Background: In order to internalize the midwifery philosophy of care and to learn how to advocate for physiological childbirth, student midwives in the Netherlands need learning experiences that expose them to physiological childbirth practices. Increased hospital births, wide variation in non-urgent referrals and escalating interventions impact on learning opportunities for physiological childbirth. Midwifery educators need to find ways to support student agency in becoming advocates of physiological childbirth. Objective: To gather students’ opinions of what they need to become advocates of physiological childbirth. Methods: Focus groups with student midwives (n = 37), examining attitudes regarding what educational programs must do to support physiological childbirth advocacy. Results: Students reported feelings of personal power when the midwifery philosophy of care is internalized and expressed in practice. Students also identified dilemmas associated with supporting woman-centered care and promoting physiological childbirth. Perceived hierarchy in clinical settings causes difficulties, leading students to practice in accordance with the norms of midwife preceptors. Students are supported in the internalization and realization of the midwifery philosophy of care, including physiological childbirth, if they are exposed to positive examples of care in practice and have opportunities to discuss and reflect on these in the classroom. Key conclusion: Midwifery education should focus on strategies that include navigating dilemmas in practice and helping students to express the midwifery philosophy of care in communication with other professionals and with women. Preceptors need to be supported in allowing student midwives opportunities to realize the midwifery philosophy of care, also when this differs from preceptor practice.
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Background: The dynamics of maternal and newborn care challenge midwifery education programs to keep up-to-date. To prepare for their professional role in a changing world, role models are important agents for student learning. Objective: To explore the ways in which Dutch and Icelandic midwifery students identify role models in contemporary midwifery education. Methods: We conducted a descriptive, qualitative study between August 2017 and October 2018. In the Netherlands, 27 students participated in four focus groups and a further eight in individual interviews. In Iceland, five students participated in one focus group and a further four in individual interviews. All students had clinical experience in primary care and hospital. Data were analyzed using inductive content analysis. Results: During their education, midwifery students identify people with attitudes and behaviors they appreciate. Students assimilate these attitudes and behaviors into a role model that represents their ‘ideal midwife’, who they can aspire to during their education. Positive role models portrayed woman-centered care, while students identified that negative role models displayed behaviors not fitting with good care. Students emphasized that they learnt not only by doing, they found storytelling and observing important aspects of role modelling. Students acknowledged the impact of positive midwifery role models on their trust in physiological childbirth and future style of practice. Conclusion: Role models contribute to the development of students’ skills, attitudes, behaviors, identity as midwife and trust in physiological childbirth. More explicit and critical attention to how and what students learn from role models can enrich the education program.
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This paper has the objective, using the STEPup project implementation, to present specific recommendations and strategic guidelines on how to achieve the above, including developing provincial centers attached to participating higher education institutions at the example of universities in Thailand and Myanmar with the purpose to increase access and opportunity to an SE ecosystem for those already existing social enterprises and social entrepreneurs who are planning to create one. In addition, within this paper it shall also be explored how long-term capacity-building activities were provided to develop both the skills of the entrepreneurs themselves and to support the viability of the social enterprise. These activities must include mentoring and train-the-trainer programs as well as financial training to provide skills, confidence and opportunities to social enterprises looking to raise capital in a more cost-effective, direct way though crowdfunding. Lastly, as uniquely placed institutions to serve as a ‘bridge’ between the different stakeholders, Higher Education Institutions in Myanmar and Thailand would serve as a good practice case on how to design and develop resource hubs for social enterprise practitioners and engage stakeholders from all sectors to tackle social issues and promote awareness of the social enterprise sector’s potential.
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Introduction The CEFR offers a framework for language teaching, learning and assessment for L2 learners. Importantly, the CEFR draws on a learner’s communicative language competence rather than linguistic competence (e.g. vocabulary, grammar). As such, the implementation of the CEFR in our four years bachelor program Teacher of Sign Language of the Netherlands (NGT) caused a shift in didactic approach from grammar-based to communication-centered. It has been acknowledged that didactic approaches associated with the CEFR are scarcely documented (Figueras, 2012) and the effectiveness on learner outcomes have not been investigated systematically. Moreover, for many languages the levels of the CEFR are not supported by empirical evidence from L2 learner data (Hulstijn, 2007). Purpose We will i) describe our communication-centered approach in detail and iii) present some preliminary findings on the effectiveness of this approach on student’s outcomes. Method We followed four student cohorts longitudinally: students in the first cohort (n=14) were taught in a grammar-based curriculum, students in the second (n=6), third (n=9) and fourth (n=14) cohort in a communication-centered curriculum. Data involved production (interviews) videos that are transcribed using ELAN. Results Comparing students in their first and second year, results show that students who followed a communication-based curriculum show more grammatical variability as compared to students who followed a grammar-based curriculum. Conclusions Interestingly, the communication-centered approach stimulates the development of linguistic competence. We attempt to fit the empirical evidence of L2 learners within the CEFR-levels. References Figueras, N. (2012). The impact of the CEFR. ELT Journal, 66, 477 – 485. Hulstijn, J. (2007). The shaky ground beneath the CEFR: quantitave and qualitative dimensions of language proficiency. The Modern Language Journal, 91, 663 – 667.
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Attitudes of dental students regarding the provision of treatment tend to be dentist-centered; however, facilitating mixed student group formation could change such perceptions. The aim of this study was to investigate the perceived scope of practice of dental and dental hygiene students and whether their perceptions of task distribution between dentists and dental hygienists would change following an educational intervention consisting of feedback, intergroup comparison, and competition between mixed-group teams. The study employed a pretest-posttest single group design. Third-year dental students and second-year dental hygiene students at a university in The Netherlands were randomly assigned to intraprofessional teams (four or five members) and received team-based performance feedback and comparison. The intervention was finalized with an award ceremony for the best intraprofessional team. Before and after the intervention, students completed a questionnaire measuring their perceived distribution of ten tasks between dentists and dental hygienists. A total of 38 dental students and 32 dental hygiene students participated in the intervention-all 70 of those eligible. Questionnaires were completed by a total 88.4% (n=61) of the participants: 34 dental (89.5%) and 27 dental hygiene students (84.4%). Dental and dental hygiene students had similar perceptions regarding teeth cleaning (prophylaxis) (p=0.372, p=0.404) and, after the intervention, preventive tasks (p=0.078). Following the intervention, dental students considered four out of ten tasks as less dentist-centered: radiograph for periodontal diagnosis (p=0.003), local anesthesia (p=0.037), teeth cleaning (p=0.037), and periodontal treatment (p=0.045). Dental hygiene students perceived one task as being less dentist-centered after the intervention: radiograph for cariologic diagnosis (p=0.041). This study found that these dental and dental hygiene students had different opinions regarding the scope of practice for dentistry and dental hygiene. The number of redistributed tasks after the intervention was especially substantial among the dental students, although the amount of change per task was minimal. Half of all tasks were perceived as less dentist-centered as a result of the intervention.
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The dissertation Pathways of Musical Creativity shows that students’ musical creativity can develop in an intervention with Video Feedback Coaching for teachers, mediated by their support of students’ creative autonomy during classroom interactions in music lessons. Autonomy support entails fostering students' self-determined learning by providing space for their own choices and interests. The intervention introduced teachers to music-pedagogical strategies for enhancing classroom interaction in order to transition from a teacher- and method-centered style to a student-centered and autonomy-supportive interaction approach. This PhD research also took the nonverbal components of teachers' autonomy support into account because classroom interaction in music lessons is also nonverbal and musical in nature.Teachers changed their interaction style during the intervention to one that supported more autonomy, and they were less likely to return to mainly instruction and modelling. Although for verbal autonomy support a beneficial effect was observed, teachers found it more difficult to provide higher levels of non-verbal autonomy support in music teaching. In turn, students showed more originality and variation in their creative thinking and acting in music. Although over half of the classes engaged in playing more complex rhythmical patterns over the course of the intervention, at group-level no effect for this aspect was found in comparison to a control group. These findings suggest that in both primary education and teacher education, more focus should be placed on enhancing classroom interaction and supporting students’ creative autonomy support in music lessons.
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Drie pijlers voor het honoursonderwijs zijn: stimuleren van academische competenties, bieden van (gebonden) vrijheid en het creëren van een honours leergemeenschap (ook wel community genoemd).
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