Purpose Non-technical skills have gained attention, since enhancement of these skills is presumed to improve the process of trauma resuscitation. However, the reliability of assessing non-technical skills is underexposed, especially when using video analysis. Therefore, our primary aim was to assess the reliability of the Trauma Non-Technical Skills (T-NOTECHS) tool by video analysis. Secondarily, we investigated to what extent reliability increased when the T-NOTECHS was assessed by three assessors [average intra-class correlation (ICC)] instead of one (individual ICC). Methods As calculated by a pre-study power analysis, 18 videos were reviewed by three research assistants using the T-NOTECHS tool. Average and individual degree of agreement of the assessors was calculated using a two-way mixed model ICC. Results Average ICC was ‘excellent’ for the overall score and all five domains. Individual ICC was classified as ‘excellent’ for the overall score. Of the five domains, only one was classified as ‘excellent’, two as ‘good’ and two were even only ‘fair’. Conclusions Assessment of non-technical skills using the T-NOTECHS is reliable using video analysis and has an excellent reliability for the overall T-NOTECHS score. Assessment by three raters further improve the reliability, resulting in an excellent reliability for all individual domains.
This is a manual on supervision with video recordings and role-play. The manual provides points of reference for reflecting in a team on the implementation of the work and learning from each other by means of video recordings and role-play. We know that the quality of the care provided is directly related to the outcomes for clients. And we know that learning from each other helps to improve this quality. Using this manual, a team can get to work on this.
Background: Research on maternity care often focuses on factors that prevent good communication and collaboration and rarely includes important stakeholders – parents – as co-researchers. To understand how professionals and parents in Dutch maternity care accomplish constructive communication and collaboration, we examined their interactions in the clinic, looking for “good practice”. Methods: We used the video-reflexive ethnographic method in 9 midwifery practices and 2 obstetric units. Findings: We conducted 16 meetings where participants reflected on video recordings of their clinical interactions. We found that informal strategies facilitate communication and collaboration: “talk work” – small talk and humour – and “work beyond words” – familiarity, use of sight, touch, sound, and non-verbal gestures. When using these strategies, participants noted that it is important to be sensitive to context, to the values and feelings of others, and to the timing of care. Our analysis of their ways of being sensitive shows that good communication and collaboration involves “paradoxical care”, e.g., concurrent acts of “regulated spontaneity” and “informal formalities”. Discussion: Acknowledging and reinforcing paradoxical care skills will help caregivers develop the competencies needed to address the changing demands of health care. The video-reflexive ethnographic method offers an innovative approach to studying everyday work, focusing on informal and implicit aspects of practice and providing a bottom up approach, integrating researchers, professionals and parents. Conclusion: Good communication and collaboration in maternity care involves “paradoxical care” requiring social sensitivity and self-reflection, skills that should be included as part of professional training.
Zorgprofessionals in de revalidatie helpen cliënten met beperkingen om zo goed mogelijk in het dagelijks leven te functioneren. Voor mensen die een beroerte hebben gehad, is het opnieuw aanleren en uitvoeren van dagelijkse bewegingen zoals lopen complex. Aangezien de motorische problematiek meestal vergezeld gaat met cognitieve stoornissen, zoals geheugenstoornissen, wordt het leren extra bemoeilijkt. Therapeuten constateren dat de huidige (veelal verbale) aanpak onvoldoende resultaat bij deze doelgroep oplevert. Nieuwe wetenschappelijke inzichten veronderstellen dat impliciet (onbewust) motorisch leren juist voor de cliënten met cognitieve problemen een aanpak is die het aanleren van bewegingen makkelijker maakt. De centrale onderzoeksvraag: Welke kennis hebben therapeuten nodig om de onbewuste motorische leerstrategieën analogie leren, foutloos leren en observationeel leren toe te passen en ondersteunende technologieën op cliëntgerichte wijze in te zetten om het effectief en efficiënt aanleren en zelfstandig oefenen van het lopen bij cliënten na een beroerte mogelijk te maken? Het onderzoek leverde voor therapeuten wetenschappelijk onderbouwde concrete kennis op over de toepassing van onbewuste motorische leerstrategieën en de inzet van eenvoudige technologieën bij cliënten met een beroerte en mogelijk gepaard gaande cognitieve stoornissen in de dagelijkse praktijk. Tijdens het onderzoek (vier werkpakketten) was er voortdurend een wisselwerking tussen onderzoek en praktijk. Gebleken is dat naast de therapeuten ook informele zorgverleners hun naasten graag willen ondersteunen in hun revalidatietraject. Zij zien dat de onbewuste leerstrategieën een positief effect hebben. Echter de leerstrategieën zijn binnen het RAAKPRO project alleen vertaald naar instructies voor therapeuten. Deze zijn niet geschikt om toegepast te worden door informele zorgverleners. Top-Up project: Kennis over de toepassing van impliciet motorisch leren uit de RAAKPRO aanvraag vertalen naar instructie- en voorbeeldmateriaal voor informele zorgverleners, zoals mantelzorgers, zodat zij de revalidant beter kunnen begeleiden bij het (impliciet) motorisch leren van bewegingen in de thuissituatie en sociale omgeving en het gehele revalidatietraject versterkt.
Tango is among the most widespread world music genres nowadays. However, only partial information about the elements and techniques of composing, arranging and performing tango has been documented and made available so far. This research project aims at investigating tango’s main aspects in the oeuvre of relevant tango musicians, promoting its creative practice and expanding its artistic community. By making the implicit knowledge in scores and recordings explicit and ready for creative use by the greater artistic community, tango can be preserved, on one side; and musicians can experiment and reach new artistic horizons, securing its continuation and development as vivid, contemporary music, on the other. The project has two research questions: 1. What are the main features and techniques of tango music composition, arrangement and performance? 2. How can musicians nowadays integrate these features and techniques into their practice to deepen their understanding and enhance their artistic creations and performances? This research uses a mixed method design, including the analysis of scores and recordings, literature review, interviews, observational studies and experimentation. It expands the artistic community on the topic and bridges two top-notch institutions devoted to tango learning: Codarts and UNSAM (Argentina). The research also endeavours improvements in the Codarts curriculum as it complements and expands its educational programme by providing students with research tools to enhance their creative practice. Theoretical and artistic outcomes will be documented and disseminated in concerts, concert-lectures, papers, articles and a tailor-made website containing compositions, arrangements, videos, text, musical examples and annotated scores, so as to record: a) the musical materials and techniques found in the analysed scores and recordings, together with their applications in practice and performance; b) the artistic processes, reflections and production of the participants; c) information on how to create, arrange and perform tangos.
