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Om grensoverschrijdend gedrag tegen te gaan, moeten we het probleem bij de wortel aanpakken
Met de maatregelen die nu voorliggen zal grensoverschrijdend gedrag niet worden aangepakt of voorkomen. Wat ze namelijk vooral doen, is de verantwoordelijkheid bij de slachtoffers neerleggen, terwijl ze de onderliggende structuren die grensoverschrijdend gedrag veroorzaken intact houden. Dat moet anders, zegt Stijn Klarenbeek
How end-of-life care was limited during the first 18 months of the COVID-19 pandemic:a longitudinal survey study among healthcare providers (the CO-LIVE study)
BackgroundDuring the COVID-19 pandemic, the way in which end-of-life care was provided, underwent a lot of changes and therefor different domains of end-of-life care were impacted. The aim of this study is to describe whether health care providers considered end-of-life care (in medical, nursing, psychosocial and spiritual care) limited by the pandemic through the first 18 months of the COVID-19 pandemic, and examine associations with COVID-19 related circumstances of care (e.g. visit restrictions) and health care providers’ characteristics.MethodsA longitudinal survey study among healthcare providers from different healthcare settings who provided end-of-life care during the pandemic’s first 18 months. Data of four time periods were analyzed using descriptive statistics and Generalized Estimating Equation.ResultsOf the respondents (n = 302) the majority had a nursing background (71.8%) and most worked in a hospital (30.3%). Especially in the first wave end-of-life care in all aspects was limited according to a substantial part of health care providers (between 29.7 and 57.7%). Psychosocial and spiritual care were more limited than medical and nursing care during all time periods. Care being limited according to health care providers was associated with visit restrictions, shortness of personal protective equipment or restrictions in caring for the deceased and decreased over time.ConclusionThe COVID-19 pandemic impacted different aspects of end-of-life care throughout the pandemic’s first 18 months. Over the course of the pandemic health care providers seemed to have invented ways to adjust their work in order to minimize the effect of limiting measures. More involvement of health care providers in decision-making may improve the prioritization of measures to deal with crisis situations in care. These reflections highlight priorities during crises and the role healthcare providers could play in maintaining good end-of-life care. This remains relevant in new health crises, where care may differ from what is considered good quality of care
Treatment Alliance: A Bridge over the Religiosity Gap?
Many mental health care patients, regardless of their religious beliefs, prefer a similar outlook on life with their professional caregivers. Patients experience greater openness to discuss religion and spirituality (R/S), mutual understanding, less fear of disapproval and report a higher treatment alliance. The question is whether the core problem of a so-called ‘religiosity gap’ (RG) lies in (a) an objective difference in outlook on life, (b) a perceived difference in outlook on life or (c) in unmet R/S care needs. We explored this by matching data of 55 patients with their respective caregivers for a quantitative analysis. An actual (objective) RG, when patients were religious and caregivers not, was not associated with a lower treatment alliance but a difference in intrinsic religiosity, especially when caregivers scored higher than patients, was related to a lower treatment alliance. A subjective RG, perceived by patients, and a higher level of unmet R/S care needs were also significantly associated with a lower treatment alliance as rated by patients. These results emphasize that sensitivity, respect and openness regarding R/S and secular views are essential elements in treatment and might benefit the treatment relationship.<br/
When Facts Only Go So Far: Decentering What it Means to Know and Understand as a Care-ethical Researcher in a Polarized, Post-Truth Era.
“That We Get More Trust, We Just Want So Much More”:Professional Attitudes and Children’s Practices Enhancing Risky Play: Towards a Model of Influencing Factors
Pedagogy with a heartbeat: The transformative potential of citizen science in education
Over the past few years, we have worked together in a citizen science project called Diamonds on the Soles of our Feet (see also Goldin et al. 2021, Goldin et al., 2023). In this project we engaged with 420 young learners in the Limpopo Province of South Africa. We came to see participating schools as collaborative ecosystems where young citizens become entangled with water through experiential encounters that make science alive and relevant. Through our engagement with citizen science, we experienced the transformative power of affect and the relevance of emotions in education as a social and political project. In our pedagogy we depart from the idea that human beings are separate from the biosphere, thus recognising the interdependency of all life forms on earth. We believe that keeping science education in laboratories and libraries affirms what Bozalek and Zemblyas (2023) call “privileged irresponsibility”. We propose that citizen science and its transformative potential can be one way to redress such irresponsibility. Through impactful encounters with human – nonhuman entanglement and the emotions which are evoked in this process, citizen science can create opportunities for responseability (Bozalek & Zemblyas, 2023), through teaching and learning with the heart. Such entanglement also resonates with relationality as the currency of care theorists. In the context of our citizen science work, caring for unfamiliar others is a form of non-humancentred care with unfamiliar water bodies in which the binary of inside-outside learning becomes porous as the geographies of water penetrate the classroom walls. In Diamonds on the Soles of our Feet, we noted how watery spaces and images move back and forth caring-with and through human bodies – waterbodies to school, school to waterbodies. The entanglement with the nonhuman resonates with Massumi’s (2015) notion of becoming where there is an unrolling of an event that is a becoming of two together
Wéér vergeten we te luisteren naar de gedupeerden in het Toeslagenschandaal
Toeslagen | In de berichtgeving over het Toeslagenschandaal dreigen de ervaringen van de getroffen ouders en jongeren verloren te gaan, zien Nicole Immler en Niké Wentholt