Background: Patient participation in goal setting is important to deliver client-centered care. In daily practice, however, patient involvement in goal setting is not optimal. Patient-specific instruments, such as the Patient Specific Complaints (PSC) instrument, can support the goal-setting process because patients can identify and rate their own problems. The aim of this study is to explore patients’ experiences with the feasibility of the PSC, in the physiotherapy goal setting. Method: We performed a qualitative study. Data were collected by observations of physiotherapy sessions (n=23) and through interviews with patients (n=23) with chronic conditions in physiotherapy practices. Data were analyzed using directed content analysis. Results: The PSC was used at different moments and in different ways. Two feasibility themes were analyzed. First was the perceived ambiguity with the process of administration: patients perceived a broad range of experiences, such as emotional and supportive, as well as feeling a type of uncomfortableness. The second was the perceived usefulness: patients found the PSC useful for themselves – to increase awareness and motivation and to inform the physiotherapist – as well as being useful for the physiotherapist – to determine appropriate treatment for their personal needs. Some patients did not perceive any usefulness and were not aware of any relation with their treatment. Patients with a more positive attitude toward questionnaires, patients with an active role, and health-literate patients appreciated the PSC and felt facilitated by it. Patients who lacked these attributes did not fully understand the PSC’s process or purpose and let the physiotherapist take the lead. Conclusion: The PSC is a feasible tool to support patient participation in the physiotherapy goal setting. However, in the daily use of the PSC, patients are not always fully involved and informed. Patients reported varied experiences related to their personal attributes and modes of administration. This means that the PSC cannot be used in the same way in every patient. It is perfectly suited to use in a dialogue manner, which makes it very suitable to improve goal setting within client-centered care.
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In recent years, the subsidiarity principle has been underlined in Sport-for-All policies in countries such as Germany, Austria and Belgium. According to this organising principle, issues need to be handled by the lowest possible political and administrative level, and as close to the citizens as possible. The 2007 decree concerning Sport-for-All policies at the local level in Flanders (Belgium) clearly referred to this. It emphasised the decentralisation of the Sport for All policy, and highlighted the regulatory and coordinating role of local sports authorities. As a consequence, they may face conflicting roles of being coordinator, regulator and provider of mass sport at the local level. In this paper, a mixed-method approach is used to give a closer insight in the role perceptions of local sports authorities in Flanders, and their position towards private sport providers. The results show that local sports authorities consider the coordination and regulation of mass sport in their municipality as their primary task. Yet, it appears that private sport providers also perceive competition from local sports authorities. Moreover, a considerable number of the local sports authorities believe they can combine the roles of provider and coordinator. As there appears to be considerable goal ambiguity, it is necessary for local sports authorities to formulate clear goals. Referring to the principle of subsidiarity, it is argued that sports authorities should only intervene when (non-)profit sport providers are not able to achieve the desirable outcomes with regard to sport and the welfare agenda.
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The EU Maritime Spatial Planning Directive (MSPD) requires the member states (MS) to pursue Blue Growth while ensuring good environmental status (GES) of sea areas. An ecosystem-based approach (EBA) should be used for the integration of the aims. However, the MSPD does not specify how the MS should arrange their MSP governance, which has led to a variety of governance arrangements and solutions in addressing the aims. We analysed the implementation of the MSPD in Finland, to identify conditions that may enable or constrain the integration of Blue Growth and GES in the framework of EBA. MSP in Finland is an expert-driven regionalized approach with a legally non-binding status. The results suggest that this MSP framework supports the implementation of EBA in MSP. Yet, unpredictability induced by the non-binding status of MSP, ambiguity of the aims of MSP and of the concept of EBA, and the need to pursue economic viability in the coastal municipalities may threaten the consistency of MSP in both spatial and temporal terms. Developing MSP towards a future-oriented adaptive and collaborative approach striving for social learning could improve the legitimacy of MSP and its capacity to combine Blue Growth and GES. The analysis indicates, that in the delivery of successful MSP adhering to the principles of EBA should permeate all levels of governance. The study turns attention to the legal status of MSP as a binding or non-binding planning instrument and the role the legal status plays in facilitating or constraining predictability and adaptability required in MSP.
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A social media architect is an appealing new profession that entails crossovers between communication and IT & Design. There are no study programmes for this job. Important questions are how to interest secondary school pupils for such a new job, and how to prepare them for these jobs or jobs that do not even exist today? This research aims to set an example by presenting a realistic job profile of a social media architect by linking the ‘21st century skills’ to the context in which he/she operates.
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Insider ethnographic analysis is used to analyze change processes in an engineering department. Distributed leadership theory is used as conceptual framework.
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Wat is de beroepsidentiteit van sociaal werk, wat behoort zij te zijn? Sociaal werk wordt wel omschreven als een professie maar ook als een ambacht, vaak zonder duidelijk onderscheid tussen en wellicht zelfs door impliciete gelijkstelling van deze kwalificaties. Met behulp van de ideaaltypische benadering kan echter worden aangetoond dat deze twee typen beroepen niet alleen veel overeenkomsten delen maar ook op enkele punten fundamenteel van elkaar verschillen. Op basis van het werk van Freidson (2001) en Sennett (2008) kan worden aangetoond dat het ideaaltypische doel van professies het realiseren van een abstracte waarde (zoals rechtvaardigheid) is, terwijl ambachten gericht zijn op het manipuleren van concrete materialen (bijvoorbeeld steen). Bijgevolg zijn (enkel) professies beroepen met een morele identiteit. In alle zelfdefinities van sociaal werk is deze morele identiteit, deze humanitaire kern aanwezig (zie bv. IFSW, NVMW). Daarom moet sociaal werk worden beschouwd als een professie en niet als een ambacht. Dit is niet louter een academische discussie maar beïnvloedt bijvoorbeeld de positie van dit beroep in de samenleving, zoals aan de hand van de ministeriële richtlijnen betreffende Welzijn Nieuwe Stijl kan worden geïllustreerd.
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When it comes to hard to solve problems, the significance of situational knowledge construction and network coordination must not be underrated. Professional deliberation is directed toward understanding, acting and analysis. We need smart and flexible ways to direct systems information from practice to network reflection, and to guide results from network consultation to practice. This article presents a case study proposal, as follow-up to a recent dissertation about online simulation gaming for youth care network exchange (Van Haaster, 2014).
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In higher education, design thinking is often taught as a process. Yet design cognition resides in action and design practices. Dewey’s pragmatism offers a solid epistemology for design thinking. This paper describes a design research whereby Dewey’s inquiry served as the foundation for educating students. Three extensive educational case studies are presented whereby a design inquiry was introduced and became part of the curricula. It was found that students and coaches struggled with doubts experienced as a result of the co-evolution of problem and solution, means and ends. Four coping mechanisms were observed: (1) focus on problems, risking analysis paralysis; (2) focus on creative problem-solving, risking unsubstantiated design; (3) focus on means, risking fixation; and (4) focus on future ends, risking hanging on to a dream. By establishing a joint practice and a community of learnersthrough show-andshare sessions, the students establish solid ground.
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Prompt design can be understood similarly to query design, as a prompt aiming to understand cultural dimensions in visual research, forcing the AI to make sense of ambiguity as a way to understand its training dataset and biases ( Niederer, S. and Colombo, G., ‘Visual Methods for Digital Research’). It moves away from prompting engineering and efforts to make “code-like” prompts that suppress ambiguity and prevent the AI from bringing biases to the surface. Our idea is to keep the ambiguity present in the image descriptions like in natural language and let it flow through different stages (degrees) of the broken telephone dynamics. This way we have less control over the result or selection of the ideal result and more questions about the dynamics implicit in the biases present in the results obtained.Different from textual or mathematical results, in which prompt chains or asking the AI to explain how it got the result might be enough, images and visual methods assisted by AI demand new methods to deal with that. Exploring and developing a new approach for it is the main goal of this research project, particularly interested in possible biases and unexplored patterns in AI’s image affordances.How could we detect small biases in describing images and creating based on descriptions when it comes to AI? What exactly do the words written by AI when describing an image stand for? When detecting a ‘human’ or ‘science’, for example, what elements or archetypes are invisible between prompting, and the image created or described?Turning an AI’s image description into a new image could help us to have a glimpse behind the scenes. In the broken telephone game, small misperceptions between telling and hearing, coding and decoding, produce big divergences in the final result - and the cultural factors in between have been largely studied. To amplify and understand possible biases, we could check how this new image would be described by AI, starting a broken telephone cycle. This process could shed light not just into the gap between AI image description and its capacity to reconstruct images using this description as part of prompts, but also illuminate biases and patterns in AI image description and creation based on description.It is in line with previous projects on image clustering and image prompt analysis (see reference links), and questions such as identification of AI image biases, cross AI models analysis, reverse engineering through prompts, image clustering, and analysis of large datasets of images from online image and video-based platforms.The experiment becomes even more relevant in light of the results from recent studies (Shumailov et al., 2024) that show that AI models trained on AI generated data will eventually collapse.To frame this analysis, the proposal from Munn, Magee and Arora (2023) titled Unmaking AI Imagemaking introduces three methodological approaches for investigating AI image models: Unmaking the ecosystem, Unmaking the data and Unmaking the outputs.First, the idea of ecosystem was taken for these authors to describe socio-technical implications that surround the AI models: the place where they have been developed; the owners, partners, or supporters; and their interests, goals, and impositions. “Research has already identified how these image models internalize toxic stereotypes (Birnhane 2021) and reproduce forms of gendered and ethnic bias (Luccioni 2023), to name just two issues” (Munn et al., 2023, p. 2).There are also differences between the different models that currently dominate the market. Although Stable Diffusion seems to be the most open due to its origin, when working with images with this model, biases appear even more quickly than in other models. “In this framing, Stable Diffusion becomes an internet-based tool, which can be used and abused by “the people,” rather than a corporate product, where responsibility is clear, quality must be ensured, and toxicity must be mitigated” (Munn et al., 2023, p. 5).To unmaking the data, it is important to ask ourselves about the source and interests for the extraction of the data used. According to the description of their project “Creating an Ad Library Political Observatory”, “This project aims to explore diverse approaches to analyze and visualize the data from Meta’s ad library, which includes Instagram, Facebook, and other Meta products, using LLMs. The ultimate goal is to enhance the Ad Library Political Observatory, a tool we are developing to monitor Meta’s ad business.” That is to say, the images were taken from political advertising on the social network Facebook, as part of an observation process that seeks to make evident the investments in advertising around politics. These are prepared images in terms of what is seen in the background of the image, the position and posture of the characters, the visible objects. In general, we could say that we are dealing with staged images. This is important since the initial information that describes the AI is in itself a representation, a visual creation.
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A case study and method development research of online simulation gaming to enhance youth care knowlegde exchange. Youth care professionals affirm that the application used has enough relevance as an additional tool for knowledge construction about complex cases. They state that the usability of the application is suitable, however some remarks are given to adapt the virtual environment to the special needs of youth care knowledge exchange. The method of online simulation gaming appears to be useful to improve network competences and to explore the hidden professional capacities of the participant as to the construction of situational cognition, discourse participation and the accountability of intervention choices.
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