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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Described are the results of an investigation in the appreciation of distance learning, limited to a case study with an online lab-experiment. Together with other educational institutes and companies Fontys University of Applied Sciences participated in a number of projects in which distance learning courses were developed. Some courses have been integrated in the regular curriculum. Our study was set up to get insight into the appreciation of students for this way of learning, especially concerning online lab-experiments. By using surveys and interviews after the students accomplished either a regular course or a distance learning course on the same object we tried to get a better understanding of how students used the course and appreciated it. Also we wanted to know whether an online lab-experiment is more or less effective than a regular one. Preliminary data analyses have shown that the appreciation of an online lab-experiment is dependent on a number of items, like the educational contents of the experiment itself, the way accompanying theory is presented, possibilities of doing the experiment in an alternative way, the organization around the experiment etc. It appears also that students give serious suggestions on developing other online lab-experiments.
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Abstract Purpose Knowledge of clinical pharmacotherapy is essential for all who prescribe medication. The aims of this study were to investigate differences in the pharmacotherapy and polypharmacy knowledge of medical and surgical residents and consultants and whether this knowledge can be improved by following an online course. Methods Design: A before-and-after-measurement. Setting: An online course available for Dutch residents and consultants working in hospitals. Study population: Dutch residents and consultants from different disciplines who voluntarily followed an online course on geriatric care. Intervention An online 6-week course on geriatric care, with 1 week dedicated to clinical pharmacotherapy and polypharmacy. Variables, such as medical vs surgical specialty, consultant vs resident, age, and sex, that could predict the level of knowledge. The effects of the online course were studied using repeated measures ANOVA. The study was approved by the National Ethics Review Board of Medical Education (NERB dossier number 996). Results A total of 394 residents and 270 consultants, 220 from surgical and 444 from medical specialties, completed the online course in 2016 and 2017. Residents had higher test scores than consultants for pharmacotherapy (73% vs 70%, p<0.02) and polypharmacy (75% vs 72%, p<0.02). The learning effect did not differ. Medical residents/consultants had a better knowledge of pharmacotherapy (74% vs 68%, p<0.001) and polypharmacy (77% vs 66%, p<0.001) than surgical residents/consultants, but the learning effect was the same. Conclusions Residents and consultants had a similar learning curve for acquiring knowledge, but residents outperformed consultants on all measures. In addition, surgical and medical residents/consultants had similar learning curves, but medical residents/consultants had higher test scores on all measures.
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Presented at the Essence International Conference, Alcoi – Sept 22 2015. The link refers to a youtube video recording of the presentation. This presentation describes a project for online and blended learning.
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The purpose of this paper is to reflect on the experiences of safety and security management students, enrolled in an undergraduate course in the Netherlands, and present quantitative data from an online survey that aimed to explore the factors that have contributed to students’ satisfaction with, and engagement in, online classes during the COVID-19 pandemic. The main findings suggest an interesting paradox of technology, which is worth further exploration in future research. Firstly, students with self perceived higher technological skill levels tend to reject online education more often as they see substantial shortcomings of classes in the way they are administered as compared to the vast available opportunities for real innovation. Secondly, as opposed to democratising education and allowing for custom-made, individualistic education schedules that help less-privileged students, online education can also lead to the displacement of education by income-generating activities altogether. Lastly, as much as technology allowed universities during the COVID-19 pandemic to continue with education, the transition to the environment, which is defined by highly interactive and engaging potential, may in fact be a net contributor to the feelings of social isolation, digital educational inequality and tension around commercialisation in higher education.
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In March 2020 schools in The Netherlands closed to contain the spread of Covid-19 virus. Shortly after, schools took to online education. The condensed setting of the Covid-19 situation provided a background to study which learning activities and tools teachers choose in online education and how they use them to promote interaction. Interaction is quintessential to learning but in online education it is not easy to provide room for interaction. Our central research question therefore is how interaction within online education activities change over time. An online longitudinal survey amongst teachers was conducted. The first four rounds took place in the early stages of the lockdowns and shortly after. In total 179 different secondary school teachers participated of whom 16 responded three rounds or more. Most teachers use tools in online education that can facilitate more interaction than necessary for the Instructional Design. This means that improving interaction in online education is more a pedagogical challenge than a technical one. It was also found that teachers who deploy Instructional Designs that require more interaction use more and different tools. However, only few of these tools seem to facilitate the interactive quality the teachers pursued. Over time we saw the interactive quality of Instructional Design and tools converge. We are in awe of the artful way in which some teachers manage to combine the possibilities of different tools to establish high interactive quality in the online learning processes they conduct.
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MOOC’s (Massive Open Online Courses) zijn een opkomend fenomeen. In deze whitepaper wordt gekeken naar de mogelijkheid voor inpassing van MOOC’s in het huidig onderwijs. Wat zijn de voor- en nadelen van de online cursussen? Welke kansen biedt het?
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For this exploratory study we aim to provide knowledge and insights concerning the processes of setting up, implementing and managing online communities as a part of the product/services offer of media companies. The goal is to increase their reach amongst target groups, to strengthen involvement with their audiences and to entice their audiences to participate. This information should help us to understand the many different aspects important for developing and managing online communities. The research question for this phase is: Which critical success factors play a role in the process of setting up and managing online communities using social media in order to activate and/or engage target audiences? In this exploratory first phase we looked into literature relating to general guidelines and critical success factors in setting up and managing online communities. These aspects include, communication and interaction options, functionalities for sharing information, the content structure given, the importance of socialization within the community, the policies used and the usability of the platform (Ning Shen & Khalifa, 2008).
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OBJECTIVE: This work aims to gain insight into the long-term impact of depression course on social network size and perceived loneliness in older people living in the community. METHODS: Within a large representative sample of older people in the community (Longitudinal Aging Study Amsterdam (LASA)), participants with clinically relevant levels of depressive symptoms (scores >16 on the Center for Epidemiological Studies Depression Scale) were followed up over a period of 13 years of the LASA study (five waves). General estimating equations were used to estimate the impact of depression course on network size and loneliness and the interaction with gender and age. RESULTS: An unfavorable course of depression was found to be associated with smaller network sizes and higher levels of loneliness over time, especially in men and older participants. CONCLUSIONS: The findings of this study stress the importance of clinical attention to the negative consequences of chronicity in depressed older people. Clinicians should assess possible erosion of the social network over time and be aware of increased feelings of loneliness in this patient group.
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In this article, the main question is whether and, if so, to what extent online journalism raises new moral issues and, if any, what kind of answers are preferable. Or do questions merely appear new, since they are really old ones in an electronic wrapping, old wine in new bottles? And how does journalism deal with the moral aspects of online journalism? The phenomenon of the Internet emerged in our society a few years ago. Since then, a large number of Dutch people have gone online, and the World Wide Web is now an integral part of our range of means of communication. Dutch journalism is online too, although certainly not in the lead. More and more journalists use the Internet as a source, especially for background information. Newspapers have their web sites, where the online version of the printed paper can be read. And that is it for the time being. There are no more far-reaching developments at present, certainly not on a large scale. Real online journalism is rather scarce in the Netherlands. The debate concerning the moral aspects of online journalism is mainly being conducted in the United States. First of all, by way of introduction, I will present an outline of online journalism. The first instance is the online version of the newspaper. Here, only to a certain degree new issues come up for discussion, since the reputation of reliability and accuracy of the papers, in spite of all criticism, also applies to their online versions. Besides, especially in the United States and increasingly in European countries as well, there is the so-called dotcom journalism, the e-zines, the online news sites without any relationship with printed newspapers. This may be the reason why these sites do not have a strong commitment to moral standards, at least as they have developed in the journalistic culture of the newspapers. After having outlined the moral issues arising in online journalism, the question will be addressed whether and, if so, to what extent it is meaningful and desirable to develop instruments of self-regulation for this new phenomenon of journalism.
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