediterranean countries have the lowest fertility in the world, while many countries in Africa, and some in Asia, South America have stable but consistently high birthrates. This is discussed using three case studies - Tanzania, Italy, and Cambodia, focusing on the "best case" policy practice that offers more realistic hope for successful sustainability. https://doi.org/10.1007/s41207-019-0139-4 LinkedIn: https://www.linkedin.com/in/helenkopnina/
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