Some nurses are responding rebelliously to the changing healthcare landscape by challenging the status quo and deviating from suboptimal practices, professional norms, and organizational rules. While some view rebel nurse leadership as challenging traditional structures to improve patient care, others see it as disruptive and harmful. These diverging opinions create dilemmas for nurses and nurse managers in daily practice. To understand the context, dilemmas, and interactions in rebel nurse leadership, we conducted a multiple case study in two Dutch hospitals. We delved into the mundane practices to expand the concept of leadership-as-practice. By shadowing rebel nurse practices, we identified three typical leadership practices which present the most common “lived” experiences and dilemmas of nurses and nurse managers. Overall, we noticed that deviating acts were more often quick fixes rather than sustainable changes. Our research points to what is needed to change the status quo in a sustainable manner. To change unworkable practices, nurses need to share their experienced dilemmas with their managers. In addition, nurse managers must build relationships with other nurses, value different perspectives, and support experimenting to promote collective learning.
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This article presents a review of the current body of academic literature concerning gamification of production and logistics to understand the status quo and provide suggestions for future research. The findings indicate that the execution and control of production and logistic processes has been addressed most often in the current body of literature, which mostly consists of design research. Objectives and goals, points, achievements, multimedial feedback, metaphorical or fictional representations, and levels and progress are currently the most often employed affordances within this field. Research has focused in the given context on examining or considering motivation, enjoyment and flow, as the main psychological outcomes of gamification, while individual performance and efficiency are the most commonly examined or suggested behavioral and organizational impacts. Future studies should employ more rigorous designs within new subdomains of production and logistics and should firmly ground research designs and discussions in management theory and critical studies.
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This report describes the Utrecht regio with regard to sustainability and circular business models.
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Educational policies in the Netherlands reveal that the current mainstream participatory approach to citizenship education jeopardises students’ autonomy. Especially in Dutch post-secondary vocational education, citizenship education has been shown to be mainly aimed at socialization: initiating students into tradition, internalising rules, societal norms and values. This article reports on the findings of a research project, which is grounded in the assumption that integrating Bildung, citizenship education and critical thinking is a promising way to grapple with the perceived overemphasis on socialization strategies. We justify the interrelationship of critical thinking, Bildung, citizenship education, and professional training from two perspectives – historical and contemporary. It is only by combining these concepts, we contend, that educational professionals can create teaching materials more geared to developing autonomy, and prepare students in vocational training to navigate the political and societal dilemma’s on the work floor. Furthermore, we also clarify our perspective by offering three educational principles, used in our project to guide the design of teaching materials, that form a context for integrating citizenship, critical thinking, and Bildung in vocational education. A practical illustration is subsequently discussed.
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Reactie op 'Verpleegkundigen opleiden voor de ggz' door Koekkoek e.a., in MGV november 2013 Mijn complimenten voor Bauke Koekkoek en zijn collega’s die een fraai overzicht bieden van het opleidingsstelsel voor (GGZ-)verpleegkundigen en de ontwikkelingen daarbinnen. Gezien de complexiteit van dit stelsel hebben nog maar weinigen een goed overzicht. Zeer informatief dus! Al lezende viel mij echter ook op dat de auteurs weinig stelling nemen en richting aangeven voor de toekomst. We hebben een variëteit aan opleidingen die we moeten koesteren en continueren, zo lijkt hun conclusie te zijn. Is dit niet weer te veel polderen in ons kleine kikkerlandje? Laten we nog eens kijken naar een aantal belangrijke en actuele punten.
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Social innovation acknowledges that alternative arrangements between state, market and civil society are called for if innovations are to be sustainable. This chapter examines grassroots-led processes of social innovation in the field of poverty in Flanders, inspired by Ibrahim’s model of grassroots-led development. Inspired by it, we discuss the paradoxes for a politicising approach in the practice of the Flemish grassroots-led social innovation practices, Where People in Poverty Speak Out (WPPSO). We address two central questions. First, we demonstrate that social innovations such as WPPSO that aimed to improve the voice of people in poverty cannot trust only in the quality of the process of grassroots-led social innovation. A process-oriented approach might be a necessary condition for social innovation, but the democratisation of policy processes such as WPPSO do not necessarily create the conditions for concrete enhancements of the living conditions of people in poverty. Our second question was if other factors, outside of the innovation process, also need to be considered. A key external factor was that of encapsulation tendencies in policy production. The participative way of policy making about poverty with the grassroots organisations of people in poverty has brought about a separate domain of poverty policy.
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The Physical Internet (PI) is probably the most ambitious and visionary concept towards efficiency and sustainability in transport logistics. PI proposes a full consolidation of logistics flows from independent shippers using vertical and horizontal collaboration. The objective of this paper is to evaluate where the implementation of the Physical Internet concept stands in the practice of city logistics. From our research, it can be concluded that Hubs, Networks, and Extended Inter-networks are developing sufficiently. Access and Adoption, as well as Governance of platforms, seem still to be too complex for big steps on the roadmap.
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Echt vormend onderwijs overstijgt een ideologie, neemt regels in acht maar verhoudt zich hier altijd kritisch toe. Onderwijs niet als uitvoerder van overheidsbeleid, maar als kritisch fundament voor een gezonde, pluriforme democratie. Economie-onderwijs, niet ten dienste van bureaucratische efficiëntie of ogenschijnlijke ethiek, maar als cultuurvormend waarbij ook de nadelen van de economische status quo worden besproken.
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In January 2017, relations between Greece and Turkey were under severe strain when warships from both sides engaged in a brief standoff near a pair of uninhabited Greek ‘islets’ in the Aegean, whose sovereignty is disputed by Turkey. Theoretically informed by the literature of foreign policy analysis, we examine how the Greek diplomats, military officers and political analysts interpreted Turkey’s behaviour at that particular time. The article considers the following research question: which factors, from a Greek point of view, explain Turkey’s foreign policy in the Aegean in January 2017? Our theoretical expectation is that, in the aftermath of the coup attempt in Turkey, Greek diplomats, military officers and political analysts would ascribe domestic calculations into Turkey’s activities. We employed Q- methodology to uncover socially shared perspectives on this topic. Based on our findings, we uncovered two viewpoints: (1) Turkey’s diachronic strategy in the Aegean and (2) the strongman style. According to the former and most widely shared viewpoint, a consistent ‘rationalist’ strategy to change the status quo in the Aegean explains Turkey’s behaviour. According to the second one, the belief system of Turkey’s leadership legitimises the use of force in the conduct of foreign policy.
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