外国語を教えるということ(SOLAC発足10周年記念特別寄稿エッセー)

Contains fulltext : 153048.pdf (publisher's version ) (Closed access)BACKGROUND: To describe functioning and health of lymphedema patients and to identify their most common problems using the International Classification of Functioning, Disability and Health (ICF) as part of the preparatory studies for the development of ICF Core Sets for lymphedema. METHODS: Cross-sectional study in a population of lymphedema patients (n = 200), undergoing treatment in a Dutch lymphedema-specialized hospital. The second-level categories of the ICF were used to collect information on patients' problems in daily functioning. RESULTS: The mean age of the study group was 56 years (22-84). In total 78.5% of the patients were female. The most frequent mentioned items were: In the Body Functions component: muscle power and mobility of joints, in the Activities and Participation component: doing housework, and changing and maintaining a body position, in the Environmental Factors: Health professionals, who can act as both facilitators and barriers. Interestingly, patients assessed their health more positively than health professionals do. CONCLUSION: By using the ICF, a considerable part of the broad spectrum of problems in functioning of lymphedema patients was reported

Leefstijl werknemers een zaak van werkgevers? : Mening opinieleiders

Algemeen wordt aangenomen dat een vitale werknemer beter presteert en minder vaak verzuimt. Dat betekent dat de werkgever een belang heeft bij de leefstijl van de werknemer. Hij kan die op twee manieren beïnvloeden: aan de ene kant door op het werk goede arbeidsomstandigheden te creëren en gezondheidsinitiatieven en -faciliteiten aan te bieden. En aan de andere kant door zich te bemoeien met het privéleven van de werknemer. Tot hoever mag de werkgever gaan? Cahier peilde de meningen van een aantal opinieleiders, actief op het gebied van werk en gezondheid

Informal care, employment and quality of life: Barriers and facilitators to combining informal care and work participation for healthcare professionals.

BACKGROUND: In The Netherlands, one out of six Dutch employees has informal care tasks; in the hospital and healthcare sector, this ratio is one out of four workers. Informal carers experience problems with the combination of work and informal care. In particular, they have problems with the burden of responsibility, a lack of independence and their health. These problems can reveal themselves in a variety of mental and physical symptoms that can result in absenteeism, reduction or loss of (work) participation, reduction of income, and even social isolation. OBJECTIVE: The aim of the study was to describe the factors that informal carers who are employed in healthcare organizations identify as affecting their quality of life, labour participation and health. METHODS: We conducted an exploratory study in 2013-2014 that included desk research and a qualitative study. Sixteen semi-structured interviews were conducted with healthcare employees who combine work and informal care. Data were analyzed with Atlas-TI. RESULTS: We identified five themes: 1. Fear and responsibility; 2. Sense that one's own needs are not being met; 3. Work as an escape from home; 4. Health: a lack of balance; and 5. The role of colleagues and managers: giving support and understanding. CONCLUSIONS: Respondents combine work and informal care because they have no other solution. The top three reasons for working are: income, escape from home and satisfaction. The biggest problems informal carers experience are a lack of time and energy. They are all tired and are often or always exhausted at the end of the day. They give up activities for themselves, their social networks become smaller and they have less interest in social activities. Their managers are usually aware of the situation, but informal care is not a topic of informal conversation or in performance appraisals. Respondents solve their problems with colleagues and expect little from the organization