Training needs for staff providing remote services in general practice: a mixed-methods study

Background Contemporary general practice includes many kinds of remote encounter. The rise in telephone, video and online modalities for triage and clinical care requires clinicians and support staff to be trained, both individually and as teams, but evidence-based competencies have not previously been produced for general practice. Aim To identify training needs, core competencies, and learning methods for staff providing remote encounters. Design and setting Mixed-methods study in UK general practice. Method Data were collated from longitudinal ethnographic case studies of 12 general practices; a multi-stakeholder workshop; interviews with policymakers, training providers, and trainees; published research; and grey literature (such as training materials and surveys). Data were coded thematically and analysed using theories of individual and team learning. Results Learning to provide remote services occurred in the context of high workload, understaffing, and complex workflows. Low confidence and perceived unmet training needs were common. Training priorities for novice clinicians included basic technological skills, triage, ethics (for privacy and consent), and communication and clinical skills. Established clinicians’ training priorities include advanced communication skills (for example, maintaining rapport and attentiveness), working within the limits of technologies, making complex judgements, coordinating multi-professional care in a distributed environment, and training others. Much existing training is didactic and technology focused. While basic knowledge was often gained using such methods, the ability and confidence to make complex judgements were usually acquired through experience, informal discussions, and on-the-job methods such as shadowing. Whole-team training was valued but rarely available. A draft set of competencies is offered based on the findings. Conclusion The knowledge needed to deliver high-quality remote encounters to diverse patient groups is complex, collective, and organisationally embedded. The vital role of non-didactic training, for example, joint clinical sessions, case-based discussions, and in-person, whole-team, on-the-job training, needs to be recognised

Approaching data visualizations as interfaces: An empirical demonstration of how data are imag(in)ed

This chapter points out data visualization’s double role as explorative and communicative means in humanities research. We draw from science and technology studies looking at the mediation process at stake: the interaction between visualization tool and researcher. To emphasize this mediation process and expose the various decisions at its heart we introduce the term ‘data interface’. We highlight how visualizations function as data interfaces and visualization practices allow for interfacing with data biographing a network graph’s ‘life’. Using the lens of the ‘data interface’ underscores that a particular (network) visualization provides just one perspective on the data. Moreover, we examine if and how the used data interfaces encourage scholars to critically position their investigative work, during research processes and communication

Approaching data visualizations as interfaces: An empirical demonstration of how data are imag(in)ed

This chapter points out data visualization’s double role as explorative and communicative means in humanities research. We draw from science and technology studies looking at the mediation process at stake: the interaction between visualization tool and researcher. To emphasize this mediation process and expose the various decisions at its heart we introduce the term ‘data interface’. We highlight how visualizations function as data interfaces and visualization practices allow for interfacing with data biographing a network graph’s ‘life’. Using the lens of the ‘data interface’ underscores that a particular (network) visualization provides just one perspective on the data. Moreover, we examine if and how the used data interfaces encourage scholars to critically position their investigative work, during research processes and communication

Déjà Vu : herhaling in culturen wereldwijd

Repetition has a major role in human culture. In lullabies and prayers, in protests and war cries: from the cradle to the grave, repetition is the companion to life’s essentials. In a constantly revolving world there is no pure repetition. Events never repeat themselves precisely. This is equally true of repetition in Literature and Art, where the use of repetition is varied and frequent. How does repetition work? And how can it be of use? Déjà Vu unravels these questions in fifteen chapters ranging from film remakes and Baudelaire to the offer of Abraham and David Lodge, Small World. Déjà Vu shows that repetition has been used worldwide through all times and cultures in visual arts, poetry, music, literature and motion pictures. Abstract (other language) Herhaling speelt een centrale rol in menselijke cultuuruitingen. Slaap - liedjes en smeekbeden, protesten en strijdkreten: van de wieg tot het graf begeleidt de herhaling de essentiële gebeurtenissen in het leven. Maar in een wereld die zelf voortdurend in beweging is, kan van zuivere herhaling geen sprake zijn. Je kunt onmogelijk tweemaal in dezelfde rivier stappen. Dat geldt ook in literatuur en kunst, waar herhaling veelvuldig wordt ingezet als artistiek middel. Daarbij is juist het verschil van essentieel belang. Maar wat is precies de aard van dat verschil? Wat ‘doet’ herhaling als kunstgreep met het werk? En hoe kan herhaling worden ingezet om gevestigde belangen en opvattingen te consolideren of juist te onder mijnen? Déjà Vu behandelt deze vragen vanuit een interdisciplinair en mondiaal perspectief en laat daarbij zien hoe het middel van de herhaling door alle tijden en alle culturen wordt toegepast in beeldende kunst, muziek, literatuur en film. Mor

Déjà Vu: herhaling in culturen wereldwijd

Repetition has a major role in human culture. In lullabies and prayers, in protests and war cries: from the cradle to the grave, repetition is the companion to life’s essentials. In a constantly revolving world there is no pure repetition. Events never repeat themselves precisely. This is equally true of repetition in Literature and Art, where the use of repetition is varied and frequent. How does repetition work? And how can it be of use? Déjà Vu unravels these questions in fifteen chapters ranging from film remakes and Baudelaire to the offer of Abraham and David Lodge, Small World. Déjà Vu shows that repetition has been used worldwide through all times and cultures in visual arts, poetry, music, literature and motion pictures. Abstract (other language) Herhaling speelt een centrale rol in menselijke cultuuruitingen. Slaap - liedjes en smeekbeden, protesten en strijdkreten: van de wieg tot het graf begeleidt de herhaling de essentiële gebeurtenissen in het leven. Maar in een wereld die zelf voortdurend in beweging is, kan van zuivere herhaling geen sprake zijn. Je kunt onmogelijk tweemaal in dezelfde rivier stappen. Dat geldt ook in literatuur en kunst, waar herhaling veelvuldig wordt ingezet als artistiek middel. Daarbij is juist het verschil van essentieel belang. Maar wat is precies de aard van dat verschil? Wat ‘doet’ herhaling als kunstgreep met het werk? En hoe kan herhaling worden ingezet om gevestigde belangen en opvattingen te consolideren of juist te onder mijnen? Déjà Vu behandelt deze vragen vanuit een interdisciplinair en mondiaal perspectief en laat daarbij zien hoe het middel van de herhaling door alle tijden en alle culturen wordt toegepast in beeldende kunst, muziek, literatuur en film. Mor