Betrokken of Bemoeizucht? Een explorerend kwalitatief onderzoek naar het denken van burgers over de norm van ‘niet-bemoeien’ wanneer ze vermoeden dat een medeburger die ze niet persoonlijk kennen problemen heeft.

In de Nederlandse participatiesamenleving wordt een beroep gedaan op ‘burgerlijke aandacht’. Aan de hand van campagnes, voorlichting en samenwerking met professionals worden burgers aangespoord om contact te zoeken met een medeburger zodra ze vermoeden dat er problemen zijn waar (meer) hulp voor moet worden ingeschakeld. Dit staat echter haaks op de bestaande norm van ‘niet-bemoeien’ in de omgang tussen mensen zonder persoonlijke band. In dit onderzoek staat centraal hoe Nederlandse burgers zelf over deze norm denken wanneer ze vermoeden dat er problemen zijn bij een medeburger. Op basis van het concept ‘civil inattention’ van de socioloog Goffman en 8 focusgroepen met 25 deelnemers laat het onderzoek zien dat burgers een norm van ‘beleefde onoplettendheid’ onderschrijven in de omgang tussen mensen zonder persoonlijke band. Het gaat om het zoeken van een midden tussen het respecteren van iemands privacy en iemand erkennen door vriendelijk gedrag. Dit midden drukt gelijkwaardigheid uit, afwijkingen hiervan kunnen beledigend of pijnlijk zijn. Bij vermoedens van problemen is het daarom de bedoeling dat men een manier vindt om iets voor de medeburger te betekenen die zoveel mogelijk in lijn is met ‘beleefde onoplettendheid’. Burgers geven aan dat dit gebruikelijk is, behalve in situaties met verward of dementerend gedrag. Ze zouden dan schrikken of oordelen en het lastig vinden om ‘beleefd onoplettend’ te reageren. Dit roept vragen op over de omgang tussen burgers die elkaar niet persoonlijk kennen in de participatiesamenleving. Het beroep op ‘burgerlijke aandacht’ en de herziening van de verzorgingsstaat geven namelijk aanleiding om kwetsbare burgers anders te behandelen dan met de gebruikelijke ‘beleefde onoplettendheid’. Dit kan ten koste gaan van de gelijkwaardigheid die een ‘beleefd onoplettende’ omgang uitdrukt

The social fabric of voluntary and community initiatives:On crafting space for meaningful relationships

The publication The social fabric of voluntary and community initiatives reflects on the role that voluntary and community initiatives can play in pressing societal issues. How do they contribute to such a social fabric? The publication is based on the ethnographic research of the University of Humanistic Studies. The most important insight is that voluntary and community initiatives do not simply strengthen social fabrics but perform the ongoing work of crafting space within these fabrics for something meaningful to emerge. Simply bringing people together does not automatically add value to people’s life. Among the support and activities in for example community centers, attention is needed to foster meaningful relationships. The publication is a special edition associated with Growing Older Together a development program of NOV (Association of Dutch Volunteer Organizations) in which older people are the resource to improve health and wellbeing

The social fabric of voluntary and community initiatives:On crafting space for meaningful relationships

The publication The social fabric of voluntary and community initiatives reflects on the role that voluntary and community initiatives can play in pressing societal issues. How do they contribute to such a social fabric? The publication is based on the ethnographic research of the University of Humanistic Studies. The most important insight is that voluntary and community initiatives do not simply strengthen social fabrics but perform the ongoing work of crafting space within these fabrics for something meaningful to emerge. Simply bringing people together does not automatically add value to people’s life. Among the support and activities in for example community centers, attention is needed to foster meaningful relationships. The publication is a special edition associated with Growing Older Together a development program of NOV (Association of Dutch Volunteer Organizations) in which older people are the resource to improve health and wellbeing

Existential vulnerability and resilience in voluntary initiatives with older persons

Het gangbare beeld van vrijwillige inzet is dat een veerkrachtige vrijwilliger hulp biedt aan een kwetsbare oudere. De tegenstelling tussen kwetsbaarheid en veerkracht is echter simplistisch en stigmatiserend. We moeten deze tegenstelling achter ons laten en verbindingen tussen vrijwilligers en ouderen anders bekijken

Capture the fracture: a best practice framework and global campaign to break the fragility fracture cycle

Summary The International Osteoporosis Foundation (IOF) Capture the Fracture Campaign aims to support implementation of Fracture Liaison Services (FLS) throughout the world. Introduction FLS have been shown to close the ubiquitous secondary fracture prevention care gap, ensuring that fragility fracture sufferers receive appropriate assessment and intervention to reduce future fracture risk. Methods Capture the Fracture has developed internationally endorsed standards for best practice, will facilitate change at the national level to drive adoption of FLS and increase awareness of the challenges and opportunities presented by secondary fracture prevention to key stakeholders. The Best Practice Framework (BPF) sets an international benchmark for FLS, which defines essential and aspirational elements of service delivery. Results The BPF has been reviewed by leading experts from many countries and subject to beta-testing to ensure that it is internationally relevant and fit-for-purpose. The BPF will also serve as a measurement tool for IOF to award ‘Capture the Fracture Best Practice Recognition’ to celebrate successful FLS worldwide and drive service development in areas of unmet need. The Capture the Fracture website will provide a suite of resources related to FLS and secondary fracture prevention, which will be updated as new materials become available. A mentoring programme will enable those in the early stages of development of FLS to learn from colleagues elsewhere that have achieved Best Practice Recognition. A grant programme is in development to aid clinical systems which require financial assistance to establish FLS in their localities. Conclusion Nearly half a billion people will reach retirement age during the next 20 years. IOF has developed Capture the Fracture because this is the single most important thing that can be done to directly improve patient care, of both women and men, and reduce the spiralling fracture-related care costs worldwide.</p

Return to work after a workplace-oriented intervention for patients on sick-leave for burnout - a prospective controlled study

<p>Abstract</p> <p>Background</p> <p>In the present study the effect of a workplace-oriented intervention for persons on long-term sick leave for clinical burnout, aimed at facilitating return to work (RTW) by job-person match through patient-supervisor communication, was evaluated. We hypothesised that the intervention group would show a more successful RTW than a control group.</p> <p>Methods</p> <p>In a prospective controlled study, subjects were identified by the regional social insurance office 2-6 months after the first day on sick leave. The intervention group (n = 74) was compared to a control group who had declined participation, being matched by length of sick leave (n = 74). The RTW was followed up, using sick-listing register data, until 1.5 years after the time of intervention.</p> <p>Results</p> <p>There was a linear increase of RTW in the intervention group during the 1.5-year follow-up period, and 89% of subjects had returned to work to some extent at the end of the follow-up period. The increase in RTW in the control group came to a halt after six months, and only 73% had returned to work to some extent at the end of the 1.5-year follow-up.</p> <p>Conclusions</p> <p>We conclude that the present study demonstrated an improvement of long-term RTW after a workplace-oriented intervention for patients on long-term sick leave due to burnout.</p> <p>Trial registration</p> <p>Current Controlled Trials NCT01039168.</p

Towards a New Definition of Return-to-Work Outcomes in Common Mental Disorders from a Multi-Stakeholder Perspective

Objectives: To examine the perspectives of key stakeholders involved in the return-to-work (RTW) process regarding the definition of successful RTW outcome after sickness absence related to common mental disorders (CMD's). Methods: A mixed-method design was used: First, we used qualitative methods (focus groups, interviews) to identify a broad range of criteria important for the definition of successful RTW (N = 57). Criteria were grouped into content-related clusters. Second, we used a quantitative approach (online questionnaire) to identify, among a larger stakeholder sample (N = 178), the clusters and criteria most important for successful RTW. Results: A total of 11 clusters, consisting of 52 unique criteria, were identified. In defining successful RTW, supervisors and occupational physicians regarded "Sustainability'' and "At-work functioning" most important, while employees regarded "Sustainability," "Job satisfaction," "Work-home balance,'' and " Mental Functioning" most important. Despite agreement on the importance of certain criteria, considerable differences among stakeholders were observed. Conclusions: Key stakeholders vary in the aspects and criteria they regard as important when defining successful RTW after CMD-related sickness absence. Current definitions of RTW outcomes used in scientific research may not accurately reflect these key stakeholder perspectives. Future studies should be more aware of the perspective from which they aim to evaluate the effectiveness of a RTW intervention, and define their RTW outcomes accordingly