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Inter-professional cooperation as collective ethics work: A contribution to inter-professional ethics

Thesis: Ethics work (Banks 2012, 2016) is a stimulating concept for the ethical improvement of inter-professional cooperation. Outline: Starting point: ideal-typical professionalism Introduction to ethics work Professionalism requires inter-professional cooperation Inter-professional expansion of ethics work Final remarks and further challenges

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Inter-professional cooperation as collective ethics work: A contribution to inter-professional ethics

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The clinical and educational outcomes of an inter-professional student-led medication review team

Abstract Aims The involvement of an inter-professional healthcare student team in the review of medications used by geriatric patients could not only provide patients with optimized therapy but also provide students with a valuable inter-professional learning experience. We describe and evaluate the clinical and learning outcomes of an inter-professional student-run mediation review program (ISP). Subject and method A variable team consisting of students in medicine, pharmacy, master advanced nursing practice, and master physician assistant reviewed the medication lists of patients attending a specialized geriatric outpatient clinic. Results During 32 outpatient visits, 188 medications were reviewed. The students identified 14 medication-related problems, of which 4 were not recognized by healthcare professionals. The ISP team advised 95 medication changes, of which 68 (71.6%) were directly implemented. Students evaluated this pilot program positively and considered it educational (median score 4 out of 5) and thought it would contribute to their future inter-professional relationships. Conclusion An inter-professional team of healthcare students is an innovative healthcare improvement for (academic) hospitals to increase medication safety. Most formulated advices were directly incorporated in daily practice and could prevent future medication-related harm. The ISP also offers students a first opportunity to work in an inter-professional manner and get insight into the perspectives and qualities of their future colleagues.

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The clinical and educational outcomes of an inter-professional student-led medication review team

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An inter-professional student-run medication review programme. Reducing adverse drug reactions in a memory outpatient clinic

ABSTRACT Background: We investigated if the addition of an inter-professional student-led medication review team (ISP-team) to standard care can increase the number of detected ADRs and reduce the number of ADRs 3 months after an outpatient visit. Research design and methods: In this controlled clinical trial, patients were allocated to standard care (control group) or standard care plus the ISP team (intervention group). The ISP team consisted of medical and pharmacy students and student nurse practitioners. The team performed a structured medication review and adjusted medication to reduce the number of ADRs. Three months after the outpatient visit, a clinical pharmacologist who was blinded for allocation performed a follow-up telephone interview to determine whether patients experienced ADRs. Results: During the outpatient clinic visit, significantly more (p < 0.001) ADRs were detected in the intervention group (n = 48) than in the control group (n = 10). In both groups, 60–63% of all detected ADRs were managed. Three months after the outpatient visit, significantly fewer (predominantly mild and moderately severe) ADRs related to benzodiazepine derivatives and antihypertensive causing dizziness were detected in the patients of the intervention group. Conclusions: An ISP team in addition to standard care increases the detection and management of ADRs in elderly patients resulting in fewer mild and moderately severe ADRs

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An inter-professional student-run medication review programme. Reducing adverse drug reactions in a memory outpatient clinic

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The development of the relationship between professional identity tensions and teacher identity

This longitudinal study investigated reciprocal associations among various professional identity tensions and Dutch primary student teachers’ teacher identity. Students (N = 201, 82.9% female) completed the professional identity tensions scale and the teacher identity measurement scale across three waves. Random intercept cross-lagged panel models showed that five out of nine investigated professional identity tensions were negatively associated with teacher identity at the inter-individual level. At the intra-individual level, no significant cross-lagged relationships were detected. Our findings imply that the development of professional identity tensions and teacher identity are not automatically interrelated and should, therefore, be both explicitly addressed in teacher education.

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The development of the relationship between professional identity tensions and teacher identity

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Sustaining International Partnerships: The European Master of Science Programme in Occupational Therapy, a Case Study

International partnerships are a mechanism for supporting the academic development of occupational therapy and promoting cultural competence. This case study describes the factors that have helped to sustain a post-qualifying programme implemented by five higher education institutions in Denmark, the Netherlands, Sweden, Switzerland and the UK since 1999. Data collection methods were documentary analysis and the reflections of a purposive sample of six key informants. Cohort and outcome data, from 193 students from 31 countries who enrolled between 1999 and 2011, are reported. Each cohort comprises students from an average of eight countries to optimize inter-cultural dialogue. Four factors support sustainability. These are 1) supportive professional European networks; 2) timeliness and alignment with European higher education policy; 3) partnership structures and processes that emphasize joint decision making and accountability; and 4) the stimulus and satisfaction associated with internationalization. The main limitations are considering the OT-EuroMaster as an intrinsic case study and using opportunistic data collection that undermines the rigor and transferability of the findings. Future opportunities include doctoral networks, transnational research and sharing our curricula design with other Regions to spread the collaborative, capacity building endeavours more widely.

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Sustaining International Partnerships: The European Master of Science Programme in Occupational Therapy, a Case Study

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The perspectives of in-hospital healthcare professionals on the timing and collaboration in advance care planning

BackgroundHospital admissions are common in the last phase of life. However, palliative care and advance care planning (ACP) are provided late or not at all during hospital admission.AimTo provide insight into the perceptions of in-hospital healthcare professionals concerning current and ideal practice and roles of in-hospital palliative care and advance care planning.MethodsAn electronic cross-sectional survey was send 398 in-hospital healthcare professionals in five hospitals in the Netherlands. The survey contained 48 items on perceptions of palliative care and ACP.ResultsWe included non-specialists who completed the questions of interest, resulting in analysis of 96 questionnaires. Most respondents were nurses (74%). We found that current practice for initiating palliative care and ACP was different to what is considered ideal practice. Ideally, ACP should be initiated for almost every patient for whom no treatment options are available (96.2%), and in case of progression and severe symptoms (94.2%). The largest differences between current and ideal practice were found for patients with functional decline (Current 15.2% versus Ideal 78.5%), and patients with an estimated life expectancy <1 year (Current 32.6% versus ideal 86.1%). Respondents noted that providing palliative care requires collaboration, however, especially nurses noted barriers like a lack of inter-professional consensus.ConclusionsThe differences between current and ideal practice demonstrate that healthcare professionals are willing to improve palliative care. To do this, nurses need to increase their voice, a shared vision of palliative care and recognition of the added value of working together is needed.

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The perspectives of in-hospital healthcare professionals on the timing and collaboration in advance care planning

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Beware of Branding Someone a Terrorist: Local Professionals on Person-Specific Interventions to Counter Extremism

This article is about the effect of local tailored interventions to counter (violent) extremism, and therefore contributes to the academic and policy debates. It focusses on local, professional perspectives on person-specific interventions utilising a Dutch case study as the basis. The interventions are part of the wider-ranging counter terrorism policy that entails (local) measures that are deployed in relation to designated high-risk individuals and groups. By reviewing policy documents and conducting semi-structured interviews, the exploratory study concludes that the key factors for a hand-tailored intervention are a solid network, expert knowledge to assess potential signs of extremist ideology, an awareness of not having too many concurrent measures, good inter-institutional cooperation and information-sharing. The professionals involved felt that person-specific interventions have contributed to reducing the threat of religious extremism in the Netherlands. Nonetheless, municipal officials and security agents emphasised the importance of setting realistic goals and a focus on preventive rather than repressive measures. Furthermore, despite the central role that municipal actors play, they run up against problems such as cooperation within the security and care sector. National entities appear to emphasize information-gathering and monitoring more than community-focused cooperation. Thereby questioning whether, on the national level, local professionals are perceived as playing a key role in dealing with extremism.

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Beware of Branding Someone a Terrorist: Local Professionals on Person-Specific Interventions to Counter Extremism

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Developing in a developing country

To be able to ‘survive’ in a more and more globalising world, students of universities and universities of applied sciences must attain international competencies, in this study defined as respectively general personal, social competencies, intercultural competencies, a command of foreign languages and international academic and professional competencies. International competencies can be attained in different ways by students: internally (via foreign teachers and/or students) and/or externally (via internships and/or exchanges). The external attainment of competencies is far more successful when students are well prepared and when they receive proper supervision, both during and after their stay abroad. If this is not the case, students often tend to develop at a personal, social and (inter)cultural level, but significantly less at an academic and professional level (Stronkhorst, 2005). These students are also often unable to recognize and express which knowledge and skills they attained during their stay abroad (Orahood et al., 2004; CERI, 2008; Deardorff, 2009). With the preceding information as a starting point, the Social Work degree programme of Windesheim University of Applied Sciences in Zwolle started the minor ‘Social Work in Africa & Asia’ in the beginning of 2014. Students who participate firstly pass through a a six-week preparatory theoretical programma, followed by a three-month internship in Uganda or Vietnam. The minor concludes with a two-week postmortem programme. The practical component of the minor involves Eye4Africa, a Dutch internship supervision agency for internships in Uganda, Kenya and Vietnam. Eye4Africa arranges the internships, prepares the students for their stay abroad, both in the Netherlands and abroad, and then offers them support, coaching and intervision meetings. At the initiative of and in collaboration with Eye4Africa The Hague University of Applied Sciences carried out a qualitative study amongst eight female students of the Social Work degree programme of Windesheim University of Applied Sciences who followed the minor ‘Social Work in Africa & Asia’ during the academic year 2014-2015. The following was key to the research conducted: the question of the extent to which preparation for the Social Work in Africa & Asia minor at Windesheim University of Applied Sciences and the supervision that the Eye4Africa internship agency offers fourth-year Social Work students during their internships in Uganda in the autumn of 2014 had a positive impact on the attainment and further development of international competencies. The results have shown that the students found it very easy to recognise and express the knowledge and skills they gained during their internships. Secondly, the students mentioned clear professional, intercultural and personal, social growth. No growth or development in relation to academic competencies was observed in this study. However, this is not unusual, as the students were doing internships. Academic competencies are particularly attained when studying abroad, while professional competencies are particularly attained during internships (Hoven & Walenkamp, 2013; 2015). The main conclusion of this study is that the preparation and the supervision by Windesheim University of Applied Sciences and Eye4Africa within the framework of the minor ‘Social Work in Africa & Asia’ has aided students with regard to growth and the (further) development of international competencies. Some important short comments are that a relatively small, very one-sided sample has been interviewed and that there was no control group.

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Investigating (inter)organisational data governance design in maintenance networks: developing a research methodology and crafting data collection methods

With information technologies becoming available on a growing scale, capturing large amounts of building information is becoming cheaper and economically viable. This is creating new challenges for real estate management organisations. Producing digital assets is one thing, managing them and knowing how to use them is another. The information management tasks and responsibilities of real estate management organisations therefore are becoming challenging and complex at the same time. Not in the least by the fact that in many situations, maintenance activities are outsourced to contractors and sub-contractors, creating maintenance networks. While building register information may be produced in the first place to fulfil the building owner’s needs, this research assumes building registers could also contribute to innovation in the greater maintenance network if the right form of data governance can be implemented. This paper, which is part of a larger research project, presents a research approach for investigating such governance designs for building registers. The approach is based on a qualitative research approach because it aims to address the stakeholders interests adequately and produce findings that are meaningful to all stakeholders for improving data governance in professional practice. Within a multiple case study methodology, an embedded case study design is presented that may provide a useful guide for researchers in this field. The proposed methodology will be used to conduct four in depth case studies. The intended outcome of this research is a theoretical framework that integrates data governance design factors with network innovation effects. It can be used to guide the design of (inter)organisational data governance programmes in maintenance networks.

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Inter-professional cooperation as collective ethics work: A contribution to inter-professional ethics

The clinical and educational outcomes of an inter-professional student-led medication review team

An inter-professional student-run medication review programme. Reducing adverse drug reactions in a memory outpatient clinic

The development of the relationship between professional identity tensions and teacher identity

Sustaining International Partnerships: The European Master of Science Programme in Occupational Therapy, a Case Study

The perspectives of in-hospital healthcare professionals on the timing and collaboration in advance care planning

Beware of Branding Someone a Terrorist: Local Professionals on Person-Specific Interventions to Counter Extremism

Developing in a developing country

Investigating (inter)organisational data governance design in maintenance networks: developing a research methodology and crafting data collection methods

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Inter-professional cooperation as collective ethics work: A contribution to inter-professional ethics

The clinical and educational outcomes of an inter-professional student-led medication review team

An inter-professional student-run medication review programme. Reducing adverse drug reactions in a memory outpatient clinic

The development of the relationship between professional identity tensions and teacher identity

Sustaining International Partnerships: The European Master of Science Programme in Occupational Therapy, a Case Study

The perspectives of in-hospital healthcare professionals on the timing and collaboration in advance care planning

Beware of Branding Someone a Terrorist: Local Professionals on Person-Specific Interventions to Counter Extremism

Developing in a developing country

Investigating (inter)organisational data governance design in maintenance networks: developing a research methodology and crafting data collection methods