Zoekresultaten

Setting goals in chronic care

Introduction: Self-management is considered a potential answer to the increasing demand for family medicine by people suffering from a chronic condition or multi-morbidity. A key element of self-management is goal setting. Goal setting is often defined as a moment of agreement between a professional and a patient. In the self-management literature, however, goal setting is regarded as a circular process. Still, it is unclear how professionals working in family medicine can put it into practice. This background paper aims to contribute to the understanding of goal setting within self-management and to identify elements that need further development for practical use. Debate: Four questions for debate emerge in this article: (1) What are self-management goals? (2) What is necessary to accomplish the process of goal setting within self-management? (3) How can professionals decide on the degree of support needed for goal setting within self-management? (4) How can patients set their goals and how can they be supported? Implications: Self-management goals can be set for different (life) domains. Using a holistic framework will help in creating an overview of patients’ goals that do not merely focus on medical issues. It is a challenge for professionals to coach their patients to think about and set their goals themselves. More insight in patients’ willingness and ability to set self-management goals is desirable. Moreover, as goal setting is a circular process, professionals need to be supported to go through this process with their patients.

New moral dilemmas in online journalism

In this article, the main question is whether and, if so, to what extent online journalism raises new moral issues and, if any, what kind of answers are preferable. Or do questions merely appear new, since they are really old ones in an electronic wrapping, old wine in new bottles? And how does journalism deal with the moral aspects of online journalism? The phenomenon of the Internet emerged in our society a few years ago. Since then, a large number of Dutch people have gone online, and the World Wide Web is now an integral part of our range of means of communication. Dutch journalism is online too, although certainly not in the lead. More and more journalists use the Internet as a source, especially for background information. Newspapers have their web sites, where the online version of the printed paper can be read. And that is it for the time being. There are no more far-reaching developments at present, certainly not on a large scale. Real online journalism is rather scarce in the Netherlands. The debate concerning the moral aspects of online journalism is mainly being conducted in the United States. First of all, by way of introduction, I will present an outline of online journalism. The first instance is the online version of the newspaper. Here, only to a certain degree new issues come up for discussion, since the reputation of reliability and accuracy of the papers, in spite of all criticism, also applies to their online versions. Besides, especially in the United States and increasingly in European countries as well, there is the so-called dotcom journalism, the e-zines, the online news sites without any relationship with printed newspapers. This may be the reason why these sites do not have a strong commitment to moral standards, at least as they have developed in the journalistic culture of the newspapers. After having outlined the moral issues arising in online journalism, the question will be addressed whether and, if so, to what extent it is meaningful and desirable to develop instruments of self-regulation for this new phenomenon of journalism.

The development and validation of a five factor model of sources of self-efficacy in clinical nursing education

Background: The aim of this study is to validate a newly developed nurses' self-efficacy sources inventory. We test the validity of a five-dimensional model of sources of self-efficacy, which we contrast with the traditional four-dimensional model based on Bandura's theoretical concepts. Methods: Confirmatory factor analysis was used in the development of the newly developed self-efficacy measure. Model fit was evaluated based upon commonly recommended goodness-of-fit indices, including the χ2 of the model fit, the Root Mean Square Error of approximation (RMSEA), the Tucker-Lewis Index (TLI), the Standardized Root Mean Square Residual (SRMR), and the Bayesian Information Criterion (BIC). Results: All 22 items of the newly developed five-factor sources of self-efficacy have high factor loadings (range .40-.80). Structural equation modeling showed that a five-factor model is favoured over the four-factor model. Conclusions and implications: Results of this study show that differentiation of the vicarious experience source into a peer- and expert based source reflects better how nursing students develop self-efficacy beliefs. This has implications for clinical learning environments: a better and differentiated use of self-efficacy sources can stimulate the professional development of nursing students.

Online Intimacy-The Digital Designed Self

Quality teaching in online higher education

Over the past few decades, education systems, especially in higher education, have been redefined. Such reforms inevitably require reconsideration of operational notions and definitions of quality, along with a number of related concepts. This reconsideration aligns with the core of higher education reforms: improving efficacy and compatibility with emerging social demands while adapting to competitiveness and accountability trends. As primary players in the teaching and learning process, online tutors have a protagonistic role and, therefore, must be equipped with a suitable set of competencies and attributes in addition to content knowledge. This quantitative research aims to analyze the perceptions of 250 online tutors working in European higher education institutions, distributed in 5 knowledge areas: Business, Education, Humanities, Sciences and Health. This descriptive and exploratory nonexperimental study reveals the technological and pedagogical skills and competencies that online tutors consider fundamental for effective online teaching and proposes professional development actions to ensure quality online teaching.

The online self

Following the conference Fear and Loathing of the Online Self and the publication of Culture of the Selfie: Self-Representation in Contemporary Visual Culture in May 2017, this episode of INC’s Zero Infinite podcast zooms in on the online self and selfies, with Ana Peraica, Wendy Chun and Rebecca Stein. In the studio, Inte Gloerich, Leonieke van Dipten and Miriam Rasch discuss algorithmic identity, the importance of the background in selfies and the phenomenon of the ‘drelfie’.