Learning in Collaborative Moments

In this article, we describe experiences with dialogue evenings within a research collaboration on long-term care and dementia in the Netherlands. What started as a conventional process of ‘reporting back’ to interlocutors transformed over the course of two years into learning and knowing together. We argue that learning took place in three different articulations. First, participants learnt to expand their notion of knowledge. Second, they learnt to relate differently to each other and, therewith, to dementia. And third, participants learnt how to generate knowledge with each other. We further argue that these processes did not happen continuously, but in moments. We suggest that a framework of collaborative moments can be helpful for research projects that are not set up collaboratively from the start. Furthermore, we point to the work required to facilitate these moments.</jats:p

Non-medical prescribing behaviour in midwifery practice: a mixed-methods review

Background: Non-medical prescribing is a new skill in midwifery practice. Information is needed on whether this is an activity that is feasible, appropriate, meaningful and effective. Aim: To report on the determinants of midwife prescribing behaviour to inform midwifery practice. Method: A mixed-methods review using an integrated approach combining methodologically diverse data into a single mixed-methods synthesis. A systematic search of the literature was conducted. Data were categorised according the feasibility-appropriateness-meaningfulness-effectiveness (FAME) scale and thematised according the attitude, social-influence, self-efficacy (ASE) model. A thematic analysis, a Bayesian descriptive analysis and Bayesian Pearson correlations of the FAME-categories and ASE-themes were performed. Findings: Seven studies showing moderate to good quality were included for synthesis. The FAME categories feasibility and appropriateness tended to affect the utility of midwife prescribing; meaningfulness and effectiveness were related to non-utility of prescribing. There were weak to moderate correlations between the FAME categories and the ASE themes social influence, intention, barriers and supportive factors and perceived knowledge (r-.41 to-.34 and r.37 to .56). ASE themes showed a strong negative correlation between attitude and self-efficacy (r-.70); weak positive correlations between attitude and social influence (r.31) and perceived knowledge (r.30); a weak positive correlation between self-efficacy and social influence (r.30), and a weak negative correlation with intention (r-.31); a moderate negative correlation between social influence and barriers/ supportive factors (r-.50); a weak negative correlation between barriers/supportive factors and perceived knowledge (r-.38). Conclusion: Prescribing fits the midwife's professional role and maternity services and is enhanced by the midwife's willingness and supportive practice. Prescribing requires collaborative practice, meaningful relationships with women, (applied) knowledge, expertise, and theoretical, practical and logistic support in the clinical area. Implications. Midwives who consider prescribing or who are autonomous prescribers should be aware of their role and position as autonomous prescriber. They should reflect on their willingness to prescribe, self-efficacy, perceived knowledge, their cognitive beliefs about prescribing and the effect of prescribing on women in their care

Non-medical prescribing behaviour in midwifery practice: a mixed-methods review

Background: Non-medical prescribing is a new skill in midwifery practice. Information is needed on whether this is an activity that is feasible, appropriate, meaningful and effective. Aim: To report on the determinants of midwife prescribing behaviour to inform midwifery practice. Method: A mixed-methods review using an integrated approach combining methodologically diverse data into a single mixed-methods synthesis. A systematic search of the literature was conducted. Data were categorised according the feasibility-appropriateness-meaningfulness-effectiveness (FAME) scale and thematised according the attitude, social-influence, self-efficacy (ASE) model. A thematic analysis, a Bayesian descriptive analysis and Bayesian Pearson correlations of the FAME-categories and ASE-themes were performed. Findings: Seven studies showing moderate to good quality were included for synthesis. The FAME categories feasibility and appropriateness tended to affect the utility of midwife prescribing; meaningfulness and effectiveness were related to non-utility of prescribing. There were weak to moderate correlations between the FAME categories and the ASE themes social influence, intention, barriers and supportive factors and perceived knowledge (r-.41 to-.34 and r.37 to .56). ASE themes showed a strong negative correlation between attitude and self-efficacy (r-.70); weak positive correlations between attitude and social influence (r.31) and perceived knowledge (r.30); a weak positive correlation between self-efficacy and social influence (r.30), and a weak negative correlation with intention (r-.31); a moderate negative correlation between social influence and barriers/ supportive factors (r-.50); a weak negative correlation between barriers/supportive factors and perceived knowledge (r-.38). Conclusion: Prescribing fits the midwife's professional role and maternity services and is enhanced by the midwife's willingness and supportive practice. Prescribing requires collaborative practice, meaningful relationships with women, (applied) knowledge, expertise, and theoretical, practical and logistic support in the clinical area. Implications. Midwives who consider prescribing or who are autonomous prescribers should be aware of their role and position as autonomous prescriber. They should reflect on their willingness to prescribe, self-efficacy, perceived knowledge, their cognitive beliefs about prescribing and the effect of prescribing on women in their care

Cross-Border Dissemination of Methicillin-Resistant Staphylococcus aureus, Euregio Meuse-Rhin Region

MRSA clones were associated with hospital-associated clonal complexes and with Panton-Valentine leukocidin–positive community-associated MRSA

Non-medical prescribing behaviour in midwifery practice : a mixed-methods review

Background: Non-medical prescribing is a new skill in midwifery practice. Information is needed on whether this is an activity that is feasible, appropriate, meaningful and effective. Aim: To report on the determinants of midwife prescribing behaviour to inform midwifery practice. Method: A mixed-methods review using an integrated approach combining methodologically diverse data into a single mixed-methods synthesis. A systematic search of the literature was conducted. Data were categorised according the feasibility-appropriateness-meaningfulness-effectiveness (FAME) scale and thematised according the attitude, social-influence, self-efficacy (ASE) model. A thematic analysis, a Bayesian descriptive analysis and Bayesian Pearson correlations of the FAME-categories and ASE-themes were performed. Findings: Seven studies showing moderate to good quality were included for synthesis. The FAME categories feasibility and appropriateness tended to affect the utility of midwife prescribing; meaningfulness and effectiveness were related to non-utility of prescribing. There were weak to moderate correlations between the FAME categories and the ASE themes social influence, intention, barriers and supportive factors and perceived knowledge (r-.41 to-.34 and r.37 to .56). ASE themes showed a strong negative correlation between attitude and self-efficacy (r-.70); weak positive correlations between attitude and social influence (r.31) and perceived knowledge (r.30); a weak positive correlation between self-efficacy and social influence (r.30), and a weak negative correlation with intention (r-.31); a moderate negative correlation between social influence and barriers/ supportive factors (r-.50); a weak negative correlation between barriers/supportive factors and perceived knowledge (r-.38). Conclusion: Prescribing fits the midwife's professional role and maternity services and is enhanced by the midwife's willingness and supportive practice. Prescribing requires collaborative practice, meaningful relationships with women, (applied) knowledge, expertise, and theoretical, practical and logistic support in the clinical area. Implications. Midwives who consider prescribing or who are autonomous prescribers should be aware of their role and position as autonomous prescriber. They should reflect on their willingness to prescribe, self-efficacy, perceived knowledge, their cognitive beliefs about prescribing and the effect of prescribing on women in their care

Different Clonal Complexes of Methicillin-Resistant Staphylococcus aureus Are Disseminated in the Euregio Meuse-Rhine Region

The Euregio Meuse-Rhine (EMR) is formed by the border regions of Belgium, Germany, and The Netherlands. Cross-border health care requires infection control measures, in particular since the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) differs among the three countries. To investigate the dissemination of MRSA in the EMR, 152 MRSA isolates were characterized by pulsed-field gel electrophoresis (PFGE), SCCmec typing, and multilocus sequence typing. PFGE revealed major clonal groups A, G, L, and Q, suggesting dissemination of MRSA in the EMR. Group A harbored mainly SCCmec type III and sequence types (STs) 239 and 241. The majority of the strains from group G harbored SCCmec type I and ST8 and ST247, whereas most strains from group L carried either SCCmec type IV or type I. Within group L, ST8 and ST228 were found, belonging to clonal complexes 8 and 5, respectively. Most strains from group Q included SCCmec type II and were sequence typed as ST225. Both ST225-MRSA-II and ST241-MRSA-III were novel findings in Germany. In addition, the SCCmec type of two isolates has not been described previously. One strain was classified as SCCmec type III but harbored the pls gene and the dcs region. Another strain was characterized as SCCmec type IV but lacked the dcs region. In addition, one isolate harbored both SCCmec type V and Panton-Valentine leukocidin. Finally, the SCCmec type of the strains was found to be correlated with the antibiotic susceptibility pattern

Belgische en Nederlandse stadsgeschiedenis in historische tijdschriften (2020)

Cities, Migration and Global Interdependenc