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Nederland, Europa en internationale betrekkingen vijfhonderd jaar geleden

In deze aflevering van het tijdschrift Radix staan Europa en internationale betrekkingen centraal. In de artikel wordt 500 jaar teruggaan in de tijd. Wat zien we als we kijken naar de politieke situatie anno 1523 en welke rol speelde Karel van Egmond hierin? De politieke situatie in ‘Europa’ kenmerkte zich door dreiging van buiten en innerlijke verdeeldheid. In dit alles wist Karel van Egmond vooral van die verdeeldheid handig gebruik te maken om de macht over zijn hertogdom Gelre in handen te houden.

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Does it make sense to participate?

In a practical theological research project called ‘Does it make sense to participate?’ a new research model has been developed with the name ‘Compass of Meaning’. This model is designed to map, compare and qualify the experiences of participants in new faith communities, in order to find new ways for contextualizing the Gospel in a secular society. The research model is based on modern perspectives on sensemaking in social sciences and spiritual healthcare and a holistic interpretation of salvation and combines a qualitative and quantitative research method. In this paper the authors introduce the model, the first research results about participants in six pioneering communities in the Netherlands, and questions for theological reflection.

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After all, they are still my parents. About exoneration and forgiveness.

The concept of exoneration is a crucial point of contextual therapy. To this day there is debate as to whether exoneration and forgiveness are synonymous, or whether there is a difference between the two concepts. In his presentation Dr. Jaap van der Meiden will discuss findings from recent collaborative international research on forgiveness of parents exploring similarities and differences between exoneration and forgiveness. This analysis will help clinicians guide those who are stuck in broken relationships along the path of exoneration and forgiveness into a process of recovery or even reconciliation between family members. This topic is especially timely in the era of increased family estrangement.

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Exploring the concept of school belonging

School belonging is important for well-being and academic achievement of youth. School belonging is a broad concept for which researchers from different disciplinary backgrounds have developed a variety of synonyms and indicators. To explore the content of the concept of school belonging, an expert rating study was conducted with 73 expert researchers who rated different synonyms, indicators, and clusters of indicators of school belonging. Results showed that the experts considered connectedness the most suitable synonym of school belonging and inclusion, acceptance, connection, and respect the best indicators. With a multidimensional scaling analysis, two dimensions (the object of belonging and the intra- versus interpersonal nature of belonging) and five clusters of indicators were identified. The findings of this study provides some conceptual clarity that may help future research.

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Werken met ecosystemen

Terwijl ik dit artikel schrijf, ligt de Freemantle Highway volgeladen met elektrische auto’s te branden boven de Waddenzee. Als het vrachtschip vergaat, dreigt er een ecologische ramp. En dat terwijl elektrische auto’s brandstofmotoren dienen te vervangen, waarvoor de mijnen weer open moeten om grondstoffen voor accu’s te delven. Zo kent de huidige economie allerlei soorten van keuzes en crises. De korte termijn wint het keer op keer van de wezenlijke oplossingen op lange termijn.

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Het verdiepen van bestaanservaringen bij maatschappelijk bevlogen vernieuwers

In een eerdere bijdrage aan dit tijdschrift betoogden de auteurs dat geestelijk verzorgers een rol zouden kunnen pakken in de begeleiding van maatschappelijk bevlogen vernieuwers. De ervaringen van transcendentie van deze groep vernieuwers worden in dit artikel verder verkend. Op basis van daarvan stellen de auteurs concrete zingevingsthema’s voor waarmee geestelijk verzorgers die begeleiding vorm kunnen geven.

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Factors associated with dietary behaviour change support in patients

Aim:To explore which factors, influencing dietary behaviour change support among patients by Dutch community nurses (CNs; nurses), are key focal points in training programmes.Background:Nurses have an important role in counselling patients towards healthier dietary behaviour to prevent or delay long-term complications from chronic lifestyle-related diseases. Most nurses do not incorporate dietary behaviour change support in their routines to the fullest potential.Design:A qualitative descriptive study.Methods:Data were collected in the Netherlands in 2018–2019 via semi-structured face-to-face interviews with 18 nurses. Interview guide themes were informed by the COM-B model, using validated descriptions in Dutch. Data were recorded, transcribed and analysed using inductive thematic analysis.Results:Factors that affected dietary behaviour change support were linked to (1) the nurse (role identity, dietary knowledge and competences such as methodical approach, behaviour change techniques and communication techniques), (2) nurse–patient encounter (building a relationship with a patient, supporting patient autonomy and tailoring the approach) and (3) cooperation and organizational context.Conclusion:It is of utmost importance to pay attention to nurses' role identity regarding dietary behaviour change support, as this underlies professional behaviour. This should be accompanied by improving competences on dietary behaviour change support. Focus on competences regarding the application of behaviour change technique is crucial. Furthermore, having a relationship of trust with a patient was important for discussing sensitive topics such as diet.Impact:The promotion of a healthy diet provides opportunities to contribute to patient autonomy and self-management. Well-fitted training offers for (senior) nurses will lead to improved professional practice of nurses, leading to healthier dietary behaviour of patients.

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Facilitators and barriers for promoting healthy eating among primary care patients: results of a qualitative study among practice nurses

Background:Practice nurses have an important role in promoting healthy eating to prevent or delay long-term complications from chronic lifestyle-related diseases.Objective:To identify the facilitators and barriers encountered by practice nurses at a professional level when promoting healthy eating among patients.Methods:Face-to-face semi-structured interviews were conducted with 21 Dutch practice nurses. Data were recorded, transcribed and analysed using inductive thematic analysis.Results:Two main themes were determined: professional characteristics and professional–patient encounter. Professional characteristics included good communication skills and experience facilitated the successful promotion of healthy eating, while a lack of communication skills and lack of knowledge about diet were perceived as barriers. The most frequently identified facilitators for professional–patient encounter included ensuring a personal connection with patients, creating food awareness, focussing on small changes, adopting a tailored approach, motivating and arranging extra consultations. Barriers included lack of skills to raise the topic, lack of persistence, inability to find a common understanding, lack of competence in handling patients’ own choices and underuse of existing educational materials.Conclusions:Further research using the identified facilitators and barriers for promoting healthy eating in primary care patients with chronic diseases could assist in the development of future training programmes for practice nurses.

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