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3Contribution to the 13th edition of the Supporting Health by Technology Conference taking place in Groningen on Thursday, 30th and Friday, 31st of May 2024.
Background
Technological innovations are often viewed as a remedy for the challenges confronting the healthcare sector, such as demographic shifts and shortages in nursing staff. However, nurses do not consistently adopt these innovations. The primary objective of this study is to design an instrument that can gauge the factors associated with nurses' readiness for technology. While numerous earlier studies concentrated on individual factors, our research uniquely emphasizes the assessment of collaborative factors. Specifically, we have integrated two key concepts: technology readiness and reciprocity behaviour. To achieve this, the Technology Readiness Index 2.0 and the Reciprocity Instrument were jointly administered, and a thorough examination of the psychometric properties of the instrument was conducted.
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Within healthcare and social care education, students, teachers, supervisors and others are increasingly collaborating and learning in networked learning communities. These communities can take different forms, such as networked internships, interorganisational projects or interdisciplinary networks. In order to improve the success of these networks, four conditions for reciprocal collaboration in networks are important. This research aims to gain more insight into how students, teachers, supervisors and others work and learn together in these reciprocal networks. The research questions are: 1) To what extent are the learning communities already set up according to the conditions of reciprocity? 2) How is reciprocity experienced in the learning communities? 3) To what extent is trialogical and interactive learning given a place in the learning communities? and 4) How is social bonding experienced in the learning communities? A yearly survey will be used amongst the members of in total 15 learning communities with 15-25 members each, throughout three years. The survey consists of the Reciprocity Instrument, Classroom Community scale and trialogical learning.
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This small exploratory study aims to reveal the perceptions of female participants in mandatory volunteering programmes and to formulate directions for further research. We analyse how in Rotterdam the transition from labour market re-integration policies to a mandatory reciprocity approach is viewed by long-term unemployed women who were already volunteering. Modern welfare policies are increasingly based on notions of reciprocity. Citizens on welfare benefits have to do something in return, e.g. volunteer work. Notwithstanding general public support, social philosophers have been critical on ‘mandatory’ activities in community programmes. So far, the participants themselves have scarcely been asked about the (un)fairness of ‘mandatory volunteering’. Surprisingly, the participants in this study claim that the new approach better recognises their contribution to ‘society’. They also view the policy as necessary and fair to other benefit claimants who are perceived to lack any motivation to give something back to society. An agenda for further research is presented.
DOCUMENT
This is the first of a series of four articles on psychological foundations from an applied psychological perspective. To begin with, the psychology of give and take, which is contradictory in its application, like many basic psychological mechanisms: sometimes emphasized, sometimes denied. In this first article it is argued that humans are equipped with a psychological reciprocity mechanism that constantly judges whether give and take in the social group we belong to is in balance (reciprocal altruism: favour others at their own expense, because it is later repaid). On the other hand, sometimes it is necessary to hide inequalities in give and take, especially in a complex hierarchical society.
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How do trust and reciprocity decisions change when outcomes are framed in terms of potential losses (vs gains)? In two studies, with 7464 trust decisions from 359 participants and 2723 reciprocity decisions from 221 participants, we find that loss framing increases mean-level trust, but has no effect on mean-level reciprocity. Additionally, loss framing changes how decisions are made: In the domain of losses, trustors and trustees become less calculative — trust decisions involving losses are less sensitive to changes in expected value and reciprocity decisions are less sensitive to the financial temptation to betray trust. Critically, these changes in the process of decision-making are more pronounced when people interact with a human (vs computer) partner, pointing to uniquely social consequences of loss framing. The present results contribute to our understanding of the factors that shape trust and reciprocity, and emphasize that interpersonal processes play an important but under examined role in gain-loss framing effects.
DOCUMENT
INAUGURAL LECTURE
The world is in disarray. Species are extinct, climates are changing, we are becoming unhealthier.
To liberate ourselves from this doom scenario we need to take care of ourselves and our environment. The solutions of former generations offer no future solace. Moreover, these caused the current problems. Instead of exploiting our environment for energy, resources and capacity we need to increase the potential for the recuperation of the environment, the planet and our minds. Instead of taking, giving!
The reciprocity of the urbanized land we live in should be our main objective. The professorship Spatial Transformations - Sustainability will therefore design and plan for our physical and mental
city and surroundings. This way the city becomes a purification machine for polluted water and acts as a net carbon sink. The city becomes a source of biodiversity, transformed into an urban nature reserve. Food will be produced that extends our lives. And wouldn’t it be nice to see the city as a place for contemplation so our mental abilities can grow instead of vegetating in dull offices? The city should offer people a healthy life, replenish resources and be beautiful. The professorship contributes to educating a new generation finding extraordinary solutions for current problems. With creativity, initiative and a healthy dose of disobedience this must work!
DOCUMENT
Traditional scientific research has produced valuable knowledge, yet its linear, top-down logic often fails to address the complexity of local communities. This results in a gap between knowledge and action, where interventions lack legitimacy and impact. Participatory Action Research (PAR) has emerged as an alternative, bringing residents, professionals, and researchers together in iterative cycles of action and reflection. The promise of PAR lies not only in its methods but in the attitudes and relationships that underpin it. This community case study explores how reciprocity, understood as mutual exchange, trust, and shared responsibility, can be cultivated in PAR. The study focuses on 3 Days Inside, an experiment in the city of Appingedam (Northeast of the Netherlands), a shrinking region marked by demographic decline, earthquakes from gas extraction, and declining trust in institutions. Here, proximity and reciprocity are prerequisites for meaningful participation. Researchers immersed for 3 days, working alongside residents in everyday settings. Participating activities included neighborhood walks, shared meals, and practical collaboration in community spaces. Data were collected on needs and opportunities to improve the healthy living environment through participatory observation, go-along interviews, shadowing, and systematic reflection, with logbooks structured around first-, second-, and third-person perspectives. The case showed PAR is a dynamic process that demands reflexivity, flexibility, and ethical sensitivity. Researchers had to let go of control, acknowledge own positioning and assumptions, and prioritize relationships over outcomes. Gestures of presence and participation proved more powerful than formal conversations. Yet, tensions emerged between relational and transactional practices, between systemic logics and lived realities, and between pursuing research goals and fostering reciprocity. Three days inside highlights that meaningful participation depends less on predefined methods and more on the researcher's attitude—openness, reflexivity, and willingness to share control. The case contributes to broader debates on participation by showing that social impact arises not only from knowledge but from the way knowledge is co-created with residents. For researchers, professionals, and policymakers, the findings underline that genuine participation requires long-term presence, trust-building, and relational ethics. Future research should examine the applicability of this approach in other contexts to strengthen its practical utility.
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Background: Inequities in health have garnered international attention and are now addressed in Sustainable Development Goal 3 (SDG3), which seeks to ‘promote well-being for all’. To attain this goal globally requires innovative approaches, one of which is twinning. According to the International Confederation of Midwives, twinning focusses on empowering professionals, who can subsequently be change-agents for their communities. However, twinning in healthcare is relatively new and because the definition and understanding of twinning lacks clarity, rigorous monitoring and evaluation are rare. A clear definition of twinning is essential for the development of a scientific base for this promising form of collaboration. Method: We conducted a Concept Analysis (CA) of twinning in healthcare using Morse’s method. A qualitative study of the broad literature was performed, including scientific papers, manuals, project reports, and websites. We identified relevant papers through a systematic search using scientific databases, backtracking of references, and experts in the field. Results: We found nineteen papers on twinning in healthcare. This included twelve peer reviewed research papers, four manuals on twinning, two project reports, and one website. Seven of these papers offered no definition of twinning. In the other twelve papers definitions varied. Our CA of the literature resulted in four main attributes of twinning in healthcare. First, and most frequently mentioned, was reciprocity. The other three attributes were that twinning: 2) entails the building of personal relationships, 3) is dynamic process, 4) is between two named organisations across different cultures. The literature also indicated that these four attributes, and especially reciprocity, can have an empowering effect on healthcare professionals. Conclusions: Based on these four attributes we developed the following operational definition: Twinning is a crosscultural, reciprocal process where two groups of people work together to achieve joint goals. A greater understanding and a mature definition of twinning results in clear expectations for participants and thus more effective twinning. This can be the starting point for new collaborations and for further international studies on the effect of twinning in healthcare.
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