Lifelong learning is necessary for nurses and caregivers to provide good, person-centred care. To facilitate such learning and embed it into regular working processes, learning communities of practice are considered promising. However, there is little insight into how learning networks contribute to learning exactly and what factors of success can be found. The study is part of a ZonMw-funded research project ‘LeerSaam Noord’ in the Netherlands, which aims to strengthen the professionalization of the nursing workforce and promote person-centred care. We describe what learning in learning communities looks like in four different healthcare contexts during the start-up phase of the research project. A thematic analysis of eleven patient case-discussions in these learning communities took place. In addition, quantitative measurements on learning climate, reciprocity behavior, and perceptions of professional attitude and autonomy, were used to underpin findings. Reflective questioning and discussing professional dilemma's i.e. patient cases in which conflicting interests between the patient and the professional emerge, are of importance for successful learning.
MULTIFILE
Er wordt dezer dagen in de Nederlandse sociale sector veel geïnvesteerd in evidence based practice. Brede welzijnsorganisaties worden er in hun onderhandelingen met gemeenten op aangesproken, en wat niet 'evidence based' is vormt een makkelijke prooi voor bezuinigingen. Landelijke organisaties zoals NJi en MOVISIE werken hard aan het bouwen en vullen van vrij toegankelijke digitale databanken met daarin actuele informatie over welke effectonderzoeken beschikbaar zijn voor een hele reeks sociale interventies. Krachtig materiaal dat de modernisering van sociaal werk vooruit kan helpen, maar tegelijk leidend aan de eerder genoemde vorm van bijziendheid. Een volwaardig perspectief op beroepsinnovatie in de sociale sector kan zich niet beperken tot een normatief uitgangspunt, tot verkondigen wat zou moeten zijn. Dat volwaardig perspectief bereiken we pas als we kijken naar wat is, naar de diverse factoren die de dynamiek van beroepsinnovatie beïnvloeden, ook als ze minder verheffend zijn (bijvoorbeeld de invloed van platte commercie, of macht en populisme). We doen daarom een oproep om open biografieën van sociale interventies te ontwikkelen, om vanuit een sociologisch perspectief te beschrijven hoe allerlei sociale interventies een plek verwerven in het dagelijks leven van sociaal werk.
DOCUMENT
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.
DOCUMENT
Academic design research often fails to contribute to design practice. This dissertation explores how design research collaborations can provide knowledge that design professionals will use in practice. The research shows that design professionals are not addressed as an important audience between the many audiences of collaborative research projects. The research provides insight in the learning process by design professionals in design research collaborations and it identifies opportunities for even more learning. It shows that design professionals can learn about more than designing, but also about application domains or project organization.
DOCUMENT
Inmiddels weten we dat veel patiënten geen op onderzoeksresultaten gebaseerde zorg krijgen of zorg krijgen die overbodig of zelfs potentieel schadelijk is. Ondanks deze kennis is minder bekend hoe deze internationaal bestaande kloof tussen onderzoek en de verpleegkundige praktijk te overbruggen is. Gebruikelijke implementatiestrategieën die deze kloof proberen te dichten, zijn vaak gericht op de individuele professional en minder vaak op de sociale omgeving of de context waarin de verpleegkundige werkzaam is. In het proefschrift van Gerda Holleman probeert zij meer inzicht te krijgen in de rol die de context heeft bij het implementeren van evidence-based practice (EBP) in de verpleegkundige praktijk. Ze maakt een onderscheid tussen drie elementen in de sociale context: de professionele verpleegkundige beroepsorganisaties, de verpleegkundige opinieleider (een gerespecteerd persoon in een gezondheidszorgorganisatie die innovatiekennis heeft en gemotiveerd is implementatie tot een succes te maken) en de verpleegkundige teams.
LINK
Wijkverpleegkundigen staan op de voorgrond in het proces van kwaliteitsverbetering binnen het eigen team. Dit vereist leiderschap. Het project Nurses in the Lead richt zich op het versterken van leiderschapscompetenties van wijkverpleegkundigen bij het implementeren van evidence-based innovaties gericht op het stimuleren van zelfredzaamheid bij ouderen.
DOCUMENT
Inclusive early childhood education and care (ECEC) requires interprofessional collaboration between professionals with diverse professional backgrounds. Following developments in human services, there is a growing interest in the role of interprofessional teams in community-based settings for young children. In a three-year longitudinal study, we investigated interprofessional collaboration (IPC) between staff from childcare, education and youth care. At the individual level, a survey was used for the analysis of IPC competences. At the network level, we investigated professional relationships between individuals using social network analysis. Results of a multilevel mixed linear model showed an increase in interdependence and reflection on process of individual staff, followed by the progressive development of perceived team performance. Smaller networks with higher density and professionals’ centrality predicted more positive perceptions of inclusive ECEC. We discuss our findings in the context of growing interest in interprofessional teams in ECEC.
DOCUMENT
Social work is a profession that is very much part of and contributes to an ever changing and evolving society. It is therefore essential that social work is able to respond to the diverse and dynamic demands that it may encounter in that society and in the future. The critique of social work is, however, present and growing. The profession can no longer deny or ignore the need to legitimize its value and effectiveness. In this article, a research project – entitled Procivi – aimed at developing a method of legitimizing social work is presented. The method developed in Procivi proposes a way of legitimizing social work through the development of reflective professionals. The method teaches professionals to take a research frame of mind towards their own practice and helps them develop a vocabulary to describe their work to different audiences. The paper discusses whether and how this method forms a viable way of legitimizing social work and as such could be an alternative for the growing demand for social work based on scientific evidence (evidencebased practice, EBP).
MULTIFILE
Although it is advocated that end-users are engaged in developing evidence-based injury prevention training to enhance the implementation, this rarely happens. The ‘Implementing injury Prevention training ROutines in TEams and Clubs in youth Team handball (I-PROTECT)’ uses an ecological participatory design incorporating the perspectives of multiple stakeholders throughout the project. Within the I-PROTECT project, the current study aimed to describe the development of holistic injury prevention training specifically for youth handball players through using knowledge from both end-users (coaches and players) and researchers/handball experts. Employing action evaluation within participatory action research, the cyclical development process included three phases: research team preparation, handball expert-based preparation and end-user evaluation to develop injury prevention training incorporating both physical and psychological perspectives. To grow the knowledge of the interdisciplinary research team, rethinking was conducted within and between phases based on participants’ contributions. Researchers and end-users cocreated examples of handball-specific exercises, including injury prevention physical principles (movement technique for upper and lower extremities, respectively, and muscle strength) combined with psychological aspects (increase end-user motivation, task focus and body awareness) to integrate into warm-up and skills training within handball practice. A cyclical development process that engaged researchers/handball experts and end-users to cocreate evidence-based, theory-informed and context-specific injury prevention training specifically for youth handball players generated a first pilot version of exercises including physical principles combined with psychological aspects to be integrated within handball practice.
DOCUMENT
The field of higher professional educational in the Netherlands is undergoing drastic structural changes. Organizational-wide mergers are commonplace and are often followed by development of new curricula. Furthermore, this is often accompanied by the implementation of a completely new educational concept as well. These structural changes in the educational system require that teachers adapt their current teaching practices, along with working on gaining new competences associated with working in a changing organization. This paper presents a short background of communities of practice in higher education, followed by a report on the first impressions from an experiment in which a bottom-up style of change management has been implemented through the use of a community of practice. A community of practice (CoP) is a powerful knowledge management tool that brings people from a similar domain together in order to solve complex problems, deal with a changing organization and build knowledge around a specific practice. Inholland decided to implement a CoP for the international faculty in order for the members to better cope with the major curricula and didactic changes currently being implemented there. Concepts such as change, organizational sense making and teacher professionalization
DOCUMENT
