Digitalization enables public organizations to personalize their services, tuning them to the specific situation, abilities, and preferences of the citizens. At the same time, digital services can be experienced as being less personal than face-to-face contact by citizens. The large existing volume of academic literature on personalization mainly represents the service provider perspective. In contrast, in this paper we investigate what makes citizens experience a service as personal. The result are eight dimensions that capture the full range of individual experiences and expectations that citizens expressed in focus groups. These dimensions can serve as a framework for public sector organizations to explore the expectations of citizens of their own services and identify the areas in which they can improve the personal experiences they offer.
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This article reports on qualitative research among 48 social professionals, managers and policymakers and their perceptions of activating citizenship, social work roles and responsibilities, carried out in Utrecht and Tartu. Professionals from both countries agreed to the idea of activating citizenship but stressing the perspective of personalised or lived citizenship, each person to his own capacities and embedded in the personal context. Nearly all respondents were critical about the recognition of social workers as a full profession, about the new management way of steering social work and about cooperation between different groups of professionals and services. Although both countries have quite different historical and cultural backgrounds, the authors found many similarities among social workers regarding their ideas on support, participation and commitment to the people they work for and work with. International research projects contribute to a more strongly recognised social work theory and social work practice by getting a better understanding, in particular of the way social work adapts to different contexts but from a highly recognisable international discourse within social work.
The aim of the research reported in this thesis was to gain knowledge about the implementation of evidence‐based practice (EBP) in nursing to find a way to integrate shared decision making (SDM) with EBP in a chronic care environment in nursing, and to develop a strategy for an integrated approach of EBP and SDM in daily nursing practice in the individual aftercare for cancer survivors.
In Europe nearly 10% of the population suffers from diabetes and almost 1% from Rheumatoid Arthritis which can lead to serious problems with mobility and active participation, especially in the ageing population. Pedorthists deliver personalised designed and manufactured orthopaedic footwear or insoles for these patients. However, despite their often laborious efforts upfront, the industry has very little means to quantify how successful the fitting and function of a shoe is. They have to rely on subjective, qualitative measures such as client satisfaction and diminishing of complaints. Although valuable, the need for objective quantitative data in this field is growing. Foot plantar pressure and shear forces are considered major indicators of potential foot problems. Devices to measure plantar pressure slowly gain terrain as providers of objective quantitative data to guide orthotic design and manufacturing. For shear forces however, measuring devices are not yet commercial available. Although shear forces are considered as a major contributor to ulcer formation in diabetic feet, their exact role still requires elucidation and quantification. This project aims to develop a prototype of an in-shoe wearable device that measures both shear forces and pressure using state-of-the-art developments in sensor technologies, smart textiles and wireless data transfer. The collaboration of pedorthists’ small and medium-sized enterprises (SME)’s with medical device engineering companies, knowledge institutes,technical universities and universities of applied sciences in this project will bring together the different fields of expertise required to create an innovative device. It is expected that the tool will be beneficial to improve the quality of pedorthists’ services and potentially reduce health insurance costs. Furthermore, it can be used in new shear forces research and open new business potential. However, the eventual aim is to improve patient care and help maintain personal mobility and participation in society.
Hoe kan zorgvernieuwing structureel en efficiënt gerealiseerd worden door inzet van 3D technieken en welke praktische medische vraagstukken kunnen hiermee worden opgelost? Dat is een vraag die voortkomt uit experimenten van Medisch Spectrum Twente (MST-afdeling Radiotherapie) samen met Saxion FabLab Enschede naar 3D geprinte opbouw voor radiotherapie behandelingen. De experimenten waren zeer succesvol, maar riepen tevens nieuwe technische en organisatorische vragen op. De huidige planningssoftware is (nog) niet compatibel en er is beperkte 3D expertise binnen het team. Daarnaast vraagt de implementatie van 3D technieken om een aanzienlijke investering qua tijd en geld en verandering van werkwijze. De conclusie van de afdeling radiotherapie is dat zij deze vraag niet zelfstandig kunnen oppakken om in te passen in hun eigen processen. Voortbouwend hierop hebben zorgstudenten breder gekeken naar de huidige ontwikkelingen van 3d printen op het gebied van de gezondheidzorg (Brinkman, Garstenveld, de Rijk, Rutgers, Timmershuis, 2017). Binnen MST heeft dit geleid tot een groep van meerdere afdelingen die actief geïnteresseerd zijn om samen vervolgonderzoek te doen naar het toepassen van 3D technieken. De ontwikkelingen op het gebied van 3D technologie zijn als individuele afdeling niet bij te benen. Dit vraagt om een duurzame samenwerking met lokale kennispartners. De uitdaging van de creatieve industrie is om met moderne technologieën succesvolle innovaties te realiseren binnen de complexe wereld van het ziekenhuis. Het bedrijf 4C ondervindt dat door de toenemende technische mogelijkheden er behoefte is aan hoogwaardig maatwerk door creatieve oplossingen. Saxion en FabLab Enschede bundelen de krachten met bovenstaande partners om de kennispositie van de hogeschool te versterken in het kader van het FieldLab UPPS (Ultra Personalised Products & Services). Doel van dit project is drieledig: 1) Het ontwikkelen van een roadmap voor kansrijke Ultra Persoonlijke klinische zorg binnen het MST door inzet van 3D technieken. 2) Door het uitwerken van een tweetal cases meer zicht te krijgen in de technische en organisatorische consequenties. 3) Het bijeenbrengen van kennispartners in een netwerk dat de roadmap verder op kan pakken en implementeren.
