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De mythe van de PDCA cyclus

De PDCA- of Demingcyclus is het hart van de kwaliteitskunde en heeft haar nut bewezen. Het is echter geen panacee, datin alle culturen en op alle tijden even bruikbaar is. Met nanme in andere dan westerse culturen in tijden van snelle veranderingen voldoet Plan-Do-Check-Act niet.

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A Discourse Community of Livebloggers?

Liveblogs are very popular with the public and journalists alike. The problem, though, is their credibility, given the uncertainty of the covered events and the immediacy of their production. Little is known about how journalists routinize the unexpected—to paraphrase Tuchman—when journalists report about an event that is still unfolding. This paper is about makers of liveblogs, livebloggers, so to speak, and the routines and conventions they follow. To better understand the relationship between those who do the “liveblogging” and how the “liveblogging” is done, we interviewed a selection of nine experienced livebloggers who cover breaking news, sports, and politics for the three most-visited news platforms in the Netherlands. Based on our results, we concluded that journalists working at different platforms follow similar routines and conventions for claiming, acquiring, and justifying knowledge. Journalists covering news in liveblogs must have expert knowledge, as well as technical and organizational skills. Liveblogging—in contrast to regular, online reporting—is best summarized as a social process instead of an autonomous production. These findings are important for three reasons: first, to understand how journalists cope with uncertainty covering events under immediate circumstances using liveblogs; second, to understand the workings of this popular format; and third, to contribute to literature about journalistic genres, discourse communities and, more specifically, generic requirements of liveblogs for effects of credibility to take place.

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De SBAR-Methodiek

Klinisch redeneren helpt verpleegkundigen om hun handelen te onderbouwen en de kwaliteit van zorg te verbeteren. Verschillende studies tonen aan dat je het klinisch redeneervermogen bij verpleegkundigen kunt vergroten als je er een speciale methodiek voor introduceert. De SBAR-methode is zo’n methodiek. Op de dia-lyseafdeling van het Slingeland Ziekenhuis en het Gelre Ziekenhuis werd het effect van deze methode onderzocht.

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Feral Drifting with Lonja Wetlands: Fragments of More-than-Human Cohabitation

The Feral Drifting with Lonja Wetlands workshop involved a 4-day feral, performative investigation of multispecies relations and spatio-temporalities of care that shape the flow of life and death in Lonjsko Polje (or Lonja Wetlands), the largest protected wetlands in Croatia. Together with 19 workshop participants, we experimented with feral ways of sensemaking that invite open-ended, multisensory, and spontaneous encounters unfolding beyond the bounds of human control.Inspired by the movements and rhythms of local, other-than-human creatures, such as storks, mosquitoes, storms, and the river Sava, as well as the artistic strategies of dérive (including their flaws), we drifted with the local ecologies and invited pathways towards care-full co-habitation. To navigate through these space-times, we experimented with various performative and speculative sense-making practices including walking, listening, storytelling and forming relations.This feral investigation resulted in co-creative outcomes – or fragments – in diverse forms, such as multispecies rituals, synesthetic maps, wayfinding games, and memory seed banks that were documented as short videos and later turned into the Feral Fragments of Lonjsko Polje film. Here, we share the key processes of our collective workshop and reflect on them in relation to the notion of feral data.

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Writing the Self and Bereavement

That expressive writing can be a beneficial response to trauma or grief is well-established in the literature. Grief research also shows that the majority of people are resilient in the face of the death of loved ones. That said, traditional rituals around loss are no longer ubiquitous, well-known phase models of bereavement are contested, and ‘unfinished business’ can create difficulties in the face of loss. Increasingly, bereavement scholars speak of a need for individuals in western society to make meaning of their own grief through narrative construction, though little is said about what constitutes a beneficial story. The author takes an autoethnographic approach to write and reflect on her spouse’s illness and death and explores through a multi-voiced expressive dialogue a personal issue around her bereavement. In an analysis of her writing, using Dialogical Self Theory, she identifies markers which may be indicative of the development of a beneficially constructed narrative. The model of writing-for-transformation is used to describe the overall intent of the process, while the dialogical markers show how progress may be identified. Reinekke Lengelle (2020) Writing the Self and Bereavement: Dialogical Means and Markers of Moving Through Grief, Life Writing, 17:1, 103-122, DOI: 10.1080/14484528.2020.1710796

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Public apologies in Angola, but for whom?

It was a landmark speech. On May 26, Angola’s president apologized and asked forgiveness for mass executions that occurred in 1977. He also announced the returning of victims’ remains to their families and the issuance of death certificates. But what does this mean for Angola’s wider reconciliation process? Other key demands and large groups of victims have still been left out, warn scholars Maarten van Munster and Joris van Wijk.

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Public apologies in Angola, but for whom?

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Current practice of hospital-based palliative care teams

BackgroundSpecialist palliative care teams are consulted during hospital admission for advice on complex palliative care. These consultations need to be timely to prevent symptom burden and maintain quality of life. Insight into specialist palliative care teams may help improve the outcomes of palliative care.MethodsIn this retrospective observational study, we analyzed qualitative and quantitative data of palliative care consultations in a six-month period (2017 or 2018) in four general hospitals in the northwestern part of the Netherlands. Data were obtained from electronic medical records.ResultsWe extracted data from 336 consultations. The most common diagnoses were cancer (54.8%) and organ failure (26.8%). The estimated life expectancy was less than three months for 52.3% of all patients. Within two weeks after consultation, 53.2% of the patients died, and the median time until death was 11 days (range 191) after consultation. Most patients died in hospital (49.4%) but only 7.5% preferred to die in hospital. Consultations were mostly requested for advance care planning (31.6%). End-of-life preferences focused on last wishes and maintaining quality of life.ConclusionThis study provides detailed insight into consultations of palliative care teams and shows that even though most palliative care consultations were requested for advance care planning, consultations focus on end-of-life care and are more crisis-oriented than prevention-oriented. Death often occurs too quickly after consultation for end-of-life preferences to be met and these preferences tend to focus on dying. Educating healthcare professionals on when to initiate advance care planning would promote a more prevention-oriented approach. Defining factors that indicate the need for timely palliative care team consultation and advance care planning could help timely identification and consultation.

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Current practice of hospital-based palliative care teams

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Patients' preferred place of death

Background: end-of-life care is not always in line with end-of-life preferences, so patients do not always die at their preferred place of death (PPD). This study aims to identify factors associated with patients' PPD and changes in PPD. Methods: we prospectively collected data on PPD at four time points within 6 months from 230 acutely hospitalised older patients who were part of the control group in a stepped-wedge randomised controlled trial. Associations between patient characteristics and preferences were calculated using multivariable (multinomial) logistic regression analysis. Results: the mean age of participants was 80.7 years. 47.8% of the patients had no PPD at hospital admission. Patients previously admitted to hospital preferred to die at home (home versus no preference: odds ratio [OR] 2.38, 95% confidence interval [CI] 1.15-4.92; home versus healthcare facility: OR 3.25, 95% CI 1.15-9.16). Patients with more chronic diseases preferred the healthcare facility as their PPD (healthcare facility versus no preference: OR 1.33, 95% CI 1.09-1.61; healthcare facility versus home: OR 1.21, 95% CI 1.00-1.47). 32 of 65 patients changed their preference during follow-up, and most of these had no PPD at hospital admission (home versus no preference: OR 0.005, 95% CI ≤0.001-0.095) and poorer self-rated well-being (OR 1.82, 95% CI 1.07-3.08). Conclusions: almost half of the patients had no PPD at baseline. Previous hospital admission, having more chronic diseases and living alone are associated with having a PPD. Introducing PPD could make older people aware of PPD and facilitate optimal palliative care.

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Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child

The unexpected death of a child is one of the most challenging losses as it fractures survivors’ sense of parenthood and other layers of identity. Given that not all the bereaved parents who have need for support respond well to available treatments and that many have little access to further intervention or follow-up over time, online interventions featuring therapeutic writing and peer support have strong potential. In this article we explore how a group of bereaved mothers experienced the process of participating in an online course in therapeutic writing for the integration of grief. Our research questions were: How do parents who have lost a child experience being part of an online course in therapeutic writing? What are the perceived benefits and challenges of writing in processing their grief? We followed an existential phenomenological approach and analyzed fieldwork notes (n = 13), qualitative data from the application and assessment surveys (n = 35; n = 21), excerpts from the journals of some participants (n = 3), and email correspondence with some participants (n = 5). We categorized the results in three meaning units: (1) where does my story begin? The “both and” of their silent chaos; (2) standing on the middle line: a pregnancy that does not end; (3) closures and openings: “careful optimism” and the need for community support. Participants experienced writing as an opportunity for self-exploration regarding their identities and their emotional world, as well as a means to develop and strengthen a bond with their children. They also experienced a sense of belonging, validation, and acceptance in the online group in a way that helped them make sense of their suffering. Online writing courses could be of benefit for bereaved parents who are grieving the unexpected death of a child, but do not replace other interventions such as psychotherapy. In addition to trauma and attachment informed models of grief, identity informed models with a developmental focus might enhance the impact of both low-threshold community interventions and more intensive clinical ones. Further studies and theoretical development in the area are needed, addressing dialogical notions such as the multivoicedness of the self. Lehmann OV, Neimeyer RA, Thimm J, Hjeltnes A, Lengelle R and Kalstad TG (2022) Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child. Front. Psychol. 12:809848. doi: 10.3389/fpsyg.2021.809848

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Products 107

De mythe van de PDCA cyclus

A Discourse Community of Livebloggers?

De SBAR-Methodiek

Feral Drifting with Lonja Wetlands: Fragments of More-than-Human Cohabitation

Writing the Self and Bereavement

Public apologies in Angola, but for whom?

Current practice of hospital-based palliative care teams

Patients' preferred place of death

Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child

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De mythe van de PDCA cyclus

A Discourse Community of Livebloggers?

De SBAR-Methodiek

Feral Drifting with Lonja Wetlands: Fragments of More-than-Human Cohabitation

Writing the Self and Bereavement

Public apologies in Angola, but for whom?

Current practice of hospital-based palliative care teams

Patients' preferred place of death

Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child