The Dutch health care system fosters a strong public health sector offering accessible generalist care including generalist palliative care. General practitioners are well positioned to conduct... Show moreThe Dutch health care system fosters a strong public health sector offering accessible generalist care including generalist palliative care. General practitioners are well positioned to conduct ACP, for example, to continue or initiate conversations after hospitalization. However, research shows that ACP conversations are often ad hoc and in frail patients, ACP is often only initiated when admitted to a nursing home by elderly care physicians who are on the staff. Tools that raise awareness of triggers to initiate ACP, screening tools, information brochures, checklists and training have been developed and implemented with funding by national programs which currently focus on implementation projects rather than or in addition to, research. The programs commonly require educational deliverables, patient and public involvement and addressing diversity in patient groups. A major challenge is how to implement ACP systematically and continuously across sectors and disciplines in a way that supports a proactive yet person-centered approach rather than an approach with an exclusive focus on medical procedures. Digital solutions can support continuity of care and communication about care plans. Solutions should fit a culture that prefers trust-based, informal deliberative approaches. This may be supported by involving disciplines other than medicine, such as nursing and spiritual caregiving, and public health approaches. Show less
In a social environment composed mostly of people with typical hearing, deaf or hard of hearing (DHH) children experience social interactions differently from their typically hearing (TH) peers,... Show moreIn a social environment composed mostly of people with typical hearing, deaf or hard of hearing (DHH) children experience social interactions differently from their typically hearing (TH) peers, which could guide them towards different patterns for processing other people’s emotions. This thesis aimed to unravel whether hearing status affects how children encode, interpret, and react to others’ emotions in a social context, and whether their responses are associated with psychosocial functioning, using a variety of measures that included eye tracking, pupillometry, behavioral tasks, parent reports, and longitudinal follow-up. DHH children’s skills for perceiving others’ basic emotions were on par with their TH peers. Improved emotional functioning was associated with improved psychosocial functioning to a similar degree in DHH and TH children alike. Yet, DHH children still faced difficulties when they had to process an emotion with adequate knowledge about social rules and causes of emotions. Moreover, DHH children used a visual cue-based encoding strategy to compensate for ambiguous or unavailable information in social situations, and recruited more cognitive resources to process unfamiliar emotional expressions. The findings underscore the need to look into possible qualitative differences between typical and atypical development. These individual differences reflect compensatory strategies to support daily living, or signal a need for support in a certain domain. Show less
Within this book, Sjoerd van der Linde brings forward an ethnographic and discursive analysis of two archaeological projects by the Faculty of Archaeology of Leiden University - notably the Deir... Show moreWithin this book, Sjoerd van der Linde brings forward an ethnographic and discursive analysis of two archaeological projects by the Faculty of Archaeology of Leiden University - notably the Deir Alla Joint Archaeological Project in the Hashemite Kingdom of Jordan and the Santa Barbara Project in Curaçao. Focusing on the ways and extents to which these projects are influenced by different policy and funding programs, and investigating the operational systems, social relationships and dominating values and discourses that determine project outcomes, he explores how archaeological research projects abroad work in their social context. Specific attention is hereby given to the relationship between 'collaborative' policies with actual field practice. The author offers a critical reflection upon the role and responsibility of archaeologists in relation to the values and demands of other actors in society. As such, this book forms a contribution to critical debates in archaeology that call for a self-reflexive, ethnographic archaeology that actively engages with community concerns - in the sense of facilitating and engaging their values in processes of archaeological research, heritage management and collaboration Show less
