Background Communication between people with aphasia and their healthcare professionals (HCPs) can be greatly improved when HCPs are trained in using supportive conversation techniques and tools. Communication partner training (CPT) is an umbrella term that covers a range of interventions that train the conversation partners of people with aphasia. Several CPT interventions for HCPs have been developed and used to support HCPs to interact successfully with people with aphasia. Aims The objective of this study was to identify the mechanisms of change as a result of a Dutch CPT intervention, named CommuniCare, in order to evaluate and optimise the intervention. Methods & procedures A total of 254 HCPs from five different healthcare centres received CommuniCare. An explorative qualitative research design was chosen. Two interviews were conducted with 24 HCPs directly after and 4 months after receiving the training that was part of CommuniCare. Two conceptual frameworks were used to deductively code the interviews. HCPs’ perspectives were coded into a four-part sequence following CIMO logic: the self-reported use of supportive conversation techniques or tools pre-intervention (Context), the intervention elements (Intervention) that evoked certain mechanisms (Mechanisms), resulting in the self-reported use of supportive conversation techniques and tools post-intervention (Outcomes). The Capabilities Opportunities Motivation–Behaviour (COM-B) model was used to fill in the Mechanisms component. Outcomes & results Three themes were identified to describe the mechanisms of change that led to an increase in the use of supportive conversation techniques and tools. According to HCPs, (i) information, videos, e-learning modules, role-play, feedback during training and coaching on the job increased their psychological capabilities; (ii) information and role-play increased their automatic motivations; and (iii) information, videos and role-play increased their reflective motivations. Remaining findings show HCPs’ perspectives on various barriers to use supportive conversation techniques and tools. Conclusions & implications HCPs in this study identified elements in our CPT intervention that positively influenced their behaviour change. Of these, role-play and coaching on the job were particularly important. HCPs suggested this last element should be better implemented. Therefore, healthcare settings wishing to enhance HCPs’ communication skills should first consider enhancing HCPs’ opportunities for experiential learning. Second, healthcare settings should determine which HCPs are suitable to have a role as implementation support practitioners, to support their colleagues in the use of supportive conversation techniques and tools.
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Purpose: Aphasia after stroke has been shown to lead to communication difficulties between healthcare professionals (HCP) and people with aphasia. Clinical guidelines emphasize the importance of teaching HCP to use supportive conversative techniques through communication partner training (CPT). The aim of this study is to explore and describe the experiences of HCP in communicating with people with aphasia and their needs and wishes for the content in CPT. Materials and methods: The data were collected through qualitative semi-structured interviews with 17 HCP. HCP were recruited from two geriatric rehabilitation centres in the Netherlands and one academic hospital in Belgium. The interviews drew upon the qualitative research methodologies ethnography and phenomenology and were thematically analysed using the six steps of Braun & Clarke. Results: Three themes were derived from the interviews. HCP experienced that communication difficulties impede healthcare activities (theme 1) and reported the need to improve communication through organizational changes (theme 2), changing the roles of SLTs (theme 3) and increasing knowledge and skills of HCP (theme 4). Conclusions: According to HCP, communication difficulties challenge the provision of healthcare activities and lead to negative feelings in HCP. HCP suggest that communication can be improved by providing more time in the healthcare pathway of people with aphasia, adapting healthcare information to the needs of people with aphasia, commitment of physicians and managers, changing the roles of SLTs and improving knowledge and skills of HCP. Implications for rehabilitation Communication between healthcare professionals (HCP) and people with aphasia can be improved by training HCP to use supportive conversation techniques and tools. An important condition for successful implementation of communication partner trainings in healthcare centres is to identify the experiences of HCP with communication with people with aphasia and their needs and wishes for training content. This study shows that communication problems between HCP and people with aphasia impede diagnosis and therapy with considerable implications for healthcare quality. The suggestions that HCP have concerning the content of communication partner trainings can be placed under "education" and "implementation and post-training support." HCP describe specific roles for speech-and language therapists to fulfil after the training and suggest two main changes that should be made at an organizational level.
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This thesis focuses on improving communication between people with aphasia and healthcare professionals (HCPs) working in hospitals or rehabilitation centers. After acquiring brain injury, people with aphasia generally go to healthcare facilities to receive acute- and multidisciplinary rehabilitation care. Unfortunately, communication access in healthcare facilities has not been fully available to people with aphasia. The general aim of this thesis was to improve the accessibility of communication in Dutch and Flemish healthcare centers for people with aphasia by developing and evaluating a Communication Partner Training (CPT) intervention for HCPs, named CommuniCare.
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The project aims to improve palliative care in China through the competence development of Chinese teachers, professionals, and students focusing on the horizontal priority of digital transformation.Palliative care (PC) has been recognised as a public health priority, and during recent years, has seen advances in several aspects. However, severe inequities in the access and availability of PC worldwide remain. Annually, approximately 56.8 million people need palliative care, where 25.7% of the care focuses on the last year of person’s life (Connor, 2020).China has set aims for reaching the health care standards of the developed countries by 2030 through the Healthy China Strategy 2030, where one of the improvement areas in health care includes palliative care, thus continuing the previous efforts.The project provides a constructive, holistic, and innovative set of actions aimed at resulting in lasting outcomes and continued development of palliative care education and services. Raising the awareness of all stakeholders on palliative care, including the public, is highly relevant and needed. Evidence based practice guidelines and education are urgently required for both general and specialised palliative care levels, to increase the competencies for health educators, professionals, and students. This is to improve the availability and quality of person-centered palliative care in China. Considering the aging population, increase in various chronic illnesses, the challenging care environment, and the moderate health care resources, competence development and the utilisation of digitalisation in palliative care are paramount in supporting the transition of experts into the palliative care practice environment.General objective of the project is to enhance the competences in palliative care in China through education and training to improve the quality of life for citizens. Project develops the competences of current and future health care professionals in China to transform the palliative care theory and practice to impact the target groups and the society in the long-term. As recognised by the European Association for Palliative Care (EAPC), palliative care competences need to be developed in collaboration. This includes shared willingness to learn from each other to improve the sought outcomes in palliative care (EAPC 2019). Since all individuals have a right to health care, project develops person-centered and culturally sensitive practices taking into consideration ethics and social norms. As concepts around palliative care can focus on physical, psychological, social, or spiritual related illnesses (WHO 2020), project develops innovative pedagogy focusing on evidence-based practice, communication, and competence development utilising digital methods and tools. Concepts of reflection, values and views are in the forefront to improve palliative care for the future. Important aspects in project development include health promotion, digital competences and digital health literacy skills of professionals, patients, and their caregivers. Project objective is tied to the principles of the European Commission’s (EU) Digital Decade that stresses the importance of placing people and their rights in the forefront of the digital transformation, while enhancing solidarity, inclusion, freedom of choice and participation. In addition, concepts of safety, security, empowerment, and the promotion of sustainable actions are valued. (European Commission: Digital targets for 2030).Through the existing collaboration, strategic focus areas of the partners, and the principles of the call, the PalcNet project consortium was formed by the following partners: JAMK University of Applied Sciences (JAMK ), Ramon Llull University (URL), Hanze University of Applied Sciences (HUAS), Beijing Union Medical College Hospital (PUMCH), Guangzhou Health Science College (GHSC), Beihua University (BHU), and Harbin Medical University (HMU). As project develops new knowledge, innovations and practice through capacity building, finalisation of the consortium considered partners development strategy regarding health care, (especially palliative care), ability to create long-term impact, including the focus on enhancing higher education according to the horizontal priority. In addition, partners’ expertise and geographical location was also considered important to facilitate long-term impact of the results.Primary target groups of the project include partner country’s (China) staff members, teachers, researchers, health care professionals and bachelor level students engaging in project implementation. Secondary target groups include those groups who will use the outputs and results and continue in further development in palliative care upon the lifetime of the project.
The consortium would like to contribute to structural reduction of post-harvest and food losses and food quality improvement in Kenyan avocado and dairy value chains via the application of technical solutions and tools as well as improved chain governance competences in those food chains. The consortium has four types of partners: 1. Universities (2 Kenyan, 4 Dutch), 2. Private sector actors in those chains, 3. Organisations supporting those chains, and 4. Associate partners which support category 1 to 3 partners through co-financing, advice and reflection. The FORQLAB project targets two areas in Kenya for both commodities, a relatively well-developed chain in the central highlands and a less-develop chain in Western-Kenya. The approach is business to business and the selected regions have great potential for uptake of successful chain innovations as outcome of research results. The results are scalable for other fresh and processed product chains via a living lab network approach. The project consists of 5 work packages (WPs): 1. Inventory , status quo and inception, 2. Applied research, 3. Dissemination of research outputs through living lab networks, 4. Translation of project output in curricula and trainings, and 5. Communication among partners and WPs. The applied research will be implemented in cooperation with all partners, whereby students of the consortium universities will conduct most of the field studies and all other partners support and interact depending on the WPs. The expected outcomes are: two knowledge exchange platforms (Living Labs) supported with hands on sustainable food waste reduction implementation plans (agenda strategy); overview and proposals for ready ICT and other tech solutions; communication and teaching materials for universities and TVETs; action perspectives; and knowledge transfer and uptake.
Het publieke debat over issues in de huidige samenleving vindt permanent plaats. Publieke debatten kennen een golfbeweging en veranderen soms in een crisis. De gedigitaliseerde samenleving maakt de reactie van organisaties op issues vele malen ingewikkelder. In dit project staat de vraag centraal hoe communicatieprofessionals van publieke organisaties beter kunnen omgaan met publicitaire golfbewegingen van voortdurend debat, regelmatige issues en incidentele crises. Dit onderzoek is medegefinancierd door Regieorgaan SIA onderdeel van de Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO) Doel In dit project bekijken we de online geruchtvorming en mobilisatie en de wijze waarop overheden hier mee omgaan. Het doel van het onderzoeksproject is: om inzicht te krijgen in organisatorische, interactionele, taalkundige aspecten van issuemanagement om bruikbare interventies te ontwikkelen Resultaten Het resultaat is een breed toepasbare aanpak voor communicatie bij issues die spelen in publieke organisaties. Deze aanpak wordt vertaald in een toolbox voor communicatieprofessionals en studenten communicatie. Inzichten laten nu al zien dat de data uit de 2 casussen informatie opleveren over framing vanuit de gemeenschap; de organisatie van de communicatie (Doen de juiste mensen de juiste dingen?) en inzichten óver de geruchtvorming. Het lectoraat heeft daarvoor een instrument ontwikkeld waarmee je patronen in online conversaties kunt ontdekken. Dit instrument hebben we ‘BEP’ genoemd. BEP staat voor Birds Eye Perspective. Het perspectief helpt die conversaties en eventueel daaropvolgende interacties op waarde te schatten. Je kunt inzichten uit BEP gebruiken om bewuster te zijn van de gevoeligheden en weerstanden in gesprekken die gaande zijn en aan te sluiten op wat leeft in het publieke debat. Dit stelt je in staat om in gesprek te blijven én de stap te kunnen maken naar een anticiperende communicatiestrategie.) Opgeleverde producten: Bekijk het ontwikkelde instrument via: https://husite.nl/bep/ Bekijk de slotsessie brochure Looptijd 01 februari 2021 - 01 april 2023 Aanpak In drie rondes worden vijf door de praktijkpartners ingebrachte cases onderzocht. De inzichten uit de eerste casus worden meegenomen in de volgende ronde, de gehanteerde methode blijft hetzelfde. Er wordt een combinatie gemaakt van interactieanalyse van: Online en offline data Interviews met professionals Focusgroepen met burgers. In de laatste ronde van het project worden de ontwikkelde inzichten gedeeld in de praktijk, het onderzoeksveld en het onderwijs. Voor de zomer 2021 worden 2 casussen geanalyseerd. de Schoorlse Duinen (waar bomenkap tot heftige speculaties in de media leidt) en het onderhoud aan bruggen (zoals de weg over de Merwedebrug die plots gesloten moest worden). Begin juni vindt het eerste ‘Vakgesprek’ plaats met het newsroomteam van Rijkswaterstaat, en afgevaardigden uit het beroepenveld: (beroepsvereniging Logeion, Academie voor Overheidscommunicatie), onze Communicatie-opleiding, én lectoren Cok Bakker (HU) en Els van der Pool (HAN). Annette Klarenbeek leidt het gesprek. Bekijk dit document dat een overzicht geeft van de aanpak en methodes in het project Studenten gezocht! Gedurende het project kunnen studenten een bijdrage leveren. Communicatiestudenten die betrokken willen zijn bij het vinden van innovatieve oplossingen voor issuemanagement in de gedigitaliseerde samenleving kunnen contact opnemen. Extra informatie Congres beroepspraktijk Training: Monitoring mobilization: A discursive psychological analysis of online mobilizing practices. Sneijder, P., Stinesen, B., Harmelink, M. & Klarenbeek, A The Discourse Analytical Glasses (DAG) Hoofdstuk wetenschappelijk handboek: Sneijder, P., Baukje, S., Harmelink, M. & Klarenbeek, A. (n.d.). The discourse of social movements: online mobilising practices for collective action. In: Demasi, Mirko A., Burke, Shani, Tileagă, Cristian (Eds.) (Scheduled for publication, 2021). Political Communication: Discursive Perspectives. (K/P
