scholarly journals Taking a step into the unknown: facilitators’ role and experiences after attending the Foundation Practice Development School

2020 ◽  
Vol 10 (2) ◽  
pp. 1-14
Author(s):  
Therese Hirsbrunner ◽  
◽  
Esther Siegrist ◽  
Horst Rettke ◽  
Irena Anna Frei ◽  
...  

Background: Skilled practice development facilitators are a key factor in practice development. Facilitators not only need technical skills, but also the ability to establish trustful relationships and an environment in which team members feel safe to explore their practice. Aims: The aim of the study was to explore how participants at the International Practice Development Collaborative’s Foundation Practice Development School in German-speaking Switzerland succeed in developing their roles as facilitators in their clinical settings, and which factors support or impede their path towards becoming experienced facilitators. The secondary aim was to identify factors that could inform future practice development foundation schools. Methods: A qualitative approach was chosen, using the structured dialogue technique in the context of group discussions. Data analysis was performed by means of knowledge mapping, following Mayring’s qualitative content analysis. Findings/results: A total of 30 participants of the foundation practice development schools held between 2015 and 2018 attended the group discussions. As novice facilitators, they were highly motivated after the school, but they needed courage to critically analyse their practice within their busy day-to-day work and to take a leading role as facilitators. The study participants are clear that time and space for reflection, support from managers and learning opportunities are preconditions for a successful journey as practice developers. Conclusions and implications for practice: A special focus is needed on the reflective skills of novice facilitators to enable them to take time for self-reflection in busy workplaces The implementation of a mentoring programme for foundation school participants in German-speaking Switzerland has to be considered The involvement of the managers of school attendees needs to be considered from the outset, hence refocusing the preparation work of participants More practical guides and basics in German should be made available

Animals ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1707
Author(s):  
Erna Törmälehto ◽  
Riikka Korkiamäki

Previous research has shown features of an attachment bond to be fulfilled in, for instance, human–dog dyads; however, there is a considerable lack of research on the potential attachment in human–horse relationships. Employing Bowlby’s criteria of an attachment bond and Pierce’s model of therapeutically powerful activity, this article studies whether short-term exposure to horses brings about elements of emerging attachment for adolescents and if this interaction holds potential in creating a favorable early-stage setting for professional care. It draws from group discussions carried out with nine 16–17-year-old adolescents who participated in an EASEL (Equine-Assisted Social and Emotional Learning) session when visiting a farm with a youth worker. A qualitative content analysis of the discussions revealed that some characteristics of the four principal criteria of an attachment bond—proximity maintenance, safe haven, secure base, and separation distress—were identifiable in the adolescents’ expressed experiences of observing and interacting with horses. Moreover, the three main sources of therapeutic power—appeal, accuracy, and intactness—intersected with the emerging development of the adolescents’ attachment to horses. Additionally, space for self-reflection was enhanced by the presence of the horses. The study offers insights into the potential of human–horse attachment in dealing with adolescents with and without special needs for various therapy and care purposes.


2017 ◽  
Vol 76 (3) ◽  
pp. 91-105 ◽  
Author(s):  
Vera Hagemann

Abstract. The individual attitudes of every single team member are important for team performance. Studies show that each team member’s collective orientation – that is, propensity to work in a collective manner in team settings – enhances the team’s interdependent teamwork. In the German-speaking countries, there was previously no instrument to measure collective orientation. So, I developed and validated a German-language instrument to measure collective orientation. In three studies (N = 1028), I tested the validity of the instrument in terms of its internal structure and relationships with other variables. The results confirm the reliability and validity of the instrument. The instrument also predicts team performance in terms of interdependent teamwork. I discuss differences in established individual variables in team research and the role of collective orientation in teams. In future research, the instrument can be applied to diagnose teamwork deficiencies and evaluate interventions for developing team members’ collective orientation.


2020 ◽  
Vol 22 (1) ◽  
pp. 79-101
Author(s):  
Aaron Lahl ◽  
Patrick Henze

The Swiss psychoanalyst Fritz Morgenthaler (1919–84) is well known in German-speaking psychoanalysis as an early exponent of Heinz Kohut's self psychology, as an ethnopsychoanalytic researcher and as an original thinker on the topics of dreams, psychoanalytic technique and especially on sexuality (perversions, heterosexuality, homosexuality). In 1980, he presented the first psychoanalytic conception of homosexuality in the German-speaking world that did not view homosexuality in terms of deviance or pathology. His theory of ‘junction points’ ( Weichenstellungen) postulates three decisive moments in the development of homosexuality: a prioritized cathexis of autoeroticism in narcissistic development, a Janus-facedness of homosexual desire as an outcome of the Oedipal complex and the coming out in puberty. According to Morgenthaler, this development can result in non-neurotic or neurotic homosexuality. Less known than the theory of junction points and to some degree even concealed by himself (his earlier texts appeared later on in corrected versions) are Morgenthaler's pre-1980 accounts of homosexuality which deserve to be called homophobic. Starting with a discussion of this early work, the article outlines Morgenthaler's theoretical development with special focus on his theory of junction points and how this theory was taken up in psychoanalytic theory.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fabian Maximilian Johannes Teichmann ◽  
Marie-Christin Falker

Purpose This paper aims to illustrate how illegally obtained funds are laundered through raw diamonds in Austria, Germany, Liechtenstein and Switzerland. Design/methodology/approach To identify specific money laundering techniques involving raw diamonds, this study used a qualitative content analysis of data collected from 60 semi-standardized interviews with both criminals and prevention experts and a quantitative survey of 200 compliance officers. Findings Raw diamonds are extraordinarily suitable for money laundering in European German-speaking countries. In particular, they may be used in all three stages of the laundering process, namely, placement, layering and integration. Research limitations/implications Because the qualitative findings are based on semi-standardized interviews, their insights are limited to the perspectives of the 60 interviewees. Practical implications Identifying gaps in existing anti-money laundering mechanisms should provide compliance officers, law enforcement agencies and legislators with valuable insights into how criminals operate. Originality/value While prior studies focus on the methods used by organizations to combat money laundering and how to improve anti-money laundering measures, this paper investigates how money launderers operate to avoid detection, thereby illustrating authentic experiences. Its findings provide valuable insights into the minds of money launderers and combines criminal perspective with that of prevention experts.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e037874
Author(s):  
Lisa Hinton ◽  
James Hodgkinson ◽  
Katherine L Tucker ◽  
Linda Rozmovits ◽  
Lucy Chappell ◽  
...  

ObjectiveOne in 20 women are affected by pre-eclampsia, a major cause of maternal and perinatal morbidity, death and premature birth worldwide. Diagnosis is made from monitoring blood pressure (BP) and urine and symptoms at antenatal visits after 20 weeks of pregnancy. There are no randomised data from contemporary trials to guide the efficacy of self-monitoring of BP (SMBP) in pregnancy. We explored the perspectives of maternity staff to understand the context and health system challenges to introducing and implementing SMBP in maternity care, ahead of undertaking a trial.DesignExploratory study using a qualitative approach.SettingEight hospitals, English National Health Service.ParticipantsObstetricians, community and hospital midwives, pharmacists, trainee doctors (n=147).MethodsSemi-structured interviews with site research team members and clinicians, interviews and focus group discussions. Rapid content and thematic analysis undertaken.ResultsThe main themes to emerge around SMBP include (1) different BP changes in pregnancy, (2) reliability and accuracy of BP monitoring, (3) anticipated impact of SMBP on women, (4) anticipated impact of SMBP on the antenatal care system, (5) caution, uncertainty and evidence, (6) concerns over action/inaction and patient safety.ConclusionsThe potential impact of SMBP on maternity services is profound although nuanced. While introducing SMBP does not reduce the responsibility clinicians have for women’s health, it may enhance the responsibilities and agency of pregnant women, and introduces a new set of relationships into maternity care. This is a new space for reconfiguration of roles, mutual expectations and the relationships between and responsibilities of healthcare providers and women.Trial registration numberNCT03334149.


TEM Journal ◽  
2021 ◽  
pp. 508-516
Author(s):  
Deepti Mishra ◽  
Gonca Gokce Menekse Dalveren ◽  
Frode S. Volden ◽  
Carly Grace Allen

Group work is a necessary element of engineering education and group members need information about one another, group process, shared attention and mutual understanding during group discussions. There are several important elements for establishing and maintaining a group discussion such as participant’s role, seating arrangement, verbal and non-verbal cues, eye gaze, gestures etc. The present study investigates these elements for identifying the behavior of group members in a blend of traditional face-to-face discussion along with computer supported cooperative work (CSCW) setting. The results of this study have shown that, speaking duration is the key factor for identifying the leadership in a group and participants mostly used eye gazes for turn taking. Although this study is a mix of face-to-face and CSCW discussion setting, participants mostly behave like faceto- face group discussion. However, unlike the previous studies involving face-to-face discussion, the relation between seating arrangement and amount of attention is not apparent from the data during this study.


2021 ◽  
pp. 028418512110572
Author(s):  
Gustav Alvfeldt ◽  
Peter Aspelin ◽  
Lennart Blomqvist ◽  
Nina Sellberg

Background In 2014, a national workshop program was initiated and a reporting template and manual for rectal cancer primary staging using magnetic resonance imaging (MRI) was introduced and made available by the national Swedish Colorectal Cancer Registry. Purpose To evaluate the effect of the national template program by identify if there was a gap between the content in Swedish MRI reports from 2016 and the national reporting template from 2014. The aim was to explore and compare differences in content in reporting practice in different hospitals in relation to the national reporting template, with focus on: (i) identifying any implementational differences in reporting styles; and (ii) evaluating if reporting completeness vary based on such implementational differences. Material and Methods A total of 250 MRI reports from 10 hospitals in four healthcare regions in Sweden were collected. Reports were analyzed using qualitative content analysis with a deductive thematic coding scheme based on the national reporting template. Results Three different implemented reporting styles were identified with variations of content coverage in relation to the template: (i) standardized and structured protocol (reporting style A); (ii) standardized semi-structured free-text (reporting style B); and (iii) regular free-text (reporting style C). The relative completeness of reporting practice of rectal cancer staging in relation to the national reporting template were 92.9% for reporting style A, 77.5% for reporting style B, and 63.9% for reporting style C. Conclusion The implementation of template-based reporting according to reporting style A is a key factor to conform to evidence-based practice for rectal cancer reporting using MRI.


BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000458
Author(s):  
William O Cooper ◽  
Nancy M Lorenzi ◽  
Heather A Davidson ◽  
Cynthia A Baldwin ◽  
Daniel M Feinberg ◽  
...  

BackgroundCrisis plans for healthcare organisations most often focus on operational needs including staffing, supplies and physical plant needs. Less attention is focused on how leaders can support and encourage individual clinical team members to conduct themselves as professionals during a crisis.MethodsThis qualitative study analysed observations from 79 leaders at 160 hospitals that participate in two national professionalism programmes who shared their observations in focus group discussions about what they believed were the essential elements of leading and addressing professional accountability during a crisis.ResultsAnalysis of focus group responses identified six leadership practices adopted by healthcare organisations, which were felt to be essential for organisations to navigate the crisis successfully. Unique aspects of maintaining professionalism during each phase of the pandemic were identified and described.ConclusionsLeaders need a plan to support an organiation’s pursuit of professionalism during a crisis. Leaders participating in this study identified practices that should be carefully woven into efforts to support the ongoing safety and quality of the care delivered by healthcare organisations before, during and after a crisis. The lessons learnt from the COVID-19 pandemic may be useful during subsequent crises and challenges that a healthcare organisation might experience.


Author(s):  
Yuliya Yurievna Sugrobova ◽  
Irina Daniilovna Karpova ◽  
Yuliya Olegovna Dorofei

This article analyzes the main factors of anthropological crisis, its attributes, impact upon the worldview, psychological, and cultural characteristics of the modern global network generation of Millennials and Centennials. An overview is given to the sources, in which the authors raise the problems of personal crisis, its causes, as well as the prospects for further development of humanity. Analysis is conducted on key traits in communication of collective society, peculiarities of behavioral communication strategy in the conditions of Informatization of the society. The article provides the results of modern research of R. Jenkins and the agency PBN H+K jointly with Magram MR, as well as “Tomsk initiative” project on the representatives of Millennials – “generation Y” and Centennials – “generation Z”; comparative characteristics of their value orientations and life strategies is given. The current formation and development of the new cultural space with the specific features of global, universal, technologized, virtual nature is demonstrated. The role of Net-technologies is revealed; being the key factor of the transformation of modern space, change the forms of sociocultural interaction, production techniques, transformation and conveyance of information, require elaboration of the special forms of spiritual and practical mastering of the reality and self-reflection of the individuals. An assumption is made that due to the technologies of globalization and ideology of postmodernism, takes place the uniformity of social and political structures, destruction of the forms of human identification – cultural, historical and spiritual, as well as destruction of the worldview foundations of personal becoming. Deidentification of a person becomes the key reason of the anthropological crisis.


2020 ◽  
Author(s):  
Manya J Hendriks ◽  
Erika Harju ◽  
Katharina Roser ◽  
Marcello Ienca ◽  
Gisela Michel

Abstract Background The long-term consequences of childhood cancer have received increasing attention due to the growing number of survivors over the past decades. However, insurance hardships of survivors and their families are mostly unknown. This study explored qualitatively, in a sample of childhood cancer survivors (CCS), (i) the experiences and needs of CCS living in Switzerland with a special focus on hardships related to insurance; and (ii) the views of insurance and law experts with experience on childhood cancer. Methods Semi-structured interviews were conducted with 28 childhood cancer survivors and 3 experts (one legal expert, two insurance experts). Data was analysed using qualitative content analysis. Results Three key themes emerged from the interviews with the CCS: 1) experiences with insurance, 2) perception of discrimination, and 3) needs and barriers for support. The interviewed experts provided further detailed clarification of CCS’ concerns. Our findings indicated that some CCS can move past their cancer history, while others continue to face hardships. CCS reported confusion about the opportunities and services within the social security system and most relied on their personal contacts for guidance. Finally, CCS expressed a strong need for socio-economic and legal support for social insurance questions, especially related to disability insurance. Conclusions With the growing population of CCS, it is essential to further assess the interplay between medical and psychosocial health and socio-economic hardship. Supportive psychosocial services should aim to ameliorate insurance hardships. Better understanding of the relationship between childhood cancer and insurance hardships during survivorship will inform efforts to improve long-term financial security and health outcomes for survivors. We call for the public, lawmakers, researchers, insurers, and patient organizations to come together and discuss future perspectives to avoid the risk of discrimination for cancer survivors.


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