Bringing person-centeredness and active involvement into reality

2015 ◽  
Vol 115 (6) ◽  
pp. 518-533 ◽  
Author(s):  
Rikke Torenholt ◽  
Gitte Engelund ◽  
Ingrid Willaing

Purpose – The purpose of this paper is to examine the use and applicability of cultural probes – an explorative participatory method to gain insights into a person’s life and thoughts – to achieve person-centeredness and active involvement in self-management education for people with chronic illness. Design/methodology/approach – An education toolkit inspired by the ideas of cultural probes was developed and feasibility tested in 49 education settings in Denmark. Questionnaires, interviews, and observations were used to collect data, which were analysed using descriptive statistics, analysis of variance, and systematic text condensation. Findings – Educators emphasized the applicability of the toolkit, and between 69 and 82 per cent of educators reported that the toolkit supported them in facilitating person-centred education and active involvement to a high or very high degree. Most educators (81 per cent) reported that they would like to apply the toolkit again in future education to a high or very high degree. Five categories of educator experiences were identified: interaction and activity; person-centeredness; group dynamics and synergy; openness; and light and cheerful atmosphere. Educators talked significantly less in situations where the toolkit was applied. This indicates the ability of the toolkit to facilitate talk among participants and thereby let participants become the focal point of education. Applying cultural probes in patient education targeting people with chronic illness seems to be a useful method to achieve patient-centeredness and active involvement in patient education and to support educators in facilitating this process. Originality/value – Introducing fully flexible education toolkits inspired by cultural probes may, in the future, lead to improved self-management patient education among people with chronic illness.


2014 ◽  
Vol 114 (2) ◽  
pp. 152-165 ◽  
Author(s):  
Tue Helms Andersen ◽  
Nana Folmann Hempler ◽  
Ingrid Willaing

Purpose – The purpose of this paper is to explore educators’ experiences of putting a participatory and patient-centered education model, “The Health Education Juggler,” into practice after having attended a one-day seminar. The model consists of four educator roles in participatory group-based patient education in chronic illness: embracer (takes care of the group), facilitator (generates dialogue and participation), translator (communicates professional knowledge) and initiator (motivates action in patients). Design/methodology/approach – Qualitative analysis of observations of eight group-based patient education sessions and seven in-depth semi-structured interviews with 11 educators. Findings – Educators find it difficult to include disease-specific knowledge when working with a flexible patient-centered approach. They tend to stay in the role they find most comfortable during education sessions (most often that of embracer), rather than adopting new and more challenging roles in the teaching process. Educators theoretically understand the role of facilitator, but they do not know how to perform in this role in practice. The ability to juggle all educator roles depends on the ability to master each. Practical implications – The Health Education Juggler model shows promise in promoting participation and patient-centeredness and as a reflection tool for educators and an analytic tool for quality assessment of patient education. These findings support further development of model use. Originality/value – This model of educator roles in group-based patient education in chronic illness provides a new approach to patient education. It indicates the need for various professional competencies among educators to provide patient-centered education in a flexible way, with a strong focus on patient-identified problems and challenges, social learning processes and generation of internal motivation in patients.



2015 ◽  
Vol 19 (3) ◽  
pp. 140-149 ◽  
Author(s):  
Joanna Collicutt

Purpose – The purpose of this paper is to report a pilot study that evaluated an innovative practice in a faith community context designed to help older people live well at the end of life and prepare for death. Design/methodology/approach – A simple audit of the intervention using a contemporaneous journal kept by the author, and a follow up questionnaire completed by participants. Findings – Rich findings on the process are reported. These indicate a high degree of engagement by participants, the establishment of a high degree of group intimacy and trust, a high level of articulation of wisdom, the emergence of significant anxiety in some isolated cases, and the use made of tea and cake to manage the transition between the existentially demanding nature of the discussions and normal life. The outcome indicated very high levels of appreciation and increased confidence in relation to issues of death and dying. Practical implications – The findings of the pilot have been used to inform training of clergy in the principles of working in this area (e.g. in ways of managing group dynamics and anxiety, pacing, tuning in to archetypes and the natural symbols that people use to talk about death and dying, self-care and supervision of the programme leader/facilitator). Originality/value – The paper adds to knowledge in terms of an in depth description of processes at work in a group of older people working on spiritual and practical issues in relation to death, and offers ideas for supporting older people in this process, some of which are specific to the Christian tradition, and some of which are more widely applicable to people of all faiths and none. It gives a specific worked example of what “spiritual care” in this area might look like.



2018 ◽  
Vol 6 (21) ◽  
Author(s):  
Nikolay V. Volozhantsev ◽  
Egor A. Denisenko ◽  
Angelina A. Kislichkina ◽  
Vera P. Myakinina ◽  
Valentina M. Krasilnikova ◽  
...  

ABSTRACT Two lytic double-stranded DNA bacteriophages, VSe11 and VSe102, infecting broad-spectrum Salmonella enterica were isolated from the sewage of two different poultry farms. The phage genomes comprise 86,360 bp and 86,365 bp, respectively, with a G+C content of 39.0%, and both contain 129 putative coding sequences.



2014 ◽  
Vol 32 (1) ◽  
pp. 98-119 ◽  
Author(s):  
Elaine Menard ◽  
Margaret Smithglass

Purpose – The purpose of this paper is to present the results of the first phase of a research project that aims to develop a bilingual interface for the retrieval of digital images. The main objective of this extensive exploration was to identify the characteristics and functionalities of existing search interfaces and similar tools available for image retrieval. Design/methodology/approach – An examination of 159 resources that offer image retrieval was carried out. First, general search functionalities offered by content-based image retrieval systems and text-based systems are described. Second, image retrieval in a multilingual context is explored. Finally, the search functionalities provided by four types of organisations (libraries, museums, image search engines and stock photography databases) are investigated. Findings – The analysis of functionalities offered by online image resources revealed a very high degree of consistency within the types of resources examined. The resources found to be the most navigable and interesting to use were those built with standardised vocabularies combined with a clear, compact and efficient user interface. The analysis also highlights that many search engines are equipped with multiple language support features. A translation device, however, is implemented in only a few search engines. Originality/value – The examination of best practices for image retrieval and the analysis of the real users' expectations, which will be obtained in the next phase of the research project, constitute the foundation upon which the search interface model that the authors propose to develop is based. It also provides valuable suggestions and guidelines for search engine researchers, designers and developers.





1993 ◽  
Vol 79 (1) ◽  
pp. 142-144 ◽  
Author(s):  
Vijendra K. Jain ◽  
Masakazu Takayasu ◽  
Satnam Singh ◽  
Devendra K. Chharbra ◽  
Kenichiro Sugita

✓ The authors present their technique of occipital-axis posterior wiring and fusion for atlantoaxial dislocation associated with an occipitalized atlas. The technique consists of drilling a 3 × 1-cm horizontal groove in the occipital bone 1 cm posterior to the foramen magnum and building up a bony bridge along the posterior margin of the foramen magnum. This bony bridge is referred to as an “artificial atlas.” Conventional wiring and fusion is performed between the artificial atlas and the C-2 lamina, interposing a strut bone graft. Since the compression force on tightening the wire is vertical, a very high degree of stability for the occipital-C-2 complex is achieved, facilitating early mobilization without postoperative redislocation.



2005 ◽  
Vol 15 (2) ◽  
pp. 224-239 ◽  
Author(s):  
Anne Rogers ◽  
Anne Kennedy ◽  
Elizabeth Nelson ◽  
Andrew Robinson


Author(s):  
Ralf T. Jacobs ◽  
Thomas Wondrak ◽  
Frank Stefani

Purpose The contactless inductive flow tomography is a procedure that enables the reconstruction of the global three-dimensional flow structure of an electrically conducting fluid by measuring the flow-induced magnetic flux density outside the melt and by subsequently solving the associated linear inverse problem. The purpose of this study is to improve the accuracy of the computation of the forward problem, since the forward solution primarily determines the accuracy of the inversion. Design/methodology/approach The tomography procedure is described by a system of coupled integral equations where the integrals contain a singularity when a source point coincides with a field point. The integrals need to be evaluated to a high degree of precision to establish an accurate foundation for the inversion. The contribution of a singular point to the value of the surface and volume integrals in the system is determined by analysing the behaviour of the fields and integrals in the close proximity of the singularity. Findings A significant improvement of the accuracy is achieved by applying higher order elements and by attributing special attention to the singularities inherent in the integral equations. Originality/value The contribution of a singular point to the value of the surface integrals in the system is dependent upon the geometry of the boundary at the singular point. The computation of the integrals is described in detail and the improper surface and volume integrals are shown to exist. The treatment of the singularities represents a novelty in the contactless inductive flow tomography and is the focal point of this investigation.



Author(s):  
Cecil E. Hall

The visualization of organic macromolecules such as proteins, nucleic acids, viruses and virus components has reached its high degree of effectiveness owing to refinements and reliability of instruments and to the invention of methods for enhancing the structure of these materials within the electron image. The latter techniques have been most important because what can be seen depends upon the molecular and atomic character of the object as modified which is rarely evident in the pristine material. Structure may thus be displayed by the arts of positive and negative staining, shadow casting, replication and other techniques. Enhancement of contrast, which delineates bounds of isolated macromolecules has been effected progressively over the years as illustrated in Figs. 1, 2, 3 and 4 by these methods. We now look to the future wondering what other visions are waiting to be seen. The instrument designers will need to exact from the arts of fabrication the performance that theory has prescribed as well as methods for phase and interference contrast with explorations of the potentialities of very high and very low voltages. Chemistry must play an increasingly important part in future progress by providing specific stain molecules of high visibility, substrates of vanishing “noise” level and means for preservation of molecular structures that usually exist in a solvated condition.



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