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Learning from a crisis: a qualitative study on how nurses reshaped their work environment during the COVID-19 pandemic

Background The global nursing shortages exacerbated by the COVID-19 pandemic necessitated a drastic reorganization in nursing practices. Work routines, the composition of teams and subsequently mundane nursing practices were all altered to sustain the accessibility and quality of care. These dramatic changes demanded a reshaping of the nurses’ work environment. The aim of this study was to explore how nurses reshaped their work environment in the early stages of the COVID-19 pandemic. Methods A descriptive study comprising 26 semi-structured interviews conducted in a large Dutch teaching hospital between June and September 2020. Participants were nurses (including intensive care unit nurses), outpatient clinic assistants, nurse managers, and management (including one member of the Nurse Practice Council). The interviews were analysed with open, axial, and selective coding. Results We identified five themes: 1) the Nursing Staff Deployment Plan created new micro-teams with complementary roles to meet the care needs of COVID-19 infected patients; 2) nurse-led adaptations effectively managed the increased workload, thereby ensuring the quality of care; 3) continuous professional development ensured adequate competence levels for all roles; 4) interprofessional collaboration resulted in experienced solidarity, a positive atmosphere, and increased autonomy for nurses; and, 5) supportive managers reduced nurses’ stress and improved work conditions. Conclusions This study showed that nurses positively reshaped their work environment during the COVID-19 pandemic. They contributed to innovative solutions in an environment of equal interprofessional collaboration, which led to greater respect for their knowledge and competencies, enhanced their autonomy and improved management support.

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Collectief leren door docenten als stimulans voor succesvolle onderwijsvernieuwing

Ontwikkelingen in de maatschappij, in het bijzonder de ontwikkeling richting een kennismaatschappij, vereisen voor het onderwijs de ontwikkeling van een praktijkgericht en vraaggestuurd onderwijsmodel (Meijers, 2006). Studieloopbaanbegeleiding (slb), gericht op het realiseren van een loopbaangerichte leeromgeving waarin zelfsturing centraal staat, is in het hoger beroepsonderwijs (hbo) sectorbreed ontwikkeld en ingezet als een belangrijk middel hierbij. Landelijk, kwantitatief onderzoek (Kuijpers & Meijers, 2009) heeft laten zien dat het realiseren een dergelijke leeromgeving geen sinecure is. Middels nader kwalitatief onderzoek is inzicht verkregen in de manier waarop drie best practice academies invulling hebben gegeven aan slb. Uit de resultaten, samengevat in dit artikel, blijkt het belang van continu leren door studenten én docenten. In vervolg hierop hebben we literatuuronderzoek verricht naar het begrip 'collectief leren' als een belangrijke vorm van het leren van docenten. Met behulp van vragenlijstonderzoek zijn we nagegaan in welke mate hbo-docenten deze vorm van leren herkennen in hun dagelijkse praktijk. ABSTRACT Developments in society, in particular the development towards a knowledge economy, require educational institutes to develop an educational model that is both practice- and inquiry-based (Meijers, 2006). In order to support this process, Career Guidance, aimed at creating a career-oriented learning environment where students have a say in their own learning processes, is widely introduced in the higher vocational education sector. However, results from national, quantitative research (Kuijpers & Meijers, 2009) have shown that it is difficult to realize such learning environment. In a follow-up qualitative study we gained insight in the way three 'best practice' academies, as identified in the study by Kuijpers and Meijers (2009), have successfully developed and organized their Career Guidance program. Results, summarized in the current article, point to the importance of continuous learning by both students and teachers. Sequel to this study we have performed a review of relevant literature in order to explore the concept 'collective learning' as an important form of teacher learning. By means of a questionnaire we have verified the extent to which teachers in higher vocational education teacher teams recognize this type of learning in their daily work practice.

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Collectief leren door docenten als stimulans voor succesvolle onderwijsvernieuwing

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The effects of creative, expressive, and reflective writing on career learning

This study investigates whether creative, expressive, and reflective writing contributes to the formation of a work-life narrative that offers both meaning and direction among students in higher education. The content of writing done by students who participated in a two-day writing course at the start (or in preparation) of their work placements and of a control group who did not take part in the course were compared. Writing samples were analysed using the Linguistic Index Word Count program (Pennebaker, Booth, & Francis, 2007) and an instrument based on Dialogical Self Theory (Hermans & Hermans-Konopka, 2010). Results show writing promotes the development of career narratives.

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The effects of creative, expressive, and reflective writing on career learning

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Narrative identity

We propose that writing can be employed to foster the kind of career learning required in the twenty-first century. The article offers insights into how writing exercises and approaches can be applied to help students construct their career stories in a way that allows them to engage in a dialogical learning process and work in a self-directed way. Creative, expressive and reflective writing practices are described and parallels are drawn between these and existing practices and theories in narrative career counselling. Key exercises in graduate courses for writing for personal development are discussed and a theoretical explanation is given as to why a particular order of approaches and exercises works best to promote career learning.

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Is self reflection dangerous?

Reflection is considered necessary and beneficial within career learning and is deemed to be a condition for successful career-identity development. Indeed, reflection is generally seen as a key competency in learning how to respond effectively to a complex and dynamic post-modern world in which individuals are increasingly exposed to risk. Paradoxically however, reflection can itself form a risk when it results in rumination. It is therefore important to identify the conditions and personal (risk) factors that make reflection a detrimental or beneficial activity and to identify elements within career learning interventions that promote benefit. The purpose here is to increase awareness about reflective versus ruminative processes and promote responsible use of interventions that aim to stimulate reflection in the process of career-identity formation. Based on the “career writing” method, the authors conclude that a successful career intervention must especially provide good facilitation and a safe holding environment. https://doi.org/10.1177/1038416216670675 LinkedIn: https://www.linkedin.com/in/reinekke-lengelle-phd-767a4322/

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A dialogue worth having

The cultivation of intrinsic motivation is key in the 21th century, but most students in Dutch vocational education lack this quality. To foster intrinsic motivation, a strong career-learning environment is needed that enables students to develop career competencies and a career identity. However such an environment is absent in much of vocational education in The Netherlands. Research shows that the desired learning must be practice based (real life experiences are key), enable a dialogue (in order to attach personal meaning to real life experiences) and give students more autonomy in making choices in their school careers. Although there has been an increase in the use of portfolios and personal-development plans, these instruments are used mainly for improving success at school but are not in career and work. In addition research on the conversations between student and teachers/work-place mentors shows that the latter talk primarily to (65%), and about (21%), but rarely with (9%) students. The culture in schools is still predominately monological. Most teachers feel uncertain about their abilities to help students in developing career competencies and a career identity, though a growing number of teachers want to be trained in initiating meaningful career dialogues. In order to make such training successful in terms of promoting new guidance behaviours, it is essential that school managers create a strong career-learning environment for teachers. The Standards Era policies (Gatto, 2009) that dominate Dutch vocational education at the moment, however, leaves managers little space to do so. https://doi.org/10.1007/978-3-319-50734-7_7 LinkedIn: https://www.linkedin.com/in/reinekke-lengelle-phd-767a4322/

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Career learning and career learning environment in Dutch higher education

Purpose: The purpose of this paper is to focus on the effects of career development and guidance among students (age 17-23) enrolled in higher education in The Netherlands. First the paper explores whether the development of career competencies contribute to career identity, learning motivation, certainty of career choice and drop out, and also whether the learning environment affects these variables. In the study, four career competencies are identified: career reflection (reflective behavior), work exploration (exploring behavior), career action (pro-active behavior) and networking (interactive behavior). Aspects of the learning environment that are taken into account are practice- and inquiry-based curriculum and career guidance conversations. Design/methodology/approach: A questionnaire-based study was carried out among 4,820 students and 371 (school) career counsellors in 11 universities. Findings: The results show that career competencies are related to learning motivation, career identity, certainty of career choice and drop out threat. The learning environment also contributes to these outcome variables. Students who participate in a practice-based and inquiry-based curriculum, and who have helping conversations about their study with their teachers, feel more motivated for learning, are more certain of their career choice and are less likely to quit their study. Research limitations/implications: A limitation of this study is that, due to the cross-sectional design with no control group, no strong evidence for effectiveness can be presented. Moreover, the lack of well validated instruments limits the value of the results. The explained variance of the outcome variables, however, does indicate that there are relationships between career competencies and career learning environment on one hand, and career identity, learning motivation and certainty of choices on the other. Practical implications: Constructing and attributing meaning when engaging in these dialogues is of central importance; the development of personality traits and qualities only takes place when those learning find the content meaningful (and that is something quite different than content being considered “necessary”). In order to achieve such a learning environment within the dominant educational culture, transformative leadership is essential. Such leadership, however, is rare in Dutch universities of applied sciences until now. Social implications: Universities are increasingly acknowledging that they have a strong responsibility to guide students not only in their academic growth, but also in their career development. Universities – and especially universities of applied sciences – cannot leave this task to the public or private sector for two key reasons. First, universities are funded by the government and are therefore expected to prepare their students adequately for life in our individualized society as well as for the labor market. In the second place because organizations in the private and public sector often lack the knowledge and the motivation to guide young people on their career paths. Originality/value: A limitation found in the research, as well as in actual career interventions in schools, is that they focus on change in students’ knowledge, attitudes and decision-making skills, while students’ behaviors are not examined. Hughes and Karp (2004) maintain that research should focus on exploring the relationships between guidance interventions and positive students’ behavioral outcomes. Therefore, the paper concentrates – in search of the influence of school-based career interventions – not on decision-making skills, attitudes or knowledge but on actual career behavior, i.e. career competencies of students.

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Career learning and career learning environment in Dutch higher education

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The relationship between learning environment and career competencies of students in vocational education

This article focuses on which aspects of the learning environment, aimed at fostering career learning, correspond with the development of career competencies among students (aged 12-19 years) enrolled in prevocational and secondary vocational education in The Netherlands. Aspects of the learning environment that are taken into account here are the following: career orientation and guidance methods used, instruments implemented, and the degree to which the curriculum is practice-based and dialogical. In the study, three career competencies are identified: career reflection (reflective behaviour), career forming (proactive behaviour), and networking (interactive behaviour). To research the relationship between the learning environment and the presence of career competencies, a study was done among 3499 students and 166 teachers in 226 classes in 34 schools. The results show that career guidance in school, in which a dialogue takes place with the student about concrete experiences and which is focused on the future, contributes most to the presence of career competencies among students. Without this dialogue, career guidance methods and instruments barely contribute to the acquisition of career competencies.

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The relationship between learning environment and career competencies of students in vocational education

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Career learning

This chapter explores qualitative career assessment as an identity learning process where meaning-oriented learning is essential and distinguished from conditioned or semantic types of learning. In order to construct a career identity in the form of a future-oriented narrative, it is essential that learners are helped through cognitive learning stages with the help of a dialogue about concrete experiences which aims to pay attention to emotions and broadens and deepens what is expressed.

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Learning from a crisis: a qualitative study on how nurses reshaped their work environment during the COVID-19 pandemic

Collectief leren door docenten als stimulans voor succesvolle onderwijsvernieuwing

The effects of creative, expressive, and reflective writing on career learning

Narrative identity

Is self reflection dangerous?

A dialogue worth having

Career learning and career learning environment in Dutch higher education

The relationship between learning environment and career competencies of students in vocational education

Career learning

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