Take a break is een zes weken durende innovatieve ambulante interventie die eind 2016 door vrouwenopvang Moviera is ontwikkeld. Doel van het programma is om spanningen en ruzies in relaties en gezinnen in een vroeger stadium te herkennen. Bij de start wordt samen met het gezin een veiligheidsplan opgesteld om de directe veiligheid te realiseren. Met de partners wordt gekeken of een korte time-out noodzakelijk is om te komen tot een veilige situatie en wie van de partners tijdelijk de thuissituatie verlaat. De inzet op het vrijwillig tijdelijk vertrek van een van de partners is een innovatief aspect van deze interventie. Uitgangspunt is dat de kinderen (indien aanwezig) in hun vertrouwde omgeving kunnen blijven en ervaren dat oplossingen mogelijk zijn. Het tweede deel van het traject bestaat uit de analyse van de risico- en beschermende factoren die in dit gezin aanwezig zijn. De analyse wordt afgerond met een Plan van aanpak gericht op duurzame veiligheid in het betreffende gezin en overdracht naar het lokale veld. Aan de hand van een planevaluatie is de werkwijze en theoretische onderbouwing van Take a Break onderzocht.
DOCUMENT
BackgroundThe challenge of combining professional work and breastfeeding is a key reason why women choose not to breastfeed or to stop breastfeeding early. We posited that having access to a high-quality lactation room at the workplace could influence working mothers’ satisfaction and perceptions related to expressing breast milk at work, which could have important longer term consequences for the duration of breastfeeding. Specifically, we aimed to (1) develop a checklist for assessing the quality of lactation rooms and (2) explore how lactation room quality affects lactating mothers’ satisfaction and perceptions. Drawing on social ecological insights, we hypothesized that the quality of lactation rooms (operationalized as any space used for expressing milk at work) would be positively related to mothers’ satisfaction with the room, perceived ease of, and perceived support for milk expression at work.MethodsWe conducted two studies. In Study 1 we developed a lactation room quality checklist (LRQC) and assessed its reliability twice, using samples of 33 lactation rooms (Study 1a) and 31 lactation rooms (Study 1b). Data were collected in the Northern part of the Netherlands (between December 2016 and April 2017). Study 2 comprised a cross-sectional survey of 511 lactating mothers, working in a variety of Dutch organizations. The mothers were recruited through the Facebook page of a popular Dutch breastfeeding website. They completed online questionnaires containing the LRQC and measures aimed at assessing their satisfaction and perceptions related to milk expression at work (in June and July 2017).ResultsThe LRQC was deemed reliable and easy to apply in practice. As predicted, we found that objectively assessed higher-quality lactation rooms were associated with increased levels of satisfaction with the lactation rooms, perceived ease of milk expression at work, and perceived support from supervisors and co-workers for expressing milk in the workplace.ConclusionsThe availability of a high-quality lactation room could influence mothers’ decisions regarding breast milk expression at work and the commencement and/or continuation of breastfeeding. Future studies should explore whether and how lactation room quality affects breastfeeding choices, and which aspects are most important to include in lactation rooms.
DOCUMENT
This study employed an exploratory approach by applying practice theory to insights gathered throughthe triangulation of interview, document analysis and observation methodologies to 1) map the SacredHarp Singing practice scope and give a nuanced picture of its performativity in the Netherlands, witha particular focus on the Sacred Harp group from Amsterdam comparing it to one from Bremen and 2)investigate the underlying rise of transformative emotions, the social, secular, and religious meanings, andthe sense of belonging to an international community. The findings suggest that Sacred Harp enthusiastsin the region are keen on retaining the legacies of the traditional singers by establishing similar singingatmospheres and by following the practice’s historical customs and practices, including the communalsinging in the “hollow square” and the affinity towards democratic participation. The findings alsoindicate that while there is a noticeable level of commitment and excitement among local enthusiasts,the growth of the groups’ memberships is hampered by a lack of interest by the general public, possiblyin connection with insufficient strategies for publicizing the practice. Therefore, the existence of thesebarriers could imply that the practice would probably grow at a relatively slow pace in the region.
DOCUMENT
