Business is changing from an industrial- to a knowledge-based environment, building more from professionals and their expertise. Corporations need to create internal organizations in which there is more emphasis on human capital and creating/sharing knowledge and talents. Talent management and knowledge creation should be new foci to create sustainability and long-term success. On the whole, organisations are working too much on an ad hoc basis, focusing on technology instead of creating an environment in which talents reinforce each other. In this review article we explore knowledge circulation, link knowledge, and talent to innovation, and discuss optimum circumstances for corporations to benefit from these assets.
BACKGROUND: Recent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focused on the unique contribution of registered nurses. In this study, we focus on BRNs, as they are expected to serve as role models and change agents, while little is known about their unique contribution to quality of care in long-term care facilities. METHODS: We conducted a cross-sectional study among 282 wards and 6,145 residents from 95 Dutch long-term care facilities. The relationship between the presence of BRNs in wards and quality of care was assessed, controlling for background characteristics, i.e. ward size, and residents' age, gender, length of stay, comorbidities, and care dependency status. Multilevel logistic regression analyses, using a generalized estimating equation approach, were performed. RESULTS: 57% of the wards employed BRNs. In these wards, the BRNs delivered on average 4.8 min of care per resident per day. Among residents living in somatic wards that employed BRNs, the probability of experiencing a fall (odds ratio 1.44; 95% CI 1.06-1.96) and receiving antipsychotic drugs (odds ratio 2.15; 95% CI 1.66-2.78) was higher, whereas the probability of having an indwelling urinary catheter was lower (odds ratio 0.70; 95% CI 0.53-0.91). Among residents living in psychogeriatric wards that employed BRNs, the probability of experiencing a medication incident was lower (odds ratio 0.68; 95% CI 0.49-0.95). For residents from both ward types, the probability of suffering from nosocomial pressure ulcers did not significantly differ for residents in wards employing BRNs. CONCLUSIONS: In wards that employed BRNs, their mean amount of time spent per resident was low, while quality of care on most wards was acceptable. No consistent evidence was found for a relationship between the presence of BRNs in wards and quality of care outcomes, controlling for background characteristics. Future studies should consider the mediating and moderating role of staffing-related work processes and ward environment characteristics on quality of care.
The Best Practice Unit (BPU) model constitutes a unique form of practice-based research. A variant of the Community of Practice model developed by Wenger, McDermott and Snyder (2002), the BPU has the specific aim of improving professional practice by combining innovation and research. The model is used as a way of working by a group of professionals, researchers and other relevant individuals, who over a period of one to two years, work together towards a desired improvement. The model is characterized by interaction between individual and collective learning processes, the development of new or improved working methods, and the implementation of these methods in daily practice. Multiple knowledge resources are used, including experiential knowledge, professional knowledge and scientific knowledge. The research serves diverse purposes: articulating tacit knowledge, documenting learning and innovation processes, systematically describing the working methods that have been revealed or developed, and evaluating the efficacy of the new methods. Each BPU is supported by a facilitator, whose main task is to optimize learning processes. An analysis of ten different BPUs in different professional fields shows that this is a successful model. The article describes the methodology and results of this study.
Dutch society faces major future challenges putting populations’ health and wellbeing at risk. An ageing population, increase of chronic diseases, multimorbidity and loneliness lead to more complex healthcare demands and needs and costs are increasing rapidly. Urban areas like Amsterdam have to meet specific challenges of a growing and super divers population often with a migration background. The bachelor programs and the relating research groups of social work and occupational therapy at the Amsterdam University of Applied Sciences innovate their curricula and practice-oriented research by multidisciplinary and cross-domain approaches. Their Centres of Expertise foster interprofessional research and educational innovation on the topics of healthy ageing, participation, daily occupations, positive health, proximity, community connectedness and urban innovation in a social context. By focusing on senior citizens’ lives and by organizing care in peoples own living environment. Together with their networks, this project aims to develop an innovative health promotion program and contribute to the government missions to promote a healthy and inclusive society. Collaboration with stakeholders in practice based on their urgent needs has priority in the context of increasing responsibilities of local governments and communities. Moreover, the government has recently defined social base as being the combination of citizen initiatives, volunteer organizations , caregivers support, professional organizations and support of vulnerable groups. Kraktie Foundations is a community based ethno-cultural organization in south east Amsterdam that seeks to research and expand their informal services to connect with and build with professional care organizations. Their aim coincides with this project proposal: promoting health and wellbeing of senior citizens by combining intervention, participatory research and educational perspectives from social work, occupational therapy and hidden voluntary social work. With a boundary crossing innovation of participatory health research, education and Kraktie’s work in the community we co-create, change and innovate towards sustainable interventions with impact.
Wat is de mogelijke rol van lokale duurzame energiesystemen en –initiatieven in de overgang naar een duurzame samenleving? En hoe kunnen op lokale toepassing gerichte innovaties worden ontwikkeld en toegepast op een zodanige manier dat deze bij lokale systemen en initiatieven aansluiten?Deze vragen staan centraal in dit onderzoeksproject dat zich richt op innovaties die rekening houden met een grotere rol van burgers bij een duurzame energievoorziening. Het project behelst echter meer dan het verrichten van onderzoek. Het beoogt bouwstenen te leveren voor een duurzame samenleving waarin meer ruimte is voor lokale (burger)initiatieven. We stellen drie deelprojecten voor:1. een vergelijkende studie naar energiecoöperaties en vergelijkbare innovatieve initiatieven, binnen en buiten Nederland, in heden en verleden. Daarbij hopen we lering te kunnen trekken uit de succesvolle ervaringen in Denemarken en Oostenrijk en van innovaties door coöperatiesen collectieven in het verleden.2. een analyse van energie-innovaties die beogen aan te sluiten bij lokale energiesystemen. Concreet zal het onderzoek zich richten op speciale batterijen, ontwikkeld dor het bedrijf Dr.Ten, en een soort slimme grote zoneboiler, ontwikkeld door het gelijknamige bedrijf Ecovat.3. De ontwikkeling van drie scenario’s, gebaseerd op inzichten uit studies 1 en 2. De scenario’s zullen bijvoorbeeld inhoudelijk verschillen in de mate waarin deze geïntegreerd zijn in bestaande energiesystemen. Deze zullen worden ontwikkeld en besproken met relevante stakeholders.Het onderzoek moet leiden tot een nauwkeurig overzicht van de mate van interesse en betrokkenheid van stakeholders en van de beperkingen en mogelijkheden van lokale energiesystemen en daarbij betrokken technologie. Ook leidt het tot een routemap voor duurzame energiesystemen op lokaal niveau. Het project heeft een technisch aspect, onderzoek naar verfijning en ontwikkeling van de technologie en een sociaal en normatief aspect, studies naar aansluitingsmogelijkheden bij de wensen en mogelijkheden van burgers, instanties en bedrijven in Noord-Nederland. Bovenal is het integratief en ontwerpend van karakter.This research proposal will explore new socio- technical configurations of local community-based sustainable energy systems. Energy collectives successfully combine technological and societal innovations, developing new business and organization models. A better understanding of their dynamics and needs will contribute to their continued success and thereby contribute to fulfilling the Top Sector’s Agenda. This work will also enhance the knowledge position of the Netherlands on this topic. Currently, over 500 local energy collectives are active in The Netherlands, many of them aim to produce their own sustainable energy, with thousands more in Europe. These collectives search for a new more local-based ways of organizing a sustainable society, including more direct democratic decision-making and influence on local living environment. The development of the collectives is enabled by openings in policy but –evenly important - by innovations in local energy production technologies (solar panels, windmills, biogas installations). Their future role in the sustainable energy transition can be strengthened by careful aligning new organizational and technological innovations in local energy production, storage and smart micro-grids.
The ELLAN is a Lifelong Learning Programme project funded by the European Commission for the period September 2013 – September 2016. The consortium included 26 partners from 25 countries in Europe. The ELLAN project promotes European cooperation and exchange of innovation and good practice related to the ageing population and to the educational preparation of those professionals in health and social care that work with older people. The desired outcome of the ELLAN project is a better quality of higher education related to the care and services of people in later life. The project includes several research based workpackage with the main project result being the "European Core Competences Framework for health and social care professionals working with older people". The project directly targets educators and management staff at the partner organizations and other higher education institutions in Europe. The indirect target groups are the students, professional communities and older people themselves.
