OBJECTIVES: To improve transmural palliative care for acutely admitted older patients, the PalliSupport transmural care pathway was developed. Implementation of this care pathway was challenging. The aim of this study was to improve understanding why the implementation partly failed.DESIGN: A qualitative process evaluation study.SETTING/PARTICIPANTS: 17 professionals who were involved in the PalliSupport program were interviewed.METHODS: Online semi-structured interviews. Thematic analysis to create themes according to the implementation framework of Grol & Wensing.RESULTS: From this study, themes within four levels of implementation emerged: 1) The innovation: challenges in current palliative care, the setting of the pathway and boost for improvement; 2) Individual professional: feeling (un)involved and motivation; 3) Organizational level: project management; 4) Political and economic level: project plan and evaluation.CONCLUSION AND IMPLICATIONS: We learned that the challenges involved in implementing a transmural care pathway in palliative care should not be underestimated. For successful implementation, we emphasize the importance of creating a program that fits the complexity of transmural palliative care. We suggest starting on a small scale and invest in project management. This could help to involve all stakeholders and anticipate current challenges in palliative care. To increase acceptance, create one care pathway that can start and be used in all care settings. Make sure that there is sufficient flexibility in time and room to adjust the project plan, so that a second pilot study can possibly be performed, and choose a scientific evaluation with both rigor and practical usefulness to evaluate effectiveness.
Het is een eer om met deze openbare lezing het ambt van hoogleraar Vaktherapie te aanvaarden. Temeer omdat dit de allereerste leerstoel Vaktherapie in Nederland is. Een bijzonder domein van behandelingen voor mensen met psychische aandoeningen en psychosociale klachten dat sinds jaren is ingebed in de geestelijke gezondheidszorg en in sectoren als de ouderenzorg, somatische zorg, basis- en voortgezet onderwijs. ‘Waarom nu pas?’ ‘Waarom is deze of een vergelijkbare, leerstoel niet eerder ingesteld, wetende dat deze behandelingen al jaren worden toegepast binnen de zorg en daarbuiten?’ Er zijn in Nederland veel vaktherapeuten, circa 5800. In vergelijking met de ongeveer 6700 psychotherapeuten in Nederland (Centraal Bureau voor de Statistiek, 2018), is het dus geen klein gebied. Er is ook de actieve Federatie Vaktherapeutische Beroepen, dit is de koepelorganisatie van de verenigingen van vaktherapeutische disciplines. Ik ga daar later nog iets over te zeggen en over de ontwikkelingen die er momenteel gaande zijn. In het buitenland zijn er wel leerstoelen op dit gebied. Dus waarom nu pas een leerstoel Vaktherapie?
In dynamic business environments, the ability to adapt is highly important for organizations in order to best their competition. This is necessary because throughout the years of doing business, organizations have experienced but one constant factor: change. The concept of enterprise agility is designed to counter this phenomenon. In this regard, IT is perceived to play a vital role in enterprise agility, most often viewed as an enabler. However, IT can be an inhibitor of enterprise agility as well because of its potentially restricting nature, structural thinking, bureaucracy, rigor, etc. This especially becomes apparent in information systems (IS) that have been operational in organizations for several years. This research aims at discovering processes of IT management that empower or obstruct enterprise agility. We identify processes on the one hand and aspects of enterprise agility on the other and relate them to each other using propositions. We conclude with the identified contribution of IT management to enterprise agility, propose directions for optimization as well as offer suggestions for additional research.
The aim of the project is to design, test, refine and deploy a new assessment tool focusing on individual Future Literacy of students. Future Literacy is the ability to produce and process complex visions of the future and make sense thereof. FL is therefore an essential component of any 21st Century Skills set, in the sense that it focuses on the ability of students to prepare themselves for uncertainty and unexpected challenges. At present, the competing concepts of 21st Century Skills have a common denominator in the core idea of fostering personal development of "T-shaped individuals" who have depth in a particular field and breadth in their skill set and thinking. The students' individual ability to "use the future": make sense of emergent reality, deal with complex problems, make decisions based on collective intelligence, plan and prepare for the future, is as important in making educational choices as in taking educated bets concerning their professional, personal and political futures. The project outcome: a new tool for FL assessment will test the feasibility of rigorous measurement, and assessment of FL, to inform better curriculum design and methodological development.
INCLAVI will address the skills mismatches that exist in the aviation sector related to the freedom of movement of persons with disabilities and accessibility requirements in line with the EC Strategy for the Rights of Persons with Disabilities 2021-2030.The project accomplishes this through rigorous cooperation between key global industry and labour market actors combined with a world-class HEI and VET consortium. INCLAVI will also further improve the collaboration between HEIs and VET.INCLAVI will design and co-create a new training curriculum utilising expertise from HEI, VET and Industry Actors to support the reskilling of aviation sector employees and key target groups who have a role in the passenger journey of PwDs from door to door. The training will address students and professionals in areas of work related to travel agencies, airports, and airlines.
In the past decade, particularly smaller drones have started to claim their share of the sky due to their potential applications in the civil sector as flying-eyes, noses, and very recently as flying hands. Network partners from various application domains: safety, Agro, Energy & logistic are curious about the next leap in this field, namely, collaborative Sky-workers. Their main practical question is essentially: “Can multiple small drones transport a large object over a high altitude together in outdoor applications?” The industrial partners, together with Saxion and RUG, will conduct feasibility study to investigate if it is possible to develop these collaborative Sky-workers and to identify which possibilities this new technology will offer. Design science research methodology, which focuses on solution-oriented applied research involving multiple iterations with rigorous evaluations, will be used to research the feasibility of the main technological building blocks. They are: • Accurate localization based on onboard sensors. • Safe and optimal interaction controller for collaborative aerial transport Within this project, the first proof-of-concepts will be developed. The results of this project will be used to expand the existing network and formulate a bigger project to address additional critical aspects in order to develop a complete framework for collaborative drones.
