scholarly journals Staying neutral or intervening?

2021 ◽  
Author(s):  
Maartje Hoogsteyns ◽  
Amalia Muhaimin
Keyword(s):  
Medical Students ◽  
The Netherlands ◽  
Medical Ethics ◽  
Cultural Change ◽  
Moral Distress ◽  
Institutional Constraints ◽  
Neutral Position ◽  
Insight Into ◽  
Proper Response

AbstractEthics teachers are regularly confronted with disturbing cases brought in by medical students in class. These classes are considered confidential, so that everyone can speak freely about their experiences. But what should ethics teachers do when they hear about a situation they consider to be outright alarming, for example where patients/students’ safety is at stake or where systematic power abuse seems to be at hand? Should they remain neutral or should they step in and intervene? In the Netherlands, as in many other countries, there are no clear guidelines for ethics teachers on how to respond. To get more insight into what teachers themselves think a proper response would be, we interviewed 18 Dutch medical ethics teachers. We found that Dutch ethics teachers will address the issue in class, but that they are overall reluctant to intervene; take action outside the scope of class. This reluctance is partly rooted in the conviction that ethicists should stay neutral and facilitate reflection, instead of telling students or physicians what to do. At the same time, this neutral position seems a difficult place to leave for those teachers who would want to or feel they need to. This has to do with various organizational and institutional constraints tied up with their position. The study invites medical ethics teachers to reflect on these constraints together and think about how to proceed from there. This study seeks to contribute to research on cultural change in medicine and medical students’ experiences of moral distress.

scholarly journals Strategies for the assessment of competences during rheumatology training across Europe: results of a qualitative study

RMD Open ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e001183 ◽  
Author(s):  
Aurélie Najm ◽  
Alessia Alunno ◽  
Francisca Sivera ◽  
Sofia Ramiro ◽  
Catherine Haines
Keyword(s):  
The Netherlands ◽  
Current Practice ◽  
Online Discussion ◽  
Qualitative Approach ◽  
Formative Feedback ◽  
Competence Assessment ◽  
The United Kingdom ◽  
Online Focus Groups ◽  
Assessment Systems ◽  
Insight Into

ObjectivesTo gain insight into current methods and practices for the assessment of competences during rheumatology training, and to explore the underlying priorities and rationales for competence assessment.MethodsWe used a qualitative approach through online focus groups (FGs) of rheumatology trainers and trainees, separately. The study included five countries—Denmark, the Netherlands, Slovenia, Spain and the United Kingdom. A summary of current practices of assessment of competences was developed, modified and validated by the FGs based on an independent response to a questionnaire. A prioritising method (9 Diamond technique) was then used to identify and justify key assessment priorities.ResultsOverall, 26 participants (12 trainers, 14 trainees) participated in nine online FGs (2 per country, Slovenia 1 joint), totalling 12 hours of online discussion. Strong nationally (the Netherlands, UK) or institutionally (Spain, Slovenia, Denmark) standardised approaches were described. Most groups identified providing frequent formative feedback to trainees for developmental purposes as the highest priority. Most discussions identified a need for improvement, particularly in developing streamlined approaches to portfolios that remain close to clinical practice, protecting time for quality observation and feedback, and adopting systematic approaches to incorporating teamwork and professionalism into assessment systems.ConclusionThis paper presents a clearer picture of the current practice on the assessment of competences in rheumatology in five European countries and the underlying rationale of trainers’ and trainees’ priorities. This work will inform EULAR Points-to-Consider for the assessment of competences in rheumatology training across Europe.

Double, triple or quadruple hits? Exploring the impact of cybercrime on victims in the Netherlands

2021 ◽  
pp. 026975802110106
Author(s):  
Raoul Notté ◽  
E.R. Leukfeldt ◽  
Marijke Malsch
Keyword(s):  
Public Opinion ◽  
Literature Review ◽  
The Netherlands ◽  
Public Discourse ◽  
Moral Judgments ◽  
Victim Blaming ◽  
High Prevalence ◽  
Different Types ◽  
The Impact ◽  
Insight Into

This article explores the impact of online crime victimisation. A literature review and 41 interviews – 19 with victims and 22 with experts – were carried out to gain insight into this. The interviews show that most impacts of online offences correspond to the impacts of traditional offline offences. There are also differences with offline crime victimisation. Several forms of impact seem to be specific to victims of online crime: the substantial scale and visibility of victimhood, victimisation that does not stop in time, the interwovenness of online and offline, and victim blaming. Victims suffer from double, triple or even quadruple hits; it is the accumulation of different types of impact, enforced by the limitlessness in time and space, which makes online crime victimisation so extremely invasive. Furthermore, the characteristics of online crime victimisation greatly complicate the fight against and prevention of online crime. Finally, the high prevalence of cybercrime victimisation combined with the severe impact of these crimes seems contradictory with public opinion – and associated moral judgments – on victims. Further research into the dominant public discourse on victimisation and how this affects the functioning of the police and victim support would be valuable.

Professionals freaking out: the case of accreditation in Dutch higher education

2009 ◽  
Vol 21 (5) ◽  
pp. 473-485 ◽  
Author(s):  
Everard van Kemenade ◽  
Teun W. Hardjono
Keyword(s):  
The Netherlands ◽  
Design Methodology ◽  
Iso 9000 ◽  
Preliminary Survey ◽  
External Evaluation ◽  
Content Type ◽  
Evaluation Systems ◽  
System A ◽  
Engineering And Technology ◽  
Insight Into

PurposeThe purpose of this paper is to define what factors cause willingness and/or resistance among lecturers in universities towards external evaluation systems, especially accreditation.Design/methodology/approachA model has been designed to describe possible factors of willingness and/or resistance towards accreditation based on Ajzen and Metselaar. A literature review has been undertaken on the effects of external evaluation like ISO 9000 as well as accreditation systems such as Accreditation Board for Engineering and Technology and European Quality Improvement System. A questionnaire has been administered to a group of 63 lecturers from three departments at Fontys University in The Netherlands. The results of this preliminary survey have been presented to 1,500 academics in The Netherlands and Flanders to collect empirical data.FindingsResistance to accreditation can be found in the consequences of accreditation for the work of the lecturer (workload), negative emotions (stress and insecurity); the lack of knowledge and experience (help from specialists is needed); and lack of acceptance (other paradigm).Originality/valueThe paper provides more insight into the difficulties that organizations, especially universities, have to commit their employees to external evaluation. It might be possible to generalize the findings to other professionals in other organizations. Little research in this field has been undertaken so far.

scholarly journals Trauma Mechanisms and Injuries Associated with Go-Karting

2010 ◽  
Vol 4 (1) ◽  
pp. 107-110 ◽  
Author(s):  
Hasan H. Eker ◽  
Esther M.M Van Lieshout ◽  
Dennis Den Hartog ◽  
Inger B Schipper
Keyword(s):  
The Netherlands ◽  
High Index ◽  
Medical Attention ◽  
Associated Injuries ◽  
Injury Patterns ◽  
Safety Measures ◽  
Large Variability ◽  
High Index Of Suspicion ◽  
Insight Into ◽  
Additional Safety

Annually, approximately 600 patients seek medical attention after go-kart accidents in the Netherlands. A large variability in injury patterns can be encountered. Knowledge of the trauma mechanisms of go-kart accidents and insight into the associated injuries is limited and requires improvement. Such additional knowledge may lead to customized trauma protocols for patients with a high index of suspicion on go-kart injuries. Research into trauma mechanisms may also lead to implementation of improved or additional safety measures for go-karting, involving both the go-karts itself as well as prerequisites to the go-kart tracks and qualifications for the drivers. The main trauma mechanisms involved in gokart accidents, and three cases to illustrate the variety of injuries are described in the current manuscript.

scholarly journals To Leave Your Kindred and Your Father’s House. Contemporary Dutch Christian Border Narratives

2017 ◽  
Vol 6 ◽  
pp. 174-196
Author(s):  
Sjoerd-Jeroen Moenandar ◽  
Krina Huisman
Keyword(s):  
The Netherlands ◽  
Life Writing ◽  
Narrative Structure ◽  
Christian Faith ◽  
Border Crossings ◽  
Border Narratives ◽  
The Church ◽  
Insight Into ◽  
Dutch People ◽  
Christian Denomination

In this article the authors analyse a collection of essays written by young Dutch people who grew up in the Reformed Liberated Church, a small Christian denomination in the Netherlands. Traditionally, this church is characterised by its inwards nature: members strive to live their lives within the confinements that the church and its institutions stipulate. This has changed over the last few decades and the essays attest to the effects these changes have had on individual lives. We discuss the underlying narrative structure of their accounts and how the authors negotiate different lifestyles and interpretations of the Christian faith on either side of the borders that demarcate the Reformed Liberated tradition. We discuss if – and how – the essays work towards an outcome of ‘discordant concordance’ (Ricœur) where narrative identities remain whole, despite relatively drastic border crossings in the course of the lives that formed them. We address how these stories give insight into how people use the stories they tell to define what needs to be remembered and forgotten when we cross borders. Finally, we discuss the relevance of these essays and our analysis of them for our understanding of today’s globalised and multicultural societies in which many are in a permanent state of transition. This article was submitted to the European Journal of Life Writing on February 17th and published on August 28th 2017.

scholarly journals Influence of Course in Medical Ethics and Law on Career Plans of Medical Students

2015 ◽  
Vol 3 (11) ◽  
pp. 834-842
Author(s):  
Shi-Yann Cheng ◽  
Lih-Hwa Lin ◽  
Chung-Han Kao ◽  
Tzu-Min Chan
Keyword(s):  
Medical Students ◽  
Medical Ethics ◽  
Career Plans

scholarly journals Review of "American Allegory: Lindy Hop and the Racial Imagination"

2017 ◽  
Author(s):  
Lisa Wade
Keyword(s):  
Cultural Change ◽  
Black Youth ◽  
Black Culture ◽  
White Americans ◽  
White People ◽  
Social Dance ◽  
Black And White ◽  
Lindy Hop ◽  
The Relationship ◽  
Insight Into

American Allegory uses lindy hop—a social dance invented in the 1920s by black youth in Harlem and now practiced mostly by white dancers—to gain insight into the relationship between black and white Americans and their cultural forms. It aims to contribute to theory about how superordinate groups manipulate culture to maintain power, while also accounting for cultural change and exchange. On page 204 Hancock begins to ask sophisticated theoretical questions but, by then, it is far too late to answer them. While Hancock’s central premise is one to which I am sympathetic—that the community of primarily white people who dance lindy hop today are participating in an appropriation of black culture—he’s never able to move past his premise to a useful contribution.

Competitive consensus: bargaining on employment and competitiveness in the Netherlands

2001 ◽  
Vol 7 (4) ◽  
pp. 682-696 ◽  
Author(s):  
Rien Huiskamp ◽  
Maarten van Riemsdijk
Keyword(s):  
The Netherlands ◽  
Collective Bargaining ◽  
National Level ◽  
Collective Agreements ◽  
Wide Range ◽  
Form Part ◽  
Set Up ◽  
National Framework ◽  
Insight Into ◽  
Empirical Insight

This article shows how bargaining on the conflicting issues of fighting unemployment and increasing competitiveness has evolved. It offers an empirical insight into the degree to which the national framework agreements that form part of the now famous Dutch polder model are implemented. At the national level framework agreements are set up and recommendations are made on a wide range of issues. It is shown that these are then interpreted and partly adopted by negotiators at lower collective bargaining levels. At company level, three cases illustrate differences in the degree to which companies implement the outcomes of collective agreements: from ‘dedicated follower’ to ‘rebels with a cause'. Looking at the evidence, it seems the Dutch have experienced a form of organised decentralisation.

Restoring the Memory of the Forgotten Dutch Embroidery Designer Nellie van Rijsoort

Costume ◽  
2021 ◽  
Vol 55 (1) ◽  
pp. 74-96
Author(s):  
Marta Kargól
Keyword(s):  
Middle Class ◽  
The Netherlands ◽  
Second World War ◽  
World War ◽  
History Of ◽  
And Function ◽  
Second World ◽  
Insight Into

In 1932, Nellie van Rijsoort (1910–1996), the Dutch embroidery maker and designer, opened her atelier in Rotterdam. Among her clients were prestigious fashion stores in the Netherlands as well as wealthy middle-class customers. After the Second World War, van Rijsoort left Rotterdam and continued her career in Melbourne in the rapidly developing fashion network of Australia. Today, samples of embroidered fabrics and fashion drawings by Nellie van Rijsoort are part of the collections of the Museum Rotterdam and the National Trust of Australia in Melbourne. These collections provide insight into half a century of history of embroidered fabrics. This article illustrates the largely forgotten career of the embroidery designer. The first part of the article outlines the position and meaning of van Rijsoort's atelier in the fashion networks of the Netherlands and Australia, while the second part provides an analysis of embroidery samples and drawings, which reveal the place and function of embroideries as dress decorations.

Does Teaching Clinical Ethics to Medical Students Improve Knowledge, Attitude, and Practice of Medical Ethics Among Clinicians? An Observational Study in a Tertiary Care Hospital in Nepal.

2020 ◽  
Author(s):  
Carmina Shrestha ◽  
Jasmin Joshi ◽  
Ashma Shrestha ◽  
Shuvechchha Karki ◽  
Sajan Acharya ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical Ethics ◽  
Clinical Ethics ◽  
Core Curriculum ◽  
Tertiary Care ◽  
Medical Schools ◽  
Care Hospital ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background: The importance of doctors being aware of medical ethics has been highlighted in a number of studies. Our first study (Study-1) aims to assess the knowledge, attitude, and practices of medical ethics among clinicians at Patan Academy of Health Sciences (PAHS). We then follow up with the effect of teaching clinical ethics to medical students (Study-2). The purpose of this study is to assess the awareness regarding appropriate ethical principles, application of medical ethics and the effect of teaching medical ethics to students. Methods: There are two studies presented: Study-1 is a cross-sectional questionnaire-based study. A total of 72 participants, selected by simple random sampling, included doctors working as interns, medical officers and consultants in six departments of PAHS. Study-2 was a follow-up, cross-sectional online questionnaire-based comparative study conducted at PAHS to compare KAP of medical ethics among medical officers with and without formal medical ethics training. We used the validated questionnaire from our previous study. All graduates of PAHS 2016 and all medical officers employed at PAHS at the time of study who had graduated from other medical schools that did not include Medical Ethics in their core curriculum were included. Results: Study-1: A positive correlation between Knowledge(p = 0.088), Attitude (p = 0.002), Practice of medical ethics(p = 0.000), and years of practice was found. No significant difference in KAP of medical ethics between MBBS graduates from Nepal and abroad (p = 0.190) was found. The majority scored poorly in issues concerning autonomy. The follow-up study found a statistically significant difference (p = 0.000) in the knowledge between the doctors who were taught medical ethics and those who were not. Conclusions: Doctors find it easier to discuss ethical dilemmas with their colleagues rather than department heads. The KAP of the consultants were found to be better than that of the interns and medical officers. Autonomy is the least understood ethical principle. ‘Medical Ethics’ as a part of the core curriculum in medical schools would improve ethical practice.

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