Today, multidisciplinary cooperation (MC) is an important objective of highervocational education. The aim of this ongoing study was to explore how, and towhat extent, fourth year bachelor students at two research centers (BuiltEnvironment and Energy, Hanze University of Applied Sciences) develop MC.Data for 71 students were collected with a semi-structured questionnaire, followed by focus group discussions in 14 groups. Results indicate that studentsaccomplished MC to varying degrees, depending on differences in disciplinaryprogram backgrounds, student characteristics, the research center, the thematicgroup they belonged to, and the quality of the ‘graduation research assignment’.For example, students experienced pressure from their training college to conduct their research autonomously, and this affected the degree to which the goal of MC was reached during the final assignment before graduation. The results of this study were used to improve the professional learning environment in which training colleges and research centers cooperate.
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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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ObjectiveFirst, to make an inventory of activity limitations commonly reported by knee osteoarthritis (OA) patients undergoing multidisciplinary rehabilitation. Second, to evaluate treatment outcome using the Patient Specific Functional Scale (PSFS) and compare it to the Western Ontario and McMasters Universities Osteoarthritis Index physical function subscale (WOMAC-pf).DesignAn observational study with assessments before and immediately after multidisciplinary rehabilitation. Five hundred and thirteen patients used the PSFS, a patient-reported tool to identify activity limitations and score the patient's ability to perform the activity on an 11-point Numeric Rating Scale (NRS), to report three activities in which they were limited. Frequencies and percentages of their highest-prioritized activity were calculated and categorized according to the International Classification of Functioning, Disability, and Health (ICF). Paired-samples T-tests were used to analyze the change in ability to perform the activities. Effect sizes of PSFS and WOMAC-pf were compared.ResultsMost patients indicated limitations in walking, walking up/down stairs, prolonged standing, and standing up from a chair. Following these common activities, 26 different activities were identified. The majority of these highest-prioritized activities fell under the first-level ICF category of Mobility. The ability to perform all activities significantly improved after treatment. Effect sizes ranged between 0.60 and 0.97 and were greater than the effect size of the WOMAC-pf (0.41).ConclusionKnee OA patients who undergo multidisciplinary rehabilitation exhibit improvements in performing daily activities. The PSFS is a valuable tool to evaluate patient-specific activity limitations and seems to capture improvements in activity limitations beyond the WOMAC-pf.
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This booklet was published as a result of the inaugural lectures by Johan Wempe and Michel van Hulten. Within Saxion, professors cooperate in knowledgecentres, the advantage being that they can set up joint multidisciplinary research lines in addition to their own research.
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Sarah Banks (2012) describes ethics work mainly as the effort people put into developing themselves as good practitioners. She discerns six aspects of ethics work: identity work, framing work, reason work, emotion work, role work and performance work. Although ethics work focuses on the ethical development of individual practitioners within their profession, the concept and all its aspects can be transferred into an ethical guideline for the collective development of practitioners in interprofessional cooperation. As such the concept of collective interprofessional ethics work can also be used as a set of criteria for the ethical evaluation of interprofessional cooperation, as is shown on the basis of an experiment in Belgium
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Introduction: The implementation of oncology care pathways that standardize organizational procedures has improved cancer care in recent years. However, the involvement of “authentic” patients and caregivers in quality improvement of these predetermined pathways is in its infancy, especially the scholarly reflection on this process. We, therefore, aim to explore the multidisciplinary challenges both in practice, when cancer patients, their caregivers, and a multidisciplinary team of professionals work together on quality improvement, as well as in our research team, in which a social scientist, health care professionals, health care researchers, and experience experts design a research project together. Methods and design: Experience-based co-design will be used to involve cancer patients and their caregivers in a qualitative research design. In-depth open discovery interviews with 12 colorectal cancer patients, 12 breast cancer patients, and seven patients with cancer-associated thrombosis and their caregivers, and focus group discussions with professionals from various disciplines will be conducted. During the subsequent prioritization events and various co-design quality improvement meetings, observational field notes will be made on the multidisciplinary challenges these participants face in the process of co-design, and evaluation interviews will be done afterwards. Similar data will be collected during the monthly meetings of our multidisciplinary research team. The data will be analyzed according to the constant comparative method. Discussion: This study may facilitate quality improvement programs in oncologic care pathways, by increasing our real-world knowledge about the challenges of involving “experience experts” together with a team of multidisciplinary professionals in the implementation process of quality improvement. Such co-creation might be challenging due to the traditional paternalistic relationship, actual disease-/treatment-related constraints, and a lack of shared language and culture between patients, caregivers, and professionals and between professionals from various disciplines. These challenges have to be met in order to establish equality, respect, team spirit, and eventual meaningful participation.
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Although multi-disciplinary cooperation between professionals is a prerequisite to provideintegrated care in the community, this seems hard to realise in practice. Yet, little is knownabout the experiences of professionals who implement it nor about the organisational fea-tures professionals identify as empowering during this cooperation process. Therefore,a case study of a multi-disciplinary geriatric team was performed. The data-collectionincluded observations of meetings, in-depth interviews and focus groups with professionals(N = 12). Data were analysed inductively and related to the three organisational levels withinthe model of organisational empowerment of Peterson and Zimmerman. Signs of empow-ering organisational features on the intraorganisational level were mutual trust and clearworking routines. On the interorganisational level important features included improvedlinkages between participating organisations and increased insight into each other’s tasks.Tensions occurred relating to the inter- and the extraorganisational level. Professionals feltthat the commitment of the management of involved organisations should be improvedjust as the capacity of the team to influence (local) policy. It is recommended that poli-cymakers should not determine the nature of professional cooperation in advance, but toleave that to the local context as well as to the judgement of involved professionals.
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TheUniversity of Twente, SaxionUniversityofAppliedSciences, ROCofTwente(vocationaleducation), centre of expertise TechYourFuture and the H2Hub Twente, in which various regional hydrogen interested corporations are involved, work together to shape a learning community (LC) for the development of innovative hydrogen technology. The cooperation between company employees, researchers and students provides a means to jointly work on solutions for real-life problems within the energy transition. This involves a cross-chain collaboration of technical programs, professorships and (field) experts, supported by human capital specialists. In the LC, a decentralized hydrogen production unit with storage of green hydrogen is designed and built. The main question for this research is: how can the design and construction process of an alkaline electrolyzer be arranged in a challenge based LC in which students, company employees (specialists) and researchers from the three educational institutions can learn, innovate, build-up knowledge and benefit? In this project the concept of a LC is developed and implemented in collaboration with companies and knowledge institutions at different levels. The concrete steps are described below: 1. Joint session between Human Resource and Development (HRD) specialists and engineers/researchers to explore the important factors for a LC. The results of this session will be incorporated into a blueprint for the LC by the human capital specialists. 2. The project is carried out according to the agreements of the blueprint. The blueprint is continuously updated based on the periodic reflections and observed points for improvement. 3. Impact interviews and periodic reflection review the proceeding of the LC in this engineering process. The first impact interview reveals that the concept of the LC is very beneficial for companies. It increases overall knowledge on hydrogen systems, promotes cooperation and connection with other companies and aids to their market proposition as well. Students get the opportunity to work in close contact with multiple company professionals and build up a network of their own. Also the cooperation with students from different disciplines broadens their view as a professional, something which is difficult to achieve in a mono-disciplinary project.
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Effects of climate change in cities are evident and are expected to increase in the future, demanding adaptation. In order to share knowledge, raise awareness, and build capacity on climate adaptation, the first concept of a “ClimateCafé” has been utilized since 2012 in 25 events all over the world. In 8 years ClimateCafé grew into a field education concept involving different fields of science and practice for capacity building in climate change adaptation. This chapter describes the need, method, and results of ClimateCafés and provides tools for organizing a ClimateCafé in a context-specific case. Early ClimateCafés in the Philippines are compared with the ClimateCafé in Peru to elucidate the development of this movement, in which one of the participants of ClimateCafé Philippines 2016 became the co-organizer of ClimateCafé Peru in 2019. The described progress of ClimateCafés provides detailed information on the dynamic methodological aspects, holding different workshops. The workshops aim at generating context-specific data on climate adaptation by using tools and innovative data collection techniques addressing deep uncertainties that come with climate change adaptation. Results of the workshops show that context-specific, relevant, multidisciplinary data can be gathered in a short period of time with limited resources, which promotes the generation of ideas that can be used by local stakeholders in their local context. A ClimateCafé therefore stimulates accelerated climate action and support for adaptation solutions, from the international and the local, from the public and private sector, to ensure we learn from each other and work together for a climate resilient future. The methodology of ClimateCafé is still maturing and the evaluation of the ClimateCafés over time leads to improvements which are applied during upcoming ClimateCafés, giving a clear direction for further development of this methodology for knowledge exchange, capacity building, and bridging the gap between disciplines within climate adaptation.
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Designing solutions for complex behaviour change processes can be greatly aided by integrating insights from the behavioural sciences into design practice. However, this integration is hampered by the relative inaccessibility of behavioral scientific knowledge. Working in a multidisciplinary of design researchers and behavioural scientists may bridge the gap between the two fields. This paper shares our experiences in working as such a multidisciplinary group on a large project, amongst others consisting of the design of interventions for workplace safety. Our cooperation was fruitful, both for design researchers – being able to better structure the messiness of the design process –, behavioural scientists – gaining in ecological validity of their methods –, and commissioners – increased trust in potential outcomes of the design process. However, difficulties preventing synergy also transpired.
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