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Skills als common good:LLO vereist een nieuw collectief en skillsgericht ecosysteem van onderwijs en arbeidsmarkt
Get PDFJos Sanders (HAN), Melissa Selzener (Hanze) en Harm van Lieshout (Hanze) beschouwen de transformatie van een diplomagericht naar een skillsgericht ecosysteem van onderwijs en arbeidsmarkt. Ze zien binnen deze transformatie, indachtig het werk van nobelprijswinnares Elinor Ostrom (1990), ‘skills’ in onze samenleving als een zogenaamde ‘common’. Een common is een collectief goed dat zorgzaam wordt beheerd door een gemeenschap op basis van duidelijke afspraken en regels, gefundeerd in een duidelijk normen- en waardenpatroon. Ze zien het skillsgerichte ecosysteem van onderwijs en arbeidsmarkt als een ‘system of commons’ en gebruiken Ostrom’s acht principes voor ‘governing the commons’ (1990; 2000) om tot een realistisch toekomstperspectief te komen voor de verdere ontwikkeling van een succesvol skillsgericht ecosysteem van onderwijs en arbeidsmarkt. Zij roepen de overheid op om een veel actievere, aanjagende en coördinerende rol te pakken in deze transformatie: organiseer het skillsgerichte ecosysteem en zorg voor een goed geëquipeerde hoeder (‘marktmeester’) van dat ecosysteem
AI-driven sustainable alliances for regional innovation: Strategic governance and digital transition.
Get PDFDit document presenteert een nieuw, op gedrag gebaseerd kader voor het verbeteren van de implementatie van regionale innovatiestrategieën voor slimme specialisatie (RIS3) door kunstmatige intelligentie (AI) te integreren met duurzaam alliantiebeheer. Op basis van vergelijkende casestudy's uit Noord-Nederland, Noord-Zweden en twee Duitse deelstaten (Nedersaksen en Beieren) identificeert de studie hardnekkige belemmeringen voor de uitvoering van RIS3, waaronder een lage betrokkenheid van het mkb, gefragmenteerde interregionale samenwerking en een zwakke afstemming tussen universiteiten en het bedrijfsleven. De originele bijdrage van dit onderzoek ligt in de synthese van gedragstheorie (COM-B-model) met AI-gestuurde beleidsinstrumenten – zoals chatbots, voorspellende analyses en digitale volwassenheidsbeoordelingen – om een gefaseerde routekaart voor te stellen voor een meer inclusief en adaptief RIS3-bestuur. De empirische inzichten zijn gebaseerd op een triangulatiemethode die interviews met belanghebbenden, analyse van beleidsdocumenten en vier begeleide bachelorscripties combineert. De studie laat zien hoe gecentraliseerde coördinatieplatforms, AI-gestuurde ondersteuningssystemen en participatieve monitoringmechanismen gezamenlijk structurele en gedragsbarrières voor de uitvoering van innovatiebeleid kunnen aanpakken. Door institutionele en technologische perspectieven te overbruggen, biedt dit onderzoek bruikbare strategieën voor beleidsmakers en draagt het bij aan een nieuwe theoretische lens voor het begrijpen van digitale en groene transities in regionale innovatie-ecosystemen.This paper presents a novel, behaviorally informed framework for enhancing the implementation of Regional Innovation Strategies for Smart Specialization (RIS3) by integrating artificial intelligence (AI) tools with sustainable alliance governance. Drawing on comparative case studies from the Northern Netherlands, Northern Sweden, and two German states (Lower Saxony and Bavaria), the study identifies persistent barriers to RIS3 delivery, including low SME engagement, fragmented interregional collaboration, and weak university-industry alignment. The original contribution of this research lies in its synthesis of behavioral theory (COM-B model) with AI-enabled policy tools—such as chatbots, predictive analytics, and digital maturity assessments—to propose a phased roadmap for more inclusive and adaptive RIS3 governance. Empirical insights are grounded in a triangulated methodology combining stakeholder interviews, policy document analysis, and four supervised bachelor theses. The study demonstrates how centralized coordination platforms, AI-driven support systems, and participatory monitoring mechanisms can collectively address structural and behavioral barriers to innovation policy implementation. By bridging institutional and technological perspectives, this research offers actionable strategies for policymakers and contributes a new theoretical lens for understanding digital and green transitions in regional innovation ecosystem
Oral health care in older people in long-term care facilities:An updated systematic review and meta-analyses of implementation strategies
No full textIntroduction: Oral health care of older people in long-term care facilities is insufficient, stressing the need for clear evidence-based implementation strategies to improve oral care. In 2013, a systematic review was performed and new evidence was published. This study aimed to gain insights into implementation strategies used to promote or improve oral health care for older people in long-term care facilities, explore their effectiveness and uncover strategy content in behavioral change techniques, and report the differences between the current results and those of the 2013 study. Methods: A systematic review of the literature according to PRISMA guidelines and meta-analyses of implementation strategies were performed. Cochrane Library, PubMed, and CINAHL databases were searched for papers published between 2011 and 2023. Strategies were identified using the Coding Manual for Behavioral Change Techniques. Meta-analyses of oral health outcomes (“plaque” and “denture plaque”) were performed with random-effects models using R language for statistical computing. Results: 16 studies were included in the current results; 20 studies were included in the 2013 findings. More high-quality studies (67 %) were included in this review than in 2013 (47 %). Dental care professionals were involved in 14 of the 16 studies. Fourteen of the 16 studies used and/ or combined five or more different implementation strategies: knowledge, intention, awareness, self-efficacy, attitude, and facilitation of behavior. Implementation positively affected the knowledge and attitudes of the nursing staff; however, the oral health of older people did not necessarily improve. In the 2013 review, more studies indicated combined oral health measurements were effective (71 %) than in the current review (20 %–33 %). Meta-analysis of four studies on dental plaque (0—3 scale) showed a significant, statistically small mean difference of -.21 (CI -.36; -.07, Cohen's d -.29) between the control and treatment group. Meta-analysis of three studies on denture plaque (0—4 scale), showed a significant, statistically large mean difference of -.76 (CI -1.48; -.05, Cohen's d -.88). Conclusions: In this review, more implementation strategies and combinations were used to implement oral care in long-term care. Implementation strategies positively affected the knowledge and attitudes of nursing staff; however, the oral health of older people did not necessarily improve. Meta-analyses on plaque showed that oral care implementations are effective; for denture plaque, the effect size was large and thus may have more clinical value than for dental plaque
Disentangling regional policy paradigms:Using eTools to understand and compare the impact of regional development policies in the European Union
No full textRegional development has often been described in economic terms, using economic indicators such as growth in GDP or demographic indicators such as net migration or employment. Some researchers argued that regional development should be understood broader, by including for example social indicators and living environment indicators . Recently, researchers have shown that policies directed towards regional development have broadened as well , but are also still evaluated within specific narratives or frameworks that often constitute the goals of the policy, for example the Keynesian framework favours increasing demand and favours the evaluation of policies aimed at exactly this. This self-constituting practice of an amalgam of related policies has also been referred to by Hall as a policy paradigm. Because policies are often evaluated within these policy paradigms it becomes difficult to decontextualise them, disentangle them and compare policies with each other.In this paper we propose to use a different, more quantitative and comparative method. By applying the above mentioned work from Andy Pike on numerous data sources from EUROSTAT and OECD, researchers from the PREMIUM_EU project developed a new framework that is measuring Regional Development (dubbed “R”) using economic, social and living environment indicators.MethodBy regarding this “R” (and individual indicators) as an outcome of public policies on the local, regional, national and international level and by analysing regional development policies on different levels from 2010 and onwards we believe it is possible to understand the impact of these policies in a more evidenced based sense, regardless of the above mentioned different types of narratives or frameworks.We started our research with an analysis from the OECD on the different types of regional development policies and the relations between different levels of government within countries. Based on this and literature research, we developed a framework with relevant topics for regional development policies and different levels of government.Based on the work of Moritz Schütz presented during the ERSA 2024 conference, we developed and employed a webcrawler to automatically download and summarise policies from municipalities, regional and national authorities and analyse the results of this exercise.Findings/resultsThe webcrawling and -mining exercise in combination with the new set of indicators will offer a much broader and more comprehensive view of the use and necessity of regional development policies. The findings will be discussed in dedicated policy labs with policymakers and researchers from the respective regions.Discussion/conclusionsBoth the new set of indicators and the analysis of the policies are not only innovative, but will also be viewed as speculative. Although we believe that a direct causal relationship between policies and the regional development will be hard to uncover, we do believe that this research will move the field of policy analysis forward, because it is more focused on evidence-based indicators and is based on larger sets of policies
Guest Editorial:Communicating in turbulent times
Get PDFIntroductie van een Speciale Editie met papers geselecteerd van het Euprera congres in Praag 202
Understanding frailty experiences in Dutch community-dwelling older people:A qualitative phenomenological study
Get PDFAs the population ages, the proportion of frail older people is also increasing. While attention to frailty experiences has increased, how these account to a comprehensive understanding of frailty and its impact on behavior and functioning remains understudied. Therefore, in this study, we aimed to understand how frailty is experienced, and how frailty and frailty experiences affect behavior and functioning from the perspectives of Dutch community-dwelling older people. In this phenomenological qualitative study, we conducted semi-structured interviews with 36 community-dwelling older people (≥65 years). The ‘Tilburg Frailty Indicator’ was administered to measure frailty, 15 of the participants were considered frail. Thematic analysis revealed the following themes and subthemes: 1) frailty experiences: situation related, initiated internally, initiated externally, and being and feeling frail; 2) coping: cognitive efforts, behavioral efforts, and emotional aspects. The distinction between being frail and feeling frail was, among other things, reflected in the temporality of frailty experiences, such as short periods of moments in time experiencing frailty. Personal factors and contexts strongly influence an individual's experiences and multiple coping strategies were discovered, with mindset shaping individual coping strategies. We recommend a personalized approach in which the experiences and capabilities of older people are considered to support them in maintaining or enhancing their well-being
Wind Tunnel Test of Counter-Rotating Dual Rotor Wind Turbine With Double Rotational Armature Design
Get PDFThis study evaluates the performance of a counter-rotating dual rotor wind turbine (CR-DRWT) with 2 m2 rotor radius equipped with a double rotational armature in an open jet wind tunnel. With only one similar-sized design previously assessed in a wind tunnel, this study offers valuable validation material for the literature. Through wind tunnel testing, the CR-DRWT confirmed earlier findings in literature and achieved a 15% to 50% increase in power output and a 10% increase in efficiency (CP) compared to a single rotor configuration at higher wind speeds (> 7 m/s). Though these gains were not observed at lower wind speeds (4–7 m/s). The simplified mechanics of a double rotational armature show promise for SWTs, as financial viability depends on reducing LCOE through efficiency improvements that maximize energy capture. The design's maximum CP values were below those achieved in previous field tests at larger scale highlighting potential for improvement for smaller sized turbines. To further explore the aerodynamics of CR-DRWT's, computational fluid dynamics (CFD) simulations are recommended, as they could provide insights into optimizing flow dynamics around CR-DRWT's. Finally, the study emphasizes the need for precise pitch angle and rotational speed measurements to improve the value of future measurements
A Method for Battery Energy Storage Evaluation:Evaluation of battery energy storage system designs accounting for battery interactions with the electricity grid
Get PDFEnablers and Barriers of Compassionate Care From a Nurses' Perspective:A Scoping Review
No full textAims and objectives: To identify and synthesise empirical evidence on the perspectives of nurses regarding factors that enable and/or obstruct the delivery of compassionate care.Methodological design and justification: A scoping review was chosen for its capacity to perform a broad exploration of the available literature.Ethical issues: This scoping review raises no ethical issues.Research methods: This review includes studies that report enablers and barriers of compassionate care. Both qualitative and quantitative designs were included. The quality of each study was assessed using the Mixed Method Appraisal Tool (MMAT). A narrative synthesis was employed to summarise the results.Instruments: A search was conducted in the electronic databases of MEDLINE and CINAHL (1975-2021).Outcome measures: Barriers and enablers to compassionate care from nurses' perspectives.Results: Fifteen empirical studies were included in this review. Four themes of enablers and barriers to compassionate care emerged: (1) personal characteristics, (2) professional characteristics, (3) patient-related factors, and (4) workplace-related factors. Main facilitators were a strong motivation to deliver compassionate care, the managements' support of compassion as a nursing value and operating in a healthy team culture. Main barriers were the absence of education and/or role models for compassionate care, heavy workloads, and the managements' prioritisation of task-centred care.Study limitations: This study is limited by the inclusion of qualitative studies with small samples and the absence of data from Northern Europe and North America.Conclusions: The findings indicate that policymakers, healthcare leaders, and nursing management play an important role in nurses' ability to provide compassionate care. Through leadership that centralises compassion as a core nursing value, nurses receive greater support in prioritising compassion in patient care. This support is further enhanced by ensuring adequate staffing and manageable schedules, offering comprehensive training in compassionate care skills, and providing resources to support nurses' wellbeing.Aims and Objectives: To identify and synthesise empirical evidence on the perspectives of nurses regarding factors that enable and/or obstruct the delivery of compassionate care. Methodological Design and Justification: A scoping review was chosen for its capacity to perform a broad exploration of the available literature. Ethical Issues: This scoping review raises no ethical issues. Research Methods: This review includes studies that report enablers and barriers of compassionate care. Both qualitative and quantitative designs were included. The quality of each study was assessed using the Mixed Method Appraisal Tool (MMAT). A narrative synthesis was employed to summarise the results. Instruments: A search was conducted in the electronic databases of MEDLINE and CINAHL (1975–2021). Outcome Measures: Barriers and enablers to compassionate care from nurses' perspectives. Results: Fifteen empirical studies were included in this review. Four themes of enablers and barriers to compassionate care emerged: (1) personal characteristics, (2) professional characteristics, (3) patient-related factors, and (4) workplace-related factors. Main facilitators were a strong motivation to deliver compassionate care, the managements' support of compassion as a nursing value and operating in a healthy team culture. Main barriers were the absence of education and/or role models for compassionate care, heavy workloads, and the managements' prioritisation of task-centred care. Study Limitations: This study is limited by the inclusion of qualitative studies with small samples and the absence of data from Northern Europe and North America. Conclusions: The findings indicate that policymakers, healthcare leaders, and nursing management play an important role in nurses' ability to provide compassionate care. Through leadership that centralises compassion as a core nursing value, nurses receive greater support in prioritising compassion in patient care. This support is further enhanced by ensuring adequate staffing and manageable schedules, offering comprehensive training in compassionate care skills, and providing resources to support nurses' wellbeing. Trial Registration: PROSPERO: CRD42022324955 https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=324955
