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Work Processes and Building Reconstruction at Elderly Care

A Dutch healthcare organisation modernizes its real estate portfolio to meet today’s requirements and acquired an office building for conversion into a nursing home for elderly with dementia. The purpose of the research has been to study the design principles for elderly with dementia, for innovative and smart application in work processes and the acquired building.Methods – Using multiple-method qualitative research design, bachelor thesis students of a university of applied sciences explored the reconstruction of the acquired building and related healthcare processes. Results – Application of design principles for the elderly with dementia were studied, among which were interior design, catering process, and connection with the neighbourhood. Feasible interior ideas were elaborated, intentions for change in the catering process were confirmed by stakeholders, and an action plan for neighbourhood connections was delivered. Elements are being used for a final design. Implementation has to be checked with close scrutiny.Originality – The application of design principles for elderly with dementia (design, favourable state, beautiful moments) together with changes in work processes of health care employees aiming at patient-centred care is a new combination. Practical or social implications – When a healthcare organisation chooses a new care concept, not only the surroundings change. Also, the processes around people and the way we take care of them change. In many ways a new concept can only succeed when the employees and the way they work change as well.

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Work Processes and Building Reconstruction at Elderly Care

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The role of networks in business model innovation

Stakeholders and in particular customers are an important source for business model innovation. Especially for sustainable business models, stakeholder integration may radically change the business logic and help to revise the business model. In this process cognition plays a central role, challenging basic assumptions and changing the dominant logic. In this paper we explore how interactions with the network contribute to making a cognitive shift in development of a sustainable business model. We build on three cases and closely look at the commercialisation stage in which a change of cognition and redesign of the business model take place. Our findings show that network interaction changes the dominant logic in business model innovation in two ways: by triggering a cognitive shift and by contributing to business model redesign. Our main contribution is the conceptualization of three interrelated shaping processes: market approach shaping, product/service offering shaping and credibility shaping. They provide a fine-grained perspective on value creation through collaborative networks and add to the business model literature by providing a framework to study the role of networks and cognition in business model innovation. For practitioners the shaping processes may support business model redesign and building relationships to advance commercialisation of sustainability-oriented innovations.

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The role of networks in business model innovation

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All for one and one for all [Abstract]

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Impact of student interventions on urban greening processes

The aim of this study is to determine the contribution of student interventions to urban greening processes. In two Dutch cities action research was conducted, including reflexive interviews a year after the first intervention, to assess factors causing change in the socio-ecological system. Results show that students and network actors were mutually learning, causing the empowerment of actors in that network by adding contextualized knowledge, enlarging the social network, expanding the amount of interactions in the socio-ecological system and speeding up the process. Students brought unique qualities to the process: time, access to stakeholders who tend to distrust the municipality and a certain open-mindedness. Their mere presence made a difference and started a process of change. However, university staff needed to keep the focus on long-term effects and empowerment, because students did not oversee that. After a year, many new green elements had been developed or were in the planning phase. In Enschede, the municipality districtmanagers were part of the learning network, which made it easier to cause changes in the main ecological network. In Haarlem however, no change took place in the main ecological network managed by the municipality, because no political empowerment of the civil society group had developed yet.

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Impact of student interventions on urban greening processes

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Information management in supply chain partnering

From the article: "Abstract Maintenance processes of Dutch housing associations are often still organized in a traditional manner. Contracts are based on lowest price instead of ‘best quality for lowest price’ considering users’ demands. Dutch housing associations acknowledge the need to improve their maintenance processes in order to lower maintenance cost, but are not sure how. In this research, this problem is addressed by investigating different supply chain partnering principles and the role of information management. The main question is “How can the organisation of maintenance processes of Dutch housing associations, in different supply chain partnering principles and the related information management, be improved?” The answer is sought through case study research."

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Information management in supply chain partnering

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Grounding Interventions that Facilitate Internal Processes of Communities of Practice

Communities of Practice (CoPs) are social learning systems that can be, to a certain extent, designed. Wenger (1998) proposes the following paradox; “ no community can fully design the learning of another, but at the same time, no community can fully design its own learning” (p:234). My interpretation of Wenger’s statement is that learning environments such as CoPs need to be facilitated in their learning processes, but not their specific design. Approaching CoPs this way allows for the design of interventions that facilitate learning processes within a CoP rather than regulate them. However, empirical studies on facilitating internal processes of CoPs are sparse – most work is anecdotal. This means that one needs to look to other fields for guidance in order to discover how to facilitate CoPs in their learning. This paper describes part of a larger research project that asks the question whether communities of practice can be instituted in higher professional educational organizations as an effective method to facilitate participant learning (professional development) and stimulate new knowledge creation in the service of the organization. Using a more pragmatic approach to cultivating CoPs (Ropes, 2007) opens the possibility to use different theoretical perspectives in order to find and ground interventions that can facilitate learning in CoPs and which are typically used in organizational development trajectories based on learning (de Caluwe & Vermaak, 2002). In this paper I look at how theories of human resource development, workplace learning and social constructivism conceptualize learning and what type of environments promote this. I then map out community of practice theory along these fields in order to come to a synthesized conceptual framework, which I will use to help understand what specific interventions can be used for designing CoPs. Finally I propose several interventions based on the work done here. The main question I consider here can be formulated as follows; ‘what insight can Human Resource Development theories, Workplace Learning theories and Social Constructivist learning theory give in order to design interventions that facilitate internal processes of communities of practice?’

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Grounding Interventions that Facilitate Internal Processes of Communities of Practice

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ClimateCafé:

ClimateCafé is a multi-, trans-, interdisciplinary and international event of several days in which young professionals, stakeholders and scientist come together to collect data and design (potential) solutions for climate change adaptation in rural or urban areas. ClimateCafé mainly aims to enhance resilience and reduce vulnerability of communities by sharing knowledge, raising awareness and building capacity. ClimateCafé addresses global issues, such as climate change and sustainable development, on a local scale. In a ClimateCafé, context specific challenges, related to climate change and sustainable development, are proposed by local stakeholders and often relate to a specific problem area. Over the past decade, more than 28 ClimateCafés have been organised around the globe, including the Netherlands-Rotterdam, Sweden-Malmö, the Philippines-Manila, and Peru-Pirua. Since the first edition in Thailand (2012), ClimateCafé evolved in content and adopted a ‘learning by doing’ paradigm. Our results indicate ClimateCafé fosters integrated thinking across disciplines, cultures and knowledge sectors while reducing uncertainties affiliated with climate change adaptation. This is demonstrated by participants of previous ClimateCafés having various backgrounds including: law, civil engineering, water management, art, urban planning and environmental engineering. Furthermore, co-production is composed through workshops facilitated by stakeholders of the, so called, quadruple helix including academia, government, civic society and industry. Workshops make use of scientifically embedded methods, always related to the contextual challenge. For example, urban heat stress is measured by sensors on a bike and collecting urban green with online platform ClimateScan, community perceptions are collected through interviews, water quality is measured with the use of drones and perceptions and responsibilities of institutional actors are identified by interviews and field visits. Additionally, data is processed and design workshops facilitate integrated design of potential solutions which is disseminated through participants presenting their findings at conferences. Although ClimateCafé is resource intensive, requires active participation of stakeholders and currently mainly attracts students of affiliated universities, we argue this multi-, inter-, transdisciplinary and international knowledge exchange methodology fosters the innovation that is dearly needed to address global sustainability challenges and climate change adaptation.

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Educators’ experiences with governance in curriculum change processes

In the midst of continuous health professions curriculum reforms, critical questions arise about the extent to which conceptual ideas are actually put into practice. Curricula are often not implemented as intended. An under-explored aspect that might play a role is governance. In light of major curriculum changes, we explored educators' perspectives of the role of governance in the process of translating curriculum goals and concepts into institutionalized curriculum change at micro-level (teacher-student). In three Dutch medical schools, 19 educators with a dual role (teacher and coordinator) were interviewed between March and May 2018, using the rich pictures method. We employed qualitative content analysis with inductive coding. Data collection occurred concurrently with data analysis. Different governance processes were mentioned, each with its own effects on the curriculum and organizational responses. In Institute 1, participants described an unclear governance structure, resulting in implementation chaos in which an abstract educational concept could not be fully realized. In Institute 2, participants described a top-down and strict governance structure contributing to relatively successful implementation of the educational concept. However it also led to demotivation of educators, who started rebelling to recover their perceived loss of freedom. In Institute 3, participants described a relatively fragmentized process granting a lot of freedom, which contributed to contentment and motivation but did not fully produce the intended changes. Our paper empirically illustrates the importance of governance in curriculum change. To advance curriculum change processes and improve their desired outcomes it seems important to define and explicate both hard and soft governance processes.

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Co-Adaptation processes of syntactic complexity in real-time kindergarten teacher-student interactions

Under the premise that language learning is bidirectional in nature, this study aimed to investigate syntactic coordination within teacher-student interactions by using cross-recurrence quantification analysis (CRQA). Seven teachers’ and a group of their students’ interactions were repeatedly measured in the course of an intervention in early science education. Results showed changes in the proportion of recurrent points; in case of simple sentences teachers and students became less coordinated over time, whereas in case of complex sentences teachers and students showed increasing coordination. Results also revealed less rigid (more flexible) syntactic coordination, although there were no changes in the relative contribution of teacher and students to this. In the light of the intervention under investigation this is an important result. This means that teachers and students learn to use more complex language and coordinate their language complexity better in order to co-construct science discourse. The application of CRQA provides new insights and contributes to better understanding of the dynamics of syntactic coordination.

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Producten 2.240

Work Processes and Building Reconstruction at Elderly Care

The role of networks in business model innovation

All for one and one for all [Abstract]

Impact of student interventions on urban greening processes

Information management in supply chain partnering

Grounding Interventions that Facilitate Internal Processes of Communities of Practice

ClimateCafé:

Educators’ experiences with governance in curriculum change processes

Co-Adaptation processes of syntactic complexity in real-time kindergarten teacher-student interactions

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Producten 2.240

Work Processes and Building Reconstruction at Elderly Care

The role of networks in business model innovation

All for one and one for all [Abstract]

Impact of student interventions on urban greening processes

Information management in supply chain partnering

Grounding Interventions that Facilitate Internal Processes of Communities of Practice

ClimateCafé:

Educators’ experiences with governance in curriculum change processes

Co-Adaptation processes of syntactic complexity in real-time kindergarten teacher-student interactions