Abstract: The need for mental healthcare professionals in the Netherlands is increasing caused by the growth of patient complexity. The administration burden causes outflow of professionals and therefor they become increasingly scares. Improvement initiatives are aimed as the intended strategy and starts with (re)-structuring organizations through legislation and regulations. They entail both experienced and measured administration burden for healthcare professionals working in Long-Term Care (LTC). However, most studies only provide insight into the current administration burden or the impact of legislation and regulations on the administration burden from a broad perspective. These insights are useful to LTC managers, but more in-depth research is needed to implement laws and regulations to reduce the administration burden for LTC professionals in the future. The Compulsory Mental Healthcare Act (CMHA) was implemented in the Dutch mental healthcare and replaced the Special Admissions Act in Psychiatric Hospitals (SAAPH) on January 1, 2020. The aim of this study is to investigate the effect of the legislative transition and to determine the effect on the administration burden of Dutch mental healthcare professionals. A survey concerning the administration burden for especially psychiatrists before and after the transition was distributed to an addiction institute with a diversity of different mental healthcare professionals and a psychiatric institute that has been led by psychiatrists. Also some interviews with the lead professionals where held. The results show that the administration burden among psychiatrists has increased due to the contact with external healthcare providers and contact with the patient, family and their loved ones (a consequence of the amendment of the law). This effect was significant and in line with the results of the interviews. Therefor we conclude that the administration burden has increased as a result of the legislative amendment.
English Abstract:Administrative turbulence in social work: the challenge of pluralist coalition-formation As elsewhere in Europe, social work in the Netherlands is facing ever more administrative changes. This article analyzes the administrative changes that local social work institutions are currently facing and how representatives of these institutions are reacting to these changes. The article is divided into three sections. The first section describes four administrative changes that organizations in the field of social work are currently facing. The second section is based on the results of four studies in local social work, and analyzes how social workers and managers from these organizations are experiencing and handling these administrative changes. We group the reactions into four different clusters: the confused reaction, the introvert reaction, the extravert reaction and the binding reaction. The third section zooms in on what we see as the most beneficial strategy: the binding reaction. We argue that these turbulent times call for organizations that are able to create strong coalitions, both internally and externally. These are necessary to guarantee service provision as well as innovation in a meaningful way.--Dutch Abstract:Bestuurlijk turbulentie in het sociaal werk: de uitdaging van meervoudige coalitievorming Net als elders in Europa wordt het sociaal werk in Nederland geconfronteerd met indringende bestuurlijke veranderingen. In dit artikel analyseren wij met welke bestuurlijke veranderingen instellingen in het lokaal sociaal werk te maken hebben en hoe representanten van deze instellingen op deze veranderingen reageren. Het artikel bestaat uit drie delen. In het eerste deel beschrijven we vier in het oog springende bestuurlijke veranderingen waarmee organisaties in dit veld geconfronteerd worden. In het tweede deel analyseren we op basis van verschillende onderzoeken in het lokaal sociaal werk hoe representanten van deze organisaties – sociaal werkers en managers – deze veranderingen ervaren en hoe zij hiermee omgaan. We onderscheiden vier clusters reacties: de verwarde reactie, de introverte reactie, de extraverte reactie en de verbindende reactie. In het derde deel zoomen we in op de ons inziens meest vruchtbare reactiewijze: de verbindende reactie. We betogen dat deze turbulente tijd vraagt om organisaties die erin slagen om zowel sterke interne als krachtige externe coalities te creëren, nodig om de kwaliteit van de dienstverlening te waarborgen en betekenisvol te innoveren.
In dynamic and competitive environment, the importance of innovation is accepted as a necessary ingredients for firms to create value and sustain competitive advantage. However, very little empirical research has specifically addressed to what extent different kinds of innovation rely on specific knowledge management processes and entrepreneurial orientation. The objective of this study is to identify the different types of innovation that are predominant in companies, and how to facilitate different types of innovation activities. A questionnaire survey was conducted and 169 valid replies were received. This research analyzes the relationship among knowledge management processes, as well as entrepreneurial orientation and different types of innovation. The results from an empirical survey study reveal that organizations facilitate different types of innovation (i.e., administrative versus technical innovation) through entrepreneurial orientation and knowledge management process (i.e., knowledge acquisition, knowledge sharing and knowledge application). The results also show that the partial mediating role of knowledge management processes in the relationship between entrepreneurial orientation and different types of innovation.
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