scholarly journals How structural empowerment boosts organizational resilience: A case study in the Dutch home care industry

2021 ◽  
pp. 017084062110306
Author(s):  
Jennifer van den Berg ◽  
Alex A. Alblas ◽  
Pascale María LeBlanc ◽  
Georges Romme

Previous work has demonstrated that structural forms of empowerment tend to enhance individual and team resilience. However, there is hardly any knowledge about how structural empowerment affects organizational resilience. Moreover, a widespread (though largely untested) assumption is that, in adverse times, power and authority need to be centralized at the top rather than decentralized, to enhance organizational resilience. This paper explores the effects of empowerment on organizational ¬¬resilience in an in-depth case study of a Dutch home care organization, in which employees are structurally empowered. The findings from this case study suggest that structural empowerment indeed positively affects organizational resilience, but that this effect is contingent upon a climate of psychological safety as well as top management’s sustained commitment to structural empowerment. We move beyond the extant conceptualization of psychological safety by demonstrating its inter-level nature in the context of structural empowerment, which operates across organizational levels when employees also engage in discussions on tactical and strategic issues. Overall, this study provides an in-depth understanding of how organizations can enhance their resilience by empowering their members, thus also challenging the common wisdom about centralizing power in adverse times.

2019 ◽  
Vol 2019 (1) ◽  
pp. 19138
Author(s):  
Georges Romme ◽  
Jennifer Van Den Berg ◽  
Pascale Le Blanc ◽  
Alex Alblas

Health Policy ◽  
2006 ◽  
Vol 76 (2) ◽  
pp. 144-155 ◽  
Author(s):  
Elly J. Breedveld ◽  
Bert R. Meijboom ◽  
Aad A. de Roo

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 863-863
Author(s):  
Renee Beard

Abstract Americans overwhelmingly wish to age in place and many explicitly want to die at home. Yet, the anemic welfare state means that only the most fortunate among us are able to achieve that goal. A disproportionate burden of care falls squarely to families, which are smaller and more geographically spread out than ever before. Carers too often wind up in environments that are far from conducive, namely being older and perhaps frail themselves or younger and perhaps with small children of their own. Drawing on an autoethnographic study of my mother’s final years and a case study analysis of one innovative home care agency, this project examines the individual and organizational factors that allow one family to grant their family member’s wish to die at home. Grounded theory methods revealed facilitators including presence of a home-based long term care insurance policy, geographic mobility, and access to a democratically-oriented home care organization. Barriers, of course, include lack of access to long term care insurance and a daughter who lives in a progressive state with a waiver for Home and Community Based Services. While the privilege of access underscores the social determinants of aging, this case study reveals some important features that suggest how senior social services could be. Even for the “ideal type” presented here, the many trials and tribulations of aiding a loved one to die at home relate to the untenable nature of doing it all in a context whereby social services are fragmented and driven by financial incentives.


Author(s):  
Edmund J.Y. Pajarillo

Information and knowledge-seeking vary among users, including home care nurses. This research describes the social, cultural and behavioral dimensions of information and knowledge-seeking among home care nurses, using both survey and case study methods. Results provide better understanding and appreciation of nurses’ information behavior.La recherche d’information et de connaissances varie selon les usagers, y compris parmi les infirmiers et infirmières des soins à domicile. Cette recherche décrit les dimensions sociales, culturelles et comportementales de la recherche d’information et de connaissances parmi les infirmiers et infirmières des soins à domicile, en utilisant les méthodes de sondage et de l’étude de cas. Les résultats offrent une meilleure compréhension et connaissance du comportement informationnel des infirmiers et infirmières. 


Author(s):  
Bhanu P. Sood ◽  
Michael Pecht ◽  
John Miker ◽  
Tom Wanek

Abstract Schottky diodes are semiconductor switching devices with low forward voltage drops and very fast switching speeds. This paper provides an overview of the common failure modes in Schottky diodes and corresponding failure mechanisms associated with each failure mode. Results of material level evaluation on diodes and packages as well as manufacturing and assembly processes are analyzed to identify a set of possible failure sites with associated failure modes, mechanisms, and causes. A case study is then presented to illustrate the application of a systematic FMMEA methodology to the analysis of a specific failure in a Schottky diode package.


2018 ◽  
Vol 40 ◽  
pp. 04017
Author(s):  
Adrien Vergne ◽  
Céline Berni ◽  
Jérôme Le Coz

There has been a growing interest in the last decade in extracting information on Suspended Sediment Concentration (SSC) from acoustic backscatter in rivers. Quantitative techniques are not yet effective, but acoustic backscatter already provides qualitative information on suspended sediments. In particular, in the common case of a bi-modal sediment size distribution, corrected acoustic backscatter can be used to look for sand particles in suspension and provide spatial information on their distribution throughout a river crosssection. This paper presents a case-study where these techniques have been applied.


Energies ◽  
2021 ◽  
Vol 14 (12) ◽  
pp. 3411
Author(s):  
Clara Fernando-Foncillas ◽  
Maria M. Estevez ◽  
Hinrich Uellendahl ◽  
Cristiano Varrone

Wastewater and sewage sludge contain organic matter that can be valorized through conversion into energy and/or green chemicals. Moreover, resource recovery from these wastes has become the new focus of wastewater management, to develop more sustainable processes in a circular economy approach. The aim of this review was to analyze current sewage sludge management systems in Scandinavia with respect to resource recovery, in combination with other organic wastes. As anaerobic digestion (AD) was found to be the common sludge treatment approach in Scandinavia, different available organic municipal and industrial wastes were identified and compared, to evaluate the potential for expanding the resource recovery by anaerobic co-digestion. Additionally, a full-scale case study of co-digestion, as strategy for optimization of the anaerobic digestion treatment, was presented for each country, together with advanced biorefinery approaches to wastewater treatment and resource recovery.


Author(s):  
Aylin Wagner ◽  
René Schaffert ◽  
Julia Dratva

Quality indicators (QIs) based on the Resident Assessment Instrument-Home Care (RAI-HC) offer the opportunity to assess home care quality and compare home care organizations’ (HCOs) performance. For fair comparisons, providers’ QI rates must be risk-adjusted to control for different case-mix. The study’s objectives were to develop a risk adjustment model for worsening or onset of urinary incontinence (UI), measured with the RAI-HC QI bladder incontinence, using the database HomeCareData and to assess the impact of risk adjustment on quality rankings of HCOs. Risk factors of UI were identified in the scientific literature, and multivariable logistic regression was used to develop the risk adjustment model. The observed and risk-adjusted QI rates were calculated on organization level, uncertainty addressed by nonparametric bootstrapping. The differences between observed and risk-adjusted QI rates were graphically assessed with a Bland-Altman plot and the impact of risk adjustment examined by HCOs tertile ranking changes. 12,652 clients from 76 Swiss HCOs aged 18 years and older receiving home care between 1 January 2017, and 31 December 2018, were included. Eight risk factors were significantly associated with worsening or onset of UI: older age, female sex, obesity, impairment in cognition, impairment in hygiene, impairment in bathing, unsteady gait, and hospitalization. The adjustment model showed fair discrimination power and had a considerable effect on tertile ranking: 14 (20%) of 70 HCOs shifted to another tertile after risk adjustment. The study showed the importance of risk adjustment for fair comparisons of the quality of UI care between HCOs in Switzerland.


2020 ◽  
Vol 25 (1) ◽  
pp. 135-149
Author(s):  
Jan Siegemund

AbstractLibel played an important and extraordinary role in early modern conflict culture. The article discusses their functions and the way they were assessed in court. The case study illustrates argumentative spaces and different levels of normative references in libel trials in 16th century electoral Saxony. In 1569, Andreas Langener – in consequence of a long stagnating private conflict – posted several libels against the nobleman Tham Pflugk in different public places in the city of Dresden. Consequently, he was arrested and charged with ‘libelling’. Depending on the reference to conflicting social and legal norms, he had therefore been either threatened with corporal punishment including his execution, or rewarded with laudations. In this case, the act of libelling could be seen as slander, but also as a service to the community, which Langener had informed about potentially harmful transgression of norms. While the common good was the highest maxim, different and sometimes conflicting legally protected interests had to be discussed. The situational decision depended on whether the articulated charges where true and relevant for the public, on the invective language, and especially on the quality and size of the public sphere reached by the libel.


2021 ◽  
Vol 13 (13) ◽  
pp. 7300
Author(s):  
Anna Maria Colavitti ◽  
Alessio Floris ◽  
Sergio Serra

In Italy, after the introduction of the Code of Cultural Heritage and Landscape in 2004, the Regional Landscape Plan (RLP) has acquired a coordination role in the urban planning system, for the implementation of policies for landscape protection and valorisation. The case study of the RLP of Sardinia is a paradigmatic application to the coastal area of the island, which is considered most vulnerable and subject to settlement pressure. The objectives of preservation and valorisation of the territorial resources should be transferred into local planning instruments by adopting strategies aimed at the preservation of the consolidated urban fabric, at the requalification and completion of the existing built-up areas according to the principles of land take limitation and increase in urban quality. The paper investigates the state of implementation and the level of integration of landscape contents in the local plans that have been adapted to the RLP, using a qualitative comparative method. In addition, the results of the plan coherence checks, elaborated by the regional monitoring bodies after the adaptation process, have been analysed to identify the common criticalities and weaknesses. The results highlight the lack of effectiveness of the RLP, after more than a decade since its approval, considering the limited number of adequate local plans and the poor quality of their analytical and regulative contents in terms of landscape protection and valorisation. Conclusions suggest some possible ways to revise the RLP, focusing on the participation of local communities and the development of a new landscape culture.


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