This thesis describes an Action Research (AR) project aimed at the implementation of Evidence Based Practice in a mental health nursing setting in the Netherlands. The main research question addressed in this thesis is: In what way is Action Research with an empowering appropriate to implement Evidence Based Practice in a mental health nursing setting in the Netherlands and what is the effect of this implementation on the care experienced by the client, the nursing interventions and the context in this setting compared to a comparative setting? To answer this main research question, the following questions derived from it were addressed: What is Evidence Based Practice? What is known about implementing evidence-based practice in nursing through Action Research? Which factors have to be dealt with in a mental health nursing setting, so the implementation of EBP with AR with an empowering intent will be more successful? Which factors have to be dealt with in a mental health nursing setting, so the implementation of EBP with AR with an empowering intent will be successful? How is EBP implemented through AR with an empowering intent and what are the outcomes for the use of evidence, the context and the facilitation in the setting? What is the effect of the implementation of EBP in mental health nursing using AR with an empowering intent on the care experienced by the client, the nursing interventions and the context compared to a comparison setting? The first two questions were answered by a search of the literature while the remaining questions were answered during the AR study conducted in two mental health organisations in the Netherlands.
DOCUMENT
Transitions in health care and the increasing pace at which technological innovations emerge, have led to new professional approach at the crossroads of health care and technology. In order to adequately deal with these transition processes and challenges before future professionals access the labour market, Fontys University of Applied Sciences is in a transition to combining education with interdisciplinary practice-based research. Fontys UAS is launching a new centre of expertise in Health Care and Technology, which is a new approach compared to existing educational structures. The new centre is presented as an example of how new initiatives in the field of education and research at the intersection of care and technology can be shaped.
DOCUMENT
This study explores the evaluation of research pathways of self-management health innovations from discovery to implementation in the context of practice-based research. The aim is to understand how a new process model for evaluating practice-based research provides insights into the implementation success of innovations. Data were collected from nine research projects in the Netherlands. Through document analysis and semi-structured interviews, we analysed how the projects start, evolve, and contribute to the healthcare practice. Building on previous research evaluation approaches to monitor knowledge utilization, we developed a Research Pathway Model. The model’s process character enables us to include and evaluate the incremental work required throughout the lifespan of an innovation project and it helps to foreground that innovation continues during implementation in real-life settings. We found that in each research project, pathways are followed that include activities to explore a new solution, deliver a prototype and contribute to theory. Only three projects explored the solution in real life and included activities to create the necessary changes for the solutions to be adopted. These three projects were associated with successful implementation. The exploration of the solution in a real-life environment in which users test a prototype in their own context seems to be a necessary research activity for the successful implementation of self-management health innovations.
MULTIFILE
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.
LINK
Founded in 2004, the Games for Health Project supports community, knowledge and business development efforts to use cutting-edge games and game technologies to improve health and health care. The Games for Health Conference brings together researchers, medical professionals and game developers to share information about the impact of games, playful interaction and game technologies on health, health care and policy. Over two days, more than 400 attendees participate in over 60 sessions provided by an international array of 80+ speakers, cutting across a wide range of activities in health and health care. Topics include exergaming, physical therapy, disease management, health behavior change, biofeedback, rehab, epidemiology, training, cognitive health, nutrition and health education.
DOCUMENT
This text is structured as follows. Section 1 concerns the background to this public lecture: the fact that social participation is becoming increasingly important in our society. This is evident, for example, from the way we are evolving from a protective welfare state into an activational, participative society. This development has consequences for the social sector and therefore also for the professionals who work in it. Social work professionals are not necessarily expected to identify or solve participation problems; they are seen as intermediaries who enable citizens to take responsibility themselves. Social work professionals are therefore expected to provide the individual applicant with less direct support and to focus more on strengthening the social networks of people and the social contexts in which they find themselves. Section 2 connects sections 1 and 3, but may also be read independently. It is about the fact that social work professionals are not yet in the habit of providing systematic insight into the results of their actions, while policy makers, for example, are increasingly looking to them precisely for this. First of all, I set out the reasons why it is so important to make the products of their interventions more visible, not only to policy makers, but also to social work professionals themselves and to the customers/citizens who depend on them. Secondly, I set out how the results of social interventions can be made more visible than they are at present; and what research can contribute. In this, I advocate a change in thinking: from thinking in terms of the evidence to thinking in terms of the evident. This argument forms the basis of the type of research that is being taken up from within the research group. In section 3, I describe a number of research projects that will be conducted during my tenure. I also set out the main proposition of this address, which states that social work professionals should do more with the knowledge that peoples behaviour is determined to a significant degree by contexts. In particular, social contexts could play a bigger role in promoting citizen participation. At present, social work professionals normally intervene directly in peoples behaviour, such as with therapies for combating problem behaviour. Interventions in a broader, social, context are rare. Why is this? And couldnt citizen participation be more effectively promoted by these means than through direct behavioural interventions? I put forward four propositions in this regard, and explain each of them in reference to one of the current research projects within the research group. With this, in combination with the general outlines of the research presented in section 2, I hope to provide a clear and inspiring overview of the research that will be carried out within the research group in the coming years. Finally, in section 4, I will discuss the significance of the research group to the faculty of Society and Law at Hogeschool Utrecht University of Applied Sciences, and to parties outside of Hogeschool Utrecht University of Applied Sciences.
DOCUMENT
Het boek ‘Create Health Ways of Working: Insights from ten eHealth innovation research projects’ presenteert inzichten uit het meta-onderzoeksproject ‘Create & Health Innovation WAys of Working Analysis’, ook wel CHIWAWA genoemd. Binnen dit meta-onderzoeksproject inventariseerden onderzoekers van de Hogeschool Utrecht (Lectoraat Onderzoekend Vermogen en Lectoraat Co-design) het gebruik van creatieve manieren van werken bij innovatieprocessen in de zorg, waarvoor zij tien onderzoeksprojecten van Nederlandse kennisinstellingen volgende in de periode 2018 – 2022. Deze tien onderzoeksprojecten en het meta-onderzoek waren onderdeel van het ZonMw-programma Create Health. Het boek presenteert case-portretten van de tien onderzoeksprojecten naar eHealth innovatie die zich concentreerden rondom de thema’s dementie, eenzaamheid en overgewicht. Vervolgens geeft het boek verdieping met betrekking tot de creatieve manieren van werken in de tien Create Health-onderzoeksprojecten, begrip van relationele processen bij het creëren van kennisuitwisseling en zicht op de impact die een dergelijke samenwerking heeft op de zorg- en welzijnssector en op de creatieve industrie. Het boek bevat aanbevelingen voor toekomstige onderzoeksconsortia, financiers en de praktijk (creatieve industrie, zorgsector en doelgroep) en sluit af met de beschrijving van een tool die gebaseerd is op het Research Pathway Model, dat als instrument gebruikt kan worden om het gesprek tussen stakeholders van innovatieprocessen in de zorg te ondersteunen.
DOCUMENT
This overview can be regarded as an atlas or travel guide with which the reader can follow a route along the various professorships. Chapter 2 centres on the professorships that are active in the field of Service Economy. Chapter 3 is dedicated to the professorships that are focussed on the field of Vital Region. Chapter 4 describes the professorships operating in the field of Smart Sustainable Industries. Chapter 5 deals with the professorships that are active in the field of the institution-wide themes of Design Based Education and Design Based Research. Lastly, in Chapter 6 we make an attempt to discover one or more connecting themes or procedures in the approach of the various professorships. This publication is not intended to give a definitive answer to the question as to what exactly NHL Stenden means by the concept of Design Based Research. The aim of this publication is to get an idea of everything that is happening in the NHL Stenden professorships and to pique one’s curiosity to find out more.
DOCUMENT
Background: Acquiring the theoretical and practical knowhow of conducting patient and public involvement (PPI) in research is not part of the traditional curriculum of researchers. Zuyd University of Applied Sciences and Huis voor de Zorg, a regional umbrella patient organization, therefore started a 1.5-year coaching programme. Objective: To establish a community of practice by developing a PPI coaching programme for senior and junior health services researchers of Zuyd University. The context consisted of research projects conducted by the participants. Methods: A participatory action research methodology. Data were collected from reports of thematic group meetings and individual sessions with participants, field notes and regular reflection meetings with the project team. Data were analysed by reflexive deliberation. Findings: The programme comprised a kick-off meeting (52 attendees), followed by 7 group meetings with 11 junior and 9 senior researchers. The project team constructed a serious game based on the concept of the participation ladder. Questions and concerns differed for junior and senior researchers, and separate tailored meetings were organized for both groups. Between group meetings, participants received individual assignments. Group meetings were accompanied by individual coaching sessions to provide tailor-made feedback. The programme concluded with a combined meeting with all stakeholders. Conclusion: Building a community of PPI practice through action research facilitates the development of a coaching programme that fosters social learning, empowerment and the development of a shared identity concerning PPI. The role and responsibilities of senior researchers should be distinguished from those of junior researchers.
DOCUMENT
From the article : "Based on a review of recent literature, this paper addresses the question of how urban planners can steer urban environmental quality, given the fact that it ismultidimensional in character, is assessed largely in subjective terms and varies across time. A novel perspective of urban environmental quality is proposed, simultaneously exploring three questions that are at the core of planning and designing cities: ‘quality of what?’, ‘quality for whom?’ and ‘quality at what time?’. The dilemmas that urban planners face in answering these questions are illustrated using secondary material. This approach provides perspectives for action. Rather than further detailing the exact nature of urban quality, it calls for sustainable urban environmental quality planning that is integrated, participative and adaptive" ( wileyonlinelibrary.com ) DOI: 10.1002/eet.1759 - Preprint available for free download.
DOCUMENT
