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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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.
Based on 13 interviews with Eritrean status holders and professionals in Amsterdam this article explores how paying attention to media skills and media literacies may help gain a better understanding of what matters in exchanges between professionals and legal refugees in the mandatory Dutch integration process. Media literacy needs to be decolonised in order to do so. Starting as an inquiry into how professionals and their clients have different ideas of what constitutes “inclusive communication,” analysis of the interviews provides insight into how there is a need to (a) renegotiate citizenship away from the equation of neoliberal values with good citizenship and recognising needs and ambitions outside a neoliberal framework, (b) rethink components of formal and informal communication, and (c) reconceptualise media literacies beyond Western‐oriented definitions. We propose that professionals and status holders need to understand how and when they (can) trust media and sources; how what we might call “open‐mindedness to the media literacy of others” is a dialogic performative skill that is linked to contexts of time and place. It requires self‐reflective approach to integration, and the identities of being a professional and an Eritrean stakeholder. Co‐designing such media literacy training will bring reflexivity rather than the more generic term “competence” within the heart of both media literacy and inclusive communication.
In revalidatie-behandelteams zijn ergotherapeuten de ‘primus inter pares’ voor advisering over hulpmiddelen; hulpmiddelen die mensen met beperkingen ondersteunen bij activiteiten in zelfverzorging, onderwijs, spel, arbeid en wonen. Behoud van deze expertrol vraagt van ergotherapeuten om de nieuwste technologieën te integreren in de praktijk. Een snelgroeiende ontwikkeling betreft technologie waarmee men zelfhulpmiddelen kan ontwikkelen, maken of aanpassen. Zogenaamde do-it-yourself-technologie (DIY) met 3D-printing als bekendste voorbeeld. Revalidatie-ergotherapeuten van Adelante, Libra en Sevagram willen met DIY-technologie aan de slag om hulpmiddelen meer op maat, goedkoper en sneller te vervaardigen in nauwe samenwerking met hun cliënten. Onduidelijk is echter hoe een revalidatiedienst met DIY-technologie eruit kan zien, hoe deze in te bedden is in de dagelijkse praktijk, en hoe doorontwikkeling bewerkstelligd kan worden. Maken van hulpmiddelen met DIY-technologie past bij de identiteit van de ergotherapeut, maar vraagt om nieuwe werkwijzen en samenwerkingsverbanden om nieuwe kennis over techniek, ontwerpen en over materialen. Daarnaast spelen vragen van medische, financiële, ethische en juridische aard een rol. Met de ergotherapeuten kwamen we tot de volgende hoofdvraag: Hoe maken we als ergotherapeuten DIY-technologie, zoals 3D-printen, tot een integraal onderdeel van onze praktijk om met onze cliënten tot maatwerk-hulpmiddelen te komen? Deze vraag wordt binnen de drie centra, in vier fasen (analyse, design/testen, implementatie, doorontwikkeling) opgepakt met actieonderzoek als centrale methode en een diversiteit aan kwalitatieve en kwantitatieve manieren van gegevensverzameling. Partners in deze projectaanvraag (revalidatie-professionals, kennisinstellingen, brancheorganisaties, cliëntenorganisaties en ondernemers) zijn overtuigd dat DIY-technologie meerwaarde biedt voor het aanbod aan hulpmiddelen en invloed heeft op de eigen regie en participatie van cliënten. Met ondersteuning van hun uitgebreide expertise wordt de nieuwe dienst beschreven en wordt een toolbox DIY-technologie ontwikkeld en geïmplementeerd. Ook wordt een database voor zelfgemaakte hulpmiddelen en een DIY-community gerealiseerd. Deze kennis wordt gebruikt in het onderwijs van ergotherapie, Healthcare Engineering en Communication and Multimedia-Design.
Measuring and designing user experience in retail and gaming virtual reality using a CAVE set-up In this project we designed and measured user experiences in a CAVE virtual reality set-up. Virtually all studies have taken the form of experiment studies and have been conducted among consumers (in total more than 1500 consumers) who had to visit the virtual world with assignments based on which behaviour has been observed and after which a survey was conducted afterwards. The studies were carried out within the three lines of inquiry: a. Branded games / in-game advertising, revealing (positive) effects of in-game advertising on attention and attitude based on logos and faces incorporated into the games. Various applications (prototypes) have been developed that stimulate the shopping experience and the interaction between shop and consumer. (b) FMCG: studies answered the question which factors influence search and choice behaviour in the supermarket. On the basis of the studies, the clients have designed new packaging and adapted existing designs, deployed new shelf layouts, developed and implemented new Retail strategies, optimized instore communication and (e) the knowledge about consumer behaviour in the supermarket within the organization has been increased. (c) Location Based Advertising: recommendations have been made for the partners concerned and the field of work on (a) development of non-intrusive pervasive/ubiquitous advertising concepts (2nd screen, LBA, gaze-based advertising etc.), (b) development of virtual test environments and associated interaction methods and (c) exploration and review of theoretical models for persuasive communication and behavioural influence. Partners: Heinz, Nokia, DVJ-Insights, Radboud University, Brand Loyalty, IRI, Talpa, TU/e, Philips
