This document summarizes the main findings of the ERASMUS+ Strategic Partnership ‘Community Learning for Local Change (CLLC)’. The CLLC project has been running from September 2018 to August 2021. The project was a cooperation of four universities, three NGOs and various local community partners. Our consortium presents new approach to promote creativity, entrepreneurial thinking and skills for designing innovation in close cooperation with the communities in which our universities are embedded.
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Background: Transmural palliative care interventions aim to identify older persons with palliative care needs and timely provide advance care planning, symptom management, and coordination of care. Nurses can have an important role in these interventions; however, their expertise is currently underused. A new transmural care pathway with a central role for the community care registered nurse in advance care planning aims to contribute to the quality of palliative care for older persons. Objective: To examine the perspectives of community nurses on the feasibility of a new transmural care pathway for advance care planning for older persons. Design: A qualitative study design using semi-structured interviews. Setting(s): Interviews were performed with community nurses of three participating homecare organizations in the Netherlands between March and May 2023. Participants: 19 community nurses. Methods: A topic guide was based on (1) challenges in advance care planning identified from the literature and (2) concepts that are important in assessing the feasibility of complex healthcare interventions provided by the Normalisation Process Theory framework. A combined inductive and deductive thematic analysis was performed. Results: Four themes were identified: views on the transmural care pathway, community nurses’ needs to fulfil their role, key points regarding implementation, and evaluation of the new practice. In general, community nurses were positive about the feasibility of the new practice as it provided a more structured work process that could facilitate interprofessional collaboration and improve the quality of palliative care. Overall, the feasibility of the new practice, from community nurses perspective, was determined by (1) clear roles and responsibilities in the transmural care pathway, (2) standardized registration of advance care planning, and (3) close involvement of community nurses in the whole implementation process. Conclusions: We highlighted important factors, from the perspectives of community nurses, that need to be considered in the implementation of a new transmural care pathway for advance care planning. A clear division of roles and responsibilities, standardized registration of advance care planning, and involvement of community nurses during the whole implementation process were mentioned as important enabling factors. This knowledge might contribute to successful implementation of a transmural care pathway that aims to enhance the quality of palliative care for older persons. Tweetable abstract: Community nurses’ perspectives on the feasibility of a transmural care pathway for advance care planning for older persons.
This article focusses on small-scale community-based care initiatives developed by citizens in small villages in rural areas in the Netherlands, with special attention to some interesting case studies in the North and South of the country. These initiatives will be contextualized. First, the demographic processes impacting the Dutch care and welfare domain will be discussed in more detail (chapter 1). Subsequently, chapter 2 will focus on citizens’ initiatives, attempting to put them in a broader theoretical framework using theories on voluntary engagement, social cohesion, and a line of reasoning from social capital theory. Finally, in chapter 3, these findings will be used to describe and discuss small-scale community-based care initiatives in the Netherlands in general with a specific focus on two relatively new types of small-scale initiatives built around a social support worker.
Hotelschool The Hague (HTH) was founded and funded in 1929 by the hospitality industry to create a hub where industry partners could gain and share new insights, skills and knowledge. Since then, it has become a professional operation with a solid international reputation in hospitality management. Though HTH has expanded considerably over the years, it has always remained true to its original mandate with a clear commitment to hospitality and a strong connection with the industry. Since its establishment, HTH has sharpened its focus, remaining regionally rooted with an increasingly concentrated international outlook. In line with its heritage, HTH established an ambitious research and internationalisation strategy through its Research Center in 2010 and has pursued that strategy ever since. The goals of the strategy are clear: to achieve international recognition for high quality research that has immediate practical application in the real world while driving towards sustainable development facilitated by an expansive international network and learning community. In pursuit of this ambition, HTH finds the perfect opportunity in this Pilot Richting Europa project to advance the progress made in its established research and internationalisation strategy and to focus the expansion of its international network towards industrial, governmental, and other private and public sector partners. Through this project, it is the ambition of HTH to increase the impact of its research area, City Hospitality. City Hospitality is mainly a nationally focussed initiative which would significantly benefit from international exchange with other European cities engaging in hospitality efforts. This will be achieved through (1) the expansion of its network of industrial and governmental partners and networks across Europe and (2) by increasing its participation in cooperative European projects, with the ultimate aim of leading a consortium for a European project by the end of the project year.
