The numerous grand challenges around us demand new approaches to build alternative sustainable futures collectively. Whereas these so-called co-design processes are becoming more mainstream, many multi-stakeholder coalitions lack practical guidance in these dynamic and systemic challenges based on entangled relationships, interactions, and experiences between stakeholders and their environments. Although scholars and practitioners convey a lot of co-design theories and methods, there does not seem to be a practical instrument beyond methods that supports new coalitions with an overview of a co-design process to come and in making shared and fundamental co-design decisions. Therefore, this paper proposes the empathic Co-Design Canvas as a new intermediate-level knowledge product existing of eight co-design decision cards, which together make up the Canvas as a whole. The Canvas is based on an existing theoretical framework defined by Lee et al. (2018), an empirical case study, and a diversity of experiences in education and practice. It aims at supporting multi-stakeholder coalitions to flexibly plan, conduct, and evaluate a co-design process. Moreover, the Canvas encourages coalitions to not only discuss the problematic context, a common purpose, envisioned impact, concrete results, and each other’s interests and knowledge, but also power, which can create trust, a more equal level playing field and empathy, and help manage expectations, which is greatly needed to overcome today’s grand challenges.
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Background: In implementation science, vast gaps exist between theoretical and practical knowledge. These gaps prevail in the process of getting from problem analysis to selecting implementation strategies while engaging stakeholders including care users. Objective: To describe a process of how to get from problem analysis to strategy selection, how to engage stakeholders, and to provide insights into stakeholders’ experiences. Design: A qualitative descriptive design. Setting and participants: The setting was a care organization providing long-term care to people with acquired brain injuries who are communication vulnerable. Fourteen stakeholders (care users, professionals and researchers) participated. Data were collected by a document review, five interviews and one focus group. Inductive content analysis and deductive framework analysis were applied. Intervention: Stakeholder engagement. Main outcome measures: A three-step process model and stakeholders experiences. Results and conclusion: We formulated a three-step process: (a) reaching consensus and prioritizing barriers; (b) categorizing the prioritized barriers and idealization; and (c) composing strategies. Two subthemes continuously played a role in how stakeholders were engaged during the process: communication supportive strategies and continuous contact. The experiences of stakeholder participation resulted in the following themes: stakeholders and their roles, use of co-creation methods and communication supportive strategies, building relationships, stimulus of stakeholders to engage, sharing power, empowerment of stakeholders, feeling a shared responsibility and learning from one another. We conclude that the inclusion of communicationvulnerable care users is possible if meetings are prepared, communication-friendly presentations and reports are used, and relationship building is prioritized.
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In dit essay onderzoeken we in vogelvlucht enkele perspectieven op het economisch potentieel. Daarna laten we zien welke positie het lectoraat Change Management inneemt in het leggen van de verbinding tussen kunst en bedrijfskunde.
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Projectvoorstel RAAK-publiek Vanaf 1 januari 2015 wordt de Wet Maatschappelijke Ondersteuning (WMO) gedecentraliseerd van het rijk naar gemeenten, waardoor gemeenten verantwoordelijk worden voor ouderen die met begeleiding nog zelfstandig kunnen wonen. De rijksoverheid vindt ook dat de zelfredzaamheid van alle burgers groter moet worden, en ziet hierbij een belangrijke rol weggelegd voor (informatie- en communicatie-) technologie (ICT).
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To elucidate how authoritative knowledge is established for better dealing with unstructured urban problems, this article describes how collaborations between researchers and officials become an instrument for conceptualizing and addressing policy problems. A case study is used to describe a research consortium evaluating the controversial practice of ‘Lifestyle’ based housing allocation in the Dutch domain of social-housing. Analyzing this case in key episodes, we see researchers and policymakers selectively draw on established institutional practices—their so called ‘home practices’—to jointly (re-)structure problems. In addition, we find that restructuring problems is not only intertwined with, but also deliberately aimed at (re-)structuring the relations within and between the governmental practices, the actors are embedded in. It is by selectively tinkering with knowledges, values, norms, and criteria that the actors can deliberately enable and constrain the ways a real-world problem is addressed.
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The paper arguments that a design approach will be essential to the future of e-democracy and e-governance. This development is driven at the intersection of three fields: democracy, information technology and design. Developments in these fields will result in a new scale, new complexity and demands for new quality of democracy solutions. Design is essential to answer these new challenges. The article identifies a new generation of design thinking as a distinct new voice in the development of e-democracy and describes some of the consequences for democracy and governance. It argues that, to be able to design new solutions for e-democracy successfully, current approaches may be too narrow and a broader critical reflection is necessary for both designers and other stakeholders in the process.
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The present study evaluates the Youth Initiated Mentoring (YIM) approach in which families and youth care professionals collaborate with an informal mentor, who is someone adolescents (aged twelve to twenty-three) nominate from their own social network. The informal mentor can be a relative, neighbour or friend, who is a confidant and spokesman for the youth and a co-operation partner for parents and professionals. This approach fits with the international tendency in social work to make use of the strengths of families’ social networks and to stimulate client participation. The current study examined through case-file analysis of 200 adolescents (YIM group n ¼ 96, residential comparison group n ¼ 104) whether the YIM approach would be a promising alternative for out-of-home placement of youth with complex needs. A total of 83 per cent of the juveniles in the YIM group were able to nominate a mentor after an average of thirty-three days. Ninety per cent of the adolescents in the YIM group received ambulatory treatment as an alternative for indicated out-of-homeplacement, while their problems were largely comparable with those of juveniles in Dutch semi-secure residential care. Results suggest that the involvement of important non-parental adults may help to prevent out-of-home placement of adolescents with complex needs.
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As an active member of the Global Network for Age-Friendly Cities and Communities, The Hague has been monitoring the progress over the years. In 2022, a second cross-sectional survey based on the Age Friendly Cities and Communities Questionnaire (AFCCQ) was conducted among 396 community-dwelling older citizens in the municipality. During times of the pandemic, scores for Social Participation went notably down, and scores for Respect and Social Inclusion increased. For the first time, based on survey data, four personas were found through cluster analysis. These personas ranged from the precariat and people with personal health issues with lower scores, to the silent majority without the limitations of health problems, and the upper echelon who score positively in all domains. Age-friendly policies in The Hague should focus particularly on the first two clusters through dedicated action plans, which would help steer efforts towards those most in need for support. This would help The Hague to become an age-friendly city for all, and not only for those living in good health and with sufficient financial means.
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Background: Increasing attention to palliative care for the general population has led to the development of various evidence-based or consensus-based tools and interventions. However, specific tools and interventions are needed for people with severe mental illness (SMI) who have a life-threatening illness. The aim of this systematic review is to summarize the scientific evidence on tools and interventions in palliative care for this group. Methods: Systematic searches were done in the PubMed, Cochrane Library, CINAHL, PsycINFO and Embase databases, supplemented by reference tracking, searches on the internet with free text terms, and consultations with experts to identify relevant literature. Empirical studies with qualitative, quantitative or mixed-methods designs concerning tools and interventions for use in palliative care for people with SMI were included. Methodological quality was assessed using a critical appraisal instrument for heterogeneous study designs. Stepwise study selection and the assessment of methodological quality were done independently by two review authors. Results: Four studies were included, reporting on a total of two tools and one multi-component intervention. One study concerned a tool to identify the palliative phase in patients with SMI. This tool appeared to be usable only in people with SMI with a cancer diagnosis. Furthermore, two related studies focused on a tool to involve people with SMI in discussions about medical decisions at the end of life. This tool was assessed as feasible and usable in the target group. One other study concerned the Dutch national Care Standard for palliative care, including a multicomponent intervention. The Palliative Care Standard also appeared to be feasible and usable in a mental healthcare setting, but required further tailoring to suit this specific setting. None of the included studies investigated the effects of the tools and interventions on quality of life or quality of care. Conclusions: Studies of palliative care tools and interventions for people with SMI are scarce. The existent tools and intervention need further development and should be tailored to the care needs and settings of these people. Further research is needed on the feasibility, usability and effects of tools and interventions for palliative care for people with SMI.
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Maatschappelijke vraagstukken worden steeds nijpender. Van dementie tot klimaatverandering en corona; we hebben er als mensen, burgers, bewoners en stadsgebruikers – al dan niet door eigen ervaring – een gevoel bij. Het echt begrijpen en aanpakken van deze vraagstukken is echter lastig, want er is niet één eigenaar. Alles hangt samen, is verweven en ook nog eens veranderlijk. Overzicht krijgen en samen beslissingen nemen over noodzakelijke stappen blijkt lastig. Complexe vraagstukken raken zo verweesd. Design en meer specifiek co-design – creatief samenwerken met anderen – wordt steeds meer gezien als mogelijke aanpak voor dit soort vraagstukken en samenwerkingen omdat het kan omgaan met complexiteit en met onzekerheid, optimistisch is en onderzoekend van aard. Met een co-designaanpak kunnen we een gedeeld verlangen vinden en daarmee komen we in verbinding met elkaar. Door vervolgens samen te zoeken naar mechanismen die tot de gewenste waarden kunnen leiden, krijgen we inzichten hoe een problematische situatie te kantelen. Dat stelt ons in staat om alternatieve toekomsten te verbeelden. Die helpen ons op weg naar een betere, groenere en socialere wereld en maatschappelijke verandering.
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