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This paper presents the results of an evaluation of a technology-supported leisure game for people with dementia in relation to the stimulation of social behavior.
What would you do if you were unable to pay your rent and you were threatened with home-eviction? Would you ask you family or close friends for help, or would you prefer the professional help of a social worker? Or maybe both? What kind of support can family, friends, neighbors, offer in a situation like this? This thesis tries to answer these questions. The research project focused on vulnerable people who were threatened with home-eviction. A Family Group Conference (FGC) was offered to them by social workers. An FGC is a meeting with a person and his/her social network, during which they make their own plan. Professionals merely give information but are not present during the decision-making process and they carry out their part of the plan as presented by the person and the social network. The experiences with nearly evicted persons were compared to FGC experiences with two other target groups. This way, conditions were identified for a successful implementation of the FGC method with people facing home-eviction.
Aims: To gain a deeper understanding of the differences in patients and staff per‐spectives in response to aggression and to explore recommendations on prevention.Design: Qualitative, grounded theory study.Methods: We conducted semi‐structured interviews with patients and nurses in‐volved in an aggressive incident. Data collection was performed from May 2016 ‐March 2017.Results: Thirty‐one interviews were conducted concerning 15 aggressive incidents.Patients and nurses generally showed agreement on the factual course of events,there was variation in agreement on the perceived severity (PS). Patients' recom‐mendations on prevention were mostly personally focussed, while nurses suggested general improvements.Conclusion: Patients are often capable to evaluate aggression and give recom‐mendations on prevention shortly after the incident. Patients and nurses differ inthe PS of aggression. Recommendations on prevention of patients and nurses arecomplementary.Impact: What problem did the study address? Perspectives of patients and nursesdiffer with respect to aggression, but how is unclear. What were the main findings?Patients and nurses generally described a similar factual course of events concern‐ing the incident, patients often perceive the severity less than nurses. Patients arecapable to give recommendations on prevention of aggressive incidents, shortly after the incident. Where and on whom will the research have impact? Factual course of events can be a common ground to start evaluating aggressive incidents and post‐incident review should address the severity of incidents. Asking recommendations
Problems with communication and collaboration among perinatal caregivers threaten the quality and safety of care given to mothers and babies. Good communication and collaboration are critical to safe care for mothers and babies. In this study the researchers focused on studies examining the factors associated with good communication and collaboration as they occur in working routines in maternity care practice. Their study is part of a growing trend of identifying the positive aspects of communication and collaboration in maternity care.
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In this case study, we want to gain insights into how residents of three municipalities communicate about the new murder scenario of the cold case of Marianne Vaatstra and the possibility of a large-scale DNA familial searching. We investigate how stakeholders shape their arguments in conversation with each other and with the police. We investigate the repertoires that participants use to achieve certain effects in their interactions with others in three focus groups. The results show that the analyzed repertoires are strong normative orientated. We see two aspects emerge that affect the support for large-scale DNA familial searching. These are: 1. Cautious formulations: respondents showed restraint in making personal judgments and often formulated these on behalf of others. Participants would not fully express themselves, but adjusted to what seemed the socially desirable course. 2. Collective identity: respondents focused on the similarities between themselves and the needs, interests, and goals of other participants. Participants also tried in a discursive way to convince each other to participate in the large-scale familial searching. These two major discursive activities offered the communication discipline guidance for interventions into the subsequent communication strategy.
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Supportive social interactions between nonparental adults (i.e. social work professionals, volunteers, and other parents that have contact with children but are not the primary caregiver), parents, and children are important for children’s well-being and development. Parenting styles, types of child behaviour, and location in the neighbourhood may influence these interactions. The aim of the present study was to identify when and how nonparental adults respond in interactions with other adults and children in the neighbourhood. A mixed-method study with vignettes and interviews (N = 114) was conducted to gain insight into which factors (parenting style, child behaviour, location in the neighbourhood) influence the nonparental adults’ intention to respond to children and/or parents. Nonparental adults indicated they were most likely to respond in the context of a permissive parenting style or a child’s externalising behaviour. Professionals more often felt responsible than parents and volunteers, although they did not respond more often. All three factors were related to the participants’ willingness to respond and promote a supportive social structure in the neighbourhood. Social work professionals and their organisations can use this study to identify social support interactions and to discuss their responsibilities.--Sociaal ondersteunende interacties tussen mede-opvoeders (zoals sociaal werk-professionals, vrijwilligers en andere ouders die contact met kinderen hebben, maar niet primair verantwoordelijk zijn) zijn belangrijk voor het welzijn en een positieve ontwikkeling van kinderen. Het doel van deze studie was inzicht geven in hoe mede-opvoeders reageren in interacties met andere opvoeders en kinderen in de buurt. Een mixed-method design met vignetten en interviews is toegepast om inzicht te krijgen in welke factoren (opvoedstijl, gedrag van een kind en locatie in de buurt) de reactie van mede-opvoeders beïnvloeden. Mede-opvoeders gaven aan dat ze het meest reageren in situaties waar sprake is van een permissieve opvoedingsstijl of externaliserend gedrag van een kind. Professionals voelen zich meer verantwoordelijk dan ouders en vrijwilligers, maar reageren niet vaker. Opvoedstijl, gedrag van het kind en locatie in de buurt hangen samen met de mate waarin respondenten reageren en om een ondersteunende sociale structuur in de buurt te bevorderen. Sociaal werkers en hun organisaties kunnen deze studie gebruiken om sociaal ondersteunende interacties te identificeren and over hun verantwoordelijkheid te discussiëren.
ObjectiveHospital-to-home (H2H) transitions challenge families of children with medical complexity (CMC) and healthcare professionals (HCP). This study aimed to gain deeper insights into the H2H transition process and to work towards eHealth interventions for its improvement, by applying an iterative methodology involving both CMC families and HCP as end-users.MethodsFor 20-weeks, the Dutch Transitional Care Unit consortium collaborated with the Amsterdam University of Applied Sciences, HCP, and CMC families. The agile SCREAM approach was used, merging Design Thinking methods into five iterative sprints to stimulate creativity, ideation, and design. Continuous communication allowed rapid adaptation to new information and the refinement of solutions for subsequent sprints.ResultsThis iterative process revealed three domains of care – care coordination, social wellbeing, and emotional support – that were important to all stakeholders. These domains informed the development of our final prototype, ‘Our Care Team’, an application tailored to meet the H2H transition needs for CMC families and HCP.ConclusionComplex processes like the H2H transition for CMC families require adaptive interventions that empower all stakeholders in their respective roles, to promote transitional care that is anticipatory, rather than reactive.InnovationA collaborative methodology is needed, that optimizes existing resources and knowledge, fosters innovation through collaboration while using creative digital design principles. This way, we might be able to design eHealth solutions with end-users, not just for them.
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