Background:An eHealth tool that coaches employees through the process of reflection has the potential to support employees with moderate levels of stress to increase their capacity for resilience. Most eHealth tools that include self-tracking summarize the collected data for the users. However, users need to gain a deeper understanding of the data and decide upon the next step to take through self-reflection.Objective:In this study, we aimed to examine the perceived effectiveness of the guidance offered by an automated e-Coach during employees’ self-reflection process in gaining insights into their situation and on their perceived stress and resilience capacities and the usefulness of the design elements of the e-Coach during this process.Methods:Of the 28 participants, 14 (50%) completed the 6-week BringBalance program that allowed participants to perform reflection via four phases: identification, strategy generation, experimentation, and evaluation. Data collection consisted of log data, ecological momentary assessment (EMA) questionnaires for reflection provided by the e-Coach, in-depth interviews, and a pre- and posttest survey (including the Brief Resilience Scale and the Perceived Stress Scale). The posttest survey also asked about the utility of the elements of the e-Coach for reflection. A mixed methods approach was followed.Results:Pre- and posttest scores on perceived stress and resilience were not much different among completers (no statistical test performed). The automated e-Coach did enable users to gain an understanding of factors that influenced their stress levels and capacity for resilience (identification phase) and to learn the principles of useful strategies to improve their capacity for resilience (strategy generation phase). Design elements of the e-Coach reduced the reflection process into smaller steps to re-evaluate situations and helped them to observe a trend (identification phase). However, users experienced difficulties integrating the chosen strategies into their daily life (experimentation phase). Moreover, the identified events related to stress and resilience were too specific through the guidance offered by the e-Coach (identification phase), and the events did not recur, which consequently left users unable to sufficiently practice (strategy generation phase), experiment (experimentation phase), and evaluate (evaluation phase) the techniques during meaningful events.Conclusions:Participants were able to perform self-reflection under the guidance of the automated e-Coach, which often led toward gaining new insights. To improve the reflection process, more guidance should be offered by the e-Coach that would aid employees to identify events that recur in daily life. Future research could study the effects of the suggested improvements on the quality of reflection via an automated e-Coach.
Objective To explore how to build and maintain the resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. Design Scoping review supplemented with expert interviews to validate the findings. Setting Hospitals. Methods We searched PubMed, Embase, PsycINFO, CINAHL, bioRxiv and medRxiv systematically and grey literature for articles focusing on the impact of COVID- 19-like working conditions on the physical and/or mental health of healthcare professionals in a hospital setting. Articles using an empirical design about determinants or causes of physical and/or mental health and about interventions, measures and policies to preserve physical and/or mental health were included. Four experts were interviewed to reflect on the results from the scoping review. Results In total, 4471 records were screened leading to an inclusion of 73 articles. Recommendations prior to the outbreak fostering resilience included optimal provision of education and training, resilience training and interventions to create a feeling of being prepared. Recommendations during the outbreak consisted of (1) enhancing resilience by proper provision of information, psychosocial support and treatment (eg, create enabling conditions such as forming a psychosocial support team), monitoring the health status of professionals and using various forms and content of psychosocial support (eg, encouraging peer support, sharing and celebrating successes), (2) tasks and responsibilities, in which attention should be paid to kind of tasks, task mix and responsibilities as well as the intensity and weight of these tasks and (3) work patterns and working conditions. Findings of the review were validated by experts. Conclusions Recommendations were developed on how to build and maintain resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. These practical and easy to implement recommendations can be used by hospitals and other healthcare organisations to foster and preserve short-term and long-term physical and mental health and employability of their professionals.
Background: Persons with an intellectual disability are at a higher risk of experiencing adversities. The concept of resilience offers promising insights into facilitating personal growth after adversity. The current study aims at providing an overview of the current research on resilience and the way this can contribute to quality of life in people with intellectual disability. Method: A literature review was conducted in the databases PsycINFO and Web of Science. To evaluate the quality of the studies, the Mixed Method Appraisal Tool (MMAT) was used. Results: The themes, autonomy, self-acceptance and physical health, were identified as internal sources of resilience. External sources of resilience can be found within the social network and daily activities. Conclusion: The current overview shows promising results to address resilience in adults with intellectual disability. More research is needed to identify the full range of resiliency factors.
Worldwide, coral reefs are rapidly declining due to increased sea water temperatures and other environmental stresses (Figure 1). To counter the extinction of major coral reef building species on the island of Bonaire, the non-profit organization Reef Renewal Foundation Bonaire is restoring degraded reef sites using corals that are grown in local nurseries. In these nurseries, corals are propagated on artificial trees using fragmentation. After 6-8 months of growth in the nursery, the corals are transplanted to degraded reef sites around the island. Over the years more than 21.000 corals have been outplanted to reef restoration sites in this way. These corals show high survivorship under natural reef conditions but remain under threat by environmental disturbances, such as increased water temperatures, diseases, and competition with macroalgae. A promising intervention to increase reef persistence and resilience is to manipulate the coral-associated microbiome. At present, the composition of the microbiome in nursery-reared and outplanted corals on Bonaire is unknown. The aim of the current project is to identify and isolate naturally occurring beneficial bacteria that may stimulate the resilience of these corals. Our key objectives are: 1) to assess the presence of functionally beneficial bacteria in corals in nursery and restoration sites on Bonaire using metagenomic screening. 2) to design culture strategies to isolate these functionally beneficial bacteria. In the future, a selection of these beneficial bacteria can be applied to the corals to increase their resilience against environmental disturbances.
Het onderzoeksvoorstel richt zich op het verkennen en verbeteren van de veerkracht van Generatie Z (Gen Z) medewerkers binnen de hospitalitysector. Dit onderzoek is gemotiveerd door de waargenomen mentale gezondheidsproblemen waarmee Gen Z te maken heeft, zoals hoge niveaus van stress, angst en burn-out, vooral in dynamische omgevingen zoals de hospitalitysector. Deze uitdagingen beïnvloeden niet alleen het welzijn van individuen, maar verergeren ook problemen zoals hoog personeelsverloop, ziekteverzuim en verminderde betrokkenheid, wat de dienstverlening en efficiëntie in de sector onder druk zet. Het onderzoek heeft tot doel veerkracht opnieuw te definiëren in de context van de hospitalitysector. Het onderzoek zal onderzoeken hoe individuele, organisatorische en maatschappelijke factoren veerkracht beïnvloeden en zal manieren verkennen waarop hotels actief kunnen bijdragen aan het versterken van de veerkracht van hun (jonge) medewerkers. De aanpak omvat een Design-Based Research (DBR) methodologie, die samenwerking tussen academici en de industrie benadrukt om praktische, op bewijs gebaseerde interventies te ontwikkelen. Het onderzoek zal in fasen worden uitgevoerd, te beginnen met een conceptuele studie om een basisbegrip van veerkracht vast te stellen, gevolgd door een uitgebreide analyse door middel van enquêtes en interviews, en uiteindelijk uitmondend in de ontwikkeling en het testen van strategieën om veerkracht op te bouwen. Het uiteindelijke doel is om een genuanceerd kader voor veerkracht te ontwikkelen dat niet alleen het welzijn van individuele medewerkers verbetert, maar ook bijdraagt aan de algehele duurzaamheid en het succes van de hospitalitysector. Het onderzoek zal naar verwachting bruikbare inzichten opleveren voor hotelmanagers en opleiders, zodat zij Gen Z-medewerkers beter kunnen ondersteunen en hun betrokkenheid en retentie binnen de sector kunnen verbeteren.
The ongoing environmental changes in the Arctic call for a deeper understanding of how local communities experience and adapt to these transformations. This PhD examines sense of place and how this shapes future climate imaginaries within riverine communities, focusing on the Altaelva community in northern Norway. In northern Peru, the community has long experienced alternating environmental changes due to the El Niño Southern Oscillation, nowadays intensified by climate change. By examining how these communities adapt to cyclical environmental shifts, this case study provides comparative insights relevant to the Arctic, where climate change presents a more linear, continuous impact.Utilizing qualitative methods, I explore how individuals and groups form emotional and cognitive attachments to the environment while living in a changing climate. This PhD investigates locally rooted visions of climate futures that are informed by the community's sense of place, so-called “emplaced climate imaginaries”. By focusing on how the community’s attachment to the river influences their perceptions of future climate scenarios, I aim to identify the ways in which these imaginaries contribute to sustainable adaptation strategies.The study’s focus on the intersection of emotional bonds to place and anticipatory climate futures offers insights into how communities cope with and adapt to environmental change. These findings will contribute to broader discussions on climate resilience, emphasizing the importance of integrating local narratives and experiences into climate adaptation policies. The research not only provides a lens into Arctic futures but also underscores the role of local, place-based attachments in shaping responses to climate change.
