Abstract: Technological innovation in the healthcare sector is increasing, but integration of information technology (IT) in the care process is difficult. Healthcare workers are important agents in this IT integration. The purpose of this study is to explore factors that feed motivation to use IT. Self-determination theory (SDT) is applied to study how motivational factors impact effective IT use among frontline caregivers in residential care settings. As the team is very important to these caregivers, the team is our unit of analysis. In an embedded single case study design, interviews were conducted with all nine members of a team effectively using IT. All three basic psychological needs from SDT - autonomy, competence and relatedness - were found to have impact on effective IT use, though autonomy was primarily experienced at team level. Conversely, the effective use of an IT collaboration tool influences relatedness.
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Social media have become important platforms for residents to engage with their neighborhood. This paper investigates two Facebook communities that focus in distinctly different ways on Amsterdam-Noord, a gentrifying neighborhood in Amsterdam. Dialogue on both Facebook communities is found to be thoroughly affective, but the kinds of emotions and the way such emotions are generated and shared differ. Through this analysis, this paper seeks to understand how “affective publics” emerge through a specific form of collaborative storytelling, characterized by tone, form as well as rhythm of online interaction. We show how the channeling of affective expression and attunement helps to build two dissimilar collaborative discourses of the neighborhood transformation. We propose the term online affective placemaking to study and articulate such processes. The term points to mediated feelings and urgency to engage, which bonds participants and impacts the social and political landscape within the neighborhood.
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Social media is a transformative digital technology, collapsing the “six degrees ofseparation” which have previously characterized many social networks, and breaking down many of the barriers to individuals communicating with each other. Some commentators suggest that this is having profound effects across society, that social media have opened up new channels for public debates and have revolutionized the communication of prominent public issues such as climate change. In this article we provide the first systematic and critical review of the literature on social media and climate change. We highlight three key findings from the literature: a substantial bias toward Twitter studies, the prevalent approaches to researching climate change on social media (publics, themes, and professional communication), and important empirical findings (the use of mainstream information sources, discussions of “settled science,” polarization, and responses to temperature anomalies).Following this, we identify gaps in the existing literature that should beaddressed by future research: namely, researchers should consider qualitativestudies, visual communication and alternative social media platforms to Twitter.We conclude by arguing for further research that goes beyond a focus on sciencecommunication to a deeper examination of how publics imagine climate changeand its future role in social life.
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Hoofdstuk 15 15.1 Introduction 15.2 An international law perspective 15.3 The American position 15.4 International human rights developments 15.5 Effective remedy and reparations 15.6 Reflections References In the international arena there are some encouraging developments in relation to accountability and transparency for the use of armed drones. It is increasingly recognized that remote pilotless aircraft have become part of modern warfare, and that sometimes they are also used outside the context of armed conflict. Subsequently, both international humanitarian and human rights law can apply. The issue of access to justice, however, receives less explicit socio-political attention. Victims of armed remote pilotless aircraft strikes meet countless challenges in effectuating their right to an effective remedy. Often even a formal recognition that a strike has taken place is lacking. Furthermore, the states involved fail to publicly release information about their own investigations. This makes it difficult for those affected to substantiate their status as a victim and seek justice, including reparations. The international community should, in addition to urging involved states to independently and impartially investigate all armed drone strikes, ensure that access to an effective remedy for civilian victims, whether on an international, transnational or national level, becomes a reality.
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Rationale: In this scoping review we aimed to identify and map available evidence concerning counseling strategies that contribute to effective dietary counseling. Dietary counseling, as component of dietary treatment, is important to empowerclients in achieving dietary treatment goals.Methods: Following the PRISMA SCR-Scoping Reviews Statement and Checklist, a systematic search in electronic databases (CINAHL, PsychInfo, Pubmed/Medline, Web of Science, SOC Index, Embase, and Psychology & Behavioral Sciences) was performed in March 2020. No date restriction for year of publication was applied to allow for inclusivity. Studies were included if they were peer-reviewed,quantitative and qualitative, had a primary analysis of empirical work,written in English or Dutch, and focused on dietary counseling in 1-on-1 consultations between dietitians and adult clients (≥18 years). Only studies which gave a description of the effective strategies of dietary counseling were included.Results: Analysis of recurring themes in the 28 included studies revealed seven core counseling strategies that effectively contribute to dietary counseling: 1) connecting to motivation, 2) tailoring the modality of dietary counseling, 3)providing recurring feedback, 4) using integrated dietetic support tools, 5) showing empathy, 6) including clients’ preferences, wishes, and expectations during decision-making, and 7) dietitians having high self-efficacy.Conclusion: Multiple counseling strategies contributing to effective dietary counseling have been identified and mapped. Insights from this scoping review provide a foundation for dietitians to effectively carry out dietary counseling. To work towards effective dietary counseling, further development of an integrated approach that includes combinations of strategies that form a unified whole is required.
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Purpose – In many organizations, a major part of the daily activities is perceived as concentrated work (53% in this study). Hence, a lack of privacy at the workplace may be considered as a serious environmental stressor. Activity-based work environments usually provide non-assigned private rooms, to be used on an as-need basis. Is this an effective stress management solution?Design/Methodology – Repeated measurements were collected, using a mobile application. Respondents provided data about their activities, the workplaces they used, and the degree of job strain they experienced. They also filled out a questionnaire regarding psychological and job characteristics.Results – A total of 3480 measurements was provided by 114 respondents, working at a Dutch public service organisation. The availability of private rooms did not seem to provide an effective stress management solution. Only 17% of the concentrated work was indeed performed in these rooms. When other types of workplaces were used, this caused (strong) dissatisfaction in 40% of the occasions. This dissatisfaction correlated with individual differences regarding need for privacy (p = .026).Limitations – Because only one specific organization and work environment is studied, further research is needed to test the generalizability of our findings.Research/Practical Implications – When performing concentrated work, people often choose not to use a private room, despite their dissatisfaction. Further research should focus on explaining and possibly influencing this behaviour.Originality/Value – Repeatedly measuring activity type together with workplace type and workplace satisfaction, provides a solid basis to analyse behavioural patterns and environmental stressors within activity-based work environments.
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As multifunctional places that combine shopping and hospitality with public space and residential functions, urban consumption spaces are sites where different normative orders surface and sometimes clash. In Amsterdam, such a clash emerged over touristification of consumption spaces, eroding place attachment for local residents and urging the city government to take action. Based on policy analysis and interviews with entrepreneurs and key informants, we demonstrate how Amsterdam’s city government is responding to this issue, using legal pluralism that exists within formal state law. Specifically, the city government combines four instruments to manage touristification of consumption spaces, targeting so-called tourist shops with the aim to drive them out of the inner city. This strategic combination of policy instruments designed on various scales and for different publics to pursue a local political goal jeopardizes entrepreneurs’ rights to legal certainty. Moreover, implicitly based on class-based tastes and distrust towards particular minority groups of entrepreneurs, this policy strategy results in institutional discrimination that has far-reaching consequences for entrepreneurs in itself, but also affects trust relations among local stakeholders.
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ABSTRACT It is unknown whether heterogeneity in effects of self-management interventions in patients with chronic obstructive pulmonary disease (COPD) can be explained by differences in programme characteristics. This study aimed to identify which characteristics of COPD self-management interventions are most effective. Systematic search in electronic databases identified randomised trials on self-management interventions conducted between 1985 and 2013. Individual patient data were requested for meta-analysis by generalised mixed effects models. 14 randomised trials were included (67% of eligible), representing 3282 patients (75% of eligible). Univariable analyses showed favourable effects on some outcomes for more planned contacts and longer duration of interventions, interventions with peer contact, without log keeping, without problem solving, and without support allocation. After adjusting for other programme characteristics in multivariable analyses, only the effects of duration on all-cause hospitalisation remained. Each month increase in intervention duration reduced risk of all-cause hospitalisation (time to event hazard ratios 0.98, 95% CI 0.97–0.99; risk ratio (RR) after 6 months follow-up 0.96, 95% CI 0.92–0.99; RR after 12 months follow-up 0.98, 95% CI 0.96–1.00). Our results showed that longer duration of self-management interventions conferred a reduction in allcause hospitalisations in COPD patients. Other characteristics are not consistently associated with differential effects of self-management interventions across clinically relevant outcomes.
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This systematic literature review describes what is known about the effectiveness of practices in probation supervision. Effectiveness is defined as: contributing to a reduction in recidivism, better functioning of clients in various areas, or prevention of non-compliance and drop-out. Based on a systematic research of Dutch and foreign literature, 141 articles and reports were selected and analysed
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The evolving landscape of science communication highlights a shift from traditional dissemination to participatory engagement. This study explores Dutch citizens’ perspectives on science communication, focusing on science capital, public engagement, and communication goals. Using a mixed-methods approach, it combines survey data (n = 376) with focus group (n = 66) insights. Findings show increasing public interest in participating in science, though barriers like knowledge gaps persist. Trust-building, engaging adolescents, and integrating science into society were identified as key goals. These insights support the development of the Netherlands’ National Centre of Expertise on Science and Society and provide guidance for inclusive, effective science communication practices.
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