The model of the Best Practice Unit (BPU) is a specific form of practice based research. It is a variation of the Community of Practice (CoP) as developed by Wenger, McDermott and Snyder (2002) with the specific aim to innovate a professional practice by combining learning, development and research. We have applied the model over the past 10 years in the domain of care and social welfare in the Netherlands. Characteristics of the model are: the interaction between individual and collective learning processes, the development of (new or better) working methods, and the implementation of these methods in daily practice. Multiple knowledge sources are being used: experiential knowledge, professional knowledge and scientific knowledge. Research is serving diverse purposes: articulating tacit knowledge, documenting the learning and innovation process, systematically describing the revealed or developed ways of working, and evaluating the efficacy of new methods. An analysis of 10 different research projects shows that the BPU is an effective model.
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To promote workplace learning for staff as well as students, a partnership was formed between a residential care organisation for older people and several nursing faculties in the Netherlands. This partnership took the form of two care innovation units; wards where qualified staff, students and nurse teachers collaborate to integrate care, education, innovation and research. In this article, the care innovation units as learning environments are studied from a student perspective to deepen understandings concerning the conditions that facilitate learning. A secondary analysis of focus groups, held with 216 nursing students over a period of five years, revealed that students are satisfied about the units' learning potential, which is formed by various interrelated and self-reinforcing affordances: co-constructive learning and working, challenging situations and activities, being given responsibility and independence, and supportive and recognisable learning structures. Time constraints had a negative impact on the units' learning potential. It is concluded that the learning potential of the care innovation units was enhanced by realising certain conditions, like learning structures and activities. The learning potential was also influenced, however, by the non-controllable and dynamic interaction of various elements within the context. Suggestions for practice and further research are offered.
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Background: On two Care Innovation Units in the Netherlands, staff, students and Lecturer Practitioners work intensively together to provide care, create a rich learning environment, and to foster innovation and research. In striving to advance the quality of care and to develop person centred cultures a preference is given to participative forms of research in which diverse experiences and different types of knowledge are valued. Aims and Objectives: The research described here had two overarching aims: the improvement of practice situations and the encouragement of the integration of work and learning. This article focuses on our actions and learning with respect to fostering participation during this project. Design and methods: Within the action research methodology used, participative work-forms and research methods were chosen. For example, a responsive approach to evaluation of practice, use of narratives and the stimulation and use of creativity to help in exploring and sharing feelings, values and different forms of knowledge. In this article we use Arnstein's ladder of citizen participation to frame our reflection on enabling participation within this project. Results Participation took various forms and vacillated throughout the project. In addition to particular facilitation strategies, four factors emerged as influential in enabling or inhibiting aspects of participation among stakeholders: individual motivations and interests, the make-up of and atmosphere within the group, and the time made available to engage in research activities. Conclusions Participation in research is both more complex and dynamic than Arnstein's typology suggests. Moving 'up' the ladder may not be appropriate as a goal in and of itself. Instead, meeting and responding to each other's situations, as stakeholders, seems a more appropriate focus. Taking responsibility, as facilitator, for certain research activities, can free other participants to focus on elements which interest them and from which they derive satisfaction.
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As the Dutch population is aging, the field of music-in-healthcare keeps expanding. Healthcare, institutionally and at home, is multiprofessional and demands interprofessional collaboration. Musicians are sought-after collaborators in social and healthcare fields, yet lesser-known agents of this multiprofessional group. Although live music supports social-emotional wellbeing and vitality, and nurtures compassionate care delivery, interprofessional collaboration between musicians, social work, and healthcare professionals remains marginal. This limits optimising and integrating music-making in the care. A significant part of this problem is a lack of collaborative transdisciplinary education for music, social, and healthcare students that deep-dives into the development of interprofessional skills. To meet the growing demand for musical collaborations by particularly elderly care organisations, and to innovate musical contributions to the quality of social and healthcare in Northern Netherlands, a transdisciplinary education for music, physiotherapy, and social work studies is needed. This project aims to equip multiprofessional student groups of Hanze with interprofessional skills through co-creative transdisciplinary learning aimed at innovating and improving musical collaborative approaches for working with vulnerable, often older people. The education builds upon experiential learning in Learning LABs, and collaborative project work in real-life care settings, supported by transdisciplinary community forming.The expected outcomes include a new concept of a transdisciplinary education for HBO-curricula, concrete building blocks for a transdisciplinary arts-in-health minor study, innovative student-led approaches for supporting the care and wellbeing of (older) vulnerable people, enhanced integration of musicians in interprofessional care teams, and new interprofessional structures for educational collaboration between music, social work and healthcare faculties.
Dutch society faces major future challenges putting populations’ health and wellbeing at risk. An ageing population, increase of chronic diseases, multimorbidity and loneliness lead to more complex healthcare demands and needs and costs are increasing rapidly. Urban areas like Amsterdam have to meet specific challenges of a growing and super divers population often with a migration background. The bachelor programs and the relating research groups of social work and occupational therapy at the Amsterdam University of Applied Sciences innovate their curricula and practice-oriented research by multidisciplinary and cross-domain approaches. Their Centres of Expertise foster interprofessional research and educational innovation on the topics of healthy ageing, participation, daily occupations, positive health, proximity, community connectedness and urban innovation in a social context. By focusing on senior citizens’ lives and by organizing care in peoples own living environment. Together with their networks, this project aims to develop an innovative health promotion program and contribute to the government missions to promote a healthy and inclusive society. Collaboration with stakeholders in practice based on their urgent needs has priority in the context of increasing responsibilities of local governments and communities. Moreover, the government has recently defined social base as being the combination of citizen initiatives, volunteer organizations , caregivers support, professional organizations and support of vulnerable groups. Kraktie Foundations is a community based ethno-cultural organization in south east Amsterdam that seeks to research and expand their informal services to connect with and build with professional care organizations. Their aim coincides with this project proposal: promoting health and wellbeing of senior citizens by combining intervention, participatory research and educational perspectives from social work, occupational therapy and hidden voluntary social work. With a boundary crossing innovation of participatory health research, education and Kraktie’s work in the community we co-create, change and innovate towards sustainable interventions with impact.
Wat is de mogelijke rol van lokale duurzame energiesystemen en –initiatieven in de overgang naar een duurzame samenleving? En hoe kunnen op lokale toepassing gerichte innovaties worden ontwikkeld en toegepast op een zodanige manier dat deze bij lokale systemen en initiatieven aansluiten?Deze vragen staan centraal in dit onderzoeksproject dat zich richt op innovaties die rekening houden met een grotere rol van burgers bij een duurzame energievoorziening. Het project behelst echter meer dan het verrichten van onderzoek. Het beoogt bouwstenen te leveren voor een duurzame samenleving waarin meer ruimte is voor lokale (burger)initiatieven. We stellen drie deelprojecten voor:1. een vergelijkende studie naar energiecoöperaties en vergelijkbare innovatieve initiatieven, binnen en buiten Nederland, in heden en verleden. Daarbij hopen we lering te kunnen trekken uit de succesvolle ervaringen in Denemarken en Oostenrijk en van innovaties door coöperatiesen collectieven in het verleden.2. een analyse van energie-innovaties die beogen aan te sluiten bij lokale energiesystemen. Concreet zal het onderzoek zich richten op speciale batterijen, ontwikkeld dor het bedrijf Dr.Ten, en een soort slimme grote zoneboiler, ontwikkeld door het gelijknamige bedrijf Ecovat.3. De ontwikkeling van drie scenario’s, gebaseerd op inzichten uit studies 1 en 2. De scenario’s zullen bijvoorbeeld inhoudelijk verschillen in de mate waarin deze geïntegreerd zijn in bestaande energiesystemen. Deze zullen worden ontwikkeld en besproken met relevante stakeholders.Het onderzoek moet leiden tot een nauwkeurig overzicht van de mate van interesse en betrokkenheid van stakeholders en van de beperkingen en mogelijkheden van lokale energiesystemen en daarbij betrokken technologie. Ook leidt het tot een routemap voor duurzame energiesystemen op lokaal niveau. Het project heeft een technisch aspect, onderzoek naar verfijning en ontwikkeling van de technologie en een sociaal en normatief aspect, studies naar aansluitingsmogelijkheden bij de wensen en mogelijkheden van burgers, instanties en bedrijven in Noord-Nederland. Bovenal is het integratief en ontwerpend van karakter.This research proposal will explore new socio- technical configurations of local community-based sustainable energy systems. Energy collectives successfully combine technological and societal innovations, developing new business and organization models. A better understanding of their dynamics and needs will contribute to their continued success and thereby contribute to fulfilling the Top Sector’s Agenda. This work will also enhance the knowledge position of the Netherlands on this topic. Currently, over 500 local energy collectives are active in The Netherlands, many of them aim to produce their own sustainable energy, with thousands more in Europe. These collectives search for a new more local-based ways of organizing a sustainable society, including more direct democratic decision-making and influence on local living environment. The development of the collectives is enabled by openings in policy but –evenly important - by innovations in local energy production technologies (solar panels, windmills, biogas installations). Their future role in the sustainable energy transition can be strengthened by careful aligning new organizational and technological innovations in local energy production, storage and smart micro-grids.
