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Communicatie in beeld, Video-interactiebegeleiding in de opleiding SPH Eindhoven

Video-interactiebegeleiding (VIB) is een methodische manier van werken waarbij interactie-analyse als basis en video als ondersteuning dient. De auteur beschrijft hoe studenten in Eindhoven zich in VIB kunnen bekwamen.

Exploring the application of interactive video projection in Physical Education

This paper describes explorations into related technology and research regarding the application of interactive video projection within physical education and the gym of the future. We discuss the application of exergaming in physical education, spatial augmented reality as a technology and participatory design with teachers and children as a design method to develop new concepts. Based on our initial findings we propose directions for further research. Further work includes developing new applications based on the wishes, needs and ideas of physical education teachers and children, incorporating opportunities provided by recent technological developments.

De pionier in context

Bij het ontwerpgerichte onderzoek dat het lectoraat Teaching, Learning & Technology uitvoert naar effectieve inzet van technologie bij leerprocessen wordt gewerkt met pioniers binnen opleidingsteams, die samen met een aantal teamleden een innovatieve leerpraktijk ontwerpen en testen in de praktijk. In het studiejaar 2016-2017 werd in zeven opleidingen een casestudie uitgevoerd naar inzet van video en/of scripting van peerreview. In twee gevallen betrof het een eerste iteratie waarbij een eerste prototype werd getest en geëvalueerd. In de andere vijf gevallen betrof het een tweede iteratie waarin een bijgesteld prototype werd getest. Deze studie richtte zich op de verkenning van kenmerken van pioniers en de karakteristieken van de gegeven contexten en de mogelijke invloeden daarvan op het effectief opereren als pionier. Op basis van inzichten uit onderzoek naar voorbeelden van brede acceptatie en succesvolle implementatie van onderwijsinnovaties met technologie, is een procesgang geschetst die duurzame inzet van een innovatie in een opleiding kansrijk maakt. In dat proces speelt de pionier weliswaar een centrale rol, maar ook andere condities in de context zijn belangrijk, waaronder de aanwezigheid van op transformatie gericht leiderschap, een visie op onderwijs en een feedbackcultuur in het team. Deze aspecten zijn nader onderzocht in deze studie, waarbij de inzichten uit onderzoek sturend waren voor de dataverzameling, dataverwerking en data-analyse.

Discussing patients’ insurance and out-of-pocket expenses during GPs’ consultations

Background: Generally, a significant portion of healthcare spending consists of out-of-pocket (OOP) expenses. Patients indicate that, in practice, there are often some OOP expenses, incurred when they receive medical care, which are unexpected for them and should have been taken into account when deciding on a course of action. Patients are often reliant on their GP and may, therefore, expect their GP to provide them with information about the costs of treatment options, taking into consideration their individual insurance plan. This also applies to the Netherlands, where OOP expenses increased rapidly over the years. In the current study, we observed the degree to which matters around patients' insurance and OOP expenses are discussed in the Netherlands, using video recordings of consultations between patients and GPs. Methods: Video recordings were collected from patient-GP consultations in 2015-2016. In 2015, 20 GPs and 392 patients from the eastern part of the Netherlands participated. In 2016, another eight GPs and 102 patients participated, spread throughout the Netherlands. The consultations were coded by three observers using an observation protocol. We achieved an almost perfect inter-rater agreement (Kappa = .82). Results: In total, 475 consultations were analysed. In 9.5% of all the consultations, issues concerning patients' health insurance and OOP expenses were discussed. The reimbursement of the cost of medication was discussed most often and patients' current insurance and co-payments least often. In some consultations, the GP brought up the subject, while in others, the patient initiated the discussion. Conclusions: While GPs may often be in the position to provide patients with information about treatment alternatives, few patients discuss the financial effects of their referral or prescription with their GP. This result complies with existing literature. Policy makers, GPs and insurers should think about how GPs and patients can be facilitated when considering the OOP expenses of treatment. There are several factors why this study, analysing video recordings of routine GP consultations in the Netherlands, is particularly relevant: Dutch GPs play a gatekeeper function; OOP expenses have increased relatively swiftly; and patients have both the right to decide on their treatment, and to choose a provider.

Building a Taxonomy of Keys: a new way of analysing and creating video games

The influence of the use of diagnostic resources on nurses' communication with simulated patients during admission interviews

PurposeThe aim of this study was to determine how the use of diagnostic resources influences nurses' communication during admission interviews.MethodsA randomized controlled trial was performed. Actors simulated patients based on case studies. We analyzed transcriptions of 60 interviews and video recordings using the Roter Method of Interaction Process Analysis.FindingsNurses mainly asked closed-ended questions. The use of knowledge sources, such as forms in the PES format or an assessment format, affected communication significantly in several aspects.ConclusionPrestructured forms may promote comprehensive interviews, but nurses need to be aware that using certain kinds of diagnostic resources may hinder them from asking open-ended questions.Practice ImplicationsNurses need to increase their use of open-ended questions.