Londen kreeg met een harde aanpak van repressie en activering zijn daklozen van de straat. Parijs koestert ondertussen de een invoelende bejegening van de clochard. Lia van Doorn verbleef 6 maanden in Parijs en legde samen met Evelien Tonkens drie werkbezoeken af in Londen. En: gaat Nederland Engeland achterna?
As labour is becoming more and more knowledge controlled, it also getting closer to the individual person. We sometimes seem to forget this. To an increasing extent it is becoming a part of oneself and therefore of the personal identity. The increasing humanization of labour asks for an HRM-policy and an organizational context in which the individual is able to identify with the organization, colleagues, customers/clients and product. Heterononimous or abstract organizations, organizations in which the employees and civilians have been reduced to numbers and in which there is no real consideration for the individual differences, have to make way for organizational structures in which the individual feels (self) responsible again. The future lies with personal, tribally inspired organizations in which managers will be leaders and where employees and managers can show social commitment. Images like that of: the egocentric boss who by making swift career moves avoids responsibility for employee/co-worker and customer/client; of colleagues taking the day off without consultation or who are putting their phone through to someone else without saying so beforehand, meeting rooms which are not being cleaned up after use and the image of a Xerox machine not being refilled up with paper by anyone, are all too frequently dismissed as not being part of productivity.
Background Clients facing decision-making for long-term care are in need of support and accessible information. Construction of preferences, including context and calculations, for clients in long-term care is challenging because of the variability in supply and demand. This study considers clients in four different sectors of long-term care: the nursing and care of the elderly, mental health care, care of people with disabilities, and social care. The aim is to understand the construction of preferences in real-life situations. Method Client choices were investigated by qualitative descriptive research. Data were collected from 16 in-depth interviews and 79 client records. Interviews were conducted with clients and relatives or informal caregivers from different care sectors. The original client records were explored, containing texts, letters, and comments of clients and caregivers. All data were analyzed using thematic analysis. Results Four cases showed how preferences were constructed during the decision-making process. Clients discussed a wide range of challenging aspects that have an impact on the construction of preferences, e.g. previous experiences, current treatment or family situation. This study describes two main characteristics of the construction of preferences: context and calculation. Conclusion Clients face diverse challenges during the decision-making process on long-term care and their construction of preferences is variable. A well-designed tool to support the elicitation of preferences seems beneficial.
Wat is er nodig om de zorg voor psychisch ontregelde patiënten, die somatische spoedzorg nodig hebben, beter te laten aansluiten op de behoeften en ervaringen van de patiënt, hun naasten en de zorgprofessionals? Dat vraagstuk adresseren we met deze RAAK-publiek aanvraag. De zorg voor psychisch ontregelde patiënten die somatische spoedzorg nodig hebben is in de praktijk vaak suboptimaal, omdat de primaire focus van die spoedzorg vooral op somatische klachten is gericht. Hierdoor krijgt deze kwetsbare groep patiënten niet altijd de zorg die zij nodig hebben, waardoor behandeling van psychische klachten onnodig wordt uitgesteld en de kans op escalaties toeneemt. Met behulp van onderzoekmethodologieën uit het Medical Research Council Framework en Experience-Based Co-Design bestuderen we de ambulance- en spoedeisende hulp (SEH) context en brengen we de ervaringen en behoeften van psychisch ontregelde patiënten, hun naasten en de betrokken zorgprofessionals in kaart. Daarbij zoomen we ook in op de benodigde kennis en vaardigheden om goede zorg te geven binnen die spoedzorgcontext. Op basis van de kennis die we daarin ophalen, ontwerpen we samen met de patiënten, hun naasten en de zorgprofessionals, een praktisch toepasbare toolbox, met elementen om de somatische spoedzorg voor psychisch ontregelde patiënten beter te laten aansluiten. De Hogeschool Utrecht voert het project uit in nauwe samenwerking het UMC Utrecht, Diakonessenhuis, St. Antonius ziekenhuis, Meander MC, de RAVU en stichting Altrecht. Gedurende het gehele project zullen patiënten, naasten en zorgprofessionals actief participeren bij zowel de opzet als de uitvoering van de verschillende deelonderzoeken binnen deze aanvraag.
