Zoekresultaten

Toward a partnership in the transition from home to a nursing home

The transition from home to a nursing home can be stressful and traumatic for both older persons and informal caregivers and is often associated with negative outcomes. Additionally, transitional care interventions often lack a comprehensive approach, possibly leading to fragmented care. To avoid this fragmentation and to optimize transitional care, a comprehensive and theory-based model is fundamental. It should include the needs of both older persons and informal caregivers. Therefore, this study, conducted within the European TRANS-SENIOR research consortium, proposes a model to optimize the transition from home to a nursing home, based on the experiences of older persons and informal caregivers. These experiences were captured by conducting a literature review with relevant literature retrieved from the databases CINAHL and PubMed. Studies were included if older persons and/or informal caregivers identified the experiences, needs, barriers, or facilitators during the transition from home to a nursing home. Subsequently, the data extracted from the included studies were mapped to the different stages of transition (pre-transition, mid-transition, and post-transition), creating the TRANSCITmodel. Finally, results were discussed with an expert panel, leading to a final proposed TRANSCIT model. The TRANSCIT model identified that older people and informal caregivers expressed an overall need for partnership during the transition from home to a nursing home. Moreover, it identified 4 key components throughout the transition trajectory (ie, pre-, mid-, and post-transition): (1) support, (2) communication, (3) information, and (4) time. The TRANSCIT model could advise policy makers, practitioners, and researchers on the development and evaluation of (future) transitional care interventions. It can be a guideline reckoning the needs of older people and their informal caregivers, emphasizing the need for a partnership, consequently reducing fragmentation in transitional care and optimizing the transition from home to a nursing home.

Collective convening: Organizational and interorganizational-level tensions in joint cross-sector partnership formation

The role of conveners in initiating and/or leading the formation of cross-sector partnerships (CSPs) has received ample attention in the literature on partnership formation. However, what happens when two organizations jointly take up this role? This question is important in many complex partnerships, such as those on sustainable supply chains. We present a qualitative, longitudinal case study explaining how two organizations together convened the formation of a complex cross-sector partnership, and emphasize the changing roles of each organization individually and their shared relationship over time. We analyze how this process of ‘collective convening’ unfolded, how it impacted the collaboration, and how the conveners coped with the tensions brought about by the constellation of collective convening. These tensions manifested at the interorganizational level in the relationship between the two conveners, but were also fed by each convener’s organizational level dynamics, as these dynamics influenced the collective convening process. A paradox perspective is appropriate to analyze the tensions emerging from the collective convening process and the ensuing organizational response strategies. We contribute to the literature on CSPs by introducing and elaborating on the notion of ‘collective convening’, which reflects a reality in complex CSP formation but has remained largely unstudied in the existing literature on convening. Further, we show how conveners bring their organizational level dynamics to the interorganizational level and how these dynamics influence the CSP formation process in positive and negative ways.

An "ultimate partnership"

Aim: There is often a gap between the ideal of involving older persons iteratively throughout the design process of digital technology, and actual practice. Until now, the lens of ageism has not been applied to address this gap. The goals of this study were: to voice the perspectives and experiences of older persons who participated in co-designing regarding the design process; their perceived role in co-designing and intergenerational interaction with the designers; and apparent manifestations of ageism that potentially influence the design of digital technology. Methods: Twenty-one older persons participated in three focus groups. Five themes were identified using thematic analysis which combined a critical ageism ‘lens’ deductive approach and an inductive approach. Results: Ageism was experienced by participants in their daily lives and interactions with the designers during the design process. Negative images of ageing were pointed out as a potential influencing factor on design decisions. Nevertheless, positive experiences of inclusive design pointed out the importance of “partnership” in the design process. Participants defined the “ultimate partnership” in co-designing as processes in which they were involved from the beginning, iteratively, in a participatory approach. Such processes were perceived as leading to successful design outcomes, which they would like to use, and reduced intergenerational tension. Conclusions: This study highlights the potential role of ageism as a detrimental factor in how digital technologies are designed. Viewing older persons as partners in co-designing and aspiring to more inclusive design processes may promote designing technologies that are needed, wanted and used.

Equal partnership between engineering education and industry

From welfare state to welfare society : the partnership model

This paper considers the partnership model, which is in the author’s view the best answer in the social policy creation in contemporary conditions. The author refers to changes and reforms in the development of welfare state in the world from 1980s onwards. He describes various approaches and models, paying particular attention to the welfare society model, and partnership as its central concept. Furthermore, he analyses the functioning of the partnership model based on the experience of the European Union, Great Britain and Hungary

Equal partnership between engineering education and industry

One of the aims of the TALENTS-project is to create (interdisciplinary) learning communities in which engineering professionals, students, teachers, and researchers can learn together and collaborate as equal partners, within the context of authentic challenges, starting from their individual learning goals. To what extent are partners willing to participate in this partnership and under which conditions do they consider it to have added value? We conducted individual interviews with engineering students (N=11), teachers (N=12) and professionals (N=10) about what they require to participate in the learning community, employing epistemic, spatial, instrumental, temporal, and social elements of learning environments. We also inquired which resources participants were willing to invest. Data were summarized on group level in a within-group matrix, following these elements. Next, we employed a cross-group analysis, focusing on commonalities and differences. The most striking results were found in the epistemic, social, and instrumental elements. Respondents have similar needs when it comes to improving dialogue to formulate a challenge. However, professionals prefer to have more influence on formulating this challenge and its output, whereas teachers wish to focus on students’ development. Students wish to co-create with partners and they place importance on matching students with a challenge that aligns with their educational background and personal interest. To create an environment based on equality, students need traditional roles of teachers, clients, and students to be less apparent. Ultimately, almost all respondents are willing to co-operate as equal partners in the learning community because they can see it leads to added value.