Zoekresultaten

Prevalence of and relationship between adverse childhood experiences and family context risk factors among children with intellectual disabilities and borderline intellectual functioning

Background: Adverse Childhood Experiences (ACEs) are an overlooked risk factor for behavioural, mental and physical health disparities in children with intellectual disabilities (ID) and borderline intellectual functioning (BIF). Aims: To gain insight into the presence of the 10 original Wave II ACEs and family context risk variables in a convenience sample of children with ID and BIF in Dutch residential care. Methods and procedures: 134 case-files of children with ID (n = 82) and BIF (n = 52) were analysed quantitatively. Outcomes and results: 81.7 % of the children with ID experienced at least 1 ACE, as did 92.3 % of the children with BIF. The average number of ACEs in children with ID was 2.02 (range 0???? 8) and in children with BIF 2.88 (range 0???? 7). About 20 % of the children with moderate and mild ID experienced 4 ACEs or more. Many of their families faced multiple and complex problems (ID: 69.5 %; BIF 86.5 %). Multiple regression analysis indicated an association between family context risk variables and the number of ACEs in children. Conclusions and implications: The prevalence of ACEs in children with ID and BIF appears to be considerably high. ACEs awareness in clinical practice is vital to help mitigate negative outcomes.

Care transformation defined by conditions, mechanisms, and outcomes: a systematic literature review

Rethinking the staff-quality relationship in nursing homes

Staffing practices in long-term care lack a clear evidence base and often seem to be guided by opinions instead of evidence. While stakeholders believe intuitively that there is a positive relationship between staffing levels and quality in nursing homes, the research literature is contradictory (1). In this editorial we consider the evidence found in a literature study that we conducted for the Dutch Ministry of Health, Welfare and Sports (VWS). The aim of this study was to summarize all available evidence on the relationship between staffing and quality in nursing homes. Specifically, we focused on the quantity and the educational background of staff and quality in nursing homes. The literature study has contributed to the recent Dutch quality framework for nursing homes (Kwaliteitskader verpleeghuiszorg in Dutch) of the National Health Care Institute. This quality framework was published in January 2017 and provides norms – among other quality aspects – for nursing home staffing. As well as a description of the main findings of the literature study, we present implications for different stakeholders charged with staffing issues in nursing homes.

The Relationship between IT Outsourcing and Business and IT Alignment: an Explorative Study

Outsourcing of business processes and information technology (IT) operations is an important trend in large and middle-sized organizations. However, outsourcing could affect the organization’s ability to align its IT with business strategy and operations. This article reports a qualitative study into the relationship between IT outsourcing (ITO) and business and IT alignment. It aims to provide recommendations for outsourcers and service providers on how outsourcing relationships should develop in order to support business and IT alignment. The research question of the study is “What is the effect of IT outsourcing on the business and IT alignment of companies that have outsourced their IT?”After a review of relevant literature and concepts, four cases are reported. The study revealed that a higher level of motivation for outsourcing paired with a higher level of the relationship between outsourcer and service provider and with a higher level of alignment maturity of the outsourcer. The study also showed that the ITO relationship is influenced by organizational turbulence on one or either side of the relationship and that the service providers tend to assess the relationship on a higher level than the outsourcers. These conclusions provide relevant directions for both outsourcers and service providers for improvement of the their relationship

Fact or fiction?

This paper explores inter-organisational relationships, in terms of cooperation, between three main types of sport providers at the local level: voluntary sport clubs, for-profit fitness and health clubs, and local sports authorities. Both withinand cross-sector cooperation are analysed and related to organisational characteristics as well as the perceived competition from other sport providers. Data are obtained from three quantitative panel surveys: the Flemish Sport Club Panel 2009, the Flemish Fitness Panel 2009, and the Flemish Local Sports Authorities Panel 2010. The results show that sport providers influence and are influenced by other sport providers in their environment. The three selected groups of sport providers differ with regard to the occurrence and the nature of the cooperation. Local sports authorities (i.e., public sector) are found to be the most cooperative sport provider. Evidence is provided for the use of cooperation as a strategy to meet competitive challenges.

Investigating (inter)organisational data governance design in maintenance networks: developing a research methodology and crafting data collection methods

With information technologies becoming available on a growing scale, capturing large amounts of building information is becoming cheaper and economically viable. This is creating new challenges for real estate management organisations. Producing digital assets is one thing, managing them and knowing how to use them is another. The information management tasks and responsibilities of real estate management organisations therefore are becoming challenging and complex at the same time. Not in the least by the fact that in many situations, maintenance activities are outsourced to contractors and sub-contractors, creating maintenance networks. While building register information may be produced in the first place to fulfil the building owner’s needs, this research assumes building registers could also contribute to innovation in the greater maintenance network if the right form of data governance can be implemented. This paper, which is part of a larger research project, presents a research approach for investigating such governance designs for building registers. The approach is based on a qualitative research approach because it aims to address the stakeholders interests adequately and produce findings that are meaningful to all stakeholders for improving data governance in professional practice. Within a multiple case study methodology, an embedded case study design is presented that may provide a useful guide for researchers in this field. The proposed methodology will be used to conduct four in depth case studies. The intended outcome of this research is a theoretical framework that integrates data governance design factors with network innovation effects. It can be used to guide the design of (inter)organisational data governance programmes in maintenance networks.