Hardonk, S.; Daniels, S.; Desnerck, G.; Loots, G.; Van Hove, G.; Van Kerschaver, E.; Sigurj??nsd??ttir, H.B.; Vanroelen, C.; Louckx, F.
Objective To examine factors which play a role in deaf parents' decision-making process for cochlear implantation (CI) or traditional hearing aids. Participants Parents, at least one deaf, of
children with severe/profound congenital hearing loss, born 1999-2004. Methods Thematic content analysis within a phenomenological approach was applied to interviews with parents. Results With the exception of a family with one hearing parent, none of the parents gave priority to spoken language development. Spoken language was considered as nothing more but equal to their ???mother tongue???, sign language. As the parents were familiar with deafness and the Deaf community, professional advice was not...
Hardonk, Stefan; Mouvet, Kimberley; Matthijs, Liesbeth; Loots, Gerrit
Research into issues of childhood deafness is predominantly based on a medical approach, in which diagnosis and treatment of impaired hearing capacities are emphasised. Most contemporary early intervention programmes also focus on development of spoken language when supporting children with congenital deafness. Furthermore, technological developments in the field of cochlear implantation (CI) have resulted in new opportunities for spoken language development, and they have strongly influenced parents’ care-related decision making. With the development of CI has come an even stronger focus on spoken language development, especially among hearing parents – who represent 90 percent of all parents of congenitally deaf...
Hardonk, Stefan; Mouvet, Kimberley
In ons recent onderzoek in het domein van congenitale doofheid hebben wij ons toegelegd op vragen rond beslissingen rond zorg van ouders, en de kwaliteit van interacties tussen moeder en kind. Deze op het eerste zicht verschillende onderzoeksdomeinen zijn aspecten van de algemene vraag naar de ervaring van ouders van de doofheid van hun kind en hun aanpassing aan de veranderende situatie. Daarom, voor het Sign Language Colloquium hebben we gezamenlijk de moeder-kind interacties geanalyseerd in relatie tot de ouders' constructies van doofheid en hun voorkeuren inzake communicatiemode. Meer specifiek analyseerden we drie gevallen met verschillende kenmerken, met aandacht voor...
Mouvet, Kimberley; Matthijs, Liesbeth; Hardonk, Stefan; Loots, Gerrit; Van Herreweghe, Mieke
Bosmans, Kim; Hardonk, Stefan; Vanroelen, Christophe; Louckx, Fred
Background. The concept of 'precarious employment' becomes more popular to investigate non-standard and flexible employment conditions. However, disagreement remains about the meaning of precariousness and which aspects of employment can be included in this concept. The purpose of this paper is to report on expert knowledge and views about how precarious employment can be conceived and becomes manifested in the Flemish labour market. Furthermore, we reflect on the extent to which these expert views coincide the conceptualisation of precarious employment that we made on theoretical grounds. Method. Semi-structured interviews with experts having varying backgrounds and relevant specific knowledge were conducted...
The context of congenital deafness has changed under the influence of recent technological innovations in the field of medicine. The implementation of universal neonatal hearing screening programmes in many countries has allowed for early care intervention, and cochlear implants offer new possibilities for hearing and spoken language development. Members of the Deaf community have challenged the medical approach of deafness and emphasised a perspective in which deafness is not considered as an impairment, but as a characteristic of a cultural-linguistic minority. Today, little is known about parents' perspective on their child's care trajectory. Given the different conceptual approaches of deafness...
Hardonk, Stefan; Desnerck, Greetje; Loots, Gerrit; Matthijs, Liesbeth; Van Hove, Geert; Van Kerschaver, Erwin; Sigurjónsdóttir, Hanna Björg; Vanroelen, Christophe; Louckx, Fred
The objective of this study is to analyze parental perspectives concerning the use of (re)habilitation services after Universal Newborn Hearing Screening (UNHS). A qualitative study design was used involving children with moderate-to-profound hearing loss who were born between 1999 and 2001 and who are registered in the UNHS program in Flanders, Belgium. Parents of these children were interviewed using a topic list and a chronological scheme to register meaningful events while using (re)habilitative services. Subsequently, thematic content analysis was applied to the transcripts of the interviews. Analysis found that differences exist in parental experiences and some parents who were referred...
Hardonk, Stefan; Daniels, Sarah; Desnerck, Greetje; Loots, Gerrit; Van Hove, Geert; Van Kerschaver, Erwin; Sigurjónsdóttir, Hanna Björg; Vanroelen, Christophe; Louckx, Fred
The study examined factors in deaf parents' decision between cochlear implantation (CI) and traditional hearing aids for their child. The subjects were 6 Flemish children ages 5-9 years with severe/profound congenital hearing loss, with at least 1 deaf parent. The researchers, who conducted thematic content analysis of qualitative data collected through parent interviews, found that with the exception of a family with 1 hearing parent, parents gave priority to Deaf identity sign language, and ethical issues in deciding between CI and hearing aids. Medical risks were also mentioned. The researchers conclude that the decision-making processes of the parents involved factors...
Hardonk, Stefan; Desnerck, Greetje; Loots, Gerrit; Van Hove, Geert; Van Kerschaver, Erwin; Sigurjónsdóttir, Hanna Björg; Vanroelen, Christophe; Louckx, Fred
The objective of this study is to examine the early care trajectories of congenitally deaf children from a parental perspective, starting with universal neonatal hearing screenings. The analysis using a three-dimensional care trajectory concept is aimed at developing a basic typology of postscreening care trajectories. Children with severe/profound hearing loss, registered in the Flanders' (Belgium) universal neonatal hearing screening program, born between 1999 and 2001. Thematic content analysis of qualitative data collected retrospectively from participant's parents. Two basic types of care trajectories emerged; based on differences in care-use in the phase of further diagnosis and related parental experiences. Subtypes resulted...
Matthijs, Liesbeth; Loots, Gerrit; Mouvet, Kimberley; Van Herreweghe, Mieke; Hardonk, Stefan; Van Hove, Geert; Van Puyvelde, Martine; Leigh, Greg
The first information parents receive after referral through Universal Newborn Hearing Screening (UNHS) has significant consequences for later care-related decisions they take and thus for the future of the child with a hearing loss. In this study, 11 interviews were conducted with a representative sample of Flemish service providers to discover (a) the content of the information provided to parents and (b) the service providers??? assumptions and beliefs concerning deafness and care. To do this, we conducted an interpretative phenomenological analysis, followed by a discourse analysis. Results showed that parents receive diverse information, depending on the reference center to which...
Hardonk, Stefan; Desnerck, Greetje; Matthijs, Liesbeth; Loots, Gerrit; Van Hove, Geert; Van Kerschaver, Erwin; Sigurj??nsd??ttir, Hanna Bj??rg; Traustad??ttir, Rannveig; Vanroelen, Christophe; Louckx, Fred
Research into issues of deafness is characterised by the dominance of the medical model of disability. Although social and cultural-linguistic models have received increasing attention from scholars, they have been used mainly in theoretical debate. Empirical application has been limited. Based on our comprehensive research project into the care-related decisions of parents of congenitally deaf children in Flanders, Belgium, an explanatory model for care-related parental decisions was constructed, which transcends the specific findings generated by our studies. This model is presented and discussed in this paper. Illustrations are provided based on our empirical findings.
Matthijs, Liesbeth; Loots, Gerrit; Mouvet, Kimberley; Van Herreweghe, Mieke; HARDONK, Stefan; Van Hove, Geert; Van Puyvelde, Martine; Leigh, Greg
The first information parents receive after referral through Universal Newborn Hearing Screening (UNHS) has significant consequences for later care-related decisions they take and thus for the future of the child with a hearing loss. In this study, 11 interviews were conducted with a representative sample of Flemish service providers to discover (a) the content of the information provided to parents and (b) the service providers' assumptions and beliefs concerning deafness and care. To do this, we conducted an interpretative phenomenological analysis, followed by a discourse analysis. Results showed that parents receive diverse information, depending on the reference center to which...
Leupe, P.; Hox, V.; Debruyne, F.; Schrooten, W.; Claes, Neree; Lemkens, N.; Lemkens, P.
Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal cost. Introduction and aim: Tonsillectomy is one of the most commonly performed surgical procedures in children; its main indications are recurrent episodes of acute tonsillitis and adenotonsillar hypertrophy. The effectiveness of tonsillectomy for severe recurrent tonsillitis is generally accepted; however its socio-economic cost is less well investigated. This study aims to determine and compare the societal cost of a tonsillectomy and a severe throat infection. Materials and methods: The costs for both tonsillectomy and severe throat infection were evaluated. Costs of the surgical procedure and hospital stay were...
van Balen, Barbara; Oldersma, Jantine; Valgaeren, Elke
Vrouwen zijn nog steeds ondervertegenwoordigd
in het academisch kader. Dit
is een slechte zaak voor de universiteiten,
want dit betekent dat zij een groot deel van
hun intellectueel potentieel links laten liggen.
Tegelijk staan organisaties anno 2012 onder
steeds meer druk om aan te tonen dat ze gelijke
Vlayen, Annemie; Marquet, Kristel; Schrooten, Ward; Vleugels, Arthur; Hellings, Johan; De Troy, Elke; Weekers, Frank; Claes, Neree
BACKGROUND: Adverse events are unintended patient injuries that arise from healthcare management resulting in disability, prolonged hospital stay or death. Adverse events that require intensive care admission imply a considerable financial burden to the healthcare system. The epidemiology of adverse events in Belgian hospitals has never been assessed systematically.
FINDINGS: A multistage retrospective review study of patients requiring a transfer to a higher level of care will be conducted in six hospitals in the province of Limburg. Patient records are reviewed starting from January 2012 by a clinical team consisting of a research nurse, a physician and a clinical pharmacist. Besides...
Vlayen, Annemie; Hellings, Johan; Claes, Neree; Peleman, Hilde; Schrooten, Ward
Objective: To measure patient safety culture in Belgian hospitals and to examine the homogeneous grouping of underlying safety culture dimensions.
Methods: The Hospital Survey on Patient Safety Culture was distributed organisation-wide in 180 Belgian hospitals participating in the federal program on quality and safety between 2007 and 2009. Participating hospitals were invited to submit their data to a comparative database. Homogeneous groups of underlying safety culture dimensions were sought by hierarchical cluster analysis.
Results: 90 acute, 42 psychiatric and 11 long-term care hospitals submitted their data for comparison to other hospitals. The benchmark database included 55 225 completed questionnaires (53.7% response...
Diversiteit is in het laatste decennium steeds meer ingeburgerd in België. Waar men tot kort het voornamelijk had over kansengroepen en hun evenredige arbeidsdeelname, spreekt men vandaag steeds vaker over diversiteit, diversiteitsmanagement, -beleid, -plannen, -consulenten, -prijzen en -labels. De populariteit van de term getuigt van een zekere consensus dat diversiteit, als idee, een legitieme plaats heeft verworven in het hedendaagse debat rond de toekomst van werk. Ondanks deze terminologische eensgezindheid blijven achter diversiteit tegenstrijdige belangen schuilen. Diversiteit maakt immers haar entree precies op een moment dat de instituties die de Belgische arbeidverhoudingen historisch gekenmerkt hebben fundamenteel ter sprake staan. De...
VAN CRAEN, Maarten
In this article I test the contribution which (aspects of) social capital theory, performance theory and the procedural justice-based model can make towards explaining ethnic minorities' confidence in the police. To answer my central question-What determining factors account for minorities' level of confidence in the police?-I conducted regression analysis of quantitative data collected from minority-group members in Belgium via 456 face-to-face interviews. The results suggest that feelings of insecurity and perceptions of discrimination play a large part in accounting for ethnic minorities' confidence (or lack of) in the police.
Claes, Neree; Van Laethem, Christophe; Goethals, Marnix; Goethals, Peter; Mairesse, Georges H.; Schwagten, Bruno; Nuyens, Dieter; Schrooten, Ward; Vijgen, Johan
Objective Atrial fibrillation (AF) is a common arrhythmia in clinical practice. AF fulfils many of the criteria for a screening programme. No data about the prevalence of AF in non-hospitalized patients are available in Belgium. The aim of the study was to assess feasibility and effectiveness of a nationwide-organized voluntary screening programme in the general population in Belgium. Methods A total of 13.564 participants were screened, of whom 10,758 were older than 40 years (GSP group). Participants filled in stroke risk stratification questionnaires (CHADS2 and CHA2DS2-VASc). A one-lead electrocardiogram was performed. Results 228 participants had AF at the time of...
Vlayen, Annemie; Schrooten, Ward; Hellings, Johan; Claes, Neree
Objectives: To examine whether safety culture evolved in Belgian hospitals after a period of three years and to explore the opportunities for benchmarking.
Methods: Patient safety culture was measured on 12 dimensions using the validated versions of the Belgian Hospital Survey on Patient Safety Culture. Hospitals were invited to participate in a second nationwide benchmark database.
Results: In total, the benchmark database contains the safety culture perceptions of 115 764 respondents from 176 hospitals. Of these, 147 hospitals conducted a first measurement (53.6% response rate) and 140 hospitals repeated the measurement after three years (50.6% response rate). For 111 hospitals which participated...