In de geestelijke gezondheidszorg wordt in toenemende mate wetenschappelijk onderzoek gedaan, vooral in het kader van opleidingen. Er is onbekendheid met de regelgeving en ethiek bij beginnend onderzoekers. Zorgvuldige overwegingen - conform de richtlijnen voor good clinical practice (gcp) en medisch-ethische toetsing, worden daardoor lang niet altijd gemaakt. DOEL Beschrijven van praktische handvatten en stimuleren van het medisch-ethische denken bij patiëntgebonden onderzoek in de geestelijke gezondheidszorg. METHODE In dit artikel wordt een op de praktijkbehoefte gebaseerd overzicht van praktische handvatten en ethische overwegingen gegeven. RESULTATEN Dit artikel benadrukt dat onderzoekers reeds vóór de start van het onderzoek belangrijke afwegingen dienen te maken. Instructies daarvoor en richtlijnen voor medisch-ethische toetsing zijn te vinden in: het richtsnoer voor good clinical practice, het stroomschema van de Centrale Commissie Mensgebonden Onderzoek (ccmo) met de bijbehorende e-learningmodule en in de basiscursus ‘Regelgeving en organisatie voor klinisch onderzoekers’(brok). Praktische tips, geïllustreerd met voorbeelden, schetsen een kader om het medisch-ethisch denken te stimuleren. Tot slot is het van belang om de organisatorische inbedding van onderzoek in het kader van opleidingen te verbeteren. CONCLUSIE Basisinformatie over gcp en medisch-ethische toetsing bij patiëntgebonden onderzoek is via diverse kanalen beschikbaar. De uitdaging zit vooral in de inbedding van gcp in patiëntgebonden onderzoek door beginnend onderzoekers in de ggz.
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Vanuit het project "Creëer een positieve talentspiraal: Innovatieve handvatten voor het werken met kinderen met autisme spectrum stoornis" zijn 11 good practice videovoorbeelden ontwikkeld die dienen als inspiratie voor leerkrachten die werken met kinderen met een Autisme Spectrum Stoornis.
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This book fills an important gap in the sport governance literature by engaging in critical reflection on the concept of ‘good governance’. It examines the theoretical perspectives that lead to different conceptualisations of governance and, therefore, to different standards for institutional quality. It explores the different practical strategies that have been employed to achieve the implementation of good governance principles. The first part of the book aims to shed light on the complexity and nuances of good governance by examining theoretical perspectives including leadership, value, feminism, culture and systems. The second part of the book has a practical focus, concentrating on reform strategies, from compliance policies and codes of ethics to external reporting and integrity systems. Together, these studies shed important new light on how we define and understand governance, and on the limits and capabilities of different methods for inducing good governance. With higher ethical standards demanded in sport business and management than ever before, this book is important reading for all advanced students and researchers with an interest in sport governance and sport policy, and for all sport industry professionals looking to improve their professional practice.
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Summary with good practices from the Interreg ITRACT project on smart mobility in rural areas.
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Lifelong learning is necessary for nurses and caregivers to provide good, person-centred care. To facilitate such learning and embed it into regular working processes, learning communities of practice are considered promising. However, there is little insight into how learning networks contribute to learning exactly and what factors of success can be found. The study is part of a ZonMw-funded research project ‘LeerSaam Noord’ in the Netherlands, which aims to strengthen the professionalization of the nursing workforce and promote person-centred care. We describe what learning in learning communities looks like in four different healthcare contexts during the start-up phase of the research project. A thematic analysis of eleven patient case-discussions in these learning communities took place. In addition, quantitative measurements on learning climate, reciprocity behavior, and perceptions of professional attitude and autonomy, were used to underpin findings. Reflective questioning and discussing professional dilemma's i.e. patient cases in which conflicting interests between the patient and the professional emerge, are of importance for successful learning.
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The Serendipity Tables projects connects youngsters and students with the wider community and enhances entrepreneurial mindsets. The Serendipity Table has been approved as good practice. Moreover it scored high on the creativity and applicability aspect.
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Over the past decades, laws and regulations have been incorporating obligations for major organisations in almost all sectors of society to integrate risk management in their governance. Against this background, this study focused on the degree and the way in which legal departments of Dutch organisations practice legal risk management. This study poses the following key questions: How do legal departments contribute to the risk management of organisations, how to explain possible differences between organisations and what lessons can we take from this? To answer these questions three case studies were performed in organisations in different sectors: a bank, a municipality and a university medical centre. These organisations have in common that they have a large staff and a large number of organisational entities, operate in highly-regulated sectors and have (comparatively) large legal departments. The case studies were preceded by literature research and background interviews with experts and professionals. Based on the outcome an analytical framework was formed that gave direction to the empirical study. In addition to the case studies, the empirical study comprised three roundtable discussions, where the results of the case studies were presented to a wide selection of experts and professionals for them to validate and supplement. The main conclusion of this study is that legal departments in most Dutch organisations do not yet contribute to risk management in a proactive and systematic manner. Most organisations have developed a policy on risk management, but legal departments do not yet have a clear position or role in this policy. This implies that in many organisations risk management is still characterized by a silo approach. In identifying and controlling legal risks, legal departments mainly use reactive methods and instruments. In practice this means that the initiative for contacting the legal department is often left to other departments. This does not mean that the legal department will not be consulted at all, but rather that frequently this is not done at an early stage, when legal advice is most valuable. The overall picture is that legal risk management is still in its infancy in most organisations. Legal risk management in large financial institutions is slightly more mature, partly because these organisations are subject to the most stringent statutory regime in terms of risk management. In addition to the size of the staff, the organisational structure and the number and nature of an organisation’s relations, the applicable legal framework is an important factor that explains differences between (the maturity of) the legal risk management of organisations. The overall picture is that legal risk management still functions insufficiently in most organisations. At the same time, the conclusion is that solid legal risk management can contribute to the success of organisations and the quality of the performance of legal departments. Based on the study several lessons have been created that organisations can use to enhance the quality of their legal risk management. The gist of those lessons is to develop a well-wrought and systematic approach, tailored to the organisation’s general risk management while considering user needs. The insights formulated could help legal departments to leave behind the clichés about risk-averse legal professionals that think in worst-case scenarios only and to create a good practice of sustainable, data-driven, legitimate and fair legal risk management.
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Today, Intellectual Capital plays a principal role in the delivery of corporate performance. This importance is reflected in the fact that companies, without the force of any regulations, start to produce intellectual capital statements to communicate their performance; accounting guidelines are being developed and standards are being questioned and reviewed; software companies such as SAP, Hyperion, Oracle, or Peoplesoft are developing applications to address this, and even governments are beginning to measure the intellectual capital of cities, regions, and countries. Accenture writes that today's economy depends on the ability of companies to create, capture, and leverage intellectual capital faster than the competition. Cap Gemini Ernst & Young believes that intangibles are the key drivers for competitive advantage. KPMG states that most general business risks derive from intangibles and organizations therefore need to manage their intangibles very carefully. PricewaterhouseCoopers writes that in a globalized world, the intellectual capital in any organization becomes essential and its correct distribution at all organizational levels requires the best strategy integrated solutions, processes and technology. Even though the leading management consulting firms recognize the importance of intellectual capital – they seem to suffer from the same predicament as the field as a whole. Intellectual capital is defined differently and the concept is often fuzzy. In this special issue of the leading journal in the field we would like to bring together the definitions, approaches, and tools offered by the leading management consulting firms. It will be a unique opportunity to disseminate your understanding of this critical area of management and allow you to illustrate your approaches and tools.
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Problems with communication and collaboration among perinatal caregivers threaten the quality and safety of care given to mothers and babies. Good communication and collaboration are critical to safe care for mothers and babies. In this study the researchers focused on studies examining the factors associated with good communication and collaboration as they occur in working routines in maternity care practice. Their study is part of a growing trend of identifying the positive aspects of communication and collaboration in maternity care.
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Background: Research on maternity care often focuses on factors that prevent good communication and collaboration and rarely includes important stakeholders – parents – as co-researchers. To understand how professionals and parents in Dutch maternity care accomplish constructive communication and collaboration, we examined their interactions in the clinic, looking for “good practice”. Methods: We used the video-reflexive ethnographic method in 9 midwifery practices and 2 obstetric units. Findings: We conducted 16 meetings where participants reflected on video recordings of their clinical interactions. We found that informal strategies facilitate communication and collaboration: “talk work” – small talk and humour – and “work beyond words” – familiarity, use of sight, touch, sound, and non-verbal gestures. When using these strategies, participants noted that it is important to be sensitive to context, to the values and feelings of others, and to the timing of care. Our analysis of their ways of being sensitive shows that good communication and collaboration involves “paradoxical care”, e.g., concurrent acts of “regulated spontaneity” and “informal formalities”. Discussion: Acknowledging and reinforcing paradoxical care skills will help caregivers develop the competencies needed to address the changing demands of health care. The video-reflexive ethnographic method offers an innovative approach to studying everyday work, focusing on informal and implicit aspects of practice and providing a bottom up approach, integrating researchers, professionals and parents. Conclusion: Good communication and collaboration in maternity care involves “paradoxical care” requiring social sensitivity and self-reflection, skills that should be included as part of professional training.
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