Open University of the Netherlands Research Portal
Not a member yet
37139 research outputs found
Sort by
Key users and the creation of everyday relations with digital technologies in care
No full textThe introduction of new technologies in care is not a smooth process, bringing new challenges, the need to adapt, and changes in work routines and carer–care receiver relationships. These changes, coming from an emerging new regime of digitalised care, are often met with reluctance and suspicion both by carers and care receivers. This results in slowing down the process, and, at times, the complete jeopardy of top-down organisational efforts to introduce new technologies. This study presents a case of Dutch carers providing care to older adults, who voluntarily support the introduction and use of digital technologies implemented by their organisations from above. We applied qualitative research methods, and present findings based on 11 semi-structured interviews with professional care providers regardingsupportive work examples, such as external information absorption, sharing information and learning about the use of digital tools with colleagues, proactive engagement in resolving emerging frictions, and adjusting new technologies to specific care provision needs. Theoretically, our study builds on the relational approach to the care, which focuses on everyday practices and relations co-producing interdependence of carers, care receivers, and their socio-material worlds. We argue that the work by key user carers is a crucial driver for the successful adoption of new digital technologies in care practice
De gemeente(n) van ruimtelijke kwaliteit
No full textIn het afgelopen decennium hebben gemeenten steeds meer taken en verantwoordelijkheden op hun bordje gekregen. Dat is zeker ook het geval in het ruimtelijk domein. Als gevolg van decentralisatie en deregulering zijn ze gedwongen om meer zaken op te gaan pakken en daar ook nog meer een proactieve aanpak voor te ontwikkelen. De Omgevingswet biedt algemene kaders en instrumenten, maar vraagt om een lokale invulling. Zonder proactief beleid zal het lastig en soms zelfs onmogelijk zijn voor gemeente om richting te geven aan nieuwe ruimtelijke ontwikkelingen en activiteiten. Wat dan overblijft is een vorm van laissez-faire waarin economische motieven de boventoon voeren en de kwaliteit van de leefomgeving vaak weinig aandacht krijgt. Verrommeling, verdozing, verpaarding en alle varianten op deze fenomenen zijn het vaak ongewenste effect van dit gebrek aan visie en beleid
Towards a career perspective on lifelong development: applying a multiple-stakeholder approach to explore the concept.
No full textPurpose: In this study, we propose that a contemporary definition of lifelong development, based on scientific literature and qualitative research in 12 Dutch organisations, be applied. This definition integrates several different perspectives on lifelong learning. Design/methodology/approach: To begin with, a conceptual definition was formulated in collaboration with partners and experts from the field. After that, 34 interviews were conducted consisting of one employee, one manager and one human resource (HR) officer from each participating organisation. This was done using an epistemic interview method. Findings: From our findings, we conclude that lifelong development is regarded and practised differently by the various respondents; lifelong development is aimed at achieving personal or organisational goals and mutual interests are rarely addressed. However, there seems to be a growing recognition of the importance of integrating the two perspectives. Originality/value: In order to promote a dialogue regarding stakeholder perspectives, we propose that a definition of lifelong development be applied, one that combines the economic and the more psychological meaning-making perspectives. In doing so, attention should not only be paid to current goals but also to the future goals of individuals and organisations so that future developments can be anticipated. This will then serve as a point of departure for further research and (inter)national, regional and organisational practice
Cost-Effectiveness of Empagliflozin in Patients with Chronic Heart Failure Irrespective of Left-Ventricle Ejection Fraction in the Netherlands
No full textOBJECTIVE: Clinical trials have demonstrated the efficacy of the sodium-glucose cotransporter-2 inhibitor (SGLT2i) empagliflozin in patients suffering from heart failure (HF), regardless of whether their left-ventricle ejection fraction (LVEF) is reduced (HFrEF), mildly reduced (HFmrEF), or preserved (HFpEF). This study aims to assess the cost-effectiveness of empagliflozin when added to standard of care (SoC), consisting of lifestyle changes, medications, and surgery or devices, compared to SoC alone in patients with chronic HF irrespective of LVEF in the Netherlands.METHODS: A Markov model was developed to simulate patient outcomes over a lifetime horizon, incorporating data from the EMPEROR-Reduced and EMPEROR-Preserved trials. Key outcomes included incremental cost-effectiveness ratios (ICERs) expressed in costs per quality-adjusted life-year (QALY) gained, life expectancy, and hospitalization rates. Probabilistic and one-way sensitivity analyses were conducted to assess the robustness of the results.RESULTS: The analysis revealed that treatment with empagliflozin plus SoC resulted in higher life expectancy (6.58 vs. 6.47 years for HFrEF; 7.78 vs. 7.69 years for HFmrEF/HFpEF) and a lower incidence of HF hospitalizations compared to SoC alone. The ICERs were €8515/QALY for HFrEF and €9807/QALY for HFmrEF/HFpEF, both below the willingness-to-pay threshold of €50,000/QALY, indicating cost-effectiveness. Sensitivity analyses confirmed the robustness of the results, indicating there is a high probability (97% for HFrEF and 98% for HFmrEF/HFpEF) that empagliflozin plus SoC is cost-effective.CONCLUSION: Empagliflozin, when added to SoC, is a cost-effective treatment option for patients irrespective of LVEF in the Netherlands.</p
Agency in workplace learning:supervisors’ and students’ interacting strategies in a physiotherapy placement
No full textBoth supervisors and students play an active role in facilitating workplace learning in healthcare placements. In workplace learning, affordances, referring to the opportunities for learning in the workplace, and agency, referring to the willingness and ability to engage with affordances, are central concepts. To fully utilize the potential of workplace learning, crucial is the extent to which supervisors and students interactively and intentionally engage with affordances for learning in placements. In current literature, the concepts of supervisor agency and student agency are studied individually, but limited understanding exists of how supervisors and students interactively manifest agency in workplace learning. This single case study characterizes agency in supervisors’ and students’ interacting strategies throughout a twenty-week placement. The study focuses on interacting strategies of two supervisors and one student in a revalidation centre, in the context of a student-physiotherapist’s bachelor program in Dutch University of Applied Sciences. Data were collected through observations and interviews. Three strategies of supervisors were identified to elucidate agency in workplace learning: (1) demonstration, (2) stimulated participation and (3) entrustment. Correspondingly, students used three interacting strategies: (1) learner stance, (2) negotiated participation and (3) independency. Agency in workplace learning is manifested as continuous alternations in these supervisors’ and students’ interacting strategies, highlighting the interactive nature of agency in workplace learning. The study contributes by providing insight into the real-life mechanisms of facilitating workplace learning, where interacting strategies of supervisors and students reveal the full learning potential of workplace learning.</p
Een kritische blik op MDA++:Waarom samenwerking bij de aanpak van complexe vormen van huiselijk geweld zo moeilijk is
No full textIn the Netherlands, a special form of collaboration in dealing with domestic violence and the abuse of children. is the so-called MDA++ approach. MDA++ is characterized as a solution to the bottlenecks in the regular approach of these violent phenomena. The letters MDA stand for Multidisciplinary Approach. The first plus sign stands for ‘intersectoral and multidisciplinary’ and implies cooperation in and between the aid chain, safety chain and the medical care circuit. The second plus sign stands for ‘specialist’, which means that all professionals are experts in their own field and have knowledge about the effect of violence, neglect and abuse on individuals and relationships. In this contribution based on a review of literature an overview is given of the genesis of MDA++ and successes and problems of its implementation in practice
Human Trafficking in the Sex Industry’:Practices and Law
No full textThis chapter summarizes the most important findings of thebook. Specific attention is paid to recent developments, such as the move tothe Internet and changes in the legislation worldwide. The chapter reflectson the outcomes of the book and gives a number of recommendations, suchas strengthening the independence of women and increasing awarenessactivities. Furthermore, a careful glimpse into the future is phrased