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A Roundtable Discussion on Inclusive Research Training with People with Idd and Academic Researchers
No full textPsychologische veiligheid in organisaties:Het kan wel!
No full textGrensoverschrijdend gedrag en psychologische veiligheid in organisaties staan erg in de belangstelling. Als het ergens fout gaat, springt de media er bovenop waardoor de gevolgen voor alle betrokkenen nog worden verergerd. Wat we in de krant lezen is nog maar het topje van de ijsberg. De meeste gevallen van een onveilige situatie krijgen geen publiciteit. Organisaties willen niet negatief in het nieuws komen en spannen zich mede daarom in om grensoverschrijdend gedrag te voorkomen. Ze besteden veel tijd aan de ontwikkeling van beleid om de psychologische veiligheid te verhogen. Met als basis ervoor te zorgen dat mensen zich durven te uiten en daardoor meer plezier in hun werk hebben. De ervaring leert dat het verhogen van psychologische veiligheid niet vanzelf gaat. Waar te beginnen? Wat heeft prioriteit? Het is complex met een aanzienlijke kans op mislukking en voelt soms aan als een wespennest. Dit boek bespreekt wat psychologische veiligheid inhoudt – en wat niet. Het gaat in op de gevolgen. Vooral geeft het boek richting met concrete handvatten en gespreksvormen waarmee je de psychologische veiligheid in je eigen organisatie daadwerkelijk kan verhogen. De voorbeelden uit de dagelijkse praktijk tonen aan dat het wél kan! Het boek is bestemd voor bestuurders, managers en andere leidinggevenden die zich inzetten voor het bevorderen van de psychologische veiligheid. Ook bijvoorbeeld coaches zullen zeer praktische aanknopingspunten in dit boek vinden.<br/
Dutch Therapists’ Professional Autonomy and Moral Agency After the Marketization and Bureaucratization of Mental Healthcare: Between Impracticalities and Impossibilities
No full textOver the last decades, western mental healthcare has increasingly been governed by market and bureaucratic principles. As a consequence, therapists are faced with conflicting demands and decreased autonomy. This study examines how they cope and whether their strategies suffice. Drawing on the direct experience of therapists through interviews, we demonstrate that psychologists have become quite skilled at balancing and navigating bureaucratic and market demands that were at odds with professionalism. However, when they were structurally faced with bureaucratic and market demands that were already irreconcilable with each other, these skills fell short. Trying to meet all requirements took up so much of their resources that sometimes, professional reasoning and agency disappeared altogether. In some cases, this led to detachment, burnout, and patient neglect. Our findings suggest that the public interest in having a well-functioning mental healthcare system requires more room for professional autonomy
Geschiedenis en totstandkoming van de zorgstandaard Zingeving in de psychische hulpverlening.:Op zoek naar onderzoeksvragen
No full textHandboek Psychiatrie en religie:Levensbeschouwelijke diversiteit in de geestelijke gezondheidszorg. Tweede, geheel herziene druk.
No full textHow to study marginalized history: the case of ‘citizenship education’ in historical social movements
No full text'It is important to feel invited’: what patients require when using the Utrecht Symptom Diary–4 Dimensional, a qualitative exploration.
No full textBackground:In palliative care, the Utrecht Symptom Diary – 4 Dimensional (USD-4D), a Dutch-adapted and validated patient-reported outcome measure, supports multidimensional symptom management through identification and monitoring of, as well as dialogue on symptoms and needs. For the USD-4D to optimally support patients’ autonomy, it is essential to know what patients need to use it.Objective:This study aims to identify what patients need when using the USD-4D in clinical palliative care.Design:A generic qualitative design with primary and secondary analyses of semistructured interviews.Methods:Patients ⩾18 years with a life-limiting illness were purposefully recruited within hospice and home care settings if they were in their last year of life as identified by the surprise question. Patients had to be aware of their life-threatening condition. Patients were selected in two tranches. In the first tranche, patients had to have completed the USD-4D at least once. The second tranche consisted of patients who were not familiar with the USD-4D in clinical practice and were interviewed in a previous study on the content validity of the USD-4D. The interviews were transcribed verbatim and were subjected to thematic analysis.Results:Twenty-five patients were included (14 men, ages 44–87). Patients’ needs when using the USD-4D were summarized in three themes: (1) feeling invited, (2) being aware of the purpose and function of the USD-4D, and (3) experiencing a personal and nonjudgmental approach.Conclusion:For patients to optimally benefit from the USD-4D as a supportive measure of their autonomy in clinical palliative care, it is essential that they feel invited to use it. Healthcare providers are tasked with setting the right preconditions for patients to want and to be able to use the USD-4D. For patients, this means healthcare providers should always be attuned to their personal preferences when communicating the purpose and function of the USD-4D and when they enter into dialogue with them
